View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
46364 - Additional Information
Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with:
(a) a service to which item 46363 applies; or
(b) a service to which item 30023 applies that is performed at the same site
—one digit or palmer arch (or both) or radial or ulnar artery (or both)
(Anaes.) (Assist.)
Fee: $531.10 Benefit: 75% = $398.35 85% = $451.45
(See para TN.8.190, TN.8.283 of explanatory notes to this Category)
Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
TN.8.190
Definitions - Hand and Wrist Items
- Ray: From the tip of the digit to proximal metacarpal base of that digit, including phalanges and metacarpal.
- Index ray: First web in Dupuytren contracture releases is considered part of the index ray.
- Primary: Acute injury and first management of a pathology.
- Secondary: Delayed or subsequent to primary treatment, or occurring after normal expected relevant tissue healing time.
- Vascular graft: Harvesting of graft, insetting and anastomosis of both ends of graft.
- Nerve graft: Harvesting of graft, insetting and neurorrhaphy at both ends of graft.
- Tendon graft: Harvesting of graft, insetting and tensioning of graft and tendon weave/repair at both ends of graft.
- Transcarpal amputation: Includes the hand through the radiocarpal, midcarpal or carpometacarpal joints.
- Wrist joint: Includes radiocarpal, midcarpal and radioulnar joints, which are not to be billed independently.
- Z-plasty: Raising, transfer, insetting and suturing of both components (flaps) of the Z-plasty procedure.
- Flexor tendon: A tendon on the volar aspect of the digits, hand or wrist.
– Treatment of only two flexors can be claimed per digit/ray.
– The two slips of flexor digitorum superficialis (FDS) inserting to the middle phalanx are not to be claimed as two tendons and are to be billed as part of the single FDS tendon. - Nerve Trunk: A bundle of nerve fibers enclosed in a connective tissue sheath.
Related Items: 44325 46300 46303 46308 46309 46312 46315 46318 46321 46322 46324 46325 46330 46333 46335 46336 46339 46340 46341 46342 46345 46348 46351 46354 46357 46360 46363 46364 46365 46367 46370 46372 46375 46378 46379 46380 46381 46384 46387 46390 46393 46394 46395 46399 46401 46408 46411 46414 46417 46420 46423 46426 46432 46434 46438 46441 46442 46444 46450 46453 46456 46464 46465 46468 46471 46474 46477 46480 46483 46486 46489 46492 46493 46495 46498 46500 46501 46502 46503 46504 46507 46510 46513 46519 46522 46525 46528 46531 46534 47024 47027 47030 47033 47042 47045 47301 47304 47307 47310 47313 47316 47319 47348 47351 47354 47357 47385 47386 48406 48409 49200 49203 49206 49209 49210 49212 49213 49215 49218 49219 49220 49221 49224 49227 49230 49233 49236 49239 50524 50528
Category 3 - THERAPEUTIC PROCEDURES
TN.8.283
Procedures involving wound debridement (item 30023) on the same occasion as some orthopaedic or neurosurgical procedures
Items 39303, 39309-39315, 39329-39345, 46335, 46339-46341, 46348-46360, 46364, 46387, 46390-46395, 46408, 46414, 46423, 46434, 46450, 46453, 46522, 46525, 49717, 49740, 49744, 49771-49776, 49782, 49866, 49881-49890 all include the phrase "other than a service associated with a service to which item 30023 applies that is performed at the same site".
This indicates that an additional benefit is not payable for debridement of a soft tissue wound under item 30023 where it is performed at the same site on the same occasion.
These procedures are considered to be performed at the same site as the wound debridement (item 30023) where:
- Any incision for the orthopaedic or neurosurgical procedures involves the wound that is debrided.
- Debridement of the wound is required as part of the surgical approach and is considered an inherent part of the orthopaedic or neurosurgical procedure.
Related Items: 30023 39303 39309 39312 39315 39329 39330 39331 39332 39336 39339 39342 39345 46335 46339 46340 46341 46348 46351 46354 46357 46360 46364 46387 46390 46393 46394 46395 46408 46414 46423 46434 46450 46453 46522 46525 49717 49740 49744 49771 49773 49774 49775 49776 49782 49866 49881 49884 49887 49890
Legend
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change