Medicare Benefits Schedule - Note TN.8.154

Best practice in treating kidney cancer patients with an estimated glomerular filtration rate (eGFR) <60ml/min/1.73m² involves multi-disciplinary management in collaboration with a nephrologist.

Related Items: 36516 36519 36522 36528 36529 36531 36532 36533 36576

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Multiple Operation Rule

Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,053.45 Benefit: 75% = $790.10

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, complicated by previous surgery on the same kidney, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,470.90 Benefit: 75% = $1,103.20

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephrectomy, partial, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,262.25 Benefit: 75% = $946.70

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephrectomy, radical, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cm in diameter, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,470.90 Benefit: 75% = $1,103.20

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephrectomy, radical, by open, laparoscopic or robot‑assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy:

(a) for a tumour 10 cm or more in diameter; or

(b) if complicated by previous open or laparoscopic surgery on the same kidney;

other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,815.35 Benefit: 75% = $1,361.55

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephroureterectomy, complete, by open, laparoscopic or robot-assisted approach, including associated bladder repair and any associated endoscopic procedure, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,319.10 Benefit: 75% = $989.35

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, other than a service to which item 36533 applies or a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,893.20 Benefit: 75% = $1,419.90

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, if complicated by previous open or laparoscopic surgery on the same kidney or ureter, other than a service associated with a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $2,237.65 Benefit: 75% = $1,678.25

(See para TN.8.154 of explanatory notes to this Category)

Multiple Operation Rule

Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with:

(a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or

(b) a service to which item 30390 or 30627 applies

(Anaes.) (Assist.)

Fee: $1,319.10 Benefit: 75% = $989.35

(See para TN.8.154 of explanatory notes to this Category)