Medicare Benefits Schedule - Note TN.8.124

• For the purposes of these items, fixation includes internal and external.
• Regarding item 47362, major regional anaesthesia includes bier block.

Related Items: 47301 47304 47307 47310 47313 47316 47319 47361 47362 47364 47367 47370 47373

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Multiple Operation Rule

Treatment of fracture of middle or proximal phalanx, by closed reduction, requiring anaesthesia—one bone

(Anaes.)

Fee: $98.90 Benefit: 75% = $74.20 85% = $84.10

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of metacarpal, by closed reduction, requiring anaesthesia—one bone (H)

(Anaes.)

Fee: $112.65 Benefit: 75% = $84.50

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of phalanx or metacarpal, by closed reduction, including percutaneous K‑wire fixation (if performed)—one bone (H)

(Anaes.) (Assist.)

Fee: $227.85 Benefit: 75% = $170.90

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of phalanx or metacarpal, by open reduction, with internal fixation (H)

(Anaes.) (Assist.)

Fee: $375.95 Benefit: 75% = $282.00

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of intra-articular fracture of phalanx or metacarpal, by closed reduction, including:

(a) percutaneous K-wire fixation; and

(b) external or dynamic fixation (if performed)

(H)

(Anaes.) (Assist.)

Fee: $364.60 Benefit: 75% = $273.45

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of intra‑articular fracture of phalanx or metacarpal, by open reduction with fixation, other than a service provided on the same occasion as a service to which item 47319 applies (H)

(Anaes.) (Assist.)

Fee: $723.40 Benefit: 75% = $542.55

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of intra-articular fracture of proximal end of middle phalanx, by open reduction, with fixation, other than a service provided on the same occasion as a service to which item 47316 applies (H)

(Anaes.) (Assist.)

Fee: $740.50 Benefit: 75% = $555.40

(See para TN.8.124, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of distal end of radius or ulna (or both), by cast immobilisation, other than a service associated with a service to which item 47362, 47364, 47367, 47370 or 47373 applies

Fee: $150.15 Benefit: 75% = $112.65 85% = $127.65

(See para TN.8.124 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item 47361, 47364, 47367, 47370 or 47373 applies 
 

(Anaes.)

Fee: $225.10 Benefit: 75% = $168.85 85% = $191.35

(See para TN.8.124 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of distal end of radius or ulna (not involving joint surface), by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H)

(Anaes.) (Assist.)

Fee: $319.00 Benefit: 75% = $239.25

(See para TN.8.124 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of fracture of distal end of radius, by closed reduction with percutaneous fixation, other than a service associated with a service to which item 47361 or 47362 applies (H)

(Anaes.) (Assist.)

Fee: $254.70 Benefit: 75% = $191.05

(See para TN.8.124 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of intra‑articular fracture of distal end of radius, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H)

(Anaes.) (Assist.)

Fee: $462.50 Benefit: 75% = $346.90

(See para TN.8.124 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of intra‑articular fracture of distal end of ulna, by open reduction with fixation, other than a service associated with a service to which item 47361 or 47362 applies (H)

(Anaes.) (Assist.)

Fee: $330.40 Benefit: 75% = $247.80

(See para TN.8.124 of explanatory notes to this Category)