Medicare Benefits Schedule - Note TN.8.6

The repair of wound referred to in these items must be undertaken by suture, tissue adhesive resin (such as methyl methacrylate) or clips. These items do not cover repair of wound at time of surgery. 

Item 30023 covers debridement of traumatic, "deep or extensively contaminated" wound. Benefits are not payable under this item for debridement which would be expected to be encountered as part of an operative approach to the treatment of fractures. 

For the purpose of items 30026 to 30049 the term 'superficial' means affecting skin and subcutaneous tissue including fat and the term 'deeper tissue' means all tissues deep to but not including subcutaneous tissue such as fascia and muscle.

Related Items: 30023 30026 30029 30032 30035 30038 30042 30045 30049

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Multiple Operation Rule

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: $371.45 Benefit: 75% = $278.60 85% = $315.75

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies

(Anaes.)

Fee: $59.50 Benefit: 75% = $44.65 85% = $50.60

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies

(Anaes.)

Fee: $102.55 Benefit: 75% = $76.95 85% = $87.20

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial

(Anaes.)

Fee: $93.95 Benefit: 75% = $70.50 85% = $79.90

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue

(Anaes.)

Fee: $133.95 Benefit: 75% = $100.50 85% = $113.90

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies

(Anaes.)

Fee: $102.55 Benefit: 75% = $76.95 85% = $87.20

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, other than on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, other than a service to which another item in Group T4 applies

(Anaes.)

Fee: $211.40 Benefit: 75% = $158.55 85% = $179.70

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), superficial

(Anaes.)

Fee: $133.95 Benefit: 75% = $100.50 85% = $113.90

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

Multiple Operation Rule

SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF  WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue

(Anaes.)

Fee: $211.40 Benefit: 75% = $158.55 85% = $179.70

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