Medicare Benefits Schedule - Note TN.8.246

These rectal resection procedures should be performed with the following requirements:
• in an appropriate setting with High Dependency Unit or Intensive Care Unit availability;
• include multidisciplinary team discussion of patient;
• have patient managed using Enhanced Recovery after Surgery (ERAS) principles; and
• in a setting with adequate access to stomal therapy nurse services.

In addition, item 32028 is appropriately used by 1 surgeon incorporating transanal total mesorectal excision.

Related Items: 32025 32026 32028

• Previous - Note TN.8.245
• Next - Note TN.8.247

Multiple Operation Rule

RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10 centimetres from the anal verge, with or without covering stoma not being a service associated with a service to which item 32000, 32030, 32106 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $2,079.40 Benefit: 75% = $1,559.55

(See para TN.8.246 of explanatory notes to this Category)

Multiple Operation Rule

Rectum, ultra-low restorative resection, with or without covering stoma and with or without colonic reservoir, if the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $2,328.40 Benefit: 75% = $1,746.30

(See para TN.8.246 of explanatory notes to this Category)

Multiple Operation Rule

Rectum, low or ultra-low restorative resection, with per anal sutured coloanal anastomosis, with or without covering stoma and with or without colonic reservoir, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H)

(Anaes.) (Assist.)

Fee: $2,473.35 Benefit: 75% = $1,855.05

(See para TN.8.246 of explanatory notes to this Category)