Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 47929–49761.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 47929Surgical removal of internal fixation devices (plate, rod, nail, wires, pins or screws) or external fixation from one bone, excluding cases covered by items 47924 or 47927. | $450.65 | $338.00 | — |
| 47953Surgical repair of the distal biceps tendon in the upper arm using any technique, performed as a standalone procedure under anaesthesia with surgical assistance. | $518.25 | $388.70 | — |
| 47954Surgical repair of a traumatic tendon tear or rupture, excluding cases already covered by other MBS items or peripheral nerve repairs in the same region. | $450.65 | $338.00 | $383.10 (85%) |
| 47955Open or arthroscopic repair of gluteal or rectus femoris tendon, including bursectomy or greater trochanter preparation if needed, as an independent procedure not combined with other hip surgery. | $779.90 | $584.95 | — |
| 47956Surgical repair of proximal hamstring tendon as a standalone procedure, excluding cases where hip surgery is being performed concurrently. | $1,169.85 | $877.40 | — |
| 47960Subcutaneous division of a tendon performed under anaesthesia, where no other more specific item applies. | $157.75 | $118.35 | $134.10 (85%) |
| 47964Surgical division of the iliopsoas tendon via open or arthroscopic approach, performed as a standalone procedure not combined with other hip surgery. | $259.10 | $194.35 | — |
| 47967Major muscle tendon transfer to shoulder or elbow to restore function, including neurovascular dissection, excluding microsurgery and biceps tenodesis, for one transfer. | $518.25 | $388.70 | — |
| 47968Surgical opening and repair of one or more shoulder tendons to restore function, performed once per shoulder per occasion under anaesthesia. | $259.10 | $194.35 | $220.25 (85%) |
| 47970Surgical cutting and repair of one or more shoulder blade tendons to restore function, performed once per shoulder per procedure under anaesthesia. | $259.10 | $194.35 | — |
| 47973Surgical cutting of one or more tendons in the elbow with possible repair to restore function, performed once per elbow per occasion under anaesthesia. | $259.10 | $194.35 | — |
| 47975Surgical decompression of forearm or calf compartments for acute compartment syndrome, including excision of affected muscle and deep tissue, requiring anaesthesia and surgical assistance. | $441.85 | $331.40 | — |
| 47978Surgical decompression of forearm or calf compartments with excision of affected muscle and deep tissue to relieve chronic compartment syndrome, performed under anaesthesia. | $268.45 | $201.35 | — |
| 47981Surgical decompression of forearm, calf or hand interosseous muscle compartments to relieve pressure, excluding other specified procedures, with anaesthesia. | $180.15 | $135.15 | $153.15 (85%) |
| 47982Surgical decompression of the femoral neck or head (or both) by forage/drilling under anaesthesia, with assistance. | $436.80 | $327.60 | — |
| 47983Internal fixation surgery to stabilise a slipped capital femoral epiphysis (hip bone slip in adolescents), with anaesthesia and surgical assistance. | $1,036.70 | $777.55 | — |
| 47984Open surgical realignment of slipped capital femoral epiphysis at the subcapital level, excluding cases where item 48427 applies, performed under anaesthesia with assistance. | $1,036.70 | $777.55 | — |
| 48245Surgical harvesting of bone from one body site and insertion at a separate surgical site, typically for reconstructive procedures, requiring separate incisions and anaesthesia. | $374.35 | $280.80 | — |
| 48248Surgical harvesting of bone from one site and insertion at another site via separate incisions, including internal fixation and/or fusion fixation, under anaesthesia with assistance. | $579.75 | $434.85 | — |
| 48251Surgical harvesting and insertion of cartilage and bone graft from one area to another within the same joint through separate incisions, performed under anaesthesia with surgical assistance. | $477.10 | $357.85 | — |
| 48254Harvesting and inserting a pedicled bone flap from the patient's own body, with internal fixation if needed, excluding flaps for specific spinal or skull base procedures. | $1,093.05 | $819.80 | — |
| 48257Preparation and insertion of structural bone graft or substitute with internal fixation if needed, performed under anaesthesia with assistance. | $477.10 | $357.85 | — |
| 48400Foot surgery including osteotomy of phalanx or metatarsal, or excision of accessory/sesamoid bone, with possible removal of bone, osteophytes, synovectomy or joint release, for one bone. | $394.45 | $295.85 | — |
| 48403Surgical correction of first toe or metatarsal bone deformity with internal fixation, including bone removal, osteophyte excision, synovectomy, or joint release as needed. | $619.75 | $464.85 | — |
| 48406Surgical correction of deformity through cutting and repositioning of fibula, radius, ulna, clavicle, scapula, rib, tarsal or carpal bones, including bone removal, osteophyte excision, synovectomy or joint release as needed. | $394.45 | $295.85 | — |
| 48409Surgical correction of deformity in fibula, radius, ulna, clavicle, scapula, rib, tarsus or carpus with internal fixation, including bone removal, osteophyte excision, synovectomy or joint release as needed. | $619.75 | $464.85 | — |
| 48412Surgical cutting and realignment of the upper arm bone without internal fixation, requiring anaesthesia and surgical assistance. | $754.85 | $566.15 | — |
| 48415Surgical cutting and realignment of the upper arm bone with internal fixation devices, requiring anaesthesia and surgical assistance. | $957.80 | $718.35 | — |
| 48419Surgical correction of distal tibia deformity by osteotomy without fixation, including removal of bone spurs, joint release, bone removal, or synovial tissue removal as needed. | $754.85 | $566.15 | — |
| 48420Surgical correction of lower leg bone deformity through osteotomy with internal or external fixation, including bone removal, osteophyte excision, joint release or synovectomy as needed. | $957.80 | $718.35 | — |
| 48421Surgical procedure to reshape the upper shin bone to correct lower leg alignment or rotation using internal or external fixation. | $1,100.10 | $825.10 | — |
| 48422Surgical correction of the lower thighbone position or rotation using internal or external fixation or both, performed under anaesthesia with surgical assistance. | $1,093.05 | $819.80 | — |
| 48423Surgical correction of pelvic bone alignment in adults aged 18+, including associated joint procedures, bone grafting, or internal fixation. | $901.55 | $676.20 | — |
| 48424Surgical correction of pelvic bone in children under 18 years with hip spica application and internal fixation if needed. | $901.55 | $676.20 | — |
| 48426Surgical correction of the thighbone in adults 18+ years, including bone grafting and/or internal fixation as needed. | $1,093.05 | $819.80 | — |
| 48427Surgical cutting and realignment of the thighbone in patients under 18 years, including internal fixation if needed, excluding certain associated procedures. | $1,093.05 | $819.80 | — |
| 48430Surgical removal of one or more bone spurs from the foot or ankle, or simple bunion removal, with associated procedures such as capsule release, ligament release, bursa removal, or joint lining removal as needed. | $321.15 | $240.90 | — |
| 48433Surgical treatment of non-union or malunion of ankle or hindfoot fracture with joint preservation, using internal or external fixation and any necessary procedures like arthrotomy, debridement, osteotomy, or hardware removal. | $1,278.95 | $959.25 | — |
| 48435Surgical treatment of midfoot or forefoot fracture non-union or malunion with joint preservation using internal or external fixation, including arthrotomy, debridement, osteotomy, or hardware removal for one bone. | $676.10 | $507.10 | — |
| 48436Surgical removal of one or more hand exostoses distal to the wrist, including associated osteophytes, ligament release, bursae/ganglia removal, bone removal, or synovectomy per incision, excluding arthroscopic or major joint procedures on the same si… | $321.15 | $240.90 | — |
| 48438Surgical removal of one or more wrist exostoses, including related procedures such as capsulotomy, osteophyte excision, ligament release, bursa/ganglia removal, bone removal, or synovectomy, excluding arthroscopic or other concurrent joint procedures… | $321.15 | $240.90 | — |
| 48440Surgical removal of one or more benign bone tumours (exostoses) from the arm or shoulder, including associated procedures like ligament release, bursa removal, or bone reshaping. | $321.15 | $240.90 | — |
| 48442Surgical removal of one or more bony growths (exostoses) from the hip, pelvis or femur, with associated procedures such as capsulotomy, osteophyte removal, ligament release, bursa removal or synovectomy, per incision. | $321.15 | $240.90 | — |
| 48444Surgical removal of one or more exostoses (bony growths) from the knee, tibia or fibula, including related procedures like capsulotomy, osteophyte excision, ligament release, bursa/ganglia removal, synovectomy, or bone removal, per incision. | $321.15 | $240.90 | — |
| 48446Surgical treatment of pelvic fracture non-union or malunion, including bone graft and procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation. | $1,444.30 | $1,083.25 | — |
| 48448Surgical repair of femur non-union or malunion with bone graft and associated procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation. | $1,444.30 | $1,083.25 | — |
| 48450Surgical treatment of non-union or malunion of tibia or fibula fracture above the ankle, including bone graft and procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation. | $1,309.00 | $981.75 | — |
| 48452Surgical repair of non-union or malunion of humerus fracture, including bone graft and procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation. | $1,309.00 | $981.75 | — |
| 48454Surgical treatment of non-union or malunion of radius, ulna, or carpal bones, including bone graft and procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation, for one bone. | $970.95 | $728.25 | — |
| 48456Surgical treatment of non-union or malunion of hand fracture distal to wrist, including bone graft and procedures such as arthrotomy, debridement, osteotomy, hardware removal, or internal fixation, for one bone. | $970.95 | $728.25 | — |
| 48507Surgical procedure to stop growth of a long bone in patients under 18 years old, performed under anaesthesia with assistance. | $438.30 | $328.75 | — |
| 48509Surgical partial growth plate arrest using internal fixation to correct limb deformity in patients under 18 years old. | $394.45 | $295.85 | — |
| 48512Surgical release of focal growth plate closure in patients under 18 years, with anaesthesia and assistance. | $1,070.55 | $802.95 | — |
| 48900Surgical removal of the coracoacromial ligament and/or calcium deposits from the rotator cuff under anaesthesia with surgical assistance. | $337.90 | $253.45 | — |
| 48903Surgical decompression of the subacromial space via acromioplasty, coracoacromial ligament excision, and/or distal clavicle resection for shoulder impingement, requiring anaesthesia and surgical assistance. | $676.10 | $507.10 | — |
| 48906Surgical repair of rotator cuff tear with removal of calcium deposits or coracoacromial ligament excision, excluding cases already covered by item 48900. | $676.10 | $507.10 | — |
| 48909Surgical repair of rotator cuff tear with subacromial decompression, acromioplasty, coracoacromial ligament excision, and/or distal clavicle removal, excluding cases covered by item 48903. | $901.55 | $676.20 | — |
| 48915Surgical replacement of the humeral head of the shoulder joint, performed under anaesthesia with surgical assistance. | $901.55 | $676.20 | — |
| 48918Total shoulder replacement surgery (anatomic or reverse), including rotator cuff repair, biceps tenodesis, or tuberosity osteotomy if performed. | $1,803.15 | $1,352.40 | — |
| 48919Anatomic or reverse total shoulder replacement with bone graft, including rotator cuff repair, biceps tenodesis, or tuberosity osteotomy if needed. | $2,041.70 | $1,531.30 | — |
| 48921Revision surgery to replace a previously implanted shoulder joint prosthesis, including anaesthesia and surgical assistance. | $1,859.15 | $1,394.40 | — |
| 48924Surgical revision of a total shoulder replacement, with optional bone grafting to the humerus and/or scapula to address component failure or bone loss. | $2,141.05 | $1,605.80 | — |
| 48925Shoulder joint replacement surgery, excluding cases already covered by other MBS items or those combined with specific shoulder procedures on the same joint. | $840.80 | $630.60 | — |
| 48927Surgical removal of a shoulder prosthesis under general anaesthesia with surgical assistance. | $439.30 | $329.50 | — |
| 48932Surgical replacement or reconstruction of the acromioclavicular or sternoclavicular joint, performed open (not arthroscopic), for one joint. | $840.80 | $630.60 | — |
| 48939Surgical fusion of the shoulder joint, with removal of joint lining if needed, requiring anaesthesia and surgical assistance. | $1,295.85 | $971.90 | — |
| 48942Shoulder joint fusion surgery with bone grafting or internal fixation, including prosthesis removal and/or synovectomy if needed, excluding certain associated procedures. | $1,690.25 | $1,267.70 | — |
| 48943Surgical fusion of the acromioclavicular or sternoclavicular joint, with optional joint cleaning or synovial membrane removal. | $563.40 | $422.55 | — |
| 48944Surgical fusion of the scapulothoracic joint with optional debridement or synovectomy, performed under anaesthesia with surgical assistance. | $563.40 | $422.55 | — |
| 48945Diagnostic arthroscopy of the shoulder with optional biopsy, performed alone without concurrent arthroscopic procedures, under anaesthesia with surgical assistance. | $326.70 | $245.05 | — |
| 48948Arthroscopic shoulder surgery for loose bodies, calcium deposits, labral/synovial/rotator cuff debridement, or cartilage repair, performed as a standalone procedure. | $732.50 | $549.40 | — |
| 48951Arthroscopic removal of the coraco-acromial ligament with acromioplasty for shoulder impingement, performed as a standalone shoulder procedure. | $1,070.55 | $802.95 | — |
| 48952Arthroscopic surgery of the acromioclavicular or sternoclavicular joint, including cartilage treatment, loose body removal, synovectomy, or osteophyte excision. | $732.50 | $549.40 | — |
| 48953Arthroscopic surgery of the scapulothoracic joint, including cartilage treatment, loose body removal, synovectomy, or osteophyte excision, excluding procedures already covered by another item on the same joint. | $732.50 | $549.40 | — |
| 48954Arthroscopic removal of synovial tissue from the shoulder joint, including contracture release if needed, as a standalone procedure not part of another shoulder arthroscopy. | $1,126.80 | $845.10 | — |
| 48958Surgical repair of multi-directional shoulder instability via open or arthroscopic approach, including labral repair if needed, excluding bone grafting and hardware removal. | $1,295.85 | $971.90 | — |
| 48959Surgical repair of anterior shoulder instability using open or arthroscopic Latarjet procedure, including labral repair, bone grafting, or tendon transfer as needed, excluding hardware removal. | $1,809.60 | $1,357.20 | — |
| 48960Arthroscopic or mini-open repair of shoulder structures including rotator cuff, acromioplasty, or AC joint resection, performed as a standalone shoulder procedure. | $1,126.80 | $845.10 | — |
| 48972Surgical repair of the biceps tendon via open or arthroscopic approach, performed as a standalone procedure under anaesthesia with surgical assistance. | $518.25 | $388.70 | — |
| 48980Surgical removal of abnormal bone growth (heterotopic ossification or myositis ossificans) in the shoulder girdle area, requiring anaesthesia and surgical assistance. | $957.80 | $718.35 | — |
| 48983Surgical removal of abnormal bone growth (heterotopic ossification or myositis ossificans) in the elbow region, requiring anaesthesia and surgical assistance. | $702.40 | $526.80 | — |
| 48986Surgical removal of abnormal bone formation in the forearm following trauma or myositis ossificans, requiring anaesthesia and surgical assistance. | $957.80 | $718.35 | — |
| 49100Surgical opening of the elbow joint to clean it, remove loose fragments, or release contractures, requiring anaesthesia and surgical assistance. | $394.45 | $295.85 | — |
| 49104Surgical repair of one or more torn elbow ligaments performed within 6 weeks of acute injury to restore stability. | $633.80 | $475.35 | — |
| 49105Surgical stabilisation of elbow ligaments for chronic instability using tendon graft, performed at least 6 weeks post-injury. | $929.60 | $697.20 | — |
| 49106Surgical fusion of the elbow joint, with optional removal of joint lining, requiring anaesthesia and assistant. | $1,126.80 | $845.10 | — |
| 49109Total surgical removal of the synovial membrane from the elbow joint, requiring general anaesthesia and surgical assistance. | $845.00 | $633.75 | — |
| 49112Surgical replacement of the radial head of the elbow, excluding cases already covered under item 49115. | $845.00 | $633.75 | — |
| 49113Surgical removal of a radial head prosthesis under anaesthesia, with surgical assistance. | $840.80 | $630.60 | — |
| 49114Revision surgery to replace a previously implanted radial head prosthesis, with anaesthesia and surgical assistance. | $840.80 | $630.60 | — |
| 49115Surgical replacement of all or part of the humerus bone at the elbow joint, excluding radial head replacement alone and ligament repairs, when not combined with item 49112. | $1,352.05 | $1,014.05 | — |
| 49116Revision surgery to remove and replace a failed elbow prosthesis, including anaesthesia and surgical assistance. | $1,784.70 | $1,338.55 | — |
| 49117Revision surgery to replace a failed elbow joint replacement, including removal of the old prosthesis and bone grafting as needed. | $2,141.65 | $1,606.25 | — |
| 49118Diagnostic arthroscopy of the elbow including biopsy and lavage as a standalone procedure, requiring anaesthesia and surgical assistance. | $326.70 | $245.05 | — |
| 49121Arthroscopic elbow surgery including cartilage repair, drilling, bone reshaping, loose body removal, adhesion release, or epicondylitis treatment. | $732.50 | $549.40 | — |
| 49124Surgical removal of the olecranon bursa with any bony prominence at the elbow, performed under anaesthesia with an assistant, excluding cases where arthroscopic elbow surgery is being performed concurrently. | $444.65 | $333.50 | — |
| 49127Surgical replacement of the elbow joint, excluding procedures covered elsewhere, with anaesthesia and surgical assistance. | $840.80 | $630.60 | — |
| 49200Surgical fusion of the wrist joint, including synovial tissue removal if needed and internal fixation of the radiocarpal joint, performed under anaesthesia with surgical assistance. | $980.25 | $735.20 | — |
| 49203Surgical fusion of part of the wrist, optionally including bone graft, ligament/tendon transfers, carpal bone removal, rebalancing, or synovectomy, requiring anaesthesia and surgical assistance. | $928.50 | $696.40 | — |
| 49206Surgical removal of the small bones in the proximal wrist row to treat wrist arthritis, with optional removal of bony projections or inflamed joint lining. | $676.10 | $507.10 | — |
| 49209Surgical replacement of wrist or distal radioulnar joint with optional ligament and/or tendon realignment. | $901.55 | $676.20 | — |
| 49210Surgical revision of a total wrist or distal radioulnar joint replacement, including ligament or tendon rebalancing and prosthesis removal if needed. | $1,190.10 | $892.60 | — |
| 49212Surgical opening of the wrist or distal radioulnar joint to remove debris, loose bodies, or inflamed tissue, with anaesthesia and surgical assistance. | $281.85 | $211.40 | — |
| 49213Surgical repair of the distal radioulnar joint involving fusion, osteotomy, or soft tissue reconstruction to restore forearm rotation and stability. | $1,008.40 | $756.30 | — |
| 49215Surgical reconstruction of one or more wrist ligaments or joint capsule, potentially including arthrotomy, ligament or tendon grafting, synovectomy, or synthetic ligament implantation. | $777.65 | $583.25 | — |
| 49218Diagnostic arthroscopy of the wrist joint (radiocarpal and/or midcarpal) with optional biopsy, performed as a standalone procedure under anaesthesia. | $326.70 | $245.05 | — |
| 49219Arthroscopic examination of thumb or finger carpometacarpal joint with tissue biopsy if needed, requiring anaesthesia and surgical assistance. | $326.70 | $245.05 | — |
| 49220Arthroscopic treatment of the thumb's carpometacarpal joint or a finger joint, requiring anaesthesia and surgical assistance. | $732.50 | $549.40 | — |
| 49221Arthroscopic treatment of wrist conditions including drilling, loose body removal, adhesion release, synovectomy, debridement, or ganglion resection. | $732.50 | $549.40 | — |
| 49224Arthroscopic wrist bone reshaping in 2+ areas, potentially including distal ulna removal or complete synovial membrane removal. | $845.00 | $633.75 | — |
| 49227Arthroscopic wrist surgery including pinning of bone-cartilage fragments, ligament stabilisation, partial fusion, carpectomy, or fracture management. | $845.00 | $633.75 | — |
| 49230Surgical replacement of a carpal bone in the wrist, with optional ligament/tendon rebalancing, limited fusion, or bone grafting. | $1,102.65 | $827.00 | — |
| 49233Excision of part of a carpal bone in the wrist without ligament/tendon transfer or rebalancing, including styloidectomy or partial scaphoid removal; performed once per operation. | $464.20 | $348.15 | — |
| 49236Surgical stabilisation of the distal radioulnar joint, including potential ligament or tendon grafting, graft harvesting, and repair or reconstruction of the triangular fibrocartilage complex. | $699.95 | $525.00 | — |
| 49239Surgical removal of pisiform bone, hook of hamate, or hand sesamoid bone, with optional ulnar nerve release if needed. | $348.15 | $261.15 | — |
| 49300Surgical fusion of the sacro-iliac joint under general anaesthesia with surgical assistance. | $623.95 | $468.00 | — |
| 49303Open surgical procedure to access the hip joint for lavage, drainage, or biopsy, including anaesthesia and surgical assistance. | $653.55 | $490.20 | — |
| 49306Surgical fusion of the hip joint, with removal of the synovial membrane if needed, under anaesthesia with surgical assistance. | $1,295.85 | $971.90 | — |
| 49309Surgical removal or reshaping of the hip joint (Girdlestone procedure), excluding implant removal or stage 1 of a two-stage revision. | $901.55 | $676.20 | — |
| 49315Surgical replacement of the hip joint with a unipolar or bipolar prosthesis, including anaesthesia and surgical assistance. | $1,014.15 | $760.65 | — |
| 49318Total hip replacement including minor bone grafting, excluding revisions or those with specific related procedures. | $1,577.30 | $1,183.00 | — |
| 49319Surgical replacement of both hip joints with possible minor bone grafting, not performed alongside other specified hip arthroplasty procedures. | $2,771.25 | $2,078.45 | — |
| 49321Primary hip replacement surgery including structural bone grafting or synthetic/metal augments when not part of specific revision procedures. | $1,915.75 | $1,436.85 | — |
| 49360Diagnostic arthroscopy of the hip joint to visualize and examine hip structures, excluding cases where another MBS item applies for arthroscopic hip procedures. | $411.75 | $308.85 | — |
| 49363Diagnostic arthroscopy of the hip joint including synovial tissue biopsy, performed under anaesthesia with assistance, when not part of another arthroscopic hip procedure. | $495.70 | $371.80 | — |
| 49366Arthroscopic treatment of hip joint pathology including bone or soft tissue procedures, excluding cases covered by other specific hip arthroscopy items. | $732.50 | $549.40 | — |
| 49372Surgical revision of a hip replacement involving replacement of the femoral head and/or acetabular liner under general anaesthesia with surgical assistance. | $1,104.05 | $828.05 | — |
| 49374Surgical replacement of both the femoral head and hip socket during revision hip surgery, with minor bone grafting if needed. | $2,050.45 | $1,537.85 | — |
| 49376Surgical revision of a hip joint involving replacement of both the femoral head and acetabular cup, with bone grafting performed as needed. | $2,523.70 | $1,892.80 | — |
| 49378Surgical revision of a hip replacement involving replacement of the femoral component, with optional minor bone grafting, requiring anaesthesia and surgical assistance. | $2,208.05 | $1,656.05 | — |
| 49380Surgical revision of hip joint replacing both femoral and acetabular components, including minor bone grafting if needed, excluding cases requiring femoral osteotomy. | $2,681.35 | $2,011.05 | — |
| 49382Surgical replacement of both hip socket and thighbone components with major bone grafting, excluding cases requiring femoral bone cutting. | $3,470.05 | $2,602.55 | — |
| 49384Surgical revision of hip replacement due to pelvic bone discontinuity, including replacement of the socket component, with anaesthesia and surgical assistance. | $4,100.90 | $3,075.70 | — |
| 49386Surgical revision of a hip replacement involving replacement of the femoral component and femoral osteotomy, with optional minor bone grafting, under anaesthesia with surgical assistance. | $2,839.15 | $2,129.40 | — |
| 49388Surgical revision of a failed hip replacement involving removal and replacement of both the femoral and acetabular components, with femoral osteotomy and minor bone grafting as needed. | $3,312.30 | $2,484.25 | — |
| 49390Surgical revision of a hip replacement involving replacement of both the femoral and acetabular components with femoral bone reshaping and significant bone grafting, including anaesthesia and assistance. | $3,943.25 | $2,957.45 | — |
| 49392Surgical revision of a hip replacement involving replacement of the thighbone component with bone reshaping or proximal femoral replacement, plus acetabular component revision for pelvic bone discontinuity. | $5,520.50 | $4,140.40 | — |
| 49394Surgical revision of a hip replacement involving replacement of the upper thighbone, revision of the hip socket component, and bone grafting if needed. | $4,731.80 | $3,548.85 | — |
| 49396Removal of a hip prosthesis as part of a 2-stage revision procedure or as a final treatment, with optional insertion of a temporary prosthesis. | $3,154.55 | $2,365.95 | — |
| 49398Surgical revision of hip arthroplasty to replace the femoral component due to periprosthetic fracture, including internal fixation and bone grafting if needed. | $2,365.95 | $1,774.50 | — |
| 49500Surgical opening of the knee joint to perform capsular release, tissue biopsy, joint lavage, or removal of loose or foreign bodies, requiring anaesthesia and surgical assistance. | $450.65 | $338.00 | — |
| 49503Surgical opening of the knee to treat meniscal damage, ligament injuries, kneecap removal, ligament/tendon transfer, or cartilage repair, excluding prosthetic replacement. | $586.00 | $439.50 | — |
| 49506Surgical opening of the knee to perform multiple procedures such as meniscal repair, ligament reconstruction, kneecap removal, tendon transfer, or cartilage repair, excluding joint replacement. | $879.05 | $659.30 | — |
| 49509Surgical removal of the entire synovial membrane of the knee via open procedure, excluding cases where arthroplasty is also being performed. | $901.55 | $676.20 | — |
| 49512Surgical fusion of the knee joint to eliminate movement, performed as a primary procedure or revision of a previous fusion, including anaesthesia and surgical assistance. | $1,577.30 | $1,183.00 | — |
| 49515Removal of a knee prosthesis (cemented or uncemented) as the first stage of a two-stage revision, including cement removal and spacer insertion if needed. | $1,014.15 | $760.65 | — |
| 49516Surgical replacement of the damaged cartilage and bone in one compartment of both knees in a single procedure, with anaesthesia and surgical assistance. | $2,526.80 | $1,895.10 | — |
| 49517Surgical replacement of one compartment of the knee joint (femur and tibia), including anaesthesia and surgical assistance. | $1,443.90 | $1,082.95 | — |
| 49518Total knee replacement surgery, including conversion of patellofemoral resurfacing to full knee replacement or patellar resurfacing if needed. | $1,577.30 | $1,183.00 | — |
| 49519Surgical replacement of both knees with patellar resurfacing, excluding cases already covered by related bilateral knee replacement items. | $2,771.25 | $2,078.45 | — |
| 49521Complex primary knee replacement using revision components, with possible ligament reconstruction and/or patellar resurfacing, excluding revisions of previous arthroplasties. | $1,915.75 | $1,436.85 | — |
| 49524Complex primary knee replacement using revision femoral and/or tibial components, possibly with allograft, ligament reconstruction, or patellar resurfacing. | $2,253.75 | $1,690.35 | — |
| 49525Revision surgery for uni-compartmental knee replacement involving femoral and/or tibial components replacement, not combined with other specified knee procedures. | $1,915.75 | $1,436.85 | — |
| 49527Revision knee arthroplasty involving polyethylene exchange and/or patellar component insertion, excluding major revisions; requires anaesthesia and assistance. | $1,577.30 | $1,183.00 | — |
| 49530Surgical revision of a total or partial knee replacement involving exchange of the femoral or tibial component, including patellar resurfacing if needed, excluding unicompartmental revisions. | $2,366.50 | $1,774.90 | — |
| 49533Revision knee arthroplasty involving exchange of femoral and tibial components, including patellar resurfacing if needed, excluding unicompartmental revisions. | $3,043.10 | $2,282.35 | — |
| 49534Surgical resurfacing of the kneecap and thighbone groove as a first-time procedure, with anaesthesia and surgical assistance. | $870.50 | $652.90 | — |
| 49536Surgical repair or reconstruction of knee ligaments (cruciate or collateral) via open or arthroscopic approach, including graft harvest and intra-articular surgery if needed. | $1,126.80 | $845.10 | — |
| 49542Reconstruction of anterior or posterior cruciate ligament of the knee using open or arthroscopic surgery, including graft harvest, donor site repair, meniscal repair, collateral ligament repair, and other associated knee procedures. | $1,577.30 | $1,183.00 | — |
| 49544Surgical reconstruction of 2 or more knee cruciate or collateral ligaments via open or arthroscopic approach, including ligament repair, graft harvest site repair, meniscal repair, or other associated knee procedures. | $1,836.40 | $1,377.30 | — |
| 49548Revision surgery to correct problems with a previous patello-femoral stabilisation procedure on the knee, with anaesthesia and surgical assistance. | $1,126.80 | $845.10 | — |
| 49551Revision knee surgery following initial procedures covered under items 49536 or 49542, including anaesthesia and surgical assistance. | $1,577.30 | $1,183.00 | — |
| 49554Surgical revision of a total knee replacement using an anatomic-specific allograft on the tibia or femur, excluding cases covered by items 48245, 48248, 48251, 48254 or 48257. | $2,253.75 | $1,690.35 | — |
| 49564Stabilisation of the patellofemoral joint using combined open and arthroscopic surgery, including soft tissue reconstruction, tendon transfer, or tibial tuberosity transfer with bone graft and fixation. | $1,100.10 | $825.10 | — |
| 49565Surgical reconstruction of the patellofemoral joint combining open and arthroscopic techniques, including medial soft tissue repair and tibial tuberosity transfer, with optional bone grafting, fixation, or trochleoplasty. | $1,578.80 | $1,184.10 | — |
| 49569Surgical release of multiple knee muscles and tendons to restore mobility in post-traumatic knee stiffness, requiring anaesthesia and surgical assistance. | $901.55 | $676.20 | — |
| 49570Arthroscopic examination of knee for diagnostic purposes when initial diagnosis is unclear, with optional biopsy or lavage. | $326.70 | $245.05 | — |
| 49572Arthroscopic removal of part of knee meniscus for non-traumatic tear, excluding cases where another MBS item applies for osteoarthritis treatment. | $795.05 | $596.30 | — |
| 49574Arthroscopic removal of one or more loose bodies from the knee under general anaesthesia with surgical assistance. | $795.05 | $596.30 | — |
| 49576Arthroscopic repair of knee cartilage damage using microfracture or microdrilling techniques, excluding cases where chondral or osteochondral grafts are performed. | $795.05 | $596.30 | — |
| 49578Arthroscopic surgery on the knee to release soft tissue, perform lateral release, or reshape bone, excluding cases where it's combined with patellofemoral joint stabilisation procedures. | $795.05 | $596.30 | — |
| 49580Arthroscopic surgical removal of part of a torn meniscus in the knee following trauma, requiring anaesthesia and surgical assistance. | $795.05 | $596.30 | — |
| 49582Arthroscopic repair of a torn meniscus in the knee, performed under anaesthesia with surgical assistance. | $928.30 | $696.25 | — |
| 49584Arthroscopic implantation of cartilage, bone-cartilage, or meniscal graft into the knee to repair damaged joint surfaces. | $928.30 | $696.25 | — |
| 49586Arthroscopic removal of knee joint lining for cancer or inflammatory joint disease, excluding uncomplicated osteoarthritis. | $928.30 | $696.25 | — |
| 49590Surgical removal of a ganglion, cyst or bursa from the knee using open or arthroscopic technique as a standalone procedure. | $444.65 | $333.50 | — |
| 49592Surgical removal of abnormal bone growth (heterotopic ossification or myositis ossificans) in the hip region, pelvis, or upper thighbone, requiring anaesthesia and surgical assistance. | $1,366.30 | $1,024.75 | — |
| 49594Surgical removal of abnormal bone growth (heterotopic ossification or myositis ossificans) around the knee joint, including the lower femur, upper fibula and upper tibia, with anaesthesia and surgical assistance. | $1,093.05 | $819.80 | — |
| 49596Surgical removal of abnormal bone formation in the lower leg following trauma or myositis ossificans, excluding ankle/foot cases. | $819.85 | $614.90 | — |
| 49703Arthroscopic ankle surgery including cartilage treatment, loose body removal, synovectomy, or osteophyte excision. | $732.50 | $549.40 | — |
| 49706Surgical opening of the ankle joint to remove loose bodies and debris, with release of joint contracture if needed; requires anaesthesia and surgical assistance. | $394.45 | $295.85 | — |
| 49709Surgical stabilisation of ankle or subtalar ligaments via one incision, including capsulotomy, joint release, synovectomy or debridement as needed. | $845.00 | $633.75 | — |
| 49712Surgical fusion of the ankle joint using open or arthroscopic techniques with internal or external fixation, including capsulotomy, joint release, synovectomy, or osteophyte removal. | $1,126.80 | $845.10 | — |
| 49715Surgical replacement of the ankle joint with a prosthetic implant, including associated procedures such as capsulotomy, joint release, synovectomy, or osteophyte removal. | $1,352.05 | $1,014.05 | — |
| 49716Surgical revision of total ankle replacement involving component or insert exchange/removal, with optional procedures such as cement spacer insertion, joint release, neurolysis, cyst debridement, synovectomy, or joint debridement. | $1,784.70 | $1,338.55 | — |
| 49717Revision of total ankle replacement involving component exchange or conversion to arthrodesis, with internal/external fixation and major bone grafting, plus any ancillary procedures such as capsulotomy, joint release, or neurolysis. | $2,141.65 | $1,606.25 | — |
| 49718Surgical repair of a major ankle tendon, including synovial biopsy or synovectomy if needed, for one tendon. | $450.65 | $338.00 | — |
| 49724Surgical reconstruction of a major ankle tendon, including possible synovial biopsy, synovectomy, tendon transfer, or flap procedures, excluding cases covered by item 49718. | $788.90 | $591.70 | — |
| 49727Surgical lengthening of a major ankle tendon, which may include synovial biopsy or synovectomy, performed under anaesthesia with surgical assistance. | $337.90 | $253.45 | — |
| 49728Surgical lengthening of the Achilles tendon with calf muscle lengthening to correct equinus deformity, optionally including synovial biopsy or synovectomy. | $675.95 | $507.00 | — |
| 49730Arthroscopic surgery on one hindfoot joint (excluding ankle) or first metatarsophalangeal joint, including cartilage treatment, loose body removal, synovectomy, or osteophyte excision. | $732.50 | $549.40 | — |
| 49732Endoscopic examination and surgical treatment of large foot tendons, including cleaning, removing debris or loose bodies, removing inflamed tissue, or relieving impingement; excludes procedures already covered under other specific items. | $732.50 | $549.40 | — |
| 49734Surgical opening of a hindfoot, midfoot or metatarsophalangeal joint to remove loose bodies and/or perform joint debridement or contracture release, per incision. | $394.45 | $295.85 | — |
| 49736Surgical transfer of a major foot or ankle tendon to the other side, through the interosseous membrane, or with associated procedures such as synovial biopsy, synovectomy, tendon lengthening, or tendon insetting. | $788.90 | $591.70 | — |
| 49738Surgical stabilisation of talonavicular or metatarsophalangeal joint ligaments, which may include capsulotomy, joint release, synovectomy, tendon transfer, or debridement, under general anaesthesia with surgical assistance. | $563.40 | $422.55 | — |
| 49740Surgical revision of a fused ankle joint using open or arthroscopic techniques with fixation, including procedures such as capsule release, joint release, scar tissue removal, bone spur removal, hardware removal, nerve decompression, or correction of… | $1,690.35 | $1,267.80 | — |
| 49742Surgical fusion of the ankle and hindfoot joints using open or arthroscopic techniques with internal or external fixation, including associated procedures like capsule release, joint release, synovectomy, or osteophyte removal. | $1,595.70 | $1,196.80 | — |
| 49744Revision surgery to re-fuse ankle and hindfoot joints using open or arthroscopic techniques with internal or external fixation, including capsulotomy, joint release, synovectomy, osteophyte removal, hardware removal, neurolysis, or osteotomy for non-… | $2,393.60 | $1,795.20 | — |
| 49760Surgical fixation of the subtalar joint to correct flatfoot deformity, potentially including capsule cutting, membrane removal, or joint cleaning. | $422.60 | $316.95 | — |
| 49761Surgical stabilisation of one metatarsophalangeal joint, including procedures such as capsulotomy, joint release, synovectomy, osteotomy, tendon transfer or lengthening, ligament repair, or debridement. | $619.75 | $464.85 | — |