Medicare Benefits Schedule - Note TN.8.185

• Procedures 46335, 46340 and 46341, if performed, include tenoplasty, tenolysis, tendon nodules removal, neurolysis and carpal tunnel release.
• The item claimed should be chosen based on the tendons being treated rather than the site of the incision.

Related Items: 46335 46340 46341

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Multiple Operation Rule

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 a service to which item 30023, 39331 or 39330 applies—applicable only once per occasion on which the service is performed

(Anaes.) (Assist.)

Fee: $513.15 Benefit: 75% = $384.90 85% = $436.20

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

Multiple Operation Rule

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 a service to which item 30023, 39331 or 39330 applies—one or more compartments (H)

(Anaes.) (Assist.)

Fee: $436.20 Benefit: 75% = $327.15

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

Multiple Operation Rule

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 a service to which item 30023, 39331 or 39330 applies—one or more compartments (H)

(Anaes.) (Assist.)

Fee: $279.75 Benefit: 75% = $209.85

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