Medicare Benefits Schedule - Note TN.8.184

Item 46340 is intended to be used at wrist level, while item 46335 is intended to be used distal to the wrist.

Related Items: 46335 46340

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Multiple Operation Rule

Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed):

(a) reconstruction of extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) a service to which item 30023 applies that is performed at the same site

Applicable once per hand per occasion on which the service is performed

(Anaes.) (Assist.)

Fee: $531.10 Benefit: 75% = $398.35 85% = $451.45

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Multiple Operation Rule

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

(Anaes.) (Assist.)

Fee: $451.45 Benefit: 75% = $338.60

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)