Medicare Benefits Schedule - Item 49565

Search Results for Item 49565

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

49565

49565 - Additional Information

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

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
12 - Knee

Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including:

(a) both of the following:

(i) medial soft tissue reconstruction;

(ii) tibial tuberosity transfer; and

(b) any of the following (if performed):

(i) bone graft;

(ii) internal fixation;

(iii) trochleoplasty;

other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H)

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $1,502.75 Benefit: 75% = $1,127.10

(See para TN.8.117 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.117

Autologous Chondrocyte Implantation in the Knee

The Medical Services Advisory Committee (MSAC) evaluated the available evidence and did not support public funding for matrix-induced autologous chondrocyte implantation (MACI) or autologous chondrocyte implantation (ACI) for the treatment of chondral defects in the knee and other joints, due to the increased cost compared to existing procedures and the lack of evidence showing short term or long-term improvements in clinical outcomes. Medicare benefits are not payable in association with this technology as per GN.13.33.

Related Items: 49500 49503 49506 49509 49512 49515 49516 49517 49518 49519 49521 49524 49525 49527 49530 49533 49534 49536 49542 49544 49548 49551 49554 49564 49565 49569 49570 49572 49574 49576 49578 49580 49582 49584 49586 49590


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