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Category 3 - THERAPEUTIC PROCEDURES
TN.8.24
Dissection of Lymph Nodes of Neck - (Items 30618, 31423 to 31438)
For the purposes of these items, the lymph node levels referred to are as follows:
| Level I | Submandibular and submental lymph nodes |
| Level II | Lymph nodes of the upper aspect of the neck including the jugulodigastric node, upper jugular chain nodes and upper spinal accessory nodes |
| Level III | Lymph nodes deep to the middle third of the sternomastoid muscle consisting of mid jugular chain nodes, the lower most of which is the jugulo-omohyoid node, lying at the level where the omohyoid muscle crosses the internal jugular vein |
| Level IV | Lower jugular chain nodes, including those nodes overlying the scalenus anterior muscle |
| Level V | Posterior triangle nodes, which are usually distributed along the spinal accessory nerve in the posterior triangle |
Comprehensive dissection involves all 5 neck levels while selective dissection involves the removal of only certain lymph node groups, for example:-
Item 31426 (removal of 3 lymph node levels) - e.g. supraomohyoid neck dissection (levels I-III) or lateral neck dissection (levels II-IV).
Item 31429 (removal of 4 lymph node levels) - e.g. posterolateral neck dissection (levels II-V) or anterolateral neck dissection (levels I-IV)
Other combinations of node levels may be removed according to clinical circumstances.
Related Items
Category 3 - THERAPEUTIC PROCEDURES
30618 - Additional Information
Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient under 10 years of age
(Anaes.) (Assist.)
Fee: $594.95 Benefit: 75% = $446.25 85% = $505.75
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31423 - Additional Information
Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side
(Anaes.) (Assist.)
Fee: $457.75 Benefit: 75% = $343.35 85% = $389.10
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31426 - Additional Information
Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $915.35 Benefit: 75% = $686.55
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31429 - Additional Information
Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $1,426.45 Benefit: 75% = $1,069.85
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31432 - Additional Information
Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $1,525.65 Benefit: 75% = $1,144.25
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31435 - Additional Information
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $1,121.35 Benefit: 75% = $841.05
(See para TN.8.24 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
31438 - Additional Information
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H)
(Anaes.) (Assist.)
Fee: $1,777.40 Benefit: 75% = $1,333.05
(See para TN.8.24 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