Medicare Benefits Schedule - Note TN.8.185

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.185

Procedure for synovectomy (Items 46335, 46339, 46340 and 46341)

  • Procedures 46335, 49339, 46340 and 46341, if performed, include tenoplasty, tenolysis, tendon nodules removal, and neurolysis.
  • Item 46339, for flexor tendon synovectomy, includes carpal tunnel release, if performed.
  • Items 46340 and 46341 may be for either flexor or extensor tendon synovectomy.
    • Where the procedure is for flexor tendon synovectomy, these items include carpal tunnel release, if performed.
    • Where the procedure is for extensor tendon synovectomy only, carpal tunnel release is not included and may be separately clamed under item 39331 if performed.
  • Item 46335, for extensor tendon synovectomy, does not include carpal tunnel release, if performed.
  • The item claimed should be chosen based on the tendons being treated rather than the site of the incision.

Related Items: 46335 46339 46340 46341


Related Items

Category 3 - THERAPEUTIC PROCEDURES

46335

46335 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed):

(a) reconstruction of extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) a service to which item 30023 applies that is performed at the same site

Applicable once per hand per occasion on which the service is performed

(Anaes.) (Assist.)

Fee: $531.10 Benefit: 75% = $398.35 85% = $451.45

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

46339

46339 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed):

(a) tenolysis;

(b) release of median nerve and carpal tunnel;

other than a service associated with:

(c) a service to which item 39330 or 39331 applies; or

(d) a service to which item 30023 applies that is performed at the same site

Applicable once per wrist per occasion on which the service is performed (H)

(Anaes.) (Assist.)

Fee: $531.10 Benefit: 75% = $398.35

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

46340

46340 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

(Anaes.) (Assist.)

Fee: $451.45 Benefit: 75% = $338.60

(See para TN.8.184, TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

46341

46341 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed):

(a) reconstruction of flexor or extensor retinaculum;

(b) removal of tendon nodules;

(c) tenolysis;

(d) tenoplasty;

other than a service associated with:

(e) a service to which item 39330 applies; or

(f) if this service is performed on the wrist flexor tendons—a service to which item 39331 applies; or

(g) a service to which item 30023 applies that is performed at the same site

—one or more compartments per limb (H)

(Anaes.) (Assist.)

Fee: $289.55 Benefit: 75% = $217.20

(See para TN.8.185, TN.8.190, TN.8.283 of explanatory notes to this Category)


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change