Medicare Benefits Schedule - Note TN.8.168

 An osteotomy is a planned bone cut that is intended to realign the bone or alter the length of a bone.

Related Items: 47501 48400 48403 48406 48409 48412 48415 48421 48422 48423 48424 48426 48427

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Multiple Operation Rule

Operation on foot:

(a) with either or both of the following:

(i) osteotomy of phalanx or metatarsal for correction of deformity;

(ii) excision of accessory bone or sesamoid bone; and

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

(i) removal of bone;

(ii) excision of surrounding osteophytes;

(iii) synovectomy;

(iv) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $384.45 Benefit: 75% = $288.35

(See para TN.8.168, TN.8.196, TN.8.199, TN.8.200, TN.8.223 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of phalanx of first toe or metatarsal, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

—one bone (H)

(Anaes.) (Assist.)

Fee: $604.05 Benefit: 75% = $453.05

(See para TN.8.168, TN.8.196, TN.8.199, TN.8.200, TN.8.223 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H)

(Anaes.) (Assist.)

Fee: $384.45 Benefit: 75% = $288.35

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H)

(Anaes.) (Assist.)

Fee: $604.05 Benefit: 75% = $453.05

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of humerus, without internal fixation (H)

(Anaes.) (Assist.)

Fee: $735.70 Benefit: 75% = $551.80

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of humerus, with internal fixation (H)

(Anaes.) (Assist.)

Fee: $933.55 Benefit: 75% = $700.20

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H)

(Anaes.) (Assist.)

Fee: $1,072.20 Benefit: 75% = $804.15

(See para TN.8.168, TN.8.196 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H)

(Anaes.) (Assist.)

Fee: $1,065.35 Benefit: 75% = $799.05

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed):

(a) associated intra-articular procedures;

(b) bone grafting;

(c) internal fixation

(H)

(Anaes.) (Assist.)

Fee: $878.70 Benefit: 75% = $659.05

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)

(Anaes.) (Assist.)

Fee: $878.70 Benefit: 75% = $659.05

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed):

(a) bone grafting;

(b) internal fixation

(H)

(Anaes.) (Assist.)

Fee: $1,065.35 Benefit: 75% = $799.05

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H)

(Anaes.) (Assist.)

Fee: $1,065.35 Benefit: 75% = $799.05

(See para TN.8.168 of explanatory notes to this Category)

Multiple Operation Rule

Treatment of anterior or posterior column fracture of acetabulum, by open reduction, with internal fixation, including any of the following (if performed):

(a) capsular stabilisation;

(b) capsulotomy;

(c) osteotomy

(H)

(Anaes.) (Assist.)

Fee: $1,098.25 Benefit: 75% = $823.70

(See para TN.8.168 of explanatory notes to this Category)