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Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography by an anaesthetist, where the service:

(a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and

(b) includes Doppler techniques with colour flow mapping and recordings on digital media; and

(c) is performed during cardiac valve surgery (replacement or repair); and

(d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and

(e) is not associated with a service to which item 21936, 22051, 55118, 55130 or 55135 applies; and

(f) is provided on the same occasion as the administration of anaesthesia by the same anaesthetist

(H)

Fee: $426.60 Benefit: 75% = $319.95

(See para TN.10.8 of explanatory notes to this Category)

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• Next - Item 22055

Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other repair, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30651, 30655, 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies (H)

Multiple Operation Rule

Fee: $487.75 Benefit: 75% = $365.85

• Previous - Item 30619
• Next - Item 30622

Valve annuloplasty with insertion of ring, other than:

(a) a service to which item 38516 or 38517 applies; or

(b) a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies

(H)

Multiple Operation Rule

Fee: $2,397.85 Benefit: 75% = $1,798.40

(See para TN.8.67, TN.8.213 of explanatory notes to this Category)

• Previous - Item 38474
• Next - Item 38484

Complex valve repair:

(a) with or without annuloplasty; and

(b) including retrograde cardioplegia (if performed); and

(c) including one of the following:

(i) neochords;

(ii) chordal transfer;

(iii) patch augmentation;

(iv) multiple leaflets;

other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H)

Multiple Operation Rule

Fee: $3,681.00 Benefit: 75% = $2,760.75

• Previous - Item 38516
• Next - Item 38518

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H)

Multiple Operation Rule

Fee: $394.45 Benefit: 75% = $295.85

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

• Previous - Item 48403
• Next - Item 48409

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed):

(a) removal of bone;

(b) excision of surrounding osteophytes;

(c) synovectomy;

(d) joint release;

other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H)

Multiple Operation Rule

Fee: $619.75 Benefit: 75% = $464.85

(See para TN.8.168, TN.8.190, TN.8.196, TN.8.200 of explanatory notes to this Category)

• Previous - Item 48406
• Next - Item 48412

Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service:

(a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and

(b) includes Doppler techniques with colour flow mapping and recordings on digital media; and

(c) is performed during cardiac valve surgery (replacement or repair); and

(d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and

(e) is not associated with a service to which item 22054, 55130, or an item in Subgroup 3, applies

(R) (H)

Bulk bill incentive

Fee: $416.55 Benefit: 75% = $312.45

• Previous - Item 55134
• Next - Item 55137