Medicare Benefits Schedule - Note TN.8.190

• Ray: From the tip of the digit to proximal metacarpal base of that digit, including phalanges and metacarpal.
• Index ray: First web in Dupuytren contracture releases is considered part of the index ray.
• Primary: Acute injury and first management of a pathology.
• Secondary: Delayed or subsequent to primary treatment, or occurring after normal expected relevant tissue healing time.
• Vascular graft: Harvesting of graft, insetting and anastomosis of both ends of graft.
• Nerve graft: Harvesting of graft, insetting and neurorrhaphy at both ends of graft.
• Tendon graft: Harvesting of graft, insetting and tensioning of graft and tendon weave/repair at both ends of graft.
• Transcarpal amputation: Includes the hand through the radiocarpal, midcarpal or carpometacarpal joints.
• Wrist joint: Includes radiocarpal, midcarpal and radioulnar joints, which are not to be billed independently. 
• Z-plasty: Raising, transfer, insetting and suturing of both components (flaps) of the Z-plasty procedure.
• Flexor tendon: A tendon on the volar aspect of the digits, hand or wrist.
  – Treatment of only two flexors can be claimed per digit/ray.
  – The two slips of flexor digitorum superficialis (FDS) inserting to the middle phalanx are not to be claimed as two tendons and are to be billed as part of the single FDS tendon.
• Nerve Trunk: A bundle of nerve fibers enclosed in a connective tissue sheath.                                    

Related Items: 44325 46300 46303 46308 46309 46312 46315 46318 46321 46322 46324 46325 46330 46333 46335 46336 46339 46340 46341 46342 46345 46348 46351 46354 46357 46360 46363 46364 46365 46367 46370 46372 46375 46378 46379 46380 46381 46384 46387 46390 46393 46394 46395 46399 46401 46408 46411 46414 46417 46420 46423 46426 46432 46434 46438 46441 46442 46444 46450 46453 46456 46464 46465 46468 46471 46474 46477 46480 46483 46486 46489 46492 46493 46495 46498 46500 46501 46502 46503 46504 46507 46510 46513 46519 46522 46525 46528 46531 46534 47024 47027 47030 47033 47042 47045 47301 47304 47307 47310 47313 47316 47319 47348 47351 47354 47357 47385 47386 48406 48409 49200 49203 49206 49209 49210 49212 49213 49215 49218 49219 49220 49221 49224 49227 49230 49233 49236 49239 50524 50528

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Multiple Operation Rule

Amputation of hand, transcarpal (H)

(Anaes.) (Assist.)

Fee: $336.85 Benefit: 75% = $252.65

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

Multiple Operation Rule

Arthrodesis of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed):

(a) joint debridement;

(b) synovectomy

—one joint (H)

(Anaes.) (Assist.)

Fee: $462.60 Benefit: 75% = $346.95

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

Multiple Operation Rule

Arthrodesis of carpometacarpal joint of hand, including either or both of the following (if performed):

(a) joint debridement;

(b) synovectomy

—one joint (H)

(Anaes.) (Assist.)

Fee: $599.85 Benefit: 75% = $449.90

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

Multiple Operation Rule

Volar plate or soft tissue interposition arthroplasty of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed):

(a) realignment procedures;

(b) tendon transfer

—one joint

(Anaes.) (Assist.)

Fee: $599.80 Benefit: 75% = $449.85 85% = $509.85

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

Multiple Operation Rule

Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) ligament reconstruction;

(b) ligament realignment;

(c) synovectomy;

(d) tendon transfer

—one joint (H)

(Anaes.) (Assist.)

Fee: $599.80 Benefit: 75% = $449.85

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

Multiple Operation Rule

Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) ligament reconstruction;

(b) ligament realignment;

(c) synovectomy;

(d) tendon transfer

—2 joints of one hand (H)

(Anaes.) (Assist.)

Fee: $771.20 Benefit: 75% = $578.40

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

Multiple Operation Rule

Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) ligament reconstruction;

(b) ligament realignment;

(c) synovectomy;

(d) tendon transfer

—3 joints of one hand (H)

(Anaes.) (Assist.)

Fee: $1,028.25 Benefit: 75% = $771.20

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

Multiple Operation Rule

Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) ligament reconstruction;

(b) ligament realignment;

(c) synovectomy;

(d) tendon transfer

—4 joints of one hand (H)

(Anaes.) (Assist.)

Fee: $1,285.35 Benefit: 75% = $964.05

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

Multiple Operation Rule

Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) ligament reconstruction;

(b) ligament realignment;

(c) synovectomy;

(d) tendon transfer;

—5 joints of one hand (H)

(Anaes.) (Assist.)

Fee: $1,542.40 Benefit: 75% = $1,156.80

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

Multiple Operation Rule

Revision of prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpal joint of hand, including any of the following (if performed):

(a) bone grafting;

(b) ligament reconstruction;

(c) ligament realignment;

(d) synovectomy;

(e) tendon or ligament reconstruction;

(f) tendon transfer;

—one joint (H)

(Anaes.) (Assist.)

Fee: $899.75 Benefit: 75% = $674.85

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

Multiple Operation Rule

Prosthetic interpositional replacement of carpometacarpal joint, including either or both of the following (if performed):

(a) ligament and tendon transfers;

(b) rebalancing procedures

(H)

(Anaes.) (Assist.)

Fee: $1,049.50 Benefit: 75% = $787.15

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

Multiple Operation Rule

Excisional arthroplasty of carpometacarpal joint, including any of the following (if performed):

(a) ligament and tendon transfers;

(b) realignment procedures;

(c) excision of adjacent trapezoid

(H)

(Anaes.) (Assist.)

Fee: $1,049.50 Benefit: 75% = $787.15

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

Multiple Operation Rule

Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) joint stabilisation;

(c) synovectomy;

—one joint (H)

(Anaes.) (Assist.)

Fee: $394.25 Benefit: 75% = $295.70

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

Multiple Operation Rule

Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand with graft, using graft or implant, including any of the following (if performed):

(a) arthrotomy;

(b) harvest of graft;

(c) joint stabilisation;

(d) synovectomy;

other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 apply—one joint (H)

(Anaes.) (Assist.)

Fee: $642.60 Benefit: 75% = $481.95

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

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 interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed):

(a) capsulectomy;

(b) debridement;

(c) ligament or tendon realignment (or both);

other than a service combined with a service to which item 46495 applies—one joint

(Anaes.) (Assist.)

Fee: $299.95 Benefit: 75% = $225.00 85% = $255.00

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

Multiple Operation Rule

Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed):

(a) tenolysis;

(b) release of median nerve and carpal tunnel;

other than a service associated with:

(c) a service to which item 39330 or 39331 applies; or

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

Applicable once per wrist per occasion on which the service is performed (H)

(Anaes.) (Assist.)

Fee: $531.10 Benefit: 75% = $398.35

(See para 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)

Multiple Operation Rule

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, 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: $289.55 Benefit: 75% = $217.20

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

Multiple Operation Rule

Synovectomy of distal radioulnar or carpometacarpal joint of hand—one or more joints (H)

(Anaes.) (Assist.)

Fee: $531.10 Benefit: 75% = $398.35

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

Multiple Operation Rule

Resection arthroplasty of distal radioulnar joint of hand, partial or complete, including any of the following (if performed):

(a) ligament or tendon reconstruction;

(b) joint stabilisation;

(c) synovectomy

(H)

(Anaes.) (Assist.)

Fee: $642.60 Benefit: 75% = $481.95

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

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

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

(e) a service to which item 46363 applies that is performed on the same ray

—one ray (H)

(Anaes.) (Assist.)

Fee: $278.45 Benefit: 75% = $208.85

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

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

(e) a service to which item 46363 applies that is performed on one of the same rays

—2 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $415.60 Benefit: 75% = $311.70

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

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

(e) a service to which item 46363 applies that is performed on one of the same rays

—3 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $556.95 Benefit: 75% = $417.75

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

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

(e) a service to which item 46363 applies that is performed on one of the same rays

—4 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $694.05 Benefit: 75% = $520.55

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed):

(a) removal of intratendinous nodules;

(b) tenolysis;

(c) tenoplasty;

other than a service associated with:

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

(e) a service to which item 46363 applies that is performed on one of the same rays

—5 rays of one hand (H)

(Anaes.) (Assist.)

Fee: $835.45 Benefit: 75% = $626.60

(See para TN.8.190, TN.8.283, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Trigger finger release, for stenosing tenosynovitis, including either or both of the following (if performed):

(a) synovectomy;

(b) synovial biopsy;

—one ray

(Anaes.) (Assist.)

Fee: $239.85 Benefit: 75% = $179.90 85% = $203.90

(See para TN.8.190, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with:

(a) a service to which item 46363 applies; or

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

—one digit or palmer arch (or both) or radial or ulnar artery (or both)

(Anaes.) (Assist.)

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

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

Multiple Operation Rule

Excision of rheumatoid nodules of hand —one lesion

(Anaes.) (Assist.)

Fee: $299.95 Benefit: 75% = $225.00 85% = $255.00

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

Multiple Operation Rule

De Quervain's release, including any of the following (if performed):

(a) synovectomy of extensor pollicis brevis;

(b) synovectomy of abductor pollicis longus tendons;

(c) retinaculum reconstruction;

other than a service associated with a service to which item 46339 applies

(Anaes.) (Assist.)

Fee: $452.95 Benefit: 75% = $339.75 85% = $385.05

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

Multiple Operation Rule

Percutaneous fasciotomy for Dupuytren’s contracture, by needle or chemical method, including either or both of the following (if performed):

(a) immediate or delayed manipulation;

(b) local or regional nerve block;

—one ray

(Anaes.) (Assist.)

Fee: $145.75 Benefit: 75% = $109.35 85% = $123.90

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

Multiple Operation Rule

Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—one ray (H)

(Anaes.) (Assist.)

Fee: $487.50 Benefit: 75% = $365.65

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

Multiple Operation Rule

Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—2 rays (H)

(Anaes.) (Assist.)

Fee: $578.35 Benefit: 75% = $433.80

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

Multiple Operation Rule

Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—3 rays (H)

(Anaes.) (Assist.)

Fee: $771.20 Benefit: 75% = $578.40

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

Multiple Operation Rule

Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—4 rays (H)

(Anaes.) (Assist.)

Fee: $971.55 Benefit: 75% = $728.70

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

Multiple Operation Rule

Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—5 rays (H)

(Anaes.) (Assist.)

Fee: $1,224.15 Benefit: 75% = $918.15

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

Multiple Operation Rule

Release of interphalangeal joint of hand, by open procedure, when performed in conjunction with an operation for Dupuytren’s contracture—one joint (H)

(Anaes.) (Assist.)

Fee: $342.70 Benefit: 75% = $257.05

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

Multiple Operation Rule

Z-plasty or similar local flap procedure, when performed in conjunction with an operation for Dupuytren’s contracture, including raising, transfer in-setting and suturing of both components (flaps)—one Z-plasty or local flap procedure (H)

(Anaes.) (Assist.)

Fee: $342.70 Benefit: 75% = $257.05

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

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one ray (H)

(Anaes.) (Assist.)

Fee: $707.00 Benefit: 75% = $530.25

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

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—2 rays (H)

(Anaes.) (Assist.)

Fee: $942.80 Benefit: 75% = $707.10

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

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—3 rays (H)

(Anaes.) (Assist.)

Fee: $1,092.50 Benefit: 75% = $819.40

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

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—4 rays (H)

(Anaes.) (Assist.)

Fee: $1,361.45 Benefit: 75% = $1,021.10

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

Multiple Operation Rule

Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed):

(a) dissection of nerves;

(b) neurolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—5 rays (H)

(Anaes.) (Assist.)

Fee: $1,696.55 Benefit: 75% = $1,272.45

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

Multiple Operation Rule

Osteotomy of phalanx or metacarpal of hand, with internal fixation—one bone (H)

(Anaes.) (Assist.)

Fee: $589.90 Benefit: 75% = $442.45

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

Multiple Operation Rule

Operative treatment of non-union of phalanx or metacarpal of hand, including internal fixation (if performed)

(Anaes.) (Assist.)

Fee: $473.45 Benefit: 75% = $355.10 85% = $402.45

(See para TN.8.190, TN.8.282 of explanatory notes to this Category)

Multiple Operation Rule

Reconstruction of tendon of hand or wrist, by tendon graft, including either or both of the following (if performed):

(a) harvest of graft;

(b) tenolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $788.30 Benefit: 75% = $591.25

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

Multiple Operation Rule

Reconstruction of complete flexor tendon pulley of hand or wrist, with graft, including harvest of graft (if performed)—one pulley (H)

(Anaes.) (Assist.)

Fee: $462.65 Benefit: 75% = $347.00

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

Multiple Operation Rule

Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $599.70 Benefit: 75% = $449.80 85% = $509.75

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

Multiple Operation Rule

Transfer of tendon of hand or wrist, for restoration of hand or digit motion, including harvest of donor motor unit (if performed)—one transfer (H)

(Anaes.) (Assist.)

Fee: $556.95 Benefit: 75% = $417.75

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

Multiple Operation Rule

Primary repair of extensor tendon of hand or wrist—one tendon

(Anaes.) (Assist.)

Fee: $233.05 Benefit: 75% = $174.80 85% = $198.10

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

Multiple Operation Rule

Delayed repair of extensor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $372.75 Benefit: 75% = $279.60 85% = $316.85

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

Multiple Operation Rule

Primary repair of flexor tendon of hand or wrist, proximal to A1 pulley—one tendon (H)

(Anaes.) (Assist.)

Fee: $385.55 Benefit: 75% = $289.20

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

Multiple Operation Rule

Primary repair of flexor tendon of hand, distal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure—one tendon (H)

(Anaes.) (Assist.)

Fee: $642.80 Benefit: 75% = $482.10

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

Multiple Operation Rule

Delayed repair of flexor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies that is performed at the same site

(Anaes.) (Assist.)

Fee: $553.80 Benefit: 75% = $415.35 85% = $470.75

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

Multiple Operation Rule

Closed pin fixation of mallet finger

(Anaes.)

Fee: $154.25 Benefit: 75% = $115.70 85% = $131.15

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

Multiple Operation Rule

Open reduction of mallet finger, including any of the following (if performed):

(a) joint release;

(b) pin fixation;

(c) tenolysis

(Anaes.) (Assist.)

Fee: $372.75 Benefit: 75% = $279.60 85% = $316.85

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

Multiple Operation Rule

MALLET FINGER with intra articular fracture involving more than one third of base of terminal phalanx - open reduction

(Anaes.) (Assist.)

Fee: $320.00 Benefit: 75% = $240.00

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

Multiple Operation Rule

Reconstruction of Boutonniere or swan neck deformity of hand, including either or both of the following (if performed):

(a) tendon graft harvest;

(b) tendon transfer

—one joint (H)

(Anaes.) (Assist.)

Fee: $556.95 Benefit: 75% = $417.75

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

Multiple Operation Rule

Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service:

(a) for acute, traumatic injury; or

(b) associated with a service to which item 30023 applies that is performed at the same site;

—one ray (H)

(Anaes.)

Fee: $257.15 Benefit: 75% = $192.90

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

Multiple Operation Rule

Tenolysis of flexor tendon of hand or wrist, following tendon injury, repair or graft, other than a service:

(a) for acute, traumatic injury; or

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

(H)

(Anaes.) (Assist.)

Fee: $428.45 Benefit: 75% = $321.35

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

Multiple Operation Rule

Percutaneous tenotomy of digit of hand

(Anaes.)

Fee: $111.40 Benefit: 75% = $83.55 85% = $94.70

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

Multiple Operation Rule

Amputation of a supernumerary complete digit of hand (H)

(Anaes.) (Assist.)

Fee: $257.15 Benefit: 75% = $192.90

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

Multiple Operation Rule

Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) resection of bone;

(c) skin cover with local flaps

—one ray (H)

(Anaes.) (Assist.)

Fee: $257.15 Benefit: 75% = $192.90

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

Multiple Operation Rule

Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) resection of bone;

(c) skin cover with local flaps

—2 rays (H)

(Anaes.) (Assist.)

Fee: $449.80 Benefit: 75% = $337.35

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

Multiple Operation Rule

Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) resection of bone;

(c) skin cover with local flaps

—3 rays (H)

(Anaes.) (Assist.)

Fee: $642.60 Benefit: 75% = $481.95

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

Multiple Operation Rule

Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) resection of bone;

(c) skin cover with local flaps

—4 rays (H)

(Anaes.) (Assist.)

Fee: $835.45 Benefit: 75% = $626.60

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

Multiple Operation Rule

Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) resection of bone;

(c) skin cover with local flaps

—5 rays (H)

(Anaes.) (Assist.)

Fee: $1,028.25 Benefit: 75% = $771.20

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

Multiple Operation Rule

Amputation of ray of hand, proximal to metacarpal head, including any of the following (if performed):

(a) excision of neuroma;

(b) recontouring;

(c) resection of bone;

(d) skin cover with local flaps

—one ray (H)

(Anaes.) (Assist.)

Fee: $428.45 Benefit: 75% = $321.35

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

Multiple Operation Rule

Revision of amputation stump of hand to provide adequate cover, including any of the following (if performed):

(a) bone shortening;

(b) excision of nail bed remnants;

(c) excision of neuroma

(H)

(Anaes.) (Assist.)

Fee: $342.70 Benefit: 75% = $257.05

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

Multiple Operation Rule

Accurate reconstruction of acute nail bed laceration using magnification (H)

(Anaes.)

Fee: $257.15 Benefit: 75% = $192.90

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

Multiple Operation Rule

Secondary reconstruction of nail bed deformity using magnification, including removal of nail (if performed), other than a service associated with a service to which item 46513 or 45451 applies (H)

(Anaes.) (Assist.)

Fee: $299.95 Benefit: 75% = $225.00

(See para TN.8.188, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Surgical correction of contracture of joint of hand, flexor or extensor tendon, involving tissues deeper than skin and subcutaneous tissue—one joint (H)

(Anaes.) (Assist.)

Fee: $411.35 Benefit: 75% = $308.55

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

Multiple Operation Rule

Resection of boss of metacarpal base of hand, including either or both of the following (if performed):

(a) excision of ganglion;

(b) synovectomy

(Anaes.) (Assist.)

Fee: $375.45 Benefit: 75% = $281.60 85% = $319.15

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

Multiple Operation Rule

Complete excision of one or more ganglia or mucous cysts of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) osteophyte resections

(c) synovectomy

other than a service associated with a service to which item 30107 or 46336 applies—one joint (H)

(Anaes.) (Assist.)

Fee: $231.50 Benefit: 75% = $173.65

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

Multiple Operation Rule

Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed):

(a) flexor tenosynovectomy;

(b) sheath excision;

(c) skin closure by any method;

other than a service associated with:

(d) a service to which item 30107 applies; or

(e) a service to which item 46363 applies that is performed on the same ray

(Anaes.) (Assist.)

Fee: $250.50 Benefit: 75% = $187.90 85% = $212.95

(See para TN.8.190, TN.8.284 of explanatory notes to this Category)

Multiple Operation Rule

Excision of ganglion of dorsal wrist joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) capsular or ligament repair (or both);

(c) synovectomy

other than a service associated with a service to which item 30107 applies

(Anaes.) (Assist.)

Fee: $299.95 Benefit: 75% = $225.00 85% = $255.00

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

Multiple Operation Rule

Excision of ganglion of volar wrist joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) capsular or ligament repair (or both);

(c) synovectomy;

other than a service associated with a service to which item 30107 or 46325 applies

(Anaes.) (Assist.)

Fee: $375.05 Benefit: 75% = $281.30 85% = $318.80

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

Multiple Operation Rule

Excision of recurrent ganglion of dorsal wrist joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) capsular or ligament repair (or both);

(c) synovectomy

(Anaes.) (Assist.)

Fee: $449.85 Benefit: 75% = $337.40 85% = $382.40

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

Multiple Operation Rule

Excision of recurrent ganglion of volar wrist joint of hand, including any of the following (if performed):

(a) arthrotomy;

(b) capsular or ligament repair (or both);

(c) synovectomy;

other than a service associated with a service to which item 30107 applies

(Anaes.) (Assist.)

Fee: $431.05 Benefit: 75% = $323.30 85% = $366.40

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

Multiple Operation Rule

Neurovascular island flap, heterodigital, for pulp re-innervation and soft tissue cover

(Anaes.) (Assist.)

Fee: $1,259.45 Benefit: 75% = $944.60 85% = $1,160.75

(See para TN.8.187, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Transposition or transfer of digit or ray on vascular pedicle of hand, including any of the following (if performed):

(a) nerve transfer;

(b) skin closure, by any means;

(c) rebalancing procedures

(H)

(Anaes.) (Assist.)

Fee: $1,708.80 Benefit: 75% = $1,281.60

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

Multiple Operation Rule

Surgical reduction of enlarged elements resulting from macrodactyly, including any of the following (if performed):

(a) nerve transfer;

(b) skin closure, by any means;

(c) rebalancing procedures

—one digit (H)

(Anaes.) (Assist.)

Fee: $399.80 Benefit: 75% = $299.85

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

Multiple Operation Rule

Removal of nail of finger or thumb—one nail

(Anaes.)

Fee: $64.35 Benefit: 75% = $48.30 85% = $54.70

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

Multiple Operation Rule

Drainage of midpalmar, thenar or hypothenar spaces or dorsum of hand, excluding aftercare

(Anaes.) (Assist.)

Fee: $160.85 Benefit: 75% = $120.65 85% = $136.75

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

Multiple Operation Rule

Open operation and drainage of infection for flexor tendon sheath of finger or thumb, including either or both of the following (if performed):

(a) synovectomy;

(b) tenolysis;

other than a service associated with a service to which item 30023 applies that is performed at the same site—one digit (H)

(Anaes.) (Assist.)

Fee: $479.85 Benefit: 75% = $359.90

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

Multiple Operation Rule

Incision for pulp space infection of hand:

(a) other than a service:

(i) to which another item in this Group applies; or

(ii) associated with a service to which item 30023 applies that is performed at the same site; and

(b) excluding aftercare

(H)

(Anaes.)

Fee: $64.35 Benefit: 75% = $48.30

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

Multiple Operation Rule

Wedge resection for ingrowing nail of finger or thumb:

(a) including each of the following:

(i) excision and partial ablation of germinal matrix;

(ii) removal of segment of nail;

(iii) removal of ungual fold; and

(b) including phenolisation (if performed)

(Anaes.)

Fee: $193.10 Benefit: 75% = $144.85 85% = $164.15

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

Multiple Operation Rule

Partial resection of ingrowing nail of finger or thumb, including phenolisation

(Anaes.)

Fee: $97.00 Benefit: 75% = $72.75 85% = $82.45

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

Multiple Operation Rule

Complete ablation of nail germinal matrix (H)

(Anaes.) (Assist.)

Fee: $268.25 Benefit: 75% = $201.20

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

Multiple Operation Rule

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $375.45 Benefit: 75% = $281.60

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $589.90 Benefit: 75% = $442.45

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of dislocation of distal or proximal radioulnar joint, by closed reduction, 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 treating fracture or dislocation in the same region

(Anaes.)

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

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

Multiple Operation Rule

Treatment of dislocation of distal or proximal radioulnar joint, by open reduction, including either or both of the following (if performed):

(a) styloid fracture;

(b) triangular fibrocartilage complex repair;

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 treating fracture or dislocation in the same region

(Anaes.) (Assist.)

Fee: $740.20 Benefit: 75% = $555.15 85% = $641.50

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

Multiple Operation Rule

Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by closed reduction

(Anaes.)

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

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

Multiple Operation Rule

Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by open reduction, including ligament repair (if performed)

(Anaes.) (Assist.)

Fee: $740.20 Benefit: 75% = $555.15 85% = $641.50

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

Multiple Operation Rule

Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by closed reduction

(Anaes.)

Fee: $128.55 Benefit: 75% = $96.45 85% = $109.30

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

Multiple Operation Rule

Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by open reduction, including any of the following (if performed):

(a) arthrotomy;

(b) capsule repair;

(c) ligament repair;

(d) volar plate repair

(Anaes.) (Assist.)

Fee: $480.15 Benefit: 75% = $360.15 85% = $408.15

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

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 carpus (excluding scaphoid), by cast immobilisation, other than a service associated with a service to which item 47351 applies

(Anaes.)

Fee: $107.05 Benefit: 75% = $80.30 85% = $91.00

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

Multiple Operation Rule

Treatment of fracture of carpus (excluding scaphoid), by open reduction, with internal fixation

(Anaes.) (Assist.)

Fee: $268.25 Benefit: 75% = $201.20 85% = $228.05

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

Multiple Operation Rule

Treatment of fracture of carpal scaphoid, by cast immobilisation, other than a service associated with a service to which item 47357 applies

(Anaes.)

Fee: $193.10 Benefit: 75% = $144.85 85% = $164.15

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

Multiple Operation Rule

Treatment of fracture of carpal scaphoid, by reduction, with fixation by any means

(Anaes.) (Assist.)

Fee: $428.95 Benefit: 75% = $321.75 85% = $364.65

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

Multiple Operation Rule

Treatment of:

(a) fracture of shaft of radius or ulna; and

(b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury);

by closed reduction (H)

(Anaes.) (Assist.)

Fee: $332.35 Benefit: 75% = $249.30

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

Multiple Operation Rule

Treatment of:

(a) fracture of shaft of radius or ulna; and

(b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury);

by open reduction, with internal fixation, including reduction of dislocation (if performed) (H)

(Anaes.) (Assist.)

Fee: $536.25 Benefit: 75% = $402.20

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

Multiple Operation Rule

Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio‑ulnar joint or proximal radio‑humeral joint (Galeazzi or Monteggia injury), by closed reduction (H)

(Anaes.) (Assist.)

Fee: $465.45 Benefit: 75% = $349.10

(See para TN.8.118, TN.8.119, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio‑ulnar joint or proximal radio‑humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means (H)

(Anaes.) (Assist.)

Fee: $750.75 Benefit: 75% = $563.10

(See para TN.8.118, TN.8.119, TN.8.190 of explanatory notes to this Category)

Multiple Operation Rule

Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H)

(Anaes.) (Assist.)

Fee: $933.00 Benefit: 75% = $699.75

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

Multiple Operation Rule

Limited fusion of wrist, with or without bone graft, including each of the following:

(a) ligament or tendon transfers;

(b) partial or total excision of one or more carpal bones;

(c) rebalancing procedures;

(d) synovectomy

(H)

(Anaes.) (Assist.)

Fee: $883.75 Benefit: 75% = $662.85

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

Multiple Operation Rule

Proximal row carpectomy of wrist, including either or both of the following (if performed):

(a) styloidectomy;

(b) synovectomy

(H)

(Anaes.) (Assist.)

Fee: $643.50 Benefit: 75% = $482.65

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

Multiple Operation Rule

Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed):

(a) ligament realignment;

(b) tendon realignment

(H)

(Anaes.) (Assist.)

Fee: $858.10 Benefit: 75% = $643.60

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

Multiple Operation Rule

Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed):

(a) ligament rebalancing;

(b) removal of prosthesis;

(c) tendon rebalancing

(H)

(Anaes.) (Assist.)

Fee: $1,132.75 Benefit: 75% = $849.60

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

Multiple Operation Rule

Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed):

(a) joint debridement;

(b) removal of loose bodies;

(c) synovectomy

(H)

(Anaes.) (Assist.)

Fee: $268.25 Benefit: 75% = $201.20

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

Multiple Operation Rule

Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): 

a) radioulnar fusion;

b) osteotomy;

c) soft tissue reconstruction 

(Anaes.) (Assist.)

Fee: $959.80 Benefit: 75% = $719.85 85% = $861.10

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

Multiple Operation Rule

Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed):

(a) arthrotomy;

(b) ligament harvesting and grafting;

(c) synovectomy;

(d) tendon harvesting and grafting;

(e) insertion of synthetic ligament substitute

(H)

(Anaes.) (Assist.)

Fee: $740.20 Benefit: 75% = $555.15

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

Multiple Operation Rule

Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H)

(Anaes.) (Assist.)

Fee: $310.95 Benefit: 75% = $233.25

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

Multiple Operation Rule

Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H)

(Anaes.) (Assist.)

Fee: $310.95 Benefit: 75% = $233.25

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

Multiple Operation Rule

Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H)

(Anaes.) (Assist.)

Fee: $697.20 Benefit: 75% = $522.90

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

Multiple Operation Rule

Treatment of wrist, by arthroscopic means, including any of the following (if performed):

(a) drilling of defect;

(b) removal of loose bodies;

(c) release of adhesions;

(d) synovectomy;

(e) debridement;

(f) resection of dorsal or volar ganglia;

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 an arthroscopic procedure of the wrist joint (H)

(Anaes.) (Assist.)

Fee: $697.20 Benefit: 75% = $522.90

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

Multiple Operation Rule

Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed):

(a) excision of the distal ulna;

(b) total synovectomy;

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 an arthroscopic procedure of the wrist joint—2 or more distinct areas (H)

(Anaes.) (Assist.)

Fee: $804.30 Benefit: 75% = $603.25

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

Multiple Operation Rule

Treatment of wrist by one of the following:

(a) pinning of osteochondral fragment, by arthroscopic means;

(b) stabilisation procedure for ligamentous disruption;

(c) partial wrist fusion or carpectomy, by arthroscopic means;

(d) fracture management;

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 an arthroscopic procedure of the wrist joint (H)

(Anaes.) (Assist.)

Fee: $804.30 Benefit: 75% = $603.25

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

Multiple Operation Rule

Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed):

(a) ligament and tendon rebalancing procedures;

(b) limited wrist fusions;

(c) limited bone grafting

(H)

(Anaes.) (Assist.)

Fee: $1,049.50 Benefit: 75% = $787.15

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

Multiple Operation Rule

Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed):

(a) radial styloidectomy;

(b) ulnar styloidectomy;

(c) proximal hamate;

(d) partial scaphoid;

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 distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H)

(Anaes.) (Assist.)

Fee: $441.85 Benefit: 75% = $331.40

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

Multiple Operation Rule

Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed):

(a) graft harvest;

(b) triangular fibrocartilage complex repair or reconstruction

(H)

(Anaes.) (Assist.)

Fee: $666.20 Benefit: 75% = $499.65

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

Multiple Operation Rule

Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H)

(Anaes.) (Assist.)

Fee: $331.40 Benefit: 75% = $248.55

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