Results 1 to 9 of 9 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
31514 - Additional Information
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)
(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
45060 - Additional Information
Developmental breast abnormality, single stage correction of, if:
(a) the correction involves either:
(i) bilateral mastopexy for symmetrical tubular breasts; or
(ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and
(b) photographic 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
(Anaes.) (Assist.)
Fee: $1,521.60 Benefit: 75% = $1,141.20
Category 3 - THERAPEUTIC PROCEDURES
45061 - Additional Information
Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if:
(a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:
(i) 20% in normally shaped breasts; or
(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and
(b) photographic 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
(Anaes.) (Assist.)
Fee: $1,521.60 Benefit: 75% = $1,141.20
Category 3 - THERAPEUTIC PROCEDURES
45062 - Additional Information
Developmental breast abnormality, 2 stage correction of, second stage, involving surgery on both breasts with a combination of exchange of one or more tissue expanders for one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if:
(a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least:
(i) 20% in normally shaped breasts; or
(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and
(b) photographic 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
(Anaes.) (Assist.)
Fee: $1,101.10 Benefit: 75% = $825.85
Category 3 - THERAPEUTIC PROCEDURES
45070 - Additional Information
Developmental breast abnormality, single stage correction of, involving surgery on one breast, if:
(a) the correction involves either:
(i) insertion of an implant with or without mastopexy; or
(ii) reduction mammaplasty; and
(b) there is a difference in breast volume with the other breast, as demonstrated by an appropriate volumetric measurement technique, of at least:
(i) 20% in normally shaped breasts; or
(ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and
(c) photographic 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 (H)
(Anaes.) (Assist.)
Fee: $1,014.40 Benefit: 75% = $760.80
Category 3 - THERAPEUTIC PROCEDURES
45520 - Additional Information
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)
(Anaes.) (Assist.)
Fee: $1,077.70 Benefit: 75% = $808.30
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