Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

Compare DVA fees against MBS rates for 5,800+ items — essential for practices treating DVA card holders

Side-by-side MBS ↔ DVA comparison →

Total Items
5886
DVA fee schedule items
Showing 3551–3600 of 5886 Pg 72/118
Item No. Description MBS Fee DVA Fee
47915
Wedge resection for ingrowing nail of toe: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and partial ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
$202.90 $197.75
Item Number
47915
Fee Comparison
MBS
$202.90
DVA
$197.75
-$5.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$276.85
RMFS Out-Hosp
$276.85
Full Description
Wedge resection for ingrowing nail of toe: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and partial ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
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47916
Partial resection for ingrowing nail of toe, including phenolisation (Anaes.)
$101.95 $99.35
Item Number
47916
Fee Comparison
MBS
$101.95
DVA
$99.35
-$2.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$138.15
RMFS Out-Hosp
$139.10
Full Description
Partial resection for ingrowing nail of toe, including phenolisation (Anaes.)
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47918
Complete ablation of nail germinal matrix: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
$281.85 $274.70
Item Number
47918
Fee Comparison
MBS
$281.85
DVA
$274.70
-$7.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$375.85
RMFS Out-Hosp
$384.60
Full Description
Complete ablation of nail germinal matrix: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
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47921
Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.)
$135.05 $131.65
Item Number
47921
Fee Comparison
MBS
$135.05
DVA
$131.65
-$3.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$196.05
RMFS Out-Hosp
$184.35
Full Description
Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.)
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47924
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes), with incision, other than a service associated with a service to which item 47927 or 47929 applies—one bone (Anaes.)
$45.10 $43.95
Item Number
47924
Fee Comparison
MBS
$45.10
DVA
$43.95
-$1.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$65.50
RMFS Out-Hosp
$61.55
Full Description
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes), with incision, other than a service associated with a service to which item 47927 or 47929 applies—one bone (Anaes.)
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47927
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes)—one bone (H) (Anaes.)
$169.00 $164.70
Item Number
47927
Fee Comparison
MBS
$169.00
DVA
$164.70
-$4.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$226.10
Full Description
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes)—one bone (H) (Anaes.)
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47929
Removal of fixation elements (including plate, rod or nail and associated wires, pins, screws or external fixation), other than a service associated with a service to which item 47924 or 47927 applies—one bone (H) (Anaes.) (Assist.)
$450.65 $439.25
Item Number
47929
Fee Comparison
MBS
$450.65
DVA
$439.25
-$11.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$615.15
RMFS Out-Hosp
$614.95
Full Description
Removal of fixation elements (including plate, rod or nail and associated wires, pins, screws or external fixation), other than a service associated with a service to which item 47924 or 47927 applies—one bone (H) (Anaes.) (Assist.)
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47953
Repair of distal biceps brachii tendon, by any method, performed as an independent procedure (H) (Anaes.) (Assist.)
$518.25 $505.10
Item Number
47953
Fee Comparison
MBS
$518.25
DVA
$505.10
-$13.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$707.15
Full Description
Repair of distal biceps brachii tendon, by any method, performed as an independent procedure (H) (Anaes.) (Assist.)
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47954
Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service described in the other item is for the purpose of repairing peripheral nerve items in the same region (Anaes.) (Assist.)
$450.65 $439.25
Item Number
47954
Fee Comparison
MBS
$450.65
DVA
$439.25
-$11.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$641.95
RMFS Out-Hosp
$614.95
Full Description
Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service described in the other item is for the purpose of repairing peripheral nerve items in the same region (Anaes.) (Assist.)
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47955
Repair of gluteal or rectus femoris tendon, by open or arthroscopic means, when performed as an independent procedure, including either or both of the following (if performed): (a) bursectomy; (b) preparation of greater trochanter; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
$779.90 $760.15
Item Number
47955
Fee Comparison
MBS
$779.90
DVA
$760.15
-$19.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1064.35
RMFS Out-Hosp
$1064.25
Full Description
Repair of gluteal or rectus femoris tendon, by open or arthroscopic means, when performed as an independent procedure, including either or both of the following (if performed): (a) bursectomy; (b) preparation of greater trochanter; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
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47956
Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
$1169.85 $1140.20
Item Number
47956
Fee Comparison
MBS
$1169.85
DVA
$1140.20
-$29.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1596.50
RMFS Out-Hosp
$1596.30
Full Description
Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
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47960
TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies (Anaes.)
$157.75 $153.75
Item Number
47960
Fee Comparison
MBS
$157.75
DVA
$153.75
-$4.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$227.75
RMFS Out-Hosp
$215.25
Full Description
TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies (Anaes.)
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47964
Iliopsoas tenotomy, by open or arthroscopic means, when performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
$259.10 $252.55
Item Number
47964
Fee Comparison
MBS
$259.10
DVA
$252.55
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$353.65
RMFS Out-Hosp
$353.60
Full Description
Iliopsoas tenotomy, by open or arthroscopic means, when performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
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47967
Restoration of shoulder or elbow function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis—one transfer (H) (Anaes.) (Assist.)
$518.25 $505.10
Item Number
47967
Fee Comparison
MBS
$518.25
DVA
$505.10
-$13.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$707.15
RMFS Out-Hosp
$707.15
Full Description
Restoration of shoulder or elbow function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis—one transfer (H) (Anaes.) (Assist.)
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47968
Open tenotomy of one or more tendons of shoulder, with or without tenoplasty, to restore shoulder function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (Anaes.)
$259.10 $252.55
Item Number
47968
Fee Comparison
MBS
$259.10
DVA
$252.55
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$353.60
RMFS Out-Hosp
$353.60
Full Description
Open tenotomy of one or more tendons of shoulder, with or without tenoplasty, to restore shoulder function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (Anaes.)
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47970
Open tenotomy of one or more tendons of scapula, with or without tenoplasty, to restore scapula function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
$259.10 $252.55
Item Number
47970
Fee Comparison
MBS
$259.10
DVA
$252.55
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$353.60
Full Description
Open tenotomy of one or more tendons of scapula, with or without tenoplasty, to restore scapula function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
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47973
Open tenotomy of one or more tendons of elbow, with or without tenoplasty, to restore elbow function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
$259.10 $252.55
Item Number
47973
Fee Comparison
MBS
$259.10
DVA
$252.55
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$353.60
Full Description
Open tenotomy of one or more tendons of elbow, with or without tenoplasty, to restore elbow function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
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47975
Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) (Assist.)
$441.85 $430.65
Item Number
47975
Fee Comparison
MBS
$441.85
DVA
$430.65
-$11.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$636.95
Full Description
Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) (Assist.)
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47978
Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.)
$268.45 $261.65
Item Number
47978
Fee Comparison
MBS
$268.45
DVA
$261.65
-$6.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$433.25
Full Description
Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.)
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47981
Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, other than a service to which another item in this Group applies (Anaes.)
$180.15 $175.60
Item Number
47981
Fee Comparison
MBS
$180.15
DVA
$175.60
-$4.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$259.75
RMFS Out-Hosp
$245.85
Full Description
Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, other than a service to which another item in this Group applies (Anaes.)
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47982
Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.)
$436.80 $425.75
Item Number
47982
Fee Comparison
MBS
$436.80
DVA
$425.75
-$11.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$583.70
Full Description
Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.)
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47983
Stabilisation of slipped capital femoral epiphysis, by internal fixation (H) (Anaes.) (Assist.)
$1036.70 $1010.45
Item Number
47983
Fee Comparison
MBS
$1036.70
DVA
$1010.45
-$26.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1414.85
RMFS Out-Hosp
$1414.65
Full Description
Stabilisation of slipped capital femoral epiphysis, by internal fixation (H) (Anaes.) (Assist.)
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47984
Open subcapital realignment of slipped capital femoral epiphysis, other than a service associated with a service to which item 48427 applies (H) (Anaes.) (Assist.)
$1036.70 $1010.45
Item Number
47984
Fee Comparison
MBS
$1036.70
DVA
$1010.45
-$26.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1414.85
RMFS Out-Hosp
$1414.65
Full Description
Open subcapital realignment of slipped capital femoral epiphysis, other than a service associated with a service to which item 48427 applies (H) (Anaes.) (Assist.)
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48245
Harvesting and insertion of bone graft (autograft) via separate incisions and at separate surgical fields (H) (Anaes.) (Assist.)
$374.35 $364.85
Item Number
48245
Fee Comparison
MBS
$374.35
DVA
$364.85
-$9.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$510.95
RMFS Out-Hosp
$510.80
Full Description
Harvesting and insertion of bone graft (autograft) via separate incisions and at separate surgical fields (H) (Anaes.) (Assist.)
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48248
Harvesting and insertion of bone graft (autograft) via separate incisions, including internal fixation of the graft or fusion fixation (or both) (H) (Anaes.) (Assist.)
$579.75 $565.05
Item Number
48248
Fee Comparison
MBS
$579.75
DVA
$565.05
-$14.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$791.20
RMFS Out-Hosp
$791.10
Full Description
Harvesting and insertion of bone graft (autograft) via separate incisions, including internal fixation of the graft or fusion fixation (or both) (H) (Anaes.) (Assist.)
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48251
Harvesting and insertion of osteochondral graft (autograft) via separate incisions at the same joint or joint complex (H) (Anaes.) (Assist.)
$477.10 $465.00
Item Number
48251
Fee Comparison
MBS
$477.10
DVA
$465.00
-$12.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$651.00
RMFS Out-Hosp
$651.00
Full Description
Harvesting and insertion of osteochondral graft (autograft) via separate incisions at the same joint or joint complex (H) (Anaes.) (Assist.)
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48254
Harvesting and insertion of pedicled bone flap (autograft), including internal fixation of the bone flap (if performed), other than a service associated with a service to which item 45562, 45504 or 45505 applies (H) (Anaes.) (Assist.)
$1093.05 $1065.35
Item Number
48254
Fee Comparison
MBS
$1093.05
DVA
$1065.35
-$27.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1491.70
RMFS Out-Hosp
$1491.50
Full Description
Harvesting and insertion of pedicled bone flap (autograft), including internal fixation of the bone flap (if performed), other than a service associated with a service to which item 45562, 45504 or 45505 applies (H) (Anaes.) (Assist.)
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48257
Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) (Anaes.) (Assist.)
$477.10 $465.00
Item Number
48257
Fee Comparison
MBS
$477.10
DVA
$465.00
-$12.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$651.00
RMFS Out-Hosp
$651.00
Full Description
Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) (Anaes.) (Assist.)
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48400
Operation on foot: (a) with either or both of the following: (i) osteotomy of phalanx or metatarsal for correction of deformity; (ii) excision of accessory bone or sesamoid bone; and (b) including any of the following (if performed): (i) removal of bone; (ii) excision of surrounding osteophytes; (iii) synovectomy; (iv) joint release; —one bone (H) (Anaes.) (Assist.)
$394.45 $384.45
Item Number
48400
Fee Comparison
MBS
$394.45
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$482.25
Full Description
Operation on foot: (a) with either or both of the following: (i) osteotomy of phalanx or metatarsal for correction of deformity; (ii) excision of accessory bone or sesamoid bone; and (b) including any of the following (if performed): (i) removal of bone; (ii) excision of surrounding osteophytes; (iii) synovectomy; (iv) joint release; —one bone (H) (Anaes.) (Assist.)
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48403
Osteotomy of phalanx of first toe or metatarsal, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
$619.75 $604.05
Item Number
48403
Fee Comparison
MBS
$619.75
DVA
$604.05
-$15.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$862.15
Full Description
Osteotomy of phalanx of first toe or metatarsal, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
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48406
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
$394.45 $384.45
Item Number
48406
Fee Comparison
MBS
$394.45
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$568.85
Full Description
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
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48409
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
$619.75 $604.05
Item Number
48409
Fee Comparison
MBS
$619.75
DVA
$604.05
-$15.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$866.35
Full Description
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
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48412
Osteotomy of humerus, without internal fixation (H) (Anaes.) (Assist.)
$754.85 $735.70
Item Number
48412
Fee Comparison
MBS
$754.85
DVA
$735.70
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$941.50
Full Description
Osteotomy of humerus, without internal fixation (H) (Anaes.) (Assist.)
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48415
Osteotomy of humerus, with internal fixation (H) (Anaes.) (Assist.)
$957.80 $933.55
Item Number
48415
Fee Comparison
MBS
$957.80
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1376.10
Full Description
Osteotomy of humerus, with internal fixation (H) (Anaes.) (Assist.)
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48419
Osteotomy of distal tibia, for correction of deformity, without internal or external fixation, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
$754.85 $735.70
Item Number
48419
Fee Comparison
MBS
$754.85
DVA
$735.70
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1030.10
RMFS Out-Hosp
$1030.00
Full Description
Osteotomy of distal tibia, for correction of deformity, without internal or external fixation, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
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48420
Osteotomy of distal tibia, for correction of deformity, with internal or external fixation by any method, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
$957.80 $933.55
Item Number
48420
Fee Comparison
MBS
$957.80
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1307.00
RMFS Out-Hosp
$1307.00
Full Description
Osteotomy of distal tibia, for correction of deformity, with internal or external fixation by any method, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
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48421
Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
$1100.10 $1072.20
Item Number
48421
Fee Comparison
MBS
$1100.10
DVA
$1072.20
-$27.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1670.30
Full Description
Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
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48422
Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
$1093.05 $1065.35
Item Number
48422
Fee Comparison
MBS
$1093.05
DVA
$1065.35
-$27.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1491.70
RMFS Out-Hosp
$1491.50
Full Description
Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
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48423
Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed): (a) associated intra-articular procedures; (b) bone grafting; (c) internal fixation (H) (Anaes.) (Assist.)
$901.55 $878.70
Item Number
48423
Fee Comparison
MBS
$901.55
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1230.40
RMFS Out-Hosp
$1230.20
Full Description
Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed): (a) associated intra-articular procedures; (b) bone grafting; (c) internal fixation (H) (Anaes.) (Assist.)
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48424
Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$901.55 $878.70
Item Number
48424
Fee Comparison
MBS
$901.55
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1110.95
Full Description
Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
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48426
Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed): (a) bone grafting; (b) internal fixation (H) (Anaes.) (Assist.)
$1093.05 $1065.35
Item Number
48426
Fee Comparison
MBS
$1093.05
DVA
$1065.35
-$27.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1491.70
RMFS Out-Hosp
$1491.50
Full Description
Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed): (a) bone grafting; (b) internal fixation (H) (Anaes.) (Assist.)
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48427
Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$1093.05 $1065.35
Item Number
48427
Fee Comparison
MBS
$1093.05
DVA
$1065.35
-$27.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1478.50
Full Description
Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
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48430
Excision of one or more osteophytes of the foot or ankle, or simple removal of bunion, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48430
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.40
RMFS Out-Hosp
$438.20
Full Description
Excision of one or more osteophytes of the foot or ankle, or simple removal of bunion, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; —each incision (H) (Anaes.) (Assist.)
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48433
Treatment of non-union or malunion, with preservation of the joint, for ankle or hindfoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
$1278.95 $1246.55
Item Number
48433
Fee Comparison
MBS
$1278.95
DVA
$1246.55
-$32.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1745.40
RMFS Out-Hosp
$1745.20
Full Description
Treatment of non-union or malunion, with preservation of the joint, for ankle or hindfoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
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48435
Treatment of non-union or malunion, with preservation of the joint, for midfoot or forefoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
$676.10 $658.95
Item Number
48435
Fee Comparison
MBS
$676.10
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$922.55
RMFS Out-Hosp
$922.55
Full Description
Treatment of non-union or malunion, with preservation of the joint, for midfoot or forefoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
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48436
Excision of one or more exostoses of the hand, distal to the wrist, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of ligaments; (c) removal of one or more associated bursae or ganglia; (d) removal of bone; (e) synovectomy; other than a service associated with a service to which another item in this Schedule applies that: (f) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (g) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48436
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.25
Full Description
Excision of one or more exostoses of the hand, distal to the wrist, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of ligaments; (c) removal of one or more associated bursae or ganglia; (d) removal of bone; (e) synovectomy; other than a service associated with a service to which another item in this Schedule applies that: (f) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (g) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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48438
Excision of one or more exostoses in the wrist including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48436 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48438
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.25
Full Description
Excision of one or more exostoses in the wrist including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48436 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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48440
Excision of one or more exostoses in the arm or shoulder, including the radius, ulna, humerus, acromion, clavicle, or scapula, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48438 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48440
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.25
Full Description
Excision of one or more exostoses in the arm or shoulder, including the radius, ulna, humerus, acromion, clavicle, or scapula, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48438 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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48442
Excision of one or more exostoses in the hip, including pelvis and femur, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48444 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48442
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.25
Full Description
Excision of one or more exostoses in the hip, including pelvis and femur, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48444 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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48444
Excision of one or more exostoses in the knee, tibia or fibula, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which item 48430 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
$321.15 $313.00
Item Number
48444
Fee Comparison
MBS
$321.15
DVA
$313.00
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.25
Full Description
Excision of one or more exostoses in the knee, tibia or fibula, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which item 48430 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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MBS Fee
$202.90
DVA Fee
$197.75
Category
Category 3 — Therapeutic Procedures
Description
Wedge resection for ingrowing nail of toe: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and partial ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
MBS Fee
$101.95
DVA Fee
$99.35
Category
Category 3 — Therapeutic Procedures
Description
Partial resection for ingrowing nail of toe, including phenolisation (Anaes.)
MBS Fee
$281.85
DVA Fee
$274.70
Category
Category 3 — Therapeutic Procedures
Description
Complete ablation of nail germinal matrix: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
MBS Fee
$135.05
DVA Fee
$131.65
Category
Category 3 — Therapeutic Procedures
Description
Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.)
MBS Fee
$45.10
DVA Fee
$43.95
Category
Category 3 — Therapeutic Procedures
Description
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes), with incision, other than a service associated with a service to which item 47927 or 47929 applies—one bone (Anaes.)
MBS Fee
$169.00
DVA Fee
$164.70
Category
Category 3 — Therapeutic Procedures
Description
Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes)—one bone (H) (Anaes.)
MBS Fee
$450.65
DVA Fee
$439.25
Category
Category 3 — Therapeutic Procedures
Description
Removal of fixation elements (including plate, rod or nail and associated wires, pins, screws or external fixation), other than a service associated with a service to which item 47924 or 47927 applies—one bone (H) (Anaes.) (Assist.)
MBS Fee
$518.25
DVA Fee
$505.10
Category
Category 3 — Therapeutic Procedures
Description
Repair of distal biceps brachii tendon, by any method, performed as an independent procedure (H) (Anaes.) (Assist.)
MBS Fee
$450.65
DVA Fee
$439.25
Category
Category 3 — Therapeutic Procedures
Description
Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service described in the other item is for the purpose of repairing peripheral nerve items in the same region (Anaes.) (Assist.)
MBS Fee
$779.90
DVA Fee
$760.15
Category
Category 3 — Therapeutic Procedures
Description
Repair of gluteal or rectus femoris tendon, by open or arthroscopic means, when performed as an independent procedure, including either or both of the following (if performed): (a) bursectomy; (b) preparation of greater trochanter; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
MBS Fee
$1169.85
DVA Fee
$1140.20
Category
Category 3 — Therapeutic Procedures
Description
Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
MBS Fee
$157.75
DVA Fee
$153.75
Category
Category 3 — Therapeutic Procedures
Description
TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies (Anaes.)
MBS Fee
$259.10
DVA Fee
$252.55
Category
Category 3 — Therapeutic Procedures
Description
Iliopsoas tenotomy, by open or arthroscopic means, when performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
MBS Fee
$518.25
DVA Fee
$505.10
Category
Category 3 — Therapeutic Procedures
Description
Restoration of shoulder or elbow function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis—one transfer (H) (Anaes.) (Assist.)
MBS Fee
$259.10
DVA Fee
$252.55
Category
Category 3 — Therapeutic Procedures
Description
Open tenotomy of one or more tendons of shoulder, with or without tenoplasty, to restore shoulder function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (Anaes.)
MBS Fee
$259.10
DVA Fee
$252.55
Category
Category 3 — Therapeutic Procedures
Description
Open tenotomy of one or more tendons of scapula, with or without tenoplasty, to restore scapula function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
MBS Fee
$259.10
DVA Fee
$252.55
Category
Category 3 — Therapeutic Procedures
Description
Open tenotomy of one or more tendons of elbow, with or without tenoplasty, to restore elbow function, other than a service to which another item in this Group applies—applicable once per joint per occasion on which this service is performed (H) (Anaes.)
MBS Fee
$441.85
DVA Fee
$430.65
Category
Category 3 — Therapeutic Procedures
Description
Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) (Assist.)
MBS Fee
$268.45
DVA Fee
$261.65
Category
Category 3 — Therapeutic Procedures
Description
Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.)
MBS Fee
$180.15
DVA Fee
$175.60
Category
Category 3 — Therapeutic Procedures
Description
Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, other than a service to which another item in this Group applies (Anaes.)
MBS Fee
$436.80
DVA Fee
$425.75
Category
Category 3 — Therapeutic Procedures
Description
Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.)
MBS Fee
$1036.70
DVA Fee
$1010.45
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of slipped capital femoral epiphysis, by internal fixation (H) (Anaes.) (Assist.)
MBS Fee
$1036.70
DVA Fee
$1010.45
Category
Category 3 — Therapeutic Procedures
Description
Open subcapital realignment of slipped capital femoral epiphysis, other than a service associated with a service to which item 48427 applies (H) (Anaes.) (Assist.)
MBS Fee
$374.35
DVA Fee
$364.85
Category
Category 3 — Therapeutic Procedures
Description
Harvesting and insertion of bone graft (autograft) via separate incisions and at separate surgical fields (H) (Anaes.) (Assist.)
MBS Fee
$579.75
DVA Fee
$565.05
Category
Category 3 — Therapeutic Procedures
Description
Harvesting and insertion of bone graft (autograft) via separate incisions, including internal fixation of the graft or fusion fixation (or both) (H) (Anaes.) (Assist.)
MBS Fee
$477.10
DVA Fee
$465.00
Category
Category 3 — Therapeutic Procedures
Description
Harvesting and insertion of osteochondral graft (autograft) via separate incisions at the same joint or joint complex (H) (Anaes.) (Assist.)
MBS Fee
$1093.05
DVA Fee
$1065.35
Category
Category 3 — Therapeutic Procedures
Description
Harvesting and insertion of pedicled bone flap (autograft), including internal fixation of the bone flap (if performed), other than a service associated with a service to which item 45562, 45504 or 45505 applies (H) (Anaes.) (Assist.)
MBS Fee
$477.10
DVA Fee
$465.00
Category
Category 3 — Therapeutic Procedures
Description
Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
Operation on foot: (a) with either or both of the following: (i) osteotomy of phalanx or metatarsal for correction of deformity; (ii) excision of accessory bone or sesamoid bone; and (b) including any of the following (if performed): (i) removal of bone; (ii) excision of surrounding osteophytes; (iii) synovectomy; (iv) joint release; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$619.75
DVA Fee
$604.05
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of phalanx of first toe or metatarsal, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
MBS Fee
$619.75
DVA Fee
$604.05
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; other than a service to which item 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies—one bone (H) (Anaes.) (Assist.)
MBS Fee
$754.85
DVA Fee
$735.70
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of humerus, without internal fixation (H) (Anaes.) (Assist.)
MBS Fee
$957.80
DVA Fee
$933.55
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of humerus, with internal fixation (H) (Anaes.) (Assist.)
MBS Fee
$754.85
DVA Fee
$735.70
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of distal tibia, for correction of deformity, without internal or external fixation, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$957.80
DVA Fee
$933.55
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of distal tibia, for correction of deformity, with internal or external fixation by any method, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$1100.10
DVA Fee
$1072.20
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
MBS Fee
$1093.05
DVA Fee
$1065.35
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed): (a) associated intra-articular procedures; (b) bone grafting; (c) internal fixation (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$1093.05
DVA Fee
$1065.35
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed): (a) bone grafting; (b) internal fixation (H) (Anaes.) (Assist.)
MBS Fee
$1093.05
DVA Fee
$1065.35
Category
Category 3 — Therapeutic Procedures
Description
Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more osteophytes of the foot or ankle, or simple removal of bunion, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$1278.95
DVA Fee
$1246.55
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion, with preservation of the joint, for ankle or hindfoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$676.10
DVA Fee
$658.95
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion, with preservation of the joint, for midfoot or forefoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more exostoses of the hand, distal to the wrist, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of ligaments; (c) removal of one or more associated bursae or ganglia; (d) removal of bone; (e) synovectomy; other than a service associated with a service to which another item in this Schedule applies that: (f) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (g) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more exostoses in the wrist including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48436 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more exostoses in the arm or shoulder, including the radius, ulna, humerus, acromion, clavicle, or scapula, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48438 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more exostoses in the hip, including pelvis and femur, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which 48444 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$321.15
DVA Fee
$313.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of one or more exostoses in the knee, tibia or fibula, including any of following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; other than: (g) a service to which item 48430 applies; or (h) a service associated with a service to which another item in this Schedule applies that: (i) is an arthroscopic procedure, arthrodesis, arthroplasty or osteotomy, or involves the removal of hardware; and (ii) is performed on the same joint or bone; —each incision (H) (Anaes.) (Assist.)
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