Medicare Benefits Schedule - Note ON.4.6

It is recognised that odontogenic keratocysts, although not neoplastic, often require the surgical management of benign tumours.

Related Items: 52036 52039 52042 52045 52048 52051 52054

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TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies

(Anaes.)

Fee: $151.95 Benefit: 75% = $114.00 85% = $129.20

(See para ON.4.6 of explanatory notes to this Category)

TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions

(Anaes.) (Assist.)

Fee: $390.25 Benefit: 75% = $292.70 85% = $331.75

(See para ON.4.6 of explanatory notes to this Category)

TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane

(Anaes.)

Fee: $206.45 Benefit: 75% = $154.85 85% = $175.50

(See para ON.4.6 of explanatory notes to this Category)

TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue

(Anaes.)

Fee: $295.10 Benefit: 75% = $221.35 85% = $250.85

(See para ON.4.6 of explanatory notes to this Category)

Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, other than a service to which another item in Groups O3 to O9 applies (H)

(Anaes.) (Assist.)

Fee: $444.65 Benefit: 75% = $333.50

(See para ON.4.6 of explanatory notes to this Category)

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H)

(Anaes.) (Assist.)

Fee: $601.15 Benefit: 75% = $450.90

(See para ON.4.6 of explanatory notes to this Category)

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H)

(Anaes.) (Assist.)

Fee: $703.25 Benefit: 75% = $527.45

(See para ON.4.6 of explanatory notes to this Category)