Medicare Benefits Schedule - Note TN.8.289

These items are for arthroplasty procedures, including interpositional arthroplasties, of the shoulder joint (48925), acromioclavicular joint (48932), sternoclavicular joint (48932), or elbow joint (49127) for which no other MBS items are applicable.

These items should not be claimed together with another arthroplasty item of the same joint.

The removal of exostoses, where performed, is an inherent part of these items and should not be separately claimed for the same joint.

Related Items: 48925 48932 49127

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Multiple Operation Rule

Arthroplasty of shoulder, other than:

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

(b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint

(H)

(Anaes.) (Assist.)

Fee: $800.30 Benefit: 75% = $600.25

(See para TN.8.289 of explanatory notes to this Category)

Multiple Operation Rule

Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than:

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

(b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means

—one joint (H)

(Anaes.) (Assist.)

Fee: $800.30 Benefit: 75% = $600.25

(See para TN.8.289 of explanatory notes to this Category)

Multiple Operation Rule

Elbow joint, arthroplasty of, other than a service to which another item applies

(H)

(Anaes.) (Assist.)

Fee: $800.30 Benefit: 75% = $600.25

(See para TN.8.289 of explanatory notes to this Category)