Medicare Benefits Schedule - Item 48406

Search Results for Item 48406

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

48406

48406 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2024

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
5 - Osteotomy And Osteectomy

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $375.45 Benefit: 75% = $281.60

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.168

Procedure for osteotomy (47501, 48400 - 48427)

 An osteotomy is a planned bone cut that is intended to realign the bone or alter the length of a bone.

Related Items: 47501 48400 48403 48406 48409 48412 48415 48421 48422 48423 48424 48426 48427

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.8.196

Procedure for osteotomy (Items 48400 - 48421 and 48430)

  • Removal of prominent bone or osteophytes can be billed as an isolated procedure under 48430 or when through a separate incision to other procedures. 
  • When an osteotomy is performed through the bone to correct a deformity then the appropriate number is chosen from 48400, 48403, 48406, 48409, 48418 or 48421. 
  • Not to be used when performing joint arthroscopy (49703, 49730 or 49732), bunion correction (49827, 49830, 49833, 49836, 49837 or 49838), neurolysis (39330), wound debridement (30023) or an arthrodesis procedure unless performed at a site separate to the excluded items.

Related Items: 39330 48400 48403 48406 48409 48421 48430 49703 49827 49833 49836 49837 49838

Category 3 - THERAPEUTIC PROCEDURES

TN.8.200

Procedure for arthrodesis in the foot and ankle

  • An arthrodesis consists of joint preparation, removal of surrounding osteophytes, intraarticular joint correction and fixation by any means.
  • Bone procedure items (48430, 48400, 48403, 48406, 48409, 48419, or 48420) are not to be claimed unless performed at a separate site to the arthrodesis.
  • Neurolysis (39330), wound debridement (30023) and ganglion excision (30107) items are not to be claimed unless performed at a site separate to the arthrodesis site.

Related Items: 30023 39330 48400 48403 48406 48409 48419 48420 48430 49712 49740 49742 49744 49760 49776 49777 49778 49779 49780 49781 49789 49790 49791 49792 49793 49794 49795 49796 49797 49798 49814 49815 49845 49851 50118


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