Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 49762–51055.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 49762Surgical stabilisation of metatarsophalangeal joints at 2 metatarsals, including capsulotomy, joint release, synovectomy, osteotomy, tendon transfer/lengthening, ligament repair or debridement. | $929.60 | $697.20 | — |
| 49763Surgical stabilisation of up to 3 metatarsophalangeal joints, including capsulotomy, joint release, synovectomy, osteotomy, tendon work, ligament repair or joint debridement. | $1,084.60 | $813.45 | — |
| 49764Surgical stabilisation of metatarsophalangeal joints in all four metatarsals, including capsulotomy, joint release, synovectomy, osteotomy, tendon work, ligament repair or joint debridement. | $1,239.45 | $929.60 | — |
| 49765Surgical stabilisation of metatarsophalangeal joints in all five metatarsals, including capsulotomy, joint release, synovectomy, osteotomy, tendon transfer/lengthening/release, ligament repair, or debridement. | $1,394.50 | $1,045.90 | — |
| 49766Surgical stabilisation of metatarsophalangeal joints involving capsulotomy, joint release, synovectomy, osteotomy, tendon transfer/lengthening, ligament repair or debridement across up to 6 metatarsals under anaesthesia. | $1,549.35 | $1,162.05 | — |
| 49767Surgical stabilisation of metatarsophalangeal joints involving capsulotomy, joint release, synovectomy, osteotomy, tendon transfer/lengthening, ligament repair or debridement of up to 7 metatarsals. | $1,704.35 | $1,278.30 | — |
| 49768Surgical stabilisation of metatarsophalangeal joints involving capsulotomy, joint release, synovectomy, osteotomy, tendon transfer/lengthening, ligament repair or debridement across multiple metatarsals. | $1,859.20 | $1,394.40 | — |
| 49769Surgical correction of hallux valgus or varus deformity on one foot using osteotomy of the first metatarsal and proximal phalanx with internal fixation, including related procedures like exostectomy or capsule repair. | $1,084.60 | $813.45 | — |
| 49770Surgical correction of both feet for hallux valgus or varus deformity using osteotomy of the first metatarsal and proximal phalanx with internal fixation, including exostectomy, bursa removal, synovectomy, capsule repair, or tendon procedures as need… | $1,802.75 | $1,352.10 | — |
| 49771Surgical removal of inflamed tissue lining major ankle tendons, including associated procedures like tendon release, ligament work, bone spur removal, or nerve decompression for extensive synovitis. | $444.65 | $333.50 | — |
| 49772Surgical removal of rheumatoid nodules or gouty tophi with optional procedures including capsulotomy, ligament/tendon debridement or release, and bone spur excision, charged per incision. | $392.45 | $294.35 | — |
| 49773Surgical revision of previously treated nerve tumour between foot bones or toes, including tissue release, bursa removal, or nerve freeing—one web space. | $486.40 | $364.80 | — |
| 49774Surgical release of the tarsal tunnel with possible ligament release, synovectomy, or nerve decompression for one foot, excluding procedures performed with item 30023 at the same site. | $331.25 | $248.45 | — |
| 49775Surgical revision of tarsal tunnel release for one foot, including ligament release, synovectomy, or nerve decompression, excluding cases already treated under item 30023 at the same site. | $447.25 | $335.45 | — |
| 49776Surgical revision of a fused hindfoot joint using open or arthroscopic techniques with fixation, including potential capsulotomy, release, synovectomy, osteophyte removal, hardware removal, neurolysis, or osteotomy; claimable once per joint. | $1,406.85 | $1,055.15 | — |
| 49777Surgical fusion of a single midfoot joint using open or arthroscopic techniques with fixation, including capsule release, synovectomy, or osteophyte removal as needed. | $833.00 | $624.75 | — |
| 49778Surgical fusion of 2 midfoot joints using open or arthroscopic technique with internal or external fixation, including capsulotomy, joint release, synovectomy, or osteophyte removal as needed. | $1,249.50 | $937.15 | — |
| 49779Surgical fusion of up to 3 midfoot joints using open or arthroscopic techniques with internal or external fixation, including capsule release, joint release, synovectomy, and osteophyte removal. | $1,457.70 | $1,093.30 | — |
| 49780Surgical fusion of up to 4 midfoot joints using open or arthroscopic techniques with fixation, including related procedures like capsulotomy or osteophyte removal. | $1,665.85 | $1,249.40 | — |
| 49781Surgical revision of a fused midfoot joint with fixation, including capsule release, joint release, synovectomy, osteophyte removal, hardware removal, or osteotomy for non-union/malunion; one joint. | $1,249.50 | $937.15 | — |
| 49782Revision of total ankle replacement with bone grafting, implant retention, and procedures such as capsulotomy, joint release, neurolysis, cyst debridement, synovectomy or joint debridement. | $676.75 | $507.60 | — |
| 49783Surgical repair or replacement of up to 3 metatarsophalangeal or tarsometatarsal joints, including capsule work, releases, synovectomy, tendon transfer, or debridement, under anaesthesia with assistance. | $907.55 | $680.70 | — |
| 49784Surgical reconstruction of up to 4 metatarsophalangeal or tarsometatarsal joints, including capsule release, synovectomy, tendon transfer, and debridement as needed. | $1,037.20 | $777.90 | — |
| 49785Surgical reconstruction of up to 5 metatarsophalangeal or tarsometatarsal joints, including capsule release, synovectomy, tendon transfer, or debridement as needed. | $1,166.70 | $875.05 | — |
| 49786Surgical repair or replacement of up to 6 metatarsophalangeal or tarsometatarsal joints, including capsule release, synovectomy, tendon transfer, or debridement as needed. | $1,296.25 | $972.20 | — |
| 49787Surgical repair or reconstruction of up to 7 metatarsophalangeal or tarsometatarsal joints, including capsule release, synovectomy, tendon transfer, or joint cleaning as needed. | $1,425.80 | $1,069.35 | — |
| 49788Surgical reconstruction or replacement of metatarsophalangeal or tarsometatarsal joints (up to 8 joints) with possible capsule release, tendon transfer, or joint cleanup, requiring anaesthesia and surgical assistance. | $1,555.35 | $1,166.55 | — |
| 49789Surgical fusion of both big toe joints using open or arthroscopic techniques with fixation, including associated procedures like joint release or osteophyte removal. | $1,337.80 | $1,003.35 | — |
| 49790Surgical revision of a fused first toe joint, including capsule release, synovectomy, exostosis removal, hardware removal, or correction of non-union/malunion. | $1,162.00 | $871.50 | — |
| 49791Surgical fusion of the big toe's interphalangeal joint or smaller toe metatarsophalangeal joints using internal or external fixation, with optional joint release, capsulotomy, synovectomy, or osteophyte removal. | $526.85 | $395.15 | — |
| 49792Surgical correction of lesser toe joint problems (proximal and/or distal), including fusion, realignment, or joint replacement, with fixation and soft tissue release as needed; performed on one or two toes. | $591.75 | $443.85 | — |
| 49793Surgical correction of joint problems in up to 3 lesser toes, including fusion, bone realignment, or joint replacement, with fixation, capsule release, and bone spur removal as needed. | $690.35 | $517.80 | — |
| 49794Surgical correction of joint problems in up to 4 lesser toes, including fusion, realignment, or joint replacement with fixation, capsule release, or removal of bone spurs as needed. | $788.95 | $591.75 | — |
| 49795Surgical correction of lesser toe joints (proximal and/or distal) via arthrodesis, osteotomy or arthroplasty, including fixation, capsulotomy, release, synovectomy or osteophyte removal; up to 5 toes. | $887.60 | $665.70 | — |
| 49796Surgical correction of joint problems in up to 6 lesser toes including fusion, bone realignment, or joint reconstruction with internal fixation, capsule release, or bone spur removal. | $986.25 | $739.70 | — |
| 49797Surgical correction of proximal or distal toe joint deformities in up to 7 lesser toes, including fusion, realignment, or joint replacement with fixation, capsule release, or bone spur removal as needed. | $1,084.85 | $813.65 | — |
| 49798Surgical fusion, realignment or joint replacement of lesser toe joints (up to 8 toes) with fixation, capsule release, or removal of bone spurs as needed. | $1,183.50 | $887.65 | — |
| 49800Surgical repair of a single flexor or extensor tendon in the foot, with optional synovial biopsy and/or synovectomy. | $157.75 | $118.35 | — |
| 49803Secondary repair of a flexor or extensor tendon in one toe of the foot, which may include synovial biopsy and/or synovectomy. | $202.90 | $152.20 | — |
| 49806Surgical division of one or more foot tendons via small percutaneous cuts under anaesthesia. | $157.75 | $118.35 | $134.10 (85%) |
| 49809Surgical opening and lengthening of a foot tendon in one toe, potentially including synovial tissue biopsy or removal, under anaesthesia with surgical assistance. | $259.10 | $194.35 | — |
| 49812Surgical transfer of a tendon or ligament in the foot for reconstruction, with optional synovial biopsy or synovectomy, performed on one major tendon or toe. | $518.25 | $388.70 | — |
| 49814Surgical reconstruction of a major ankle tendon, including possible bone realignment, tendon lengthening, synovial procedures, tendon transfer, or flap procedures, excluding cases covered by item 49718. | $1,183.35 | $887.55 | — |
| 49815Surgical fusion of three hindfoot joints with fixation, including capsule release, joint release, synovectomy, or osteophyte removal as needed. | $1,641.35 | $1,231.05 | — |
| 49818Surgical release of the plantar fascia with optional removal of calcaneal spur, performed under anaesthesia with surgical assistance. | $326.70 | $245.05 | — |
| 49821Surgical repair or replacement of a metatarsophalangeal or tarsometatarsal joint, including capsule release, synovectomy, tendon transfer, or debridement for one joint. | $518.25 | $388.70 | — |
| 49824Surgical repair or replacement of two metatarsophalangeal or tarsometatarsal joints, including capsule release, synovectomy, tendon transfer, or debridement as needed. | $907.20 | $680.40 | — |
| 49827Surgical correction of bunion or hammer toe deformity on one foot using tendon transfer, which may include bone spur removal, bursa removal, joint lining treatment, or ligament/tendon repair or release. | $563.40 | $422.55 | — |
| 49830Bilateral surgical correction of hallux valgus or varus deformity using local tendon transfer, with optional exostectomy, bursa removal, synovectomy, capsule repair, or tendon/capsule release. | $985.95 | $739.50 | — |
| 49833Surgical correction of hallux valgus or varus deformity through first metatarsal osteotomy without internal fixation, including exostectomy, bursa removal, synovectomy, capsule repair, or tendon procedures on one foot. | $619.75 | $464.85 | — |
| 49836Surgical correction of bunions or reverse bunions on both feet using first metatarsal osteotomy without internal fixation, including related procedures like bone spur removal, bursa removal, or soft tissue repairs. | $1,070.55 | $802.95 | — |
| 49837Surgical correction of hallux valgus or varus deformity on one foot through first metatarsal osteotomy with internal fixation, including exostectomy, bursa removal, synovectomy, capsule repair, or tendon release/transfer as needed. | $774.75 | $581.10 | — |
| 49838Surgical correction of bunions or related first metatarsal deformities on both feet, including bone cuts, joint fusion, and associated soft tissue procedures like bursa removal or tendon work. | $1,337.80 | $1,003.35 | — |
| 49839Surgical replacement of the first big toe joint involving both joint surfaces, with optional capsule release, synovial tissue removal, or joint cleaning. | $619.75 | $464.85 | — |
| 49845Surgical fusion of the big toe joint using open or arthroscopic technique with fixation, including capsule release, joint release, synovectomy, or osteophyte removal. | $774.75 | $581.10 | — |
| 49851Surgical correction of lesser toe joint problems (proximal and/or distal joints) via arthrodesis, osteotomy or arthroplasty, including fixation, capsulotomy, tendon work, joint release, synovectomy or osteophyte removal; one toe. | $518.25 | $388.70 | — |
| 49854Surgical removal of plantar fascia with extensive foot incision and calcaneal spur excision, excluding cases covered by item 49818. | $450.65 | $338.00 | — |
| 49857Surgical replacement of half the first or second toe joint at the ball of the foot, including capsule release, membrane removal, or joint cleaning as needed. | $416.85 | $312.65 | — |
| 49860Surgical removal of joint lining from one or more metatarsophalangeal joints in one foot, with optional capsule cutting, tissue cleaning, or ligament/tendon release. | $389.35 | $292.05 | — |
| 49866Surgical removal of a nerve tumor between the metatarsal bones or in a digit, including ligament release, bursa removal, or nerve tissue freeing if needed, for one web space. | $360.35 | $270.30 | — |
| 49878Treatment of clubfoot or related foot deformities in infants using casting, splinting or manipulation, including anaesthesia, per attendance. | $67.60 | $50.70 | $57.50 (85%) |
| 49881Complete excision of one or more ganglia or bursae with potential removal of bony prominence, mucinous cyst, and surrounding tissues, including arthrotomy, synovectomy, osteophyte resection, neurolysis, or skin closure as needed. | $263.15 | $197.40 | — |
| 49884Complete surgical removal of one or more ganglia or bursae from the ankle, hindfoot or midfoot, including any associated procedures such as joint opening, tissue removal, bone spur resection, nerve release, or ligament repair. | $444.65 | $333.50 | — |
| 49887Revision surgery to remove ganglia or bursae, including removal of bony growths or mucinous cysts from finger or toe joints, with optional arthrotomy, synovectomy, osteophyte removal, neurolysis, or skin closure, per incision. | $355.45 | $266.60 | — |
| 49890Revision surgery to remove ganglia or bursae from ankle, hindfoot or midfoot, including removal of bony growths or cysts and surrounding tissue, with potential additional procedures such as joint opening, tissue removal, or ligament repair. | $600.20 | $450.15 | — |
| 50107Open surgical stabilisation of the hip joint, including capsular repair, labral repair, capsulorraphy, ligament repair, or internal fixation, excluding procedures covered by other hip surgery items. | $563.40 | $422.55 | — |
| 50112Surgical correction of joint contracture caused by scarring, involving deep tissues beneath skin and subcutaneous layer, when not covered by another item in this group. | $432.15 | $324.15 | — |
| 50115Manipulation of one or more non-spinal joints under anaesthesia, when not part of another funded procedure. | $171.20 | $128.40 | — |
| 50118Surgical fusion of a single hindfoot joint using internal or external fixation, with optional capsule release, joint release, synovial tissue removal, or osteophyte removal. | $937.80 | $703.35 | — |
| 50130Application of external fixator to joint(s) for non-fracture conditions, with anaesthesia and assistance. | $373.80 | $280.35 | — |
| 50200Core needle biopsy of aggressive or potentially malignant bone or soft tissue tumour under anaesthesia, limited to twice per 12 months per provider. | $225.25 | $168.95 | $191.50 (85%) |
| 50201Incisional biopsy of aggressive or potentially malignant bone or soft tissue tumour, limited to twice per 12 months per provider, excluding follow-up care. | $394.35 | $295.80 | $335.20 (85%) |
| 50203Intralesional or marginal surgical excision of bone or soft tissue tumour under anaesthesia with surgical assistance. | $495.80 | $371.85 | — |
| 50206Intralesional or marginal excision of a bone tumour with reconstruction using autograft, allograft, or cementation. | $732.50 | $549.40 | — |
| 50209Surgical removal of a bone tumour with reconstruction using at least two of: autograft, allograft, or cementation. | $901.55 | $676.20 | — |
| 50212Wide excision of malignant or aggressive bone or soft tissue tumour involving a limb, trunk or scapula, including anaesthesia and surgical assistance. | $1,971.90 | $1,478.95 | — |
| 50215Surgical removal of malignant or aggressive bone or soft tissue tumour with reconstruction of the bone using prosthesis, allograft or autograft. | $2,479.05 | $1,859.30 | — |
| 50218Surgical removal of malignant or aggressive bone or soft tissue tumours with reconstruction of the adjacent joint using prosthesis, allograft or autograft. | $3,267.90 | $2,450.95 | — |
| 50221Surgical removal of malignant or aggressive bone or soft tissue tumour in the pelvis, sacrum or spine without reconstruction, including anaesthesia and surgical assistance. | $3,042.30 | $2,281.75 | — |
| 50224Wide excision of malignant or aggressive bone or soft tissue tumour of the pelvis, sacrum or spine with reconstruction of bone defect or joints. | $3,380.40 | $2,535.30 | — |
| 50233Surgical amputation of the hindquarter or forequarter for malignant or aggressive bone or soft tissue tumours, including anaesthesia and assistance. | $2,591.70 | $1,943.80 | — |
| 50236Surgical removal of malignant or aggressive bone or soft tissue tumours via hip disarticulation, shoulder disarticulation, or proximal femur amputation, including anaesthesia and surgical assistance. | $2,028.35 | $1,521.30 | — |
| 50239Surgical amputation for malignant or aggressive bone or soft tissue tumours, excluding cases already covered under related amputation items. | $1,352.05 | $1,014.05 | — |
| 50242Revision of endoprosthetic replacement including rebushing, patella resurfacing, or polyethylene exchange, excluding prosthetic removal from bone. | $1,014.15 | $760.65 | — |
| 50245Revision surgery for a previously performed reconstructive procedure using any technique, when the initial procedure was claimed under specific MBS items or equivalent services. | $3,042.55 | $2,281.95 | — |
| 50300Surgical correction of joint deformity using an external fixator applied over multiple stages under general anaesthesia, with surgical assistance. | $1,385.60 | $1,039.20 | — |
| 50303Surgical lengthening of a limb using gradual distraction with external fixator or intramedullary device, including anaesthesia and surgical assistance. | $1,891.80 | $1,418.85 | — |
| 50306Surgical correction of limb length discrepancy using external fixator or intramedullary device with gradual distraction, bone transport, or fixator extension to address adjacent joint deformity. | $2,953.75 | $2,215.35 | — |
| 50309Adjustment of ring fixator or similar device under general anaesthesia, with or without insertion or removal of fixation pins, excluding routine adjustments covered elsewhere. | $365.15 | $273.90 | — |
| 50310Surgical adjustment of a ring fixator or similar external fixation device, excluding adjustments covered under other specified items. | $52.25 | $39.20 | $44.45 (85%) |
| 50312Arthroscopic or open synovectomy, debridement, and microfracture for large osteochondral ankle defects (>1.5cm²), including associated capsulotomy, ligament or tendon release as needed. | $900.30 | $675.25 | — |
| 50321Surgical release of soft tissue in clubfoot (talipes equinovarus) performed via open procedure under anaesthesia with surgical assistance. | $1,111.70 | $833.80 | — |
| 50324Open surgical release of soft tissue contractures in clubfoot, with anaesthesia and surgical assistance. | $1,584.90 | $1,188.70 | — |
| 50330Post-operative manipulation and plaster change for congenital clubfoot or talus deformity, excluding services covered by items 50321 or 50324, under anaesthesia. | $273.70 | $205.30 | — |
| 50333Surgical removal of a tarsal coalition (bone fusion in the foot) with insertion of muscle or fat graft to prevent re-fusion, including optional capsule release, joint lining removal, or bone spur excision for a single coalition. | $738.20 | $553.65 | — |
| 50335Surgical treatment of congenital vertical talus involving percutaneous or open stabilisation of the talonavicular joint and Achilles' tenotomy, including anaesthesia and surgical assistance. | $738.20 | $553.65 | — |
| 50336Surgical reconstruction of a congenital vertical talus involving both anterior and posterior approaches, with anesthesia and surgical assistance. | $1,103.55 | $827.70 | — |
| 50339Surgical transfer of tibialis anterior or posterior tendon (split or whole), requiring anaesthesia and surgical assistance. | $706.75 | $530.10 | — |
| 50345Surgical correction of hyperextended toe deformity involving V-Y skin plasty, extensor tendon lengthening, and capsule release under general anaesthesia with surgical assistance. | $414.90 | $311.20 | — |
| 50348Post-operative manipulation of knee deformity and plaster change under general anaesthesia. | $273.70 | $205.30 | — |
| 50351Surgical open reduction of developmental hip dislocation with hip spica application under anaesthesia, requiring surgical assistance. | $1,911.75 | $1,433.85 | — |
| 50352Initial application and supervision of splint, harness or cast for developmental dysplasia of hip in children, including anaesthesia. | $67.60 | $50.70 | $57.50 (85%) |
| 50354Surgical resection and internal fixation of congenital pseudarthrosis of the tibia under general anaesthesia with surgical assistance. | $1,568.00 | $1,176.00 | — |
| 50357Surgical transfer of the rectus femoris or medial/lateral hamstring tendon, including anaesthesia and surgical assistance. | $672.10 | $504.10 | — |
| 50360Surgical transfer of both medial and lateral hamstring tendons, typically for hip flexion restoration; includes anaesthesia and surgical assistance. | $779.90 | $584.95 | — |
| 50369Surgical release of posterior knee contracture involving multiple tendon lengthening or tenotomies and joint capsule release on one side, excluding cases associated with knee replacement surgery. | $779.90 | $584.95 | — |
| 50372Surgical release of both knees for contracture involving multiple tendon lengthening or tenotomies and capsule release, excluding cases where knee replacement is planned. | $1,369.00 | $1,026.75 | — |
| 50375Surgical release of hip contracture on one side by lengthening or dividing the adductor and psoas muscles, with optional obturator nerve division, performed under anaesthesia with surgical assistance. | $597.40 | $448.05 | — |
| 50378Surgical release of hip contracture involving lengthening or division of adductor and psoas muscles bilaterally, with optional obturator nerve division, under anaesthesia with surgical assistance. | $1,045.50 | $784.15 | — |
| 50381Surgical release of hip flexor contracture on one side, involving lengthening or division of hip flexors and psoas muscle, with optional joint capsule division. | $779.90 | $584.95 | — |
| 50384Surgical release of both hips to lengthen or divide hip flexor and psoas muscles, with optional joint capsule division, requiring anaesthesia and assistant. | $1,369.00 | $1,026.75 | — |
| 50390Application of a hip or knee cast under general anaesthesia for patients with Perthes disease, cerebral palsy, or neuromuscular conditions. | $273.70 | $205.30 | — |
| 50393Surgical procedure to create a bony shelf on the acetabulum to improve hip joint stability, excluding cases where hip replacement is the primary procedure. | $1,012.20 | $759.15 | — |
| 50394Surgical procedure to realign the hip socket (pelvis) around the acetabulum with internal fixation if needed, requiring anaesthesia and surgical assistance. | $3,324.25 | $2,493.20 | — |
| 50395Surgical realignment of the greater trochanter of the femur with internal fixation, including anaesthesia and surgical assistance. | $1,093.05 | $819.80 | — |
| 50396Surgical amputation of extra or abnormal digits on hands or feet, which may include bone splitting, ligament reconstruction, or joint reconstruction. | $556.10 | $417.10 | — |
| 50399Surgical centralisation or radialisation of the forearm for radial aplasia or dysplasia (radial club hand), including anaesthesia and assistance. | $1,103.55 | $827.70 | — |
| 50411Surgical treatment of congenital femoral deficiency involving resection of the distal femur and proximal tibia with subsequent knee fusion, including anaesthesia and surgical assistance. | $1,568.00 | $1,176.00 | — |
| 50414Surgical treatment of congenital femur deficiency involving resection of distal femur and proximal tibia with subsequent knee fusion and rotationplasty, including anaesthesia and surgical assistance. | $2,115.70 | $1,586.80 | — |
| 50417Surgical reconstruction of the knee for congenital tibial deficiency, including fibula or tibia transfer and quadriceps repair, with anaesthesia and surgical assistance. | $1,568.00 | $1,176.00 | — |
| 50420Surgical reconstruction of the quadriceps muscle to correct congenital patellar dislocation, requiring anaesthesia and surgical assistance. | $1,294.25 | $970.70 | — |
| 50423Surgical transfer of the fibula to the tibia to correct congenital tibia or fibula deficiency, including internal fixation, with anaesthesia and surgical assistance. | $1,194.75 | $896.10 | — |
| 50426Surgical removal of one or more bone lesions (osteochondroma) in solitary or hereditary multiple exostosis cases, including histology, via one surgical approach under anaesthesia with assistance. | $556.10 | $417.10 | — |
| 50428Percutaneous drilling of osteochondritis dissecans or osteochondral lesions in patients with open growth plates or under 18 years of age. | $928.30 | $696.25 | — |
| 50450Single-event multilevel surgery on one side for children under 18 with hemiplegic cerebral palsy, combining 3+ procedures such as tendon lengthening, muscle transfer, or bone correction to improve limb function. | $1,468.50 | $1,101.40 | — |
| 50451Single-stage multilevel surgery on one side for children under 18 with hemiplegic cerebral palsy, combining 3+ procedures such as tendon lengthening, muscle transfers, and corrective bone osteotomies to improve limb alignment and function. | $1,468.50 | $1,101.40 | — |
| 50455Bilateral multilevel surgery on both legs for children under 18 with diplegic cerebral palsy, involving tendon lengthening and muscle rebalancing to improve movement and function. | $1,663.05 | $1,247.30 | — |
| 50456Bilateral single-event multilevel surgery for children under 18 with diplegic cerebral palsy, including tendon lengthening and muscle transfer to correct imbalance, with fluoroscopy. | $1,663.05 | $1,247.30 | — |
| 50460Bilateral multilevel surgery for children under 18 with diplegic cerebral palsy, including soft tissue lengthening, muscle rebalancing, and femoral rotational correction with internal fixation. | $2,482.85 | $1,862.15 | — |
| 50461Bilateral multilevel surgery for children under 18 with diplegic cerebral palsy, including soft tissue lengthening, tendon transfers, and femoral rotational osteotomies with fixation. | $2,482.85 | $1,862.15 | — |
| 50465Bilateral multilevel corrective surgery for children under 18 with diplegic cerebral palsy, including soft tissue procedures, femoral and tibial osteotomies with internal fixation, and tendon lengthening and transfer to improve muscle balance and ali… | $3,497.10 | $2,622.85 | — |
| 50466Bilateral multilevel orthopaedic surgery for children under 18 with diplegic cerebral palsy, including soft tissue lengthening, tendon transfer, and corrective femoral and tibial osteotomies with fixation. | $3,497.10 | $2,622.85 | — |
| 50470Comprehensive bilateral multilevel orthopaedic surgery for children under 18 with cerebral palsy, including soft tissue lengthening, muscle transfers, femoral and tibial rotational corrections, and foot stabilisation procedures, performed as single-e… | $4,435.20 | $3,326.40 | — |
| 50471Bilateral single-event multilevel surgery for children under 18 with cerebral palsy, including soft tissue lengthening, muscle transfers, femoral and tibial rotational osteotomies with fixation, and foot corrections for valgus deformity. | $4,435.20 | $3,326.40 | — |
| 50475Single-stage multilevel orthopedic surgery for patients under 18 with diplegic cerebral palsy to correct crouch gait, involving tendon lengthening/transfer, knee extension osteotomy, patella reconstruction, tibial derotation, and foot stabilization p… | $5,117.80 | $3,838.35 | — |
| 50476Single-stage multilevel orthopaedic surgery in children under 18 with diplegic cerebral palsy to correct crouch gait through tendon lengthening/transfer, femoral osteotomy, patella reconstruction, tibial rotation correction, and foot stabilisation, i… | $5,117.80 | $3,838.35 | — |
| 50508Closed reduction of distal radius and/or ulna fracture in a patient with open growth plates, including anaesthesia. | $473.00 | $354.75 | $402.05 (85%) |
| 50512Open or closed reduction with internal fixation of distal radius and/or ulna fractures in patients with open growth plates, including anaesthesia and assistance. | $631.15 | $473.40 | — |
| 50524Closed reduction of radius or ulna shaft fracture with open growth plate, combined with dislocation of distal radio-ulnar or proximal radio-humeral joint (Galeazzi or Monteggia injury), under anaesthesia with assistance. | $489.00 | $366.75 | — |
| 50528Treatment of Galeazzi or Monteggia fracture-dislocations of the radius or ulna shaft with open growth plate, managed by reduction and internal or percutaneous fixation. | $788.75 | $591.60 | — |
| 50532Closed reduction of radius and/or ulna shaft fracture in a patient with open growth plates, including anaesthesia. | $686.30 | $514.75 | — |
| 50536Surgical treatment of radius and/or ulna shaft fractures in patients with open growth plates, using open or closed reduction with internal fixation, including anaesthesia and assistance. | $915.00 | $686.25 | — |
| 50540Open surgical reduction of an olecranon fracture in a patient with an open growth plate, including anaesthesia and surgical assistance. | $631.15 | $473.40 | — |
| 50544Closed reduction of radius head or neck fracture with open growth plate, performed under anaesthesia. | $315.50 | $236.65 | — |
| 50548Open or percutaneous reduction and fixation of radial head or neck fracture with open growth plate, including anaesthesia and assistance. | $631.15 | $473.40 | — |
| 50552Closed reduction of a proximal humerus fracture with an open growth plate in a patient under anaesthesia. | $544.30 | $408.25 | — |
| 50556Open or closed reduction and internal fixation of proximal humerus fracture in a patient with open growth plate, including anaesthesia and assistance. | $725.55 | $544.20 | — |
| 50560Closed reduction treatment of a humeral shaft fracture with an open growth plate in a child, requiring anaesthesia. | $567.85 | $425.90 | — |
| 50564Open or closed reduction of humeral shaft fracture with internal or external fixation in patients with open growth plates, including anaesthesia and assistance. | $757.20 | $567.90 | — |
| 50568Closed reduction treatment of supracondylar or condylar fractures of the humerus with open growth plate, performed under anaesthesia. | $662.65 | $497.00 | — |
| 50572Treatment of supracondylar or condylar fracture of the humerus with open growth plate, involving reduction and internal or percutaneous fixation under anaesthesia. | $883.50 | $662.65 | — |
| 50576Closed reduction or traction treatment of femur fracture in patients with open growth plates, including hip spica application if needed, with anaesthesia and assistance. | $725.55 | $544.20 | — |
| 50580Surgical treatment of a tibia fracture involving the growth plate, plateau or condyles (medial or lateral side) via reduction with or without internal fixation using open or percutaneous techniques, including anaesthesia and surgical assistance. | $757.20 | $567.90 | — |
| 50584Treatment of distal tibia fracture with open growth plate by reduction and internal or percutaneous fixation, including anaesthesia and assistance. | $725.55 | $544.20 | — |
| 50588Internal fixation of tibia and fibula fracture in a child with open growth plates, including anaesthesia and surgical assistance. | $946.40 | $709.80 | — |
| 50592Open or closed reduction and internal or external fixation of femoral shaft fracture in a patient with open growth plate, including anaesthesia and surgical assistance. | $1,149.35 | $862.05 | — |
| 50596Open or closed reduction and casting of tibial shaft fracture in a patient with open growth plates, including anaesthesia and assistance. | $359.25 | $269.45 | — |
| 50600Manipulation and casting of scoliosis or kyphosis in a child under general anaesthesia in hospital, with anaesthetist and assistant. | $520.35 | $390.30 | — |
| 50604Spinal fusion surgery without instrumentation for scoliosis or kyphosis in children and adolescents, including anaesthesia and surgical assistance. | $2,208.25 | $1,656.20 | — |
| 50608Surgical correction of scoliosis or kyphosis in children or adolescents using segmental spinal instrumentation and fusion, excluding other specified procedures. | $4,101.70 | $3,076.30 | — |
| 50612Surgical correction of childhood spinal curvature using combined front and back approaches with segmental instrumentation, excluding other specified procedures. | $5,834.35 | $4,375.80 | — |
| 50616Re-exploration of the spine in a child or adolescent to adjust or remove segmental instrumentation previously placed for scoliosis correction, including anaesthesia and assistance. | $741.30 | $556.00 | — |
| 50620Revision surgery for failed childhood scoliosis involving multiple procedures such as osteotomy, fusion, or instrumentation adjustment, excluding other specified scoliosis procedures. | $4,101.70 | $3,076.30 | — |
| 50624Surgical correction of scoliosis in children/adolescents using anterior approach with fusion and segmental fixation (Dwyer, Zielke or equivalent technique) for up to 4 vertebral levels, including anaesthesia and assistance. | $4,101.70 | $3,076.30 | — |
| 50628Anterior spinal fusion with segmental fixation for scoliosis correction in children or adolescents involving more than 4 vertebral levels. | $5,066.80 | $3,800.10 | — |
| 50632Surgical fusion of the spine with segmental instrumentation extending to the pelvis or sacrum in a child or adolescent with scoliosis or kyphosis, excluding other specified spinal fusion procedures. | $4,259.45 | $3,194.60 | — |
| 50636Anterior spinal cord decompression with vertebral resection and instrumentation for scoliosis in children/adolescents with spinal cord involvement, excluding other specified procedures. | $4,732.70 | $3,549.55 | — |
| 50640Surgical resection and fusion of abnormal vertebrae for congenital scoliosis in children/adolescents via anterior or posterior approach. | $2,616.15 | $1,962.15 | — |
| 50644Bone graft to the spine during scoliosis or kyphosis correction surgery in children or adolescents, with anaesthesia and surgical assistance. | $2,524.15 | $1,893.15 | — |
| 50654Examination or closed reduction of hip under anaesthesia in patients under 18 years, including diagnostic injection, arthrography, or hip spica application. | $594.40 | $445.80 | — |
| 50950Percutaneous ablation to destroy unresectable primary liver cancer, including imaging, performed under anaesthesia, excluding cases covered by other specific items. | $978.00 | $733.50 | — |
| 50952Destruction of unresectable primary liver cancer via open or laparoscopic ablation when percutaneous ablation cannot be safely performed, assessed by multidisciplinary team; includes imaging. | $978.00 | $733.50 | — |
| 51011Surgical decompression or exposure of the spine at one level via laminectomy or vertebrectomy, or posterior spinal release, excluding procedures with concurrent fusion or instrumentation. | $1,718.15 | $1,288.65 | — |
| 51012Surgical decompression or exposure of the spine via laminectomy or vertebrectomy affecting 2 motion segments, excluding cases already covered by items 51011, 51013, 51014 or 51015. | $2,290.65 | $1,718.00 | — |
| 51013Surgical decompression or exposure of the spine via laminectomy or vertebrectomy across 3 motion segments, not associated with fusion procedures. | $2,863.30 | $2,147.50 | — |
| 51014Surgical decompression or exposure of the spine via laminectomy or vertebrectomy affecting 4 motion segments, excluding cases involving fusion or instrumentation procedures. | $3,435.95 | $2,577.00 | — |
| 51015Surgical decompression or exposure of the spine via laminectomy or vertebrectomy involving more than 4 motion segments, excluding cases associated with items 51011–51014. | $4,008.65 | $3,006.50 | — |
| 51020Surgical fixation of a single vertebra's component (pars interarticularis, spinous process or pedicle) or interspinous wiring between two adjacent vertebral levels, excluding dynamic stabilisation devices and certain other fusion procedures. | $916.20 | $687.15 | — |
| 51021Surgical fixation of one spinal motion segment using screws, hooks, or wires to stabilize the spine, excluding scoliosis treatment and certain other specified procedures. | $1,533.50 | $1,150.15 | — |
| 51022Surgical fixation of 2 spinal motion segments using screws, hooks, or wires to treat scoliosis, excluding vertebral body tethering and certain associated procedures. | $1,907.60 | $1,430.70 | — |
| 51023Spinal fusion surgery fixing 3–4 vertebral segments using screws, hooks, or wires for scoliosis treatment, excluding vertebral body tethering and certain other concurrent procedures. | $2,270.10 | $1,702.60 | — |
| 51024Surgical fixation of 5–6 spinal motion segments using screws, hooks, or wires to treat scoliosis, excluding vertebral body tethering and certain related procedures. | $2,620.70 | $1,965.55 | — |
| 51025Fixation of 7 to 12 spinal motion segments using screws, hooks, or sublaminar devices for scoliosis treatment, excluding cases associated with specified related procedures. | $3,063.05 | $2,297.30 | — |
| 51026Fixation of more than 12 spinal motion segments using screws, hooks, or sublaminar devices, excluding scoliosis tethering procedures. | $3,353.65 | $2,515.25 | — |
| 51031Posterior and/or posterolateral bone graft to one spinal motion segment when not combined with specific other spinal fusion procedures. | $1,126.80 | $845.10 | — |
| 51032Posterior or posterolateral bone graft to spine across 2 motion segments, performed alone or without fusion device services. | $1,352.20 | $1,014.15 | — |
| 51033Posterior or posterolateral bone graft to spine across 3 motion segments, excluding cases already covered by items 51031, 51032, 51034, 51035 or 51036. | $1,577.65 | $1,183.25 | — |
| 51034Posterior or posterolateral bone graft to the spine across 4–7 motion segments, excluding cases associated with specific other spinal fusion procedures. | $1,690.25 | $1,267.70 | — |
| 51035Posterior or posterolateral bone graft to the spine for 8–11 motion segments, excluding cases associated with specific related spinal procedures. | $1,803.00 | $1,352.25 | — |
| 51036Posterior and/or posterolateral bone graft to the spine involving 12 or more motion segments, excluding cases already covered by items 51031-51035. | $1,915.60 | $1,436.70 | — |
| 51041Anaesthesia assistance for anterior, lateral or posterior spinal fusion surgery involving one vertebral level, excluding cases already covered by related fusion items. | $1,295.85 | $971.90 | — |
| 51042Anaesthetic assistance for anterior, lateral or posterior spinal fusion involving 2 motion segments, excluding cases linked to items 51041, 51043, 51044 or 51045. | $1,814.30 | $1,360.75 | — |
| 51043Anaesthetic assistant service for anterior, direct lateral or posterior spinal fusion involving 3 vertebral segments, excluding cases already covered by items 51041, 51042, 51044 or 51045. | $2,267.85 | $1,700.90 | — |
| 51044Anaesthesia assistance for anterior, direct lateral, or posterior spinal fusion across 4 motion segments, excluding cases already covered by items 51041, 51042, 51043, or 51045. | $2,462.20 | $1,846.65 | — |
| 51045Anaesthetic assistance for anterior, direct lateral or posterior spinal fusion involving 5 or more vertebral segments, excluding cases already covered by items 51041–51044. | $2,591.75 | $1,943.85 | — |
| 51051Surgical correction of spinal deformity by removing and repositioning bone from one vertebra's pedicle, when not part of a broader multi-level spinal fusion procedure. | $2,214.25 | $1,660.70 | — |
| 51052Surgical correction of spinal deformity by removing bone from vertebral pedicles at 2 levels, when not part of related fusion or instrumentation procedures. | $2,693.05 | $2,019.80 | — |
| 51053Posterior vertebral column resection osteotomy at a single level, not part of a staged procedure with other specified spinal fusion items. | $3,064.00 | $2,298.00 | — |
| 51054Piecemeal or subtotal excision of more than 50% of a single vertebral body, excluding cases with anterior column fusion or specific associated procedures at the same segment. | $1,633.70 | $1,225.30 | — |
| 51055Surgical removal of more than 50% of vertebral bodies from 2 vertebrae, excluding cases with anterior column fusion or specific associated procedures at the same segment. | $2,450.65 | $1,838.00 | — |