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

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Total Items
5886
DVA fee schedule items
Showing 3601–3650 of 5886 Pg 73/118
Item No. Description MBS Fee DVA Fee
48446
Treatment of non-union or malunion of fracture of pelvis, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$1444.30 $1407.70
Item Number
48446
Fee Comparison
MBS
$1444.30
DVA
$1407.70
-$36.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1970.80
Full Description
Treatment of non-union or malunion of fracture of pelvis, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48448
Treatment of non-union or malunion of fracture of femur, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$1444.30 $1407.70
Item Number
48448
Fee Comparison
MBS
$1444.30
DVA
$1407.70
-$36.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1970.80
Full Description
Treatment of non-union or malunion of fracture of femur, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48450
Treatment of non-union or malunion of fracture of tibia or fibula, proximal to ankle, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$1309.00 $1275.85
Item Number
48450
Fee Comparison
MBS
$1309.00
DVA
$1275.85
-$33.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1786.25
Full Description
Treatment of non-union or malunion of fracture of tibia or fibula, proximal to ankle, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48452
Treatment of non-union or malunion of fracture of humerus, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$1309.00 $1275.85
Item Number
48452
Fee Comparison
MBS
$1309.00
DVA
$1275.85
-$33.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1786.25
Full Description
Treatment of non-union or malunion of fracture of humerus, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48454
Treatment of non-union or malunion of fracture of radius, ulna, or carpus including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$970.95 $946.35
Item Number
48454
Fee Comparison
MBS
$970.95
DVA
$946.35
-$24.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1325.00
Full Description
Treatment of non-union or malunion of fracture of radius, ulna, or carpus including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48456
Treatment of non-union or malunion of fracture of hand, distal to wrist, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
$970.95 $946.35
Item Number
48456
Fee Comparison
MBS
$970.95
DVA
$946.35
-$24.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1325.00
Full Description
Treatment of non-union or malunion of fracture of hand, distal to wrist, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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48507
Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
$438.30 $427.20
Item Number
48507
Fee Comparison
MBS
$438.30
DVA
$427.20
-$11.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$598.30
RMFS Out-Hosp
$598.10
Full Description
Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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48509
Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
$394.45 $384.45
Item Number
48509
Fee Comparison
MBS
$394.45
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$352.80
Full Description
Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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48512
Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
$1070.55 $1043.40
Item Number
48512
Fee Comparison
MBS
$1070.55
DVA
$1043.40
-$27.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1942.10
Full Description
Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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48900
Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (H) (Anaes.) (Assist.)
$337.90 $329.35
Item Number
48900
Fee Comparison
MBS
$337.90
DVA
$329.35
-$8.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$473.90
Full Description
Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (H) (Anaes.) (Assist.)
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48903
Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.)
$676.10 $658.95
Item Number
48903
Fee Comparison
MBS
$676.10
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$874.15
Full Description
Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.)
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48906
Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item 48900 applies (H) (Anaes.) (Assist.)
$676.10 $658.95
Item Number
48906
Fee Comparison
MBS
$676.10
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$807.40
Full Description
Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item 48900 applies (H) (Anaes.) (Assist.)
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48909
Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) (Anaes.) (Assist.)
$901.55 $878.70
Item Number
48909
Fee Comparison
MBS
$901.55
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1542.80
Full Description
Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) (Anaes.) (Assist.)
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48915
Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.)
$901.55 $878.70
Item Number
48915
Fee Comparison
MBS
$901.55
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1463.90
Full Description
Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.)
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48918
Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; 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 shoulder region by open or arthroscopic means (H) (Anaes.) (Assist.)
$1803.15 $1757.45
Item Number
48918
Fee Comparison
MBS
$1803.15
DVA
$1757.45
-$45.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3192.10
Full Description
Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; 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 shoulder region by open or arthroscopic means (H) (Anaes.) (Assist.)
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48919
Anatomic or reverse total shoulder replacement with bone graft, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with: (d) a service to which another item in this Schedule applies that is performed on the shoulder region by open or arthroscopic means; or (e) a service to which item 48245, 48248, 48251, 48254 or 48257 applies that is performed on the same joint (H) (Anaes.) (Assist.)
$2041.70 $1989.95
Item Number
48919
Fee Comparison
MBS
$2041.70
DVA
$1989.95
-$51.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2786.00
Full Description
Anatomic or reverse total shoulder replacement with bone graft, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with: (d) a service to which another item in this Schedule applies that is performed on the shoulder region by open or arthroscopic means; or (e) a service to which item 48245, 48248, 48251, 48254 or 48257 applies that is performed on the same joint (H) (Anaes.) (Assist.)
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48921
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.)
$1859.15 $1812.05
Item Number
48921
Fee Comparison
MBS
$1859.15
DVA
$1812.05
-$47.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3150.30
Full Description
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.)
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48924
Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) (Anaes.) (Assist.)
$2141.05 $2086.80
Item Number
48924
Fee Comparison
MBS
$2141.05
DVA
$2086.80
-$54.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3403.70
Full Description
Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) (Anaes.) (Assist.)
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48925
Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) (Anaes.) (Assist.)
$840.80 $819.50
Item Number
48925
Fee Comparison
MBS
$840.80
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) (Anaes.) (Assist.)
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48927
Shoulder prosthesis, removal of (H) (Anaes.) (Assist.)
$439.30 $428.15
Item Number
48927
Fee Comparison
MBS
$439.30
DVA
$428.15
-$11.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$633.50
Full Description
Shoulder prosthesis, removal of (H) (Anaes.) (Assist.)
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48932
Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than: (a) a service to which another item applies; or (b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means —one joint (H) (Anaes.) (Assist.)
$840.80 $819.50
Item Number
48932
Fee Comparison
MBS
$840.80
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than: (a) a service to which another item applies; or (b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means —one joint (H) (Anaes.) (Assist.)
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48939
Shoulder, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
$1295.85 $1263.00
Item Number
48939
Fee Comparison
MBS
$1295.85
DVA
$1263.00
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1893.55
Full Description
Shoulder, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
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48942
Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$1690.25 $1647.40
Item Number
48942
Fee Comparison
MBS
$1690.25
DVA
$1647.40
-$42.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2529.10
Full Description
Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; 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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48943
Arthrodesis of acromioclavicular or sternoclavicular joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
$563.40 $549.10
Item Number
48943
Fee Comparison
MBS
$563.40
DVA
$549.10
-$14.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.80
Full Description
Arthrodesis of acromioclavicular or sternoclavicular joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
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48944
Arthrodesis of scapulothoracic joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
$563.40 $549.10
Item Number
48944
Fee Comparison
MBS
$563.40
DVA
$549.10
-$14.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.80
Full Description
Arthrodesis of scapulothoracic joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
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48945
SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
$326.70 $318.40
Item Number
48945
Fee Comparison
MBS
$326.70
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$471.30
Full Description
SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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48948
SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
$732.50 $713.95
Item Number
48948
Fee Comparison
MBS
$732.50
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1004.30
Full Description
SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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48951
SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
$1070.55 $1043.40
Item Number
48951
Fee Comparison
MBS
$1070.55
DVA
$1043.40
-$27.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1806.55
Full Description
SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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48952
Surgery of acromioclavicular joint or sternoclavicular joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
$732.50 $713.95
Item Number
48952
Fee Comparison
MBS
$732.50
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$999.55
Full Description
Surgery of acromioclavicular joint or sternoclavicular joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
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48953
Surgery of scapulothoracic joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
$732.50 $713.95
Item Number
48953
Fee Comparison
MBS
$732.50
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$999.55
Full Description
Surgery of scapulothoracic joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
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48954
Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
$1126.80 $1098.25
Item Number
48954
Fee Comparison
MBS
$1126.80
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2024.05
Full Description
Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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48958
Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or reattachment (if performed), excluding bone grafting and removal of hardware, 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
$1295.85 $1263.00
Item Number
48958
Fee Comparison
MBS
$1295.85
DVA
$1263.00
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1768.35
RMFS Out-Hosp
$1768.20
Full Description
Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or reattachment (if performed), excluding bone grafting and removal of hardware, 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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48959
Latarjet procedure by open or arthroscopic means, including any of the following (if performed) but excluding removal of hardware: (a) labral repair or reattachment; (b) bone grafting; (c) tendon transfer; other than a service associated with a service to which another item in this Schedule applies that is performed on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
$1809.60 $1763.75
Item Number
48959
Fee Comparison
MBS
$1809.60
DVA
$1763.75
-$45.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2469.30
Full Description
Latarjet procedure by open or arthroscopic means, including any of the following (if performed) but excluding removal of hardware: (a) labral repair or reattachment; (b) bone grafting; (c) tendon transfer; other than a service associated with a service to which another item in this Schedule applies that is performed on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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48960
SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (H) (Anaes.) (Assist.)
$1126.80 $1098.25
Item Number
48960
Fee Comparison
MBS
$1126.80
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1876.35
Full Description
SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (H) (Anaes.) (Assist.)
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48972
Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) (Anaes.) (Assist.)
$518.25 $505.10
Item Number
48972
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
Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) (Anaes.) (Assist.)
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48980
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) (Anaes.) (Assist.)
$957.80 $933.55
Item Number
48980
Fee Comparison
MBS
$957.80
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1307.10
RMFS Out-Hosp
$1307.00
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) (Anaes.) (Assist.)
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48983
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) (Anaes.) (Assist.)
$702.40 $684.60
Item Number
48983
Fee Comparison
MBS
$702.40
DVA
$684.60
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$958.65
RMFS Out-Hosp
$958.45
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) (Anaes.) (Assist.)
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48986
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) (Anaes.) (Assist.)
$957.80 $933.55
Item Number
48986
Fee Comparison
MBS
$957.80
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1307.10
RMFS Out-Hosp
$1307.00
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) (Anaes.) (Assist.)
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49100
ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.)
$394.45 $384.45
Item Number
49100
Fee Comparison
MBS
$394.45
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$568.85
Full Description
ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.)
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49104
Repair of one or more ligaments of the elbow, for acute instability—within 6 weeks after the time of injury (H) (Anaes.) (Assist.)
$633.80 $617.75
Item Number
49104
Fee Comparison
MBS
$633.80
DVA
$617.75
-$16.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$865.00
RMFS Out-Hosp
$864.85
Full Description
Repair of one or more ligaments of the elbow, for acute instability—within 6 weeks after the time of injury (H) (Anaes.) (Assist.)
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49105
Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft—6 weeks or more after the time of injury (H) (Anaes.) (Assist.)
$929.60 $906.05
Item Number
49105
Fee Comparison
MBS
$929.60
DVA
$906.05
-$23.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1268.65
RMFS Out-Hosp
$1268.50
Full Description
Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft—6 weeks or more after the time of injury (H) (Anaes.) (Assist.)
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49106
Elbow, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
$1126.80 $1098.25
Item Number
49106
Fee Comparison
MBS
$1126.80
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1690.50
Full Description
Elbow, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
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49109
ELBOW, total synovectomy of (H) (Anaes.) (Assist.)
$845.00 $823.60
Item Number
49109
Fee Comparison
MBS
$845.00
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1437.20
Full Description
ELBOW, total synovectomy of (H) (Anaes.) (Assist.)
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49112
Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.)
$845.00 $823.60
Item Number
49112
Fee Comparison
MBS
$845.00
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1203.10
Full Description
Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.)
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49113
Removal of radial head prosthesis (H) (Anaes.) (Assist.)
$840.80 $819.50
Item Number
49113
Fee Comparison
MBS
$840.80
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Removal of radial head prosthesis (H) (Anaes.) (Assist.)
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49114
Revision of radial head replacement (H) (Anaes.) (Assist.)
$840.80 $819.50
Item Number
49114
Fee Comparison
MBS
$840.80
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Revision of radial head replacement (H) (Anaes.) (Assist.)
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49115
Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.)
$1352.05 $1317.80
Item Number
49115
Fee Comparison
MBS
$1352.05
DVA
$1317.80
-$34.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2158.20
Full Description
Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.)
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49116
ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.)
$1784.70 $1739.45
Item Number
49116
Fee Comparison
MBS
$1784.70
DVA
$1739.45
-$45.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2483.45
Full Description
ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.)
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49117
Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.)
$2141.65 $2087.40
Item Number
49117
Fee Comparison
MBS
$2141.65
DVA
$2087.40
-$54.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2979.80
Full Description
Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.)
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49118
ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
$326.70 $318.40
Item Number
49118
Fee Comparison
MBS
$326.70
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$471.30
Full Description
ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
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MBS Fee
$1444.30
DVA Fee
$1407.70
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of pelvis, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$1444.30
DVA Fee
$1407.70
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of femur, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$1309.00
DVA Fee
$1275.85
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of tibia or fibula, proximal to ankle, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$1309.00
DVA Fee
$1275.85
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of humerus, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$970.95
DVA Fee
$946.35
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of radius, ulna, or carpus including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$970.95
DVA Fee
$946.35
Category
Category 3 — Therapeutic Procedures
Description
Treatment of non-union or malunion of fracture of hand, distal to wrist, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
MBS Fee
$438.30
DVA Fee
$427.20
Category
Category 3 — Therapeutic Procedures
Description
Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
MBS Fee
$1070.55
DVA Fee
$1043.40
Category
Category 3 — Therapeutic Procedures
Description
Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
MBS Fee
$337.90
DVA Fee
$329.35
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (H) (Anaes.) (Assist.)
MBS Fee
$676.10
DVA Fee
$658.95
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.)
MBS Fee
$676.10
DVA Fee
$658.95
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item 48900 applies (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.)
MBS Fee
$1803.15
DVA Fee
$1757.45
Category
Category 3 — Therapeutic Procedures
Description
Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; 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 shoulder region by open or arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$2041.70
DVA Fee
$1989.95
Category
Category 3 — Therapeutic Procedures
Description
Anatomic or reverse total shoulder replacement with bone graft, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with: (d) a service to which another item in this Schedule applies that is performed on the shoulder region by open or arthroscopic means; or (e) a service to which item 48245, 48248, 48251, 48254 or 48257 applies that is performed on the same joint (H) (Anaes.) (Assist.)
MBS Fee
$1859.15
DVA Fee
$1812.05
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.)
MBS Fee
$2141.05
DVA Fee
$2086.80
Category
Category 3 — Therapeutic Procedures
Description
Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) (Anaes.) (Assist.)
MBS Fee
$840.80
DVA Fee
$819.50
Category
Category 3 — Therapeutic Procedures
Description
Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) (Anaes.) (Assist.)
MBS Fee
$439.30
DVA Fee
$428.15
Category
Category 3 — Therapeutic Procedures
Description
Shoulder prosthesis, removal of (H) (Anaes.) (Assist.)
MBS Fee
$840.80
DVA Fee
$819.50
Category
Category 3 — Therapeutic Procedures
Description
Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than: (a) a service to which another item applies; or (b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means —one joint (H) (Anaes.) (Assist.)
MBS Fee
$1295.85
DVA Fee
$1263.00
Category
Category 3 — Therapeutic Procedures
Description
Shoulder, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
MBS Fee
$1690.25
DVA Fee
$1647.40
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$563.40
DVA Fee
$549.10
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of acromioclavicular or sternoclavicular joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
MBS Fee
$563.40
DVA Fee
$549.10
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of scapulothoracic joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
MBS Fee
$326.70
DVA Fee
$318.40
Category
Category 3 — Therapeutic Procedures
Description
SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
MBS Fee
$1070.55
DVA Fee
$1043.40
Category
Category 3 — Therapeutic Procedures
Description
SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Surgery of acromioclavicular joint or sternoclavicular joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Surgery of scapulothoracic joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1295.85
DVA Fee
$1263.00
Category
Category 3 — Therapeutic Procedures
Description
Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or reattachment (if performed), excluding bone grafting and removal of hardware, 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 shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1809.60
DVA Fee
$1763.75
Category
Category 3 — Therapeutic Procedures
Description
Latarjet procedure by open or arthroscopic means, including any of the following (if performed) but excluding removal of hardware: (a) labral repair or reattachment; (b) bone grafting; (c) tendon transfer; other than a service associated with a service to which another item in this Schedule applies that is performed on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (H) (Anaes.) (Assist.)
MBS Fee
$518.25
DVA Fee
$505.10
Category
Category 3 — Therapeutic Procedures
Description
Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) (Anaes.) (Assist.)
MBS Fee
$957.80
DVA Fee
$933.55
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) (Anaes.) (Assist.)
MBS Fee
$702.40
DVA Fee
$684.60
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) (Anaes.) (Assist.)
MBS Fee
$957.80
DVA Fee
$933.55
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.)
MBS Fee
$633.80
DVA Fee
$617.75
Category
Category 3 — Therapeutic Procedures
Description
Repair of one or more ligaments of the elbow, for acute instability—within 6 weeks after the time of injury (H) (Anaes.) (Assist.)
MBS Fee
$929.60
DVA Fee
$906.05
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft—6 weeks or more after the time of injury (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
Elbow, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
MBS Fee
$845.00
DVA Fee
$823.60
Category
Category 3 — Therapeutic Procedures
Description
ELBOW, total synovectomy of (H) (Anaes.) (Assist.)
MBS Fee
$845.00
DVA Fee
$823.60
Category
Category 3 — Therapeutic Procedures
Description
Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.)
MBS Fee
$840.80
DVA Fee
$819.50
Category
Category 3 — Therapeutic Procedures
Description
Removal of radial head prosthesis (H) (Anaes.) (Assist.)
MBS Fee
$840.80
DVA Fee
$819.50
Category
Category 3 — Therapeutic Procedures
Description
Revision of radial head replacement (H) (Anaes.) (Assist.)
MBS Fee
$1352.05
DVA Fee
$1317.80
Category
Category 3 — Therapeutic Procedures
Description
Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.)
MBS Fee
$1784.70
DVA Fee
$1739.45
Category
Category 3 — Therapeutic Procedures
Description
ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.)
MBS Fee
$2141.65
DVA Fee
$2087.40
Category
Category 3 — Therapeutic Procedures
Description
Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.)
MBS Fee
$326.70
DVA Fee
$318.40
Category
Category 3 — Therapeutic Procedures
Description
ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
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