Medicare Benefits Schedule - Item 50552

Search Results for Item 50552

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

50552

50552 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2024

Group
T8 - Surgical Operations
Subgroup
15 - Orthopaedic
Subheading
19 - Treatment Of Fractures In Paediatric Patients

Humerus, proximal, with open growth plate, treatment of fracture of, by closed reduction (H)

Multiple Operation Rule

(Anaes.)

Fee: $518.05 Benefit: 75% = $388.55

(See para TN.8.118, TN.8.119 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.118

Paediatric Patients - (Items 50450 to 50658)

For the purpose of Medicare benefits a paediatric patient is considered to be a patient under the age of eighteen years, except in those instances where an item provides further specifications (i.e. fracture items for paediatric patients which state "with open growth plates").

Related Items: 50450 50451 50455 50456 50460 50461 50465 50466 50470 50471 50475 50476 50508 50512 50524 50528 50532 50536 50540 50544 50548 50552 50556 50560 50564 50568 50572 50576 50580 50584 50588 50600 50604 50608 50612 50616 50620 50624 50628 50632 50636 50640 50644 50654

Category 3 - THERAPEUTIC PROCEDURES

TN.8.119

Treatment of Fractures in Paediatric Patients - (Items 50500 to 50588)

Items 50552 and 50560 apply to fractures that may arise during delivery and at an age when anaesthesia poses a significant risk and thus reduction is usually performed in the neonatal unit or nursery. 

Item 50576 provides for closed reduction in the skeletally immature patient and will require application of a hip spica cast and related aftercare. 

Medicare benefits are payable for services that specify reduction with or without internal fixation by open or percutaneous means, where reduction is carried out on the growth plate or joint surface or both.

 

Related Items: 50508 50512 50524 50528 50532 50536 50540 50544 50548 50552 50556 50560 50564 50568 50572 50576 50580 50584 50588


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