View Associated Notes
Category 3 - THERAPEUTIC PROCEDURES
49787 - Additional Information
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed):
(a) capsulotomy;
(b) joint release;
(c) synovectomy;
(d) local tendon transfer;
(e) joint debridement;
—7 joints (H)
(Anaes.) (Assist.)
Fee: $1,357.10 Benefit: 75% = $1,017.85
(See para TN.8.199 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.
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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