Medicare Benefits Schedule - Note TN.8.283

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.283

Procedures involving wound debridement (item 30023) on the same occasion as some orthopaedic or neurosurgical procedures

Items 39303, 39309-39315, 39329-39345, 46335, 46339-46341, 46348-46360, 46364, 46387, 46390-46395, 46408, 46414, 46423, 46434, 46450, 46453, 46522, 46525, 49717, 49740, 49744, 49771-49776, 49782, 49866, 49881-49890 all include the phrase "other than a service associated with a service to which item 30023 applies that is performed at the same site".

This indicates that an additional benefit is not payable for debridement of a soft tissue wound under item 30023 where it is performed at the same site on the same occasion.

These procedures are considered to be performed at the same site as the wound debridement (item 30023) where:

  • Any incision for the orthopaedic or neurosurgical procedures involves the wound that is debrided.
  • Debridement of the wound is required as part of the surgical approach and is considered an inherent part of the orthopaedic or neurosurgical procedure.

Related Items: 30023 39303 39309 39312 39315 39329 39330 39331 39332 39336 39339 39342 39345 46335 46339 46340 46341 46348 46351 46354 46357 46360 46364 46387 46390 46393 46394 46395 46408 46414 46423 46434 46450 46453 46522 46525 49717 49740 49744 49771 49773 49774 49775 49776 49782 49866 49881 49884 49887 49890


Related Items

Category 3 - THERAPEUTIC PROCEDURES

46335

46335 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $513.15 Benefit: 75% = $384.90 85% = $436.20

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

Category 3 - THERAPEUTIC PROCEDURES

46339

46339 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $513.15 Benefit: 75% = $384.90

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

Category 3 - THERAPEUTIC PROCEDURES

46340

46340 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $436.20 Benefit: 75% = $327.15

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

Category 3 - THERAPEUTIC PROCEDURES

46341

46341 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $279.75 Benefit: 75% = $209.85

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

Category 3 - THERAPEUTIC PROCEDURES

46348

46348 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $269.05 Benefit: 75% = $201.80

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

Category 3 - THERAPEUTIC PROCEDURES

46351

46351 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $401.55 Benefit: 75% = $301.20

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

Category 3 - THERAPEUTIC PROCEDURES

46354

46354 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $538.10 Benefit: 75% = $403.60

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

Category 3 - THERAPEUTIC PROCEDURES

46357

46357 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $670.60 Benefit: 75% = $502.95

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

Category 3 - THERAPEUTIC PROCEDURES

46360

46360 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $807.20 Benefit: 75% = $605.40

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

Category 3 - THERAPEUTIC PROCEDURES

46364

46364 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $513.15 Benefit: 75% = $384.90 85% = $436.20

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

Category 3 - THERAPEUTIC PROCEDURES

46387

46387 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $683.10 Benefit: 75% = $512.35

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

Category 3 - THERAPEUTIC PROCEDURES

46390

46390 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $910.90 Benefit: 75% = $683.20

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

Category 3 - THERAPEUTIC PROCEDURES

46393

46393 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $1,055.55 Benefit: 75% = $791.70

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

Category 3 - THERAPEUTIC PROCEDURES

46394

46394 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $1,315.40 Benefit: 75% = $986.55

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

Category 3 - THERAPEUTIC PROCEDURES

46395

46395 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $1,639.20 Benefit: 75% = $1,229.40

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

Category 3 - THERAPEUTIC PROCEDURES

46408

46408 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $761.65 Benefit: 75% = $571.25

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

Category 3 - THERAPEUTIC PROCEDURES

46414

46414 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $579.40 Benefit: 75% = $434.55 85% = $492.50

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

Category 3 - THERAPEUTIC PROCEDURES

46423

46423 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $360.15 Benefit: 75% = $270.15 85% = $306.15

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

Category 3 - THERAPEUTIC PROCEDURES

46434

46434 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $535.05 Benefit: 75% = $401.30 85% = $454.80

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

Category 3 - THERAPEUTIC PROCEDURES

46450

46450 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $248.45 Benefit: 75% = $186.35

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

Category 3 - THERAPEUTIC PROCEDURES

46453

46453 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $413.95 Benefit: 75% = $310.50

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

Category 3 - THERAPEUTIC PROCEDURES

46522

46522 - Additional Information

Item Start Date:
01-Nov-1994
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $463.60 Benefit: 75% = $347.70

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

Category 3 - THERAPEUTIC PROCEDURES

46525

46525 - Additional Information

Item Start Date:
01-Nov-1994
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

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: $62.15 Benefit: 75% = $46.65

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

Category 3 - THERAPEUTIC PROCEDURES

49717

49717 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of total ankle replacement:

(a) including either:

(i) exchange of tibial and talar components; or

(ii) removal of tibial and talar components and conversion to ankle arthrodesis; and

(b) including both of the following

(iii) internal or external fixation, by any means;

(iv) major bone grafting; and

(c) including any of the following (if performed):

(i) capsulotomy;

(ii) joint release;

(iii) neurolysis;

(iv) debridement and extensive grafting of cysts;

(v) synovectomy;

(vi) joint debridement;

other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $1,969.55 Benefit: 75% = $1,477.20

(See para TN.8.199, TN.8.201, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49740

49740 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non-union or malunion;

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

(H)

(Anaes.) (Assist.)

Fee: $1,554.50 Benefit: 75% = $1,165.90

(See para TN.8.199, TN.8.200, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49744

49744 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non-union or malunion;

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

(H)

(Anaes.) (Assist.)

Fee: $2,201.20 Benefit: 75% = $1,650.90

(See para TN.8.199, TN.8.200, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49771

49771 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed):

(a) tenolysis;

(b) debridement of ligament or tendon (or both);

(c) release of ligament or tendon (or both);

(d) excision of tubercule or osteophyte;

(e) reconstruction of tendon retinaculum;

(f) neurolysis;

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

(Anaes.) (Assist.)

Fee: $408.95 Benefit: 75% = $306.75

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49782

49782 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of total ankle replacement, including:

(a) bone grafting of perioperative cysts to the tibia or talus (or both); and

(b) retention of implants; and

(c) any of the following (if performed):

(i) capsulotomy;

(ii) joint release;

(iii) neurolysis;

(iv) debridement and grafting of cysts;

(v) synovectomy;

(vi) joint debridement;

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

(Anaes.) (Assist.)

Fee: $622.35 Benefit: 75% = $466.80

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49884

49884 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) capsular or ligament repair;

(vi) skin closure, by any method;

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

(Anaes.) (Assist.)

Fee: $408.95 Benefit: 75% = $306.75

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49890

49890 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of ankle, hindfoot or midfoot joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) capsular or ligament repair;

(vi) skin closure, by any method;

other than a service associated with:

(c) a service to which item 49884 applies; or

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

—each incision (H)

(Anaes.) (Assist.)

Fee: $552.00 Benefit: 75% = $414.00

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49773

49773 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed):

(a) release of tissues;

(b) excision of bursae;

(c) neurolysis;

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

(Anaes.) (Assist.)

Fee: $447.30 Benefit: 75% = $335.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49774

49774 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Release of tarsal tunnel, including any of the following (if performed):

(a) release of ligaments;

(b) synovectomy;

(c) neurolysis;

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

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49775

49775 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of release of tarsal tunnel, including any of the following (if performed):

(a) release of ligaments;

(b) synovectomy;

(c) neurolysis;

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

(Anaes.) (Assist.)

Fee: $411.30 Benefit: 75% = $308.50

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49776

49776 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed):

(a) capsulotomy;

(b) joint release;

(c) synovectomy;

(d) removal of osteophytes at joint;

(e) removal of hardware;

(f) neurolysis;

(g) osteotomy of non‑union or malunion;

other than a service associated with a service to which item 30023 applies that is performed at the same site—may only be claimed once per joint (H)

(Anaes.) (Assist.)

Fee: $1,293.75 Benefit: 75% = $970.35

(See para TN.8.199, TN.8.200, TN.8.224, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49866

49866 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Excision of intermetatarsal or digital neuroma, including any of the following (if performed):

(a) release of metatarsal or digital ligament;

(b) excision of bursae;

(c) neurolysis;

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

(Anaes.) (Assist.)

Fee: $331.35 Benefit: 75% = $248.55

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49881

49881 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) skin closure, by any local method;

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

(Anaes.) (Assist.)

Fee: $242.05 Benefit: 75% = $181.55

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

49887

49887 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of complete excision of one or more ganglia or bursae:

(a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and

(b) including any of the following (if performed):

(i) arthrotomy;

(ii) synovectomy;

(iii) osteophyte resections;

(iv) neurolysis;

(v) skin closure, by any method;

other than a service associated with:

(c) a service to which item 49881 applies; or

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

—each incision (H)

(Anaes.) (Assist.)

Fee: $326.90 Benefit: 75% = $245.20

(See para TN.8.199, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

30023

30023 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2005
Schedule Fee Updated:
01-Nov-2023

WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed

(Anaes.) (Assist.)

Fee: $358.90 Benefit: 75% = $269.20 85% = $305.10

(See para TN.8.6, TN.8.200, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39303

39303 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Nerve, digital or cutaneous, delayed repair of, using microsurgical techniques, including either or both of the following (if performed):

(a) neurolysis;

(b) transposition of nerve to facilitate repair;

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

(Anaes.) (Assist.)

Fee: $513.05 Benefit: 75% = $384.80

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

Category 3 - THERAPEUTIC PROCEDURES

39309

39309 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Nerve trunk, delayed repair of, using microsurgical techniques, including either or both of the following (if performed):

(a) neurolysis;

(b) transposition of nerve or nerve transfer to facilitate repair;

other than a service associated with:

(c) a service to which item 39321 applies; or

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

(H)

(Anaes.) (Assist.)

Fee: $786.35 Benefit: 75% = $589.80

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

Category 3 - THERAPEUTIC PROCEDURES

39312

39312 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques, other than a service associated with a service to which item 30023 applies that is performed at the same site (H)

(Anaes.) (Assist.)

Fee: $438.70 Benefit: 75% = $329.05

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

Category 3 - THERAPEUTIC PROCEDURES

39315

39315 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Nerve trunk, nerve graft to, by cable graft, using microsurgical techniques, including any of the following (if performed):

(a) harvesting of nerve graft;

(b) proximal and distal anastomosis of nerve graft;

(c) transposition of nerve to facilitate grafting;

(d) neurolysis;

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

(H)

(Anaes.) (Assist.)

Fee: $1,133.95 Benefit: 75% = $850.50

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

Category 3 - THERAPEUTIC PROCEDURES

39329

39329 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with:

(a) a service to which item 39303, 39309, 39312, 39315, 39318, 39324 or 39327 applies; or

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

 

(Anaes.) (Assist.)

Fee: $389.00 Benefit: 75% = $291.75 85% = $330.65

(See para TN.8.186, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39330

39330 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Neurolysis by open operation without transposition, other than a service associated with:

(a) a service to which item 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies; or

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

(H)

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50

(See para TN.8.196, TN.8.200, TN.8.254, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39331

39331 - Additional Information

Item Start Date:
01-Jul-1993
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed):

(a) synovectomy;

(b) neurolysis;

other than a service associated with:

(c) a service to which item 46339 applies; or

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

 

(Anaes.) (Assist.)

Fee: $304.65 Benefit: 75% = $228.50 85% = $259.00

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

Category 3 - THERAPEUTIC PROCEDURES

39332

39332 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed):

(a) synovectomy;

(b) neurolysis;

other than a service associated with:

(c) a service to which item 46339 applies; or

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

 

(Anaes.) (Assist.)

Fee: $457.00 Benefit: 75% = $342.75 85% = $388.45

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

Category 3 - THERAPEUTIC PROCEDURES

39336

39336 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Ulnar nerve decompression at elbow or wrist (cubital tunnel or Guyon’s canal) without transposition, by any method, including neurolysis (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: $304.65 Benefit: 75% = $228.50 85% = $259.00

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

Category 3 - THERAPEUTIC PROCEDURES

39339

39339 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Revision of ulnar nerve decompression at elbow (cubital tunnel) without transposition, by any method, including neurolysis (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: $457.00 Benefit: 75% = $342.75 85% = $388.45

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

Category 3 - THERAPEUTIC PROCEDURES

39342

39342 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Ulnar nerve decompression at elbow (cubital tunnel), including any of the following (if performed):

(a) associated transposition;

(b) subcutaneous or submuscular transposition of the nerve;

(c) medial epicondylectomy;

(d) ostetomy and reconstruction of the flexor origin;

(e) neurolysis;

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

(Anaes.) (Assist.)

Fee: $599.55 Benefit: 75% = $449.70 85% = $509.65

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

Category 3 - THERAPEUTIC PROCEDURES

39345

39345 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (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: $304.65 Benefit: 75% = $228.50 85% = $259.00

(See para TN.8.186, TN.8.283 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