Medicare Benefits Schedule - Note TN.8.171

• The items 50203, 50206 and 50209 are not for removal of a subchondral cyst (geode).
• The items include all aspects of the surgical approach, the resection, and the subsequent reconstruction (as required).
• The resection of a tumour and associated reconstruction includes any neurolysis, arthrotomy, synovectomy, joint stabilisation, ligamentous stabilisation or reconstruction, tendon transfer of any kind, use of any arthroscopic procedure, osteotomy or osteectomy (with or without bone grafting and / or internal fixation), bone grafting (with or without internal fixation), arthroplasty, arthrodesis, internal fixation by any technique, rhizolysis, laminectomy, or spinal fixation, fusion or grafting.

Related Items: 50203 50206 50209

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Multiple Operation Rule

Intralesional or marginal excision of bone or soft tissue tumour

(Anaes.) (Assist.)

Fee: $471.90 Benefit: 75% = $353.95 85% = $401.15

(See para TN.8.171, TN.8.209 of explanatory notes to this Category)

Multiple Operation Rule

Intralesional or marginal excision of bone tumour, with at least one of the following:

(a) autograft;

(b) allograft;

(c) cementation

(H)

(Anaes.) (Assist.)

Fee: $697.20 Benefit: 75% = $522.90

(See para TN.8.171, TN.8.209 of explanatory notes to this Category)

Multiple Operation Rule

Intralesional or marginal excision of bone tumour, with at least 2 of the following:

(a) autograft;

(b) allograft;

(c) cementation

(H)

(Anaes.) (Assist.)

Fee: $858.10 Benefit: 75% = $643.60

(See para TN.8.171, TN.8.209 of explanatory notes to this Category)