Medicare Benefits Schedule - Note TN.8.127

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.127

Interpretation of femoroacetabular impingement (FAI) restriction (items 48424, 49303,49366)

Patients presenting with hip dysplasia, Perthes Disease and Slipped Upper Femoral Epiphysis (SUFE) are eligible for treatment under items 49366, 49303 and 48424.

Related Items: 48424 49303 49366


Related Items

Category 3 - THERAPEUTIC PROCEDURES

48424

48424 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)

(Anaes.) (Assist.)

Fee: $829.10 Benefit: 75% = $621.85

(See para TN.8.127, TN.8.168 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49303

49303 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Arthrotomy of hip, by open procedure, including any of the following (if performed):

(a) lavage;

(b) drainage;

(c) biopsy

(H)

(Anaes.) (Assist.)

Fee: $601.00 Benefit: 75% = $450.75

(See para TN.8.127 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49366

49366 - Additional Information

Item Start Date:
01-May-1994
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing:

(a) a procedure of the hip joint by arthroscopic means; or

(b) surgery for femoroacetabular impingement

(H)

(Anaes.) (Assist.)

Fee: $673.60 Benefit: 75% = $505.20

(See para TN.8.127 of explanatory notes to this Category)


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