Medicare Benefits Schedule - Note TN.8.209

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Category 3 - THERAPEUTIC PROCEDURES

TN.8.209

Procedure for diagnostic biopsy of bone tumour (Items 50200 and 50201)

  • For items 50200 and 50201 histological proof of either the benign, the aggressive benign, or the malignant nature of the process should be obtained.
  • Histological proof may be obtained in conjunction with items 50203, 50206 or 50209. It may be obtained at the time of the procedure (e.g. by intraoperative frozen section analysis of the tumour tissue).

Related Items: 50200 50201 50203 50206 50209


Related Items

Category 3 - THERAPEUTIC PROCEDURES

50200 Amend Fee

50200 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2026
Schedule Fee Updated:
01-Jul-2026

Core needle biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare, if the service has not already applied to the patient twice in the preceding 12 months for a service provided by the same provider 

(Anaes.)

Fee: $225.25 Benefit: 75% = $168.95 85% = $191.50

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

Category 3 - THERAPEUTIC PROCEDURES

50201 Amend Fee

50201 - Additional Information

Item Start Date:
01-Nov-2004
Description Updated:
01-Jul-2026
Schedule Fee Updated:
01-Jul-2026

Incisional biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare, if the service has not already applied to the patient twice in the preceding 12 months for a service provided by the same provider 

(Anaes.) (Assist.)

Fee: $394.35 Benefit: 75% = $295.80 85% = $335.20

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

Category 3 - THERAPEUTIC PROCEDURES

50203 Fee

50203 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2026

Intralesional or marginal excision of bone or soft tissue tumour (H)

(Anaes.) (Assist.)

Fee: $495.80 Benefit: 75% = $371.85

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

Category 3 - THERAPEUTIC PROCEDURES

50206 Fee

50206 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2026

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

(a) autograft;

(b) allograft;

(c) cementation

(H)

(Anaes.) (Assist.)

Fee: $732.50 Benefit: 75% = $549.40

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

Category 3 - THERAPEUTIC PROCEDURES

50209 Fee

50209 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2026

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

(a) autograft;

(b) allograft;

(c) cementation

(H)

(Anaes.) (Assist.)

Fee: $901.55 Benefit: 75% = $676.20

(See para TN.8.171, TN.8.209 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