Medicare Benefits Schedule - Item 47045

Search Results for Item 47045

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

47045

47045 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
1 - Treatment Of Dislocations

Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by open reduction, including any of the following (if performed):

(a) arthrotomy;

(b) capsule repair;

(c) ligament repair;

(d) volar plate repair

 

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $463.90 Benefit: 75% = $347.95 85% = $394.35

(See para TN.8.190 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.                                    

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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