Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 45656–46411.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 45656Surgical placement of a composite graft combining cartilage and skin or mucosa to reconstruct the nose, ear, or eyelid, including anaesthesia and surgical assistance. | $601.15 | $450.90 | $511.00 (85%) |
| 45658Surgical correction of congenital ear deformities (constricted ear, Stahl's ear, or similar) excluding prominent ears, with documented clinical diagnosis and photographic evidence in patient notes. | $623.95 | $468.00 | — |
| 45659Surgical correction of congenital ear deformity (absent antihelical fold, enlarged scapha or concha) in patients under 18 years, with photographic documentation of clinical need. | $623.95 | $468.00 | — |
| 45660Complex reconstruction of the external ear using costal cartilage grafts for congenital absence, microtia, or post-traumatic loss of the pinna (first stage), including cartilage harvesting and shaping. | $3,445.50 | $2,584.15 | — |
| 45661Second stage reconstruction of external ear using stored costal cartilage framework with local flaps and skin graft, performed by a specialist with anaesthesia and assistant support. | $1,531.35 | $1,148.55 | — |
| 45665Full thickness wedge excision of lip, eyelid or ear with direct suture repair, excluding cosmetic eyelid procedures. | $390.25 | $292.70 | $331.75 (85%) |
| 45668Surgical removal of the vermilion border of the lip under anaesthesia. | $390.25 | $292.70 | $331.75 (85%) |
| 45669Laser removal of lip vermilion for biopsy-confirmed cellular atypia, performed under anaesthesia. | $390.25 | $292.70 | $331.75 (85%) |
| 45671Surgical reconstruction of lip or eyelid defect involving all tissue layers using a flap switched from the opposing lip or eyelid, single stage or first stage of two-stage procedure. | $998.30 | $748.75 | — |
| 45674Second stage of two-stage flap reconstruction for lip or eyelid, involving pedicle division, flap inset, and donor site closure under anaesthesia. | $290.40 | $217.80 | — |
| 45675Anaesthesia or assistance for surgical correction of enlarged lip or tongue. | $578.40 | $433.80 | — |
| 45676Assistance at anaesthesia for surgical operation to create an abnormally large opening (macrostomia), typically in the mouth or stomach. | $688.60 | $516.45 | — |
| 45677Primary surgical repair of unilateral cleft lip and nasal structures in one stage, excluding palate repair. | $683.30 | $512.50 | — |
| 45680Primary surgical repair of unilateral cleft lip and palate including the nasolabial complex and anterior palate in one stage, with anaesthesia and assistance. | $891.15 | $668.40 | — |
| 45683Surgical repair of bilateral cleft lip and nose structure in a single stage, not including palate repair, with anaesthesia and surgical assistance. | $989.95 | $742.50 | — |
| 45686Primary surgical repair of bilateral cleft lip and nose with anterior palate repair in one stage procedure, including anaesthesia and surgical assistance. | $1,168.45 | $876.35 | — |
| 45689Surgical lip adhesion procedure for unilateral or bilateral cleft lip, including anaesthesia and assistance. | $313.35 | $235.05 | — |
| 45692Surgical revision of partial cleft lip with minor flap realignment, adjustment, and correction of minor whistle deformity under anaesthesia. | $359.95 | $270.00 | — |
| 45695Surgical revision of cleft lip with major flap work, muscle repair, and correction of whistle deformity under anaesthesia with assistant. | $585.05 | $438.80 | — |
| 45698Surgical lengthening of the columella (tissue between nostrils) in bilateral cleft lip patients, including anaesthesia. | $549.05 | $411.80 | — |
| 45701Surgical reconstruction of cleft lip using a full-thickness flap technique (such as Abbe flap) as the first stage, including anaesthesia and surgical assistance. | $990.20 | $742.65 | — |
| 45704Surgical reconstruction of cleft lip using a full-thickness flap technique (such as Abbe flap) as a second-stage procedure, including anaesthesia. | $359.95 | $270.00 | — |
| 45707Primary surgical repair of cleft palate under general anaesthesia with surgical assistance. | $935.85 | $701.90 | — |
| 45710Surgical repair of a cleft palate fistula using local flaps under anaesthesia as a secondary procedure. | $585.05 | $438.80 | — |
| 45713Secondary surgical repair or lengthening procedure for cleft palate, including anaesthesia and assistance. | $666.20 | $499.65 | — |
| 45714Surgical repair of an oro-nasal fistula using local flap closure, requiring anaesthesia and surgical assistance. | $935.85 | $701.90 | — |
| 45716Surgical repair of velopharyngeal incompetence using pharyngeal flap or pharyngoplasty under anaesthesia. | $935.85 | $701.90 | — |
| 45717Surgical bone grafting for unilateral alveolar cleft with closure of oro-nasal fistulae and ridge augmentation, excluding cases linked to item 45718. | $1,407.50 | $1,055.65 | — |
| 45718Facial contour restoration using autogenous bone or cartilage to correct deformity from congenital absence, trauma (non-cosmetic), or pathological process, excluding alveolar bone grafting. | $1,531.35 | $1,148.55 | — |
| 45761Surgical reshaping of the chin including nerve/vessel repositioning and bone grafts, covered when deformity results from congenital absence, craniofacial disorder, trauma, or pathology—requires documented diagnosis and clinical photographs. | $896.05 | $672.05 | — |
| 45767Surgical correction of hypertelorism (wide-set eyes) using an intracranial approach, including anaesthesia and assistance. | $3,006.20 | $2,254.65 | — |
| 45773Bilateral facial or periorbital reconstruction with distant bone grafts for syndromic orbital dystopia such as Treacher Collins Syndrome, requiring anaesthesia and assistance. | $2,098.65 | $1,574.00 | — |
| 45776Surgical correction of one-sided orbital dystopia involving complete repositioning of the orbit through an intracranial approach, requiring anaesthesia and surgical assistance. | $2,098.65 | $1,574.00 | — |
| 45779Surgical correction of unilateral orbital dystopia involving complete repositioning of one orbit via an extracranial approach, performed under anaesthesia with assistance. | $1,542.95 | $1,157.25 | — |
| 45782Surgical advancement of the forehead and orbital bones, typically for craniosynostosis or related deformities, performed under anaesthesia with surgical assistance. | $1,179.70 | $884.80 | — |
| 45785Surgical reconstruction of the skull vault for single-suture cranial synostosis, including anaesthesia and surgical assistance. | $1,996.55 | $1,497.45 | — |
| 45788Surgical construction of the glenoid fossa using bone and cartilage grafts, and creation of the mandibular condyle and ascending ramus in hemifacial microsomia, excluding graft harvesting. | $1,973.85 | $1,480.40 | — |
| 45791Surgical construction of absent condyle and ascending ramus in craniofacial microsomia, excluding graft harvesting. | $1,066.25 | $799.70 | — |
| 45794Surgical implantation of the first-stage osseointegration fixture for patients with congenital absence, tumour removal, or trauma-related tooth loss, excluding cases already covered under item 41603. | $603.15 | $452.40 | $512.70 (85%) |
| 45797Surgical fixation of a transcutaneous abutment during second-stage osseointegration for bone-anchored prosthetics following congenital absence, tumour or trauma (anaesthetised procedure). | $223.25 | $167.45 | $189.80 (85%) |
| 45801Surgical removal of a tumour, cyst, ulcer or scar from the mouth lining or underlying tissues, requiring excision and suturing under anaesthesia. | $161.55 | $121.20 | $137.35 (85%) |
| 45807Surgical removal of oral and maxillofacial tumours, cysts (excluding tooth-related unless 5mm+ separation confirmed), ulcers or scars involving deep tissues, under anaesthesia. | $295.10 | $221.35 | $250.85 (85%) |
| 45809Surgical removal of a tumour or deep cyst in the oral and maxillofacial region requiring wide excision, excluding tooth-associated cysts unless radiologically confirmed with 5mm+ separation or histologically proven lesions. | $444.65 | $333.50 | — |
| 45811Surgical removal of an extensive oral and maxillofacial soft tissue tumour (muscle, fascia, connective tissue) without skin or mucosal grafting, requiring anaesthesia and surgical assistance. | $601.15 | $450.90 | — |
| 45813Extensive removal of a soft tissue tumour in the oral and maxillofacial region with skin or mucosal graft reconstruction, including anaesthesia and surgical assistance. | $703.25 | $527.45 | — |
| 45815Surgical treatment of chronic osteomyelitis or medication/radiation-induced jaw necrosis involving mandible or maxilla, requiring bone debridement beyond alveolar margins. | $426.55 | $319.95 | $362.60 (85%) |
| 45823Removal of arch bars or similar dental fixation devices from upper or lower jaw under general anaesthesia in a hospital operating theatre. | $130.35 | $97.80 | — |
| 45825Surgical removal of benign bone growths (exostosis) from the lower jaw or roof of mouth, including anaesthesia and surgical assistance. | $405.00 | $303.75 | $344.25 (85%) |
| 45827Surgical reduction of the mylohyoid ridge under general anaesthesia with surgical assistance. | $387.05 | $290.30 | — |
| 45829Surgical reduction of the maxillary tuberosity (bony prominence on the upper jaw) under anaesthesia. | $295.30 | $221.50 | $251.05 (85%) |
| 45831Surgical reduction of papillary hyperplasia of the palate, performed once per occasion of service under anaesthesia with assistance. | $387.05 | $290.30 | — |
| 45837Surgical procedure to deepen the vestibule (oral cavity space) by removing tissue and muscle, with or without grafting, performed on one or both sides under anaesthesia. | $702.00 | $526.50 | $597.50 (85%) |
| 45841Surgical augmentation of the alveolar ridge on one side using bone graft, synthetic material, or both, under anaesthesia with surgical assistance. | $566.95 | $425.25 | $481.95 (85%) |
| 45845Surgical placement of an intra-oral titanium implant fixture to support tooth restoration after maxillary or mandibular resection for tumour, or segmental bone loss from trauma or congenital absence. | $603.15 | $452.40 | $512.70 (85%) |
| 45847Fixation of transmucosal abutments to dental osseointegrated fixtures following maxillary or mandibular resection for tumour, or segmental loss from trauma or congenital absence, after reconstructive surgery. | $223.25 | $167.45 | $189.80 (85%) |
| 45849Surgical elevation of maxillary sinus membrane with placement of bone graft or allograft material to augment sinus floor for dental implant support, one side only. | $695.30 | $521.50 | — |
| 45851Manipulation of the temporomandibular joint under anaesthesia in a hospital operating theatre as a standalone procedure. | $171.20 | $128.40 | — |
| 45855Arthroscopy of the temporomandibular joint with or without tissue biopsy, performed as a standalone procedure under anaesthesia with assistant support. | $347.75 | $260.85 | — |
| 45857Arthroscopic treatment of temporomandibular joint including removal of loose bodies, debridement, lysis and lavage, biopsy, or meniscus repositioning as standalone procedure. | $782.60 | $586.95 | — |
| 45865Irrigation of the temporomandibular joint using two cannuli under anaesthesia, with assistance provided. | $347.75 | $260.85 | $295.60 (85%) |
| 45871Open surgical exploration of the temporomandibular joint including meniscus, capsular and condylar head surgery, performed with or without microsurgical techniques. | $1,602.00 | $1,201.50 | — |
| 45873Surgery of the temporomandibular joint including tissue flaps, cartilage grafts, or allograft implants, with or without microsurgical techniques. | $1,800.15 | $1,350.15 | — |
| 45874Total replacement of the temporomandibular joint with artificial components, including the condylar head and glenoid fossa, performed under anaesthesia with surgical assistance. | $1,577.30 | $1,183.00 | — |
| 45882Treatment of a premalignant oral mucosal lesion using cryotherapy, diathermy, or carbon dioxide laser. | $51.50 | $38.65 | $43.80 (85%) |
| 45888Removal of a deep foreign body from the body using imaging-guided interventional techniques, performed under anaesthesia with surgical assistance. | $495.00 | $371.25 | — |
| 45891Repair of a single facial defect using a temporalis muscle local flap in one stage, with anaesthesia and surgical assistance. | $721.10 | $540.85 | $616.60 (85%) |
| 45894Surgical grafting of mucous membrane or split skin to repair mucosal defects in the mouth, performed under anaesthesia. | $245.00 | $183.75 | $208.25 (85%) |
| 45939Cryosurgery to freeze peripheral branches of the trigeminal nerve for pain relief, requiring anaesthesia and surgical assistance. | $535.05 | $401.30 | — |
| 46050Surgical raising of a perforator flap based on a named blood vessel for pedicled transfer to reconstruct the head, neck, or other non-breast areas, performed under anaesthesia with surgical assistance. | $941.45 | $706.10 | — |
| 46052Surgical raising of a perforator flap (e.g. anterolateral thigh) as preparation for microsurgical transfer to reconstruct defects in the head, neck or other non-breast areas, with anaesthesia and surgical assistance. | $297.15 | $222.90 | — |
| 46060Microsurgical transfer of vascularised bone flap to repair major head, neck or non-breast defects, including vessel anastomoses, flap harvesting, recipient site preparation and tissue inset. | $3,186.20 | $2,389.65 | — |
| 46062Microvascular transfer of vascularised bone flap for major head, neck or non-breast defects, including vessel anastomoses, flap harvesting with osteotomies, recipient preparation, tissue inset and bony fixation, excluding maxillofacial reshaping or s… | $3,047.70 | $2,285.80 | — |
| 46064Free tissue transfer with bone (including composite flap) for major head, neck, or other non-breast defect, including vessel anastomosis, flap harvesting, vascular pedicle raising, recipient vessel prep, and tissue inset with bony fixation. | $2,285.90 | $1,714.45 | — |
| 46066Double free flap transfer with one vascularized bone component for major head, neck or non-breast defect repair, including vessel anastomosis, flap harvest, recipient preparation and tissue inset. | $4,571.50 | $3,428.65 | — |
| 46068Double free flap transfer with vascularized bone component for major head, neck or other non-breast defects, including microvascular anastomoses, flap harvesting, and tissue inset. | $3,428.85 | $2,571.65 | — |
| 46070Reconstructive surgery using two free tissue flaps with microvascular anastomoses to repair major tissue defects, excluding breast reconstruction and certain other procedures; principal surgeon role. | $4,571.50 | $3,428.65 | — |
| 46072Reconstructive surgery using two free tissue flaps with microvascular anastomoses to repair major tissue defects, excluding breast reconstruction and certain other specified procedures. | $3,428.85 | $2,571.65 | — |
| 46080Surgical reconstruction of one breast after mastectomy using a patient's own tissue (muscle and skin flap) transferred via microsurgery, including blood vessel connection and skin repair. | $3,515.20 | $2,636.40 | — |
| 46082Bilateral breast reconstruction after mastectomy using patient's own tissue (myocutaneous or perforator flap) with microsurgical vessel connections, excluding muscle layer repair. | $6,151.55 | $4,613.70 | — |
| 46084Microsurgical reconstruction of one breast after mastectomy using autologous tissue flap with blood vessel reconnection, performed by principal surgeon with anaesthetist and assistant. | $3,047.70 | $2,285.80 | — |
| 46086Surgical reconstruction of one breast after mastectomy using transplanted tissue with blood vessel connections, performed as part of coordinated multi-surgeon procedure. | $2,285.90 | $1,714.45 | — |
| 46088Bilateral post-mastectomy breast reconstruction using autologous tissue flaps with microsurgical vessel anastomosis as principal surgeon. | $5,333.40 | $4,000.05 | — |
| 46090Bilateral autologous breast reconstruction using microsurgical muscle or perforator flaps with vessel anastomoses following mastectomy, excluding certain specified procedures. | $4,000.20 | $3,000.15 | — |
| 46092Surgical reconstruction of lower breast pole after mastectomy using muscle, fascia, or dermal flaps, performed alongside specified breast reconstruction procedures. | $485.95 | $364.50 | — |
| 46094Surgical placement of allograft or synthetic material to cover a breast implant or its lower pole after mastectomy, with anaesthesia and surgical assistance. | $359.05 | $269.30 | — |
| 46100Excision of burnt tissue or definitive burn wound closure for burns exceeding 1% of hands, face or anterior neck, performed with reconstructive surgery. | — | — | — |
| 46101Surgical removal of burnt tissue covering up to 1% of total body surface, with anaesthesia and assistance. | $404.00 | $303.00 | $343.40 (85%) |
| 46102Surgical removal of burnt tissue covering 1–3% of total body surface area, performed under anaesthesia with surgical assistance. | $641.30 | $481.00 | — |
| 46103Surgical removal of burnt tissue covering 3–10% of total body surface area, under anaesthesia with assistance. | $703.35 | $527.55 | — |
| 46104Surgical removal of burnt tissue covering 10–19% of total body surface, performed under anaesthesia with assistance, excluding follow-up care. | $1,073.10 | $804.85 | — |
| 46105Surgical removal of burnt tissue covering 20–30% of total body surface area, performed under anaesthesia with assistance, excluding follow-up care. | $1,443.15 | $1,082.40 | — |
| 46106Surgical removal of burnt tissue covering 30–40% of total body surface, excluding post-operative care; requires anaesthesia and surgical assistance. | $1,813.90 | $1,360.45 | — |
| 46107Surgical removal of burnt tissue covering 40–49% of total body surface area, excluding post-operative care, under anaesthesia with surgical assistance. | $2,184.00 | $1,638.00 | — |
| 46108Surgical removal of burnt tissue covering 50–59% of total body surface area, performed under anaesthesia with assistance, excluding post-operative care. | $2,553.45 | $1,915.10 | — |
| 46109Surgical removal of burnt tissue covering 60–70% of total body surface, performed under anaesthesia with assistance, excluding follow-up care. | $2,923.60 | $2,192.70 | — |
| 46110Surgical removal of burnt tissue covering 70–80% of total body surface area, excluding post-operative care. | $3,331.00 | $2,498.25 | — |
| 46111Surgical removal of burnt tissue when the burn covers 80% or more of total body surface area, excluding follow-up care. | $3,730.50 | $2,797.90 | — |
| 46112Surgical removal of burnt tissue from the entire face (excluding ears); claimable once with items 46101–46111 based on total body surface percentage burnt elsewhere, excluding aftercare. | $2,059.45 | $1,544.60 | — |
| 46113Closure of burn wounds or contracture-release skin defects under 1% of body surface using autologous skin grafting, autologous cell suspension, or temporary allogenic/biosynthetic grafts, performed at same time as primary excision/release. | $404.00 | $303.00 | — |
| 46114Autologous skin grafting or cell suspension closure of excised burn wounds or contracture releases covering 1–3% of body surface, performed with primary excision; for patients under 15 years, autologous methods require ≥10% total burn area; for patie… | $641.30 | $481.00 | — |
| 46115Closure of burn wound excision or contracture release (3–10% body surface) using autologous skin graft, autologous cell suspension, or temporary allogenic/biosynthetic graft, performed concurrently with primary excision; higher body surface threshold… | $703.35 | $527.55 | — |
| 46116Closure of excised burn wounds or contracture release affecting 10–20% of body surface using autologous skin grafting, autologous skin cell suspension (age <15) or combined methods (age ≥15 if ≥20% total treated area), or temporary allogenic/biosynth… | $1,073.10 | $804.85 | — |
| 46117Surgical closure of excised burn wounds covering 20–30% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic grafts, performed concurrently with primary excision. | $1,443.15 | $1,082.40 | — |
| 46118Surgical closure of excised burn wounds covering 30–40% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic grafting, performed concurrently with primary excision. | $1,813.90 | $1,360.45 | — |
| 46119Closure of excised burn wound covering 40–50% of body surface using autologous grafting, cell suspension, or temporary allogenic/biosynthetic substitute, performed at same time as primary excision. | $2,184.00 | $1,638.00 | — |
| 46120Closure of excised burn wounds covering 50–60% of body surface using autologous skin grafts, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed concurrently with primary excision. | $2,553.45 | $1,915.10 | — |
| 46121Excision and definitive or temporary closure of burn wounds covering 60–70% of body surface using autologous grafting, cell suspension, or allogenic/biosynthetic substitutes, performed concurrently with primary excision. | $2,923.60 | $2,192.70 | — |
| 46122Closure of excised burn wound covering 70–80% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed at same time as primary excision. | $3,331.00 | $2,498.25 | — |
| 46123Closure of excised burn wounds covering at least 80% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed concurrently with primary excision. | $3,730.50 | $2,797.90 | — |
| 46124Closure of full-face burn wounds using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed at the same time as primary burn excision. | $2,059.45 | $1,544.60 | — |
| 46125Non-excisional debridement and skin substitute application for superficial or mid-dermal partial thickness burns under 1% of body surface area, with anaesthesia and assistance. | $404.00 | $303.00 | $343.40 (85%) |
| 46126Non-excisional debridement and application of skin substitute for partial thickness burns affecting 1–3% of total body surface area. | $641.30 | $481.00 | — |
| 46127Non-excisional debridement and skin substitute application for partial thickness burns covering 3–10% of body surface area. | $888.35 | $666.30 | — |
| 46128Non-excisional debridement and skin substitute application for partial thickness burns covering 10–29% of body surface area. | $1,628.55 | $1,221.45 | — |
| 46129Non-excisional debridement and skin substitute application for burns covering ≥30% of body surface area, excluding follow-up care. | $2,980.30 | $2,235.25 | — |
| 46130Definitive closure of burn wounds or skin defects from necrotising fasciitis or scar contracture (under 1% body surface) using autologous grafts or cell suspension, following temporary closure or dressings. | $404.00 | $303.00 | — |
| 46131Definitive burn wound closure or skin defect repair covering 1–3% of body surface using autologous tissue or cell suspension, following temporary closure or simple dressings. | $641.30 | $481.00 | — |
| 46132Definitive burn wound closure or skin defect repair covering 3–10% of body surface using autologous tissue or cell suspension, following temporary wound closure or dressings. | $703.35 | $527.55 | — |
| 46133Definitive closure of burn wounds or skin defects from necrotising fasciitis/scar contracture involving 10–20% body surface using autologous tissue (or autologous skin cell suspension for patients under 15, or over 15 if total area treated is 20%+ bo… | $1,073.10 | $804.85 | — |
| 46134Surgical closure of severe burn or necrotising fasciitis wounds covering 20–30% of body surface using autologous skin grafts or cell suspension, following temporary non-autologous closure. | $2,374.90 | $1,781.20 | — |
| 46135Definitive closure of severe burn wounds or necrotising fasciitis skin defects (≥30% body surface) using autologous grafts or cell suspensions, following temporary non-autologous closure. | $3,730.50 | $2,797.90 | — |
| 46136Definitive closure of full-face burn wounds or necrotising fasciitis defects using autologous tissue, cells, or grafts following temporary non-autologous closure. | $2,059.45 | $1,544.60 | — |
| 46140Surgical release of burn contracture by excising or incising scar tissue when the resulting defect is less than 1% of total body surface area, with direct repair if needed, including anaesthesia and assistance. | $308.10 | $231.10 | $261.90 (85%) |
| 46141Surgical release of burn scar contracture by excision or incision when the resulting defect is 1–3% of total body surface, including anaesthesia and assistance. | $462.25 | $346.70 | — |
| 46142Surgical release of burns contracture by excision or incision of scar when the resulting defect is 3–10% of total body surface area. | $554.55 | $415.95 | — |
| 46143Surgical release of burn contractures by excising or incising scar tissue when the resulting defect covers 10-20% of total body surface, requiring anaesthesia and surgical assistance. | $718.85 | $539.15 | — |
| 46150Surgical correction of lower or upper jaw position through bone cutting and repositioning (advancement, retrusion, or tilt adjustment) with fixation or distraction devices; one procedure per patient per occasion. | $1,591.65 | $1,193.75 | — |
| 46151Surgical correction of upper and lower jaw position through osteotomies (bone cuts) for advancement, retrusion, or tilt adjustment, including fixation and distraction if needed; principal surgeon performs one procedure per patient. | $1,735.45 | $1,301.60 | — |
| 46152Surgical correction of both upper and lower jaw position through osteotomies for advancement, retrusion, or tilt changes, including fixation and distraction if needed; one procedure per patient per occasion requiring anaesthesia and surgical assistan… | $1,301.60 | $976.20 | — |
| 46153Surgical correction of both upper and lower jaw position through bone cuts and fixation (including distraction devices if needed), performed by one surgeon in a single session. | $2,169.10 | $1,626.85 | — |
| 46154Surgical reshaping of the upper jaw using complex segmental bone cuts with fixation or distraction devices, limited to one procedure per patient per occasion. | $1,816.50 | $1,362.40 | — |
| 46155Complex surgical reshaping of the lower jaw using segmental bone cuts, with or without chin reshaping and fixation, performed once per patient per occasion. | $1,816.50 | $1,362.40 | — |
| 46156Surgical correction of both upper and lower jaw using complex bone cuts with reshaping, movement, or repositioning, including chin surgery and fixation; principal surgeon in conjoint procedure, once per patient. | $2,073.75 | $1,555.35 | — |
| 46157Surgical correction of upper and lower jaw involving complex segmental bone cuts, reshaping, repositioning, and genioplasty with fixation; performed as conjoint surgery by specialist surgeons, one service per patient. | $1,555.30 | $1,166.50 | — |
| 46158Surgical reshaping of both upper and lower jaw bones using complex segmental cuts, with or without chin reshaping and fixation devices, performed once per patient. | $2,592.15 | $1,944.15 | — |
| 46159Surgical correction of severe midfacial deformities using Le Fort II or III osteotomies, performed by a principal specialist surgeon with anaesthesia and surgical assistance. | $2,293.35 | $1,720.05 | — |
| 46160Surgical correction of severe midfacial deformity using Le Fort II or III osteotomies requiring two specialist surgeons operating together under anaesthesia with surgical assistance. | $1,720.00 | $1,290.00 | — |
| 46161Surgical correction of midface deformity using Le Fort II or III osteotomy techniques performed by a single surgeon under anaesthesia with assistance. | $2,866.65 | $2,150.00 | — |
| 46170Surgical decompression of thoracic outlet for thoracic outlet syndrome, including scalene muscle division and/or cervical or first rib resection via any approach. | $1,197.00 | $897.75 | — |
| 46171Repeat surgical decompression of the thoracic outlet for thoracic outlet syndrome, including scalene muscle division and/or cervical or first rib resection, with anaesthesia and surgical assistance. | $2,034.75 | $1,526.10 | — |
| 46172Surgical removal or reduction of a brachial plexus tumour using intraneural dissection via supraclavicular or infraclavicular approach, including anaesthesia and assistance. | $2,992.25 | $2,244.20 | — |
| 46173Surgical removal or reduction of a brachial plexus tumour requiring nerve dissection in both the supraclavicular and infraclavicular regions, with anaesthesia and surgical assistance. | $4,189.15 | $3,141.90 | — |
| 46174Surgical exploration of the brachial plexus via supraclavicular or infraclavicular approach, including nerve freeing and intraoperative monitoring, excluding reconstruction. | $2,992.25 | $2,244.20 | — |
| 46175Surgical exploration of the brachial plexus via supraclavicular and infraclavicular approaches, including nerve freeing and intraoperative monitoring, but not reconstruction. | $4,787.55 | $3,590.70 | — |
| 46176Surgical exploration of the brachial plexus via posterior subscapular approach, including rib resection and vertebral laminectomies/facetectomies if needed, with neurolyses and intraoperative neurophysiological monitoring, excluding reconstruction or… | $1,197.00 | $897.75 | — |
| 46177Surgical repair of a single brachial plexus cord or trunk injury using any suitable reconstruction technique. | $2,034.75 | $1,526.10 | — |
| 46178Surgical repair of a single brachial plexus cord or trunk deficit using any appropriate technique; includes anesthesia and assistant surgeon fees. | $2,034.75 | $1,526.10 | — |
| 46179Surgical reconstruction of a single brachial plexus cord or trunk defect, performed by two conjoint surgeons with anaesthesia and surgical assistance. | $1,693.60 | $1,270.20 | — |
| 46180Surgical reconstruction of a partial brachial plexus injury (multiple cords or trunks but not complete) by one surgeon, including anaesthesia and assistant costs. | $2,992.25 | $2,244.20 | — |
| 46181Surgical reconstruction of a brachial plexus injury affecting multiple cords or trunks (but not the entire plexus) performed as the primary procedure by the principal surgeon, with anaesthetist and assistant support. | $2,992.25 | $2,244.20 | — |
| 46182Surgical reconstruction of a partial brachial plexus injury (involving multiple cords or trunks but not the entire plexus), performed as conjoint surgery with anaesthesia and assistant support. | $2,495.50 | $1,871.65 | — |
| 46183Surgical reconstruction of complete brachial plexus damage using any appropriate method, performed by a single surgeon with anaesthesia and surgical assistance. | $3,590.65 | $2,693.00 | — |
| 46184Surgical reconstruction of a complete brachial plexus injury using any appropriate technique, performed by a principal surgeon with anaesthesia and surgical assistance. | $3,590.65 | $2,693.00 | — |
| 46185Surgical reconstruction of a complete brachial plexus injury using appropriate methods, requiring conjoint surgery with an assisting surgeon and anaesthetist. | $2,992.25 | $2,244.20 | — |
| 46300Surgical fusion of a finger joint (IP or MCP), including joint cleaning and/or synovial membrane removal if needed. | $486.00 | $364.50 | — |
| 46303Surgical fusion of a carpometacarpal joint in the hand, with optional joint cleaning or membrane removal, requiring anaesthesia and surgical assistance. | $630.20 | $472.65 | — |
| 46308Surgical repair of a finger joint (interphalangeal or metacarpophalangeal) using volar plate or soft tissue interposition, with optional realignment or tendon transfer, for one joint only. | $630.15 | $472.65 | — |
| 46309Surgical replacement or partial replacement of a finger joint (interphalangeal or metacarpophalangeal), including ligament work, synovectomy, or tendon transfer if needed. | $630.15 | $472.65 | — |
| 46312Surgical replacement of 2 finger joints (interphalangeal or metacarpophalangeal) in one hand, with possible ligament reconstruction, realignment, synovectomy, or tendon transfer. | $810.25 | $607.70 | — |
| 46315Surgical replacement or hemi-replacement of up to 3 finger joints in one hand, with optional ligament work, synovectomy, or tendon transfer. | $1,080.35 | $810.30 | — |
| 46318Surgical replacement of up to 4 finger joints in one hand using prosthetic implants, including ligament work, synovectomy, or tendon transfer if needed. | $1,350.40 | $1,012.80 | — |
| 46321Prosthetic replacement or hemiarthroplasty of up to 5 interphalangeal or metacarpophalangeal joints of one hand, with optional ligament reconstruction, realignment, synovectomy, or tendon transfer. | $1,620.45 | $1,215.35 | — |
| 46322Revision surgery on a prosthetic replacement or hemiarthroplasty of a finger or hand joint, including bone grafting, ligament work, synovectomy, or tendon procedures as needed. | $945.30 | $709.00 | — |
| 46324Surgical replacement of the carpometacarpal joint with a prosthetic implant, which may include ligament and tendon transfers or rebalancing procedures. | $1,102.65 | $827.00 | — |
| 46325Surgical removal of the carpometacarpal joint with possible ligament/tendon transfers, realignment, or trapezoid excision to treat joint damage or instability. | $1,102.65 | $827.00 | — |
| 46330Surgical repair or reconstruction of ligaments or capsule in finger joints, including joint opening, stabilisation, or synovial tissue removal for one joint. | $414.20 | $310.65 | — |
| 46333Surgical repair or reconstruction of ligaments or capsule in finger joints using graft or implant, including associated procedures like joint opening, graft harvesting, and stabilisation. | $675.10 | $506.35 | — |
| 46335Surgical removal of inflamed tissue from digital extensor tendons in the hand (distal to wrist) for inflammatory arthritis, including retinaculum reconstruction, nodule removal, tenolysis, or tenoplasty; once per hand per occasion. | $558.00 | $418.50 | — |
| 46336Surgical removal of joint lining from a finger or thumb joint, including related procedures like capsule removal, cleaning, or ligament/tendon realignment, for one joint. | $315.15 | $236.40 | — |
| 46339Surgical removal of inflamed tissue from digital flexor tendons at wrist level for inflammatory arthritis, with optional tenolysis and/or median nerve release, performed once per wrist. | $558.00 | $418.50 | — |
| 46340Surgical removal of inflamed synovium from wrist or hand flexor/extensor tendons for tenosynovitis, including retinaculum reconstruction, nodule removal, tenolysis, or tenoplasty as needed. | $474.30 | $355.75 | — |
| 46341Surgical removal of inflamed synovial tissue around wrist or hand flexor/extensor tendons for non-inflammatory tenosynovitis or post-traumatic synovitis, with optional retinaculum reconstruction, nodule removal, tenolysis, or tenoplasty. | $304.20 | $228.15 | — |
| 46342Surgical removal of synovial tissue from the distal radioulnar or carpometacarpal joints of the hand, involving one or more joints, performed under anaesthesia with surgical assistance. | $558.00 | $418.50 | — |
| 46345Surgical removal or reshaping of the distal radioulnar joint with possible ligament reconstruction, tendon repair, joint stabilisation, or synovectomy to treat hand dysfunction. | $675.10 | $506.35 | — |
| 46348Surgical removal of inflamed tissue sheath around flexor tendons in the hand below the lumbrical origin, including nodule removal, tendon release or repair if needed, performed on one ray only. | $292.55 | $219.45 | — |
| 46351Surgical removal of inflamed tissue around flexor tendons in the hand (distal to lumbricals), including nodule removal, tenolysis, or tenoplasty, for up to 2 rays in one hand. | $436.60 | $327.45 | — |
| 46354Surgical removal of inflamed tissue around flexor tendons in the hand (distal to lumbricals), including nodule removal, tendon freeing, or repair, up to 3 rays per hand. | $585.15 | $438.90 | — |
| 46357Surgical removal of inflamed tissue sheath around finger flexor tendons in the hand, with optional nodule removal or tendon repair, limited to 4 rays per hand under anaesthesia. | $729.20 | $546.90 | — |
| 46360Surgical removal of inflamed sheath around flexor tendons in the hand (distal to lumbricals), including nodule removal, tenolysis or tenoplasty, up to 5 rays in one hand. | $877.75 | $658.35 | — |
| 46363Surgical release of a tendon sheath to treat trigger finger, including possible removal or sampling of the synovial membrane, performed under anaesthesia with assistance. | $252.00 | $189.00 | $214.20 (85%) |
| 46364Microsurgical digital sympathectomy of the hand for one digit, palmar arch, or radial/ulnar artery, excluding cases already covered by items 46363 or 30023 at the same site. | $558.00 | $418.50 | — |
| 46365Surgical removal of a single rheumatoid nodule from the hand under anaesthesia with surgical assistance. | $315.15 | $236.40 | $267.90 (85%) |
| 46367Surgical release of the first dorsal compartment of the wrist for De Quervain's tenosynovitis, with optional synovectomy of the tendons or retinaculum reconstruction, excluding cases with concurrent anaesthesia item 46339. | $475.85 | $356.90 | $404.50 (85%) |
| 46370Needle or chemical division of Dupuytren's contracture tissue in one finger, with optional manipulation and/or nerve block. | $153.15 | $114.90 | $130.20 (85%) |
| 46372Surgical removal of affected fascia in Dupuytren's contracture affecting one finger, including nerve dissection if needed, under anaesthesia with surgical assistance. | $512.20 | $384.15 | — |
| 46375Surgical removal of diseased fascia in Dupuytren's contracture affecting 2 fingers, including nerve dissection if needed, with anaesthesia and surgical assistance. | $607.65 | $455.75 | — |
| 46378Surgical removal of diseased fascia in Dupuytren's contracture affecting three fingers, with nerve dissection if needed; includes anaesthesia and surgical assistance. | $810.25 | $607.70 | — |
| 46379Surgical removal of affected tissue in Dupuytren's contracture involving four fingers, including nerve dissection if needed, with anaesthesia and assistance. | $1,020.70 | $765.55 | — |
| 46380Surgical removal of thickened tissue in Dupuytren's contracture affecting all five fingers, with nerve dissection if needed; includes anaesthesia and surgical assistance. | $1,286.15 | $964.65 | — |
| 46381Surgical release of one interphalangeal joint in the hand during Dupuytren's contracture treatment via open procedure, with anaesthesia and surgical assistance. | $360.00 | $270.00 | — |
| 46384Surgical Z-plasty or similar local flap procedure performed alongside Dupuytren's contracture surgery, including flap raising, transfer, and suturing of both components. | $360.00 | $270.00 | — |
| 46387Surgical removal of diseased fascia for recurrent Dupuytren's contracture on one ray, including nerve dissection or neurolysis if needed, excluding cases already covered by item 30023 at the same site. | $742.75 | $557.10 | — |
| 46390Surgical removal of fascia for recurrent Dupuytren's contracture in up to 2 rays, including nerve dissection or neurolysis if needed, excluding cases already treated under item 30023 at the same site. | $990.55 | $742.95 | — |
| 46393Surgical removal of thickened tissue for recurrent Dupuytren's contracture affecting up to 3 fingers, including nerve dissection or release if needed, excluding cases already treated under item 30023 at the same site. | $1,147.80 | $860.85 | — |
| 46394Surgical removal of fascia for recurrent Dupuytren's contracture with nerve dissection or neurolysis as needed, excluding cases already covered by item 30023 at the same site. | $1,430.35 | $1,072.80 | — |
| 46395Surgical removal of thickened tissue for recurrent Dupuytren's contracture, including nerve dissection or neurolysis if needed, excluding cases already treated under item 30023 at the same site. | $1,782.40 | $1,336.80 | — |
| 46399Surgical correction of a finger or hand bone with internal fixation, requiring anaesthesia and surgical assistance. | $619.75 | $464.85 | — |
| 46401Surgical repair of a broken finger or hand bone that has failed to heal, including internal fixation if needed. | $497.40 | $373.05 | — |
| 46408Surgical reconstruction of hand or wrist tendon using a tendon graft, including graft harvesting and/or tenolysis if needed, excluding cases already covered under item 30023 at the same site. | $828.20 | $621.15 | — |
| 46411Surgical reconstruction of a single damaged flexor tendon pulley in the hand or wrist using a graft, including graft harvesting if needed. | $486.05 | $364.55 | — |