View Related Items
Category 3 - THERAPEUTIC PROCEDURES
TN.8.93
Local Skin Flap - Definition
Medicare benefits for flaps are only payable when clinically appropriate. Clinically appropriate in this instance means that the flap or graft is required to close the defect because the defect cannot be closed directly, or because the flap is required to adapt scar position optimally with regard to skin creases or landmarks,maintain contour on the face or neck, or prevent distortion of adjacent structures or apertures.
A local skin flap is an area of skin and subcutaneous tissue designed to be elevated from the skin adjoining a defect requiring closure. The flap remains partially attached by its pedicle and is moved into the defect by rotation, advancement or transposition, or a combination of these manoeuvres. A benefit is only payable when the flap is required for adequate wound closure. A secondary defect will be created which may be closed by direct suture, skin grafting or sometimes a further local skin flap. This later procedure will also attract benefit if closed by graft or flap repair but not when closed by direct suture.
By definition, direct wound closure (e.g. by suture) does not constitute skin flap repair. Similarly, angled, curved or trapdoor incisions which are used for exposure and which are sutured back in the same position relative to the adjacent tissues are not skin flap repairs. Undermining of the edges of a wound prior to suturing is considered a normal part of wound closure and is not considered a skin flap repair.
A "Z" plasty is a particular type of transposition flap repair. Although 2 flaps are created, benefit will be paid on the basis of Item 45201, claimable once per defect. Additional flaps are to be claimed under Item 45202, if clinically indicated.
Note: refer to TN.8.126 for MBS item 45202 for circumstances where other services might involve flap repair.
Related Items
Category 3 - THERAPEUTIC PROCEDURES
45200 - Additional Information
Single stage local flap, if indicated to repair one defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383
(Anaes.)
Fee: $323.95 Benefit: 75% = $243.00 85% = $275.40
(See para TN.8.93 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45201 - Additional Information
Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion (only in association with items 31000, 31001, 31002, 31003, 31004, 31005, 31358, 31359, 31360, 31363, 31364, 31369, 31370, 31371, 31373, 31376, 31378, 31380 or 31383)-may be claimed only once per defect
(Anaes.)
Fee: $471.55 Benefit: 75% = $353.70 85% = $400.85
(See para TN.8.93 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45202 - Additional Information
Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion in a patient, if the clinical relevance of the procedure is clearly annotated in the patient's record and either:
(a) item 45201 applies and additional flap repair is required for the same defect; or
(b) item 45201 does not apply and either:
(i) the patient has severe pre-existing scarring, severe skin atrophy or sclerodermoid changes; or
(ii) the repair is contiguous with a free margin
(Anaes.)
Fee: $471.55 Benefit: 75% = $353.70 85% = $400.85
(See para TN.8.93, TN.8.126 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45203 - Additional Information
Single stage local flap, if indicated to repair one defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383
(Anaes.) (Assist.)
Fee: $462.55 Benefit: 75% = $346.95 85% = $393.20
(See para TN.8.93, TN.8.207 of explanatory notes to this Category)
Category 3 - THERAPEUTIC PROCEDURES
45206 - Additional Information
Single stage local flap if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals and excluding H-flap or double advancement flap not in association with any of items 31356 to 31383
(Anaes.)
Fee: $437.00 Benefit: 75% = $327.75 85% = $371.45
(See para TN.8.93 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