Medicare Benefits Schedule - Note TN.8.288

Where radial head revision or radial head prosthesis removal is a component of a more comprehensive procedure performed at the same time, for example an elbow arthroplasty or revision arthroplasty (items 49115, 49116, or 49117), items 49113 and 49114 are not to be claimed in addition to the items corresponding to those procedures.

Related Items: 49113 49114 49115 49116 49117

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Multiple Operation Rule

Removal of radial head prosthesis (H)

(Anaes.) (Assist.)

Fee: $819.50 Benefit: 75% = $614.65

(See para TN.8.288 of explanatory notes to this Category)

Multiple Operation Rule

Revision of radial head replacement (H)

(Anaes.) (Assist.)

Fee: $819.50 Benefit: 75% = $614.65

(See para TN.8.288 of explanatory notes to this Category)

Multiple Operation Rule

Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H)

(Anaes.) (Assist.)

Fee: $1,317.80 Benefit: 75% = $988.35

(See para TN.8.288 of explanatory notes to this Category)

Multiple Operation Rule

ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H)

(Anaes.) (Assist.)

Fee: $1,739.45 Benefit: 75% = $1,304.60

(See para TN.8.288 of explanatory notes to this Category)

Multiple Operation Rule

Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H)

(Anaes.) (Assist.)

Fee: $2,087.40 Benefit: 75% = $1,565.55

(See para TN.8.288 of explanatory notes to this Category)