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Results 1 to 4 of 4 matches

Category 3 - THERAPEUTIC PROCEDURES

45548

45548 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Dec-1991
Schedule Fee Updated:
01-Jul-2024

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

BREAST PROSTHESIS, removal of, as an independent procedure

Multiple Operation Rule


(Anaes.)

Fee: $315.30 Benefit: 75% = $236.50 85% = $268.05

Category 3 - THERAPEUTIC PROCEDURES

45551

45551 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2024

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

Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $505.50 Benefit: 75% = $379.15

(See para TN.8.167 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45553

45553 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2024

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

Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if:

(a) either:

(i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or

(ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and

(b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $651.15 Benefit: 75% = $488.40

(See para TN.8.98, TN.8.262 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

45554

45554 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Nov-2018
Schedule Fee Updated:
01-Jul-2024

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

Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if:

(a) either:

(i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or

(ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and

(b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; and

(c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes

Multiple Operation Rule


(Anaes.) (Assist.)

Fee: $796.85 Benefit: 75% = $597.65

(See para TN.8.98, TN.8.262 of explanatory notes to this Category)

Results 1 to 4 of 4 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