View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
49740 - Additional Information
Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):
(a) capsulotomy;
(b) joint release;
(c) synovectomy;
(d) removal of osteophytes at joint;
(e) removal of hardware;
(f) neurolysis;
(g) osteotomy of non-union or malunion;
other than a service associated with a service to which item 30023 applies that is performed at the same site
(H)
(Anaes.) (Assist.)
Fee: $1,608.90 Benefit: 75% = $1,206.70
(See para TN.8.199, TN.8.200, TN.8.283 of explanatory notes to this Category)
Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
TN.8.199
Definitions - Foot and Ankle Items
- Ray: From the tip of a digit to the proximal metatarsal base of that digit, including phalanges and metatarsal bones.
- Hindfoot joints: Consist of subtalar, talonavicular and calcaneocuboid joints.
- Hindfoot bones: Consist of the calcaneus, talus, navicular and cuboid.
- Midfoot joints: Consist of naviculocuneiform and tarsometatarsal joints.
- Midfoot bones: Consist of cuneiforms.
- Major ankle tendons: Consist of the Achilles’, tibialis anterior, tibialis posterior, peroneal (both longus and brevis), extensor hallucis longus and flexor hallucis longus tendons.
- Flexor tendon: Both the flexor digitorum longus and flexor digitorum brevis tendons.
- Extensor tendon: Both the extensor digitorum longus and extensor digitorum brevis tendons.
- Reconstruction of a tendon: Treatment of a degenerative tendon where more than end-to-end repair of tendon rupture is involved.
- Transtarsal amputation: Involves amputation of the foot through the tarsal or metatarsal bones, or through the tarsometatarsal joints.
- Joint debridement: Removal of osteophytes, removal of part of the joint, and removal of intervening soft tissue, loose bone ossicles or fragments from one or both sides of a joint.
- Primary treatment: Acute and first management of an injury or pathology.
- Delayed or secondary treatment: Subsequent to primary treatment, or occuring after the normal expected healing time for the relevant tissue.
- Revision procedure: A repeat operation to replace or compensate for a failed implant, correct a painful non-union of fracture or fusion, correct malunion, reconstruct a failed soft tissue procedure, or correct undesirable complications of previous surgery.
- Operative exposure: Includes (if performed) arthrotomy and/or arthroscopy of joint, washout of joint, removal of loose fragments or loose bodies, synovectomy of neurovascular bundle and closure of capsule.
- Radical plantar fasciotomy or fasciectomy: Involves the partial or complete removal of the plantar fascia, but does not involve simple release of the fascia.
Related Items: 44338 44342 44346 44350 44354 44358 44359 44361 44364 47063 47066 47069 47573 47595 47597 47600 47603 47612 47615 47618 47621 47624 47630 47637 47639 47648 47657 47663 47666 47672 47678 47904 47906 47915 47916 47918 48400 48403 48430 48433 48435 49703 49706 49709 49712 49715 49716 49717 49718 49724 49727 49728 49730 49732 49734 49736 49738 49740 49742 49744 49760 49761 49762 49763 49764 49765 49766 49767 49768 49769 49770 49771 49772 49773 49774 49775 49776 49777 49778 49779 49780 49781 49782 49783 49784 49785 49786 49787 49788 49789 49790 49791 49792 49793 49794 49795 49796 49797 49798 49800 49803 49806 49809 49812 49815 49818 49821 49824 49827 49830 49833 49836 49837 49838 49839 49845 49851 49854 49857 49860 49866 49878 49881 49884 49887 49890
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
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