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Results 1 to 9 of 9 matches

Category 3 - THERAPEUTIC PROCEDURES

Oncoplastic Breast Surgery – (Items 31513 and 31514)

Category 3 - THERAPEUTIC PROCEDURES

31512

31512 - Additional Information

Item Start Date:
01-Nov-2002
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
1 - General

Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:
(a) item 45523 or 45558 applies; and
(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)
(H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $778.15 Benefit: 75% = $583.65

Category 3 - THERAPEUTIC PROCEDURES

31513

31513 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
1 - General

Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:
(a) item 45523 or 45558 applies; and
(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side
(H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,017.40 Benefit: 75% = $763.05

(See para TN.8.265 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

31514

31514 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
1 - General

Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:
(a) item 45523 or 45558 applies; and
(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side
(H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,466.75 Benefit: 75% = $1,100.10

(See para TN.8.265 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45520

45520 - Additional Information

Item Start Date:
01-Jul-1998
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Reduction mammaplasty (unilateral) with surgical repositioning of nipple, in the context of breast cancer or developmental abnormality of the breast, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,077.70 Benefit: 75% = $808.30

Category 3 - THERAPEUTIC PROCEDURES

45522

45522 - Additional Information

Item Start Date:
01-Jul-1998
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Reduction mammaplasty (unilateral) without surgical repositioning of the nipple:
(a) excluding the treatment of gynaecomastia; and
(b) not with insertion of any prosthesis;
other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $756.10 Benefit: 75% = $567.10

Category 3 - THERAPEUTIC PROCEDURES

45523

45523 - Additional Information

Item Start Date:
01-Nov-2018
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Reduction mammaplasty (bilateral) with surgical repositioning of the nipple:
(a) for patients with macromastia who are experiencing pain in the neck or shoulder region; and
(b) not with insertion of any prosthesis;
other than a service associated with a service to which item 31512, 31513 or 31514 applies (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,616.70 Benefit: 75% = $1,212.55

Category 3 - THERAPEUTIC PROCEDURES

45556

45556 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

Applicable only once per occasion on which the service is provided, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $916.85 Benefit: 75% = $687.65

(See para TN.8.99 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45558

45558 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Jul-2023
Schedule Fee Updated:
01-Jul-2026

Group
T8 - Surgical Operations
Subgroup
13 - Plastic And Reconstructive Surgery
Subheading
4 - Other Grafts And Miscellaneous Procedures

Correction of bilateral breast ptosis by mastopexy, if:

(a) at least two‑thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and

(b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes

Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies

(H)

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $1,375.20 Benefit: 75% = $1,031.40

(See para TN.8.99 of explanatory notes to this Category)

Results 1 to 9 of 9 matches


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