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 3651–3700 of 5886 Pg 74/118
Item No. Description MBS Fee DVA Fee
49121
Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49121
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1126.25
Full Description
Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
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49124
Excision of olecranon bursa, including bony prominence, 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
$444.65 $433.40 ▼
Item Number
49124
Fee Comparison
MBS
$444.65
→
DVA
$433.40
-$11.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$606.80
Full Description
Excision of olecranon bursa, including bony prominence, 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
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49127
Elbow joint, arthroplasty of, other than a service to which another item applies (H) (Anaes.) (Assist.)
$840.80 $819.50 ▼
Item Number
49127
Fee Comparison
MBS
$840.80
→
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Elbow joint, arthroplasty of, other than a service to which another item applies (H) (Anaes.) (Assist.)
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49200
Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.)
$980.25 $955.40 ▼
Item Number
49200
Fee Comparison
MBS
$980.25
→
DVA
$955.40
-$24.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1543.10
Full Description
Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.)
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49203
Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.)
$928.50 $904.95 ▼
Item Number
49203
Fee Comparison
MBS
$928.50
→
DVA
$904.95
-$23.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1142.30
Full Description
Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.)
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49206
Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.)
$676.10 $658.95 ▼
Item Number
49206
Fee Comparison
MBS
$676.10
→
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$974.70
Full Description
Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.)
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49209
Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.)
$901.55 $878.70 ▼
Item Number
49209
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1491.00
Full Description
Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.)
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49210
Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.)
$1190.10 $1159.95 ▼
Item Number
49210
Fee Comparison
MBS
$1190.10
→
DVA
$1159.95
-$30.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1655.95
Full Description
Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.)
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49212
Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.)
$281.85 $274.70 ▼
Item Number
49212
Fee Comparison
MBS
$281.85
→
DVA
$274.70
-$7.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$406.40
Full Description
Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.)
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49213
Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (H) (Anaes.) (Assist.)
$1008.40 $982.85 ▼
Item Number
49213
Fee Comparison
MBS
$1008.40
→
DVA
$982.85
-$25.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1376.15
Full Description
Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (H) (Anaes.) (Assist.)
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49215
Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.)
$777.65 $757.95 ▼
Item Number
49215
Fee Comparison
MBS
$777.65
→
DVA
$757.95
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1304.60
Full Description
Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.)
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49218
Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
$326.70 $318.40 ▼
Item Number
49218
Fee Comparison
MBS
$326.70
→
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$512.45
Full Description
Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
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49219
Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.)
$326.70 $318.40 ▼
Item Number
49219
Fee Comparison
MBS
$326.70
→
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$445.80
RMFS Out-Hosp
$445.80
Full Description
Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.)
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49220
Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49220
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$999.60
RMFS Out-Hosp
$999.55
Full Description
Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.)
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49221
Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49221
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1286.35
Full Description
Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
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49224
Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; 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 an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.)
$845.00 $823.60 ▼
Item Number
49224
Fee Comparison
MBS
$845.00
→
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1355.75
Full Description
Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; 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 an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.)
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49227
Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
$845.00 $823.60 ▼
Item Number
49227
Fee Comparison
MBS
$845.00
→
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1502.40
Full Description
Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
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49230
Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.)
$1102.65 $1074.70 ▼
Item Number
49230
Fee Comparison
MBS
$1102.65
→
DVA
$1074.70
-$27.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1504.70
RMFS Out-Hosp
$1504.60
Full Description
Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.)
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49233
Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; 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 distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H) (Anaes.) (Assist.)
$464.20 $452.45 ▼
Item Number
49233
Fee Comparison
MBS
$464.20
→
DVA
$452.45
-$11.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$633.60
RMFS Out-Hosp
$633.45
Full Description
Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; 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 distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H) (Anaes.) (Assist.)
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49236
Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.)
$699.95 $682.20 ▼
Item Number
49236
Fee Comparison
MBS
$699.95
→
DVA
$682.20
-$17.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$955.15
RMFS Out-Hosp
$955.10
Full Description
Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.)
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49239
Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.)
$348.15 $339.35 ▼
Item Number
49239
Fee Comparison
MBS
$348.15
→
DVA
$339.35
-$8.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$475.25
RMFS Out-Hosp
$475.10
Full Description
Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.)
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49300
Sacro-iliac joint—arthrodesis of (H) (Anaes.) (Assist.)
$623.95 $608.15 ▼
Item Number
49300
Fee Comparison
MBS
$623.95
→
DVA
$608.15
-$15.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$958.55
Full Description
Sacro-iliac joint—arthrodesis of (H) (Anaes.) (Assist.)
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49303
Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.)
$653.55 $637.00 ▼
Item Number
49303
Fee Comparison
MBS
$653.55
→
DVA
$637.00
-$16.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$871.95
Full Description
Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.)
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49306
Hip, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
$1295.85 $1263.00 ▼
Item Number
49306
Fee Comparison
MBS
$1295.85
→
DVA
$1263.00
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2022.20
Full Description
Hip, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
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49309
Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.)
$901.55 $878.70 ▼
Item Number
49309
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1222.10
Full Description
Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.)
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49315
Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.)
$1014.15 $988.45 ▼
Item Number
49315
Fee Comparison
MBS
$1014.15
→
DVA
$988.45
-$25.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1518.55
Full Description
Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.)
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49318
Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$1577.30 $1537.35 ▼
Item Number
49318
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2574.25
Full Description
Total arthroplasty of hip, including minor bone grafting (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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49319
Bilateral total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$2771.25 $2701.00 ▼
Item Number
49319
Fee Comparison
MBS
$2771.25
→
DVA
$2701.00
-$70.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$5022.65
Full Description
Bilateral total arthroplasty of hip, including minor bone grafting (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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49321
Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$1915.75 $1867.20 ▼
Item Number
49321
Fee Comparison
MBS
$1915.75
→
DVA
$1867.20
-$48.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3006.10
Full Description
Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; 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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49360
Diagnostic arthroscopy of hip, 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 of the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
$411.75 $401.30 ▼
Item Number
49360
Fee Comparison
MBS
$411.75
→
DVA
$401.30
-$10.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$561.45
Full Description
Diagnostic arthroscopy of hip, 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 of the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
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49363
Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
$495.70 $483.15 ▼
Item Number
49363
Fee Comparison
MBS
$495.70
→
DVA
$483.15
-$12.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$649.70
RMFS Out-Hosp
$676.45
Full Description
Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
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49366
Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (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) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49366
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1137.55
Full Description
Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (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) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.)
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49372
Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.)
$1104.05 $1076.05 ▼
Item Number
49372
Fee Comparison
MBS
$1104.05
→
DVA
$1076.05
-$28.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1506.65
RMFS Out-Hosp
$1506.50
Full Description
Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.)
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49374
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
$2050.45 $1998.50 ▼
Item Number
49374
Fee Comparison
MBS
$2050.45
→
DVA
$1998.50
-$51.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2798.00
RMFS Out-Hosp
$2797.90
Full Description
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
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49376
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.)
$2523.70 $2459.75 ▼
Item Number
49376
Fee Comparison
MBS
$2523.70
→
DVA
$2459.75
-$63.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3443.65
RMFS Out-Hosp
$3443.65
Full Description
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.)
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49378
Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
$2208.05 $2152.10 ▼
Item Number
49378
Fee Comparison
MBS
$2208.05
→
DVA
$2152.10
-$55.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3013.10
RMFS Out-Hosp
$3012.95
Full Description
Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
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49380
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
$2681.35 $2613.40 ▼
Item Number
49380
Fee Comparison
MBS
$2681.35
→
DVA
$2613.40
-$67.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3659.00
RMFS Out-Hosp
$3658.80
Full Description
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
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49382
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.)
$3470.05 $3382.10 ▼
Item Number
49382
Fee Comparison
MBS
$3470.05
→
DVA
$3382.10
-$87.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4735.10
RMFS Out-Hosp
$4734.95
Full Description
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.)
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49384
Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.)
$4100.90 $3997.00 ▼
Item Number
49384
Fee Comparison
MBS
$4100.90
→
DVA
$3997.00
-$103.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$5595.80
RMFS Out-Hosp
$5595.80
Full Description
Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.)
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49386
Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
$2839.15 $2767.20 ▼
Item Number
49386
Fee Comparison
MBS
$2839.15
→
DVA
$2767.20
-$71.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3874.10
RMFS Out-Hosp
$3874.10
Full Description
Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
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49388
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.)
$3312.30 $3228.35 ▼
Item Number
49388
Fee Comparison
MBS
$3312.30
→
DVA
$3228.35
-$83.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4520.00
RMFS Out-Hosp
$4519.70
Full Description
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.)
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49390
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.)
$3943.25 $3843.30 ▼
Item Number
49390
Fee Comparison
MBS
$3943.25
→
DVA
$3843.30
-$99.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$5380.65
RMFS Out-Hosp
$5380.65
Full Description
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.)
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49392
Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.)
$5520.50 $5380.60 ▼
Item Number
49392
Fee Comparison
MBS
$5520.50
→
DVA
$5380.60
-$139.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$7532.85
RMFS Out-Hosp
$7532.85
Full Description
Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.)
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49394
Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
$4731.80 $4611.90 ▼
Item Number
49394
Fee Comparison
MBS
$4731.80
→
DVA
$4611.90
-$119.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$6456.70
RMFS Out-Hosp
$6456.70
Full Description
Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
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49396
Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.)
$3154.55 $3074.60 ▼
Item Number
49396
Fee Comparison
MBS
$3154.55
→
DVA
$3074.60
-$79.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4304.45
RMFS Out-Hosp
$4304.45
Full Description
Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.)
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49398
Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
$2365.95 $2306.00 ▼
Item Number
49398
Fee Comparison
MBS
$2365.95
→
DVA
$2306.00
-$59.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3228.60
RMFS Out-Hosp
$3228.40
Full Description
Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
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49500
Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.)
$450.65 $439.25 ▼
Item Number
49500
Fee Comparison
MBS
$450.65
→
DVA
$439.25
-$11.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$649.80
Full Description
Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.)
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49503
Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
$586.00 $571.15 ▼
Item Number
49503
Fee Comparison
MBS
$586.00
→
DVA
$571.15
-$14.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$803.45
Full Description
Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
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49506
Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
$879.05 $856.75 ▼
Item Number
49506
Fee Comparison
MBS
$879.05
→
DVA
$856.75
-$22.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1303.05
Full Description
Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
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49509
Total synovectomy of knee, by open procedure, other than a service performed in association 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 an arthroplasty (H) (Anaes.) (Assist.)
$901.55 $878.70 ▼
Item Number
49509
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1299.65
Full Description
Total synovectomy of knee, by open procedure, other than a service performed in association 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 an arthroplasty (H) (Anaes.) (Assist.)
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MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
MBS Fee
$444.65
DVA Fee
$433.40
Category
Category 3 — Therapeutic Procedures
Description
Excision of olecranon bursa, including bony prominence, 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 an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
MBS Fee
$840.80
DVA Fee
$819.50
Category
Category 3 — Therapeutic Procedures
Description
Elbow joint, arthroplasty of, other than a service to which another item applies (H) (Anaes.) (Assist.)
MBS Fee
$980.25
DVA Fee
$955.40
Category
Category 3 — Therapeutic Procedures
Description
Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.)
MBS Fee
$928.50
DVA Fee
$904.95
Category
Category 3 — Therapeutic Procedures
Description
Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.)
MBS Fee
$676.10
DVA Fee
$658.95
Category
Category 3 — Therapeutic Procedures
Description
Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.)
MBS Fee
$1190.10
DVA Fee
$1159.95
Category
Category 3 — Therapeutic Procedures
Description
Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.)
MBS Fee
$281.85
DVA Fee
$274.70
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.)
MBS Fee
$1008.40
DVA Fee
$982.85
Category
Category 3 — Therapeutic Procedures
Description
Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (H) (Anaes.) (Assist.)
MBS Fee
$777.65
DVA Fee
$757.95
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.)
MBS Fee
$326.70
DVA Fee
$318.40
Category
Category 3 — Therapeutic Procedures
Description
Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
MBS Fee
$326.70
DVA Fee
$318.40
Category
Category 3 — Therapeutic Procedures
Description
Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
MBS Fee
$845.00
DVA Fee
$823.60
Category
Category 3 — Therapeutic Procedures
Description
Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; 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 an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.)
MBS Fee
$845.00
DVA Fee
$823.60
Category
Category 3 — Therapeutic Procedures
Description
Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; 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 an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
MBS Fee
$1102.65
DVA Fee
$1074.70
Category
Category 3 — Therapeutic Procedures
Description
Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.)
MBS Fee
$464.20
DVA Fee
$452.45
Category
Category 3 — Therapeutic Procedures
Description
Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; 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 distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H) (Anaes.) (Assist.)
MBS Fee
$699.95
DVA Fee
$682.20
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.)
MBS Fee
$348.15
DVA Fee
$339.35
Category
Category 3 — Therapeutic Procedures
Description
Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$623.95
DVA Fee
$608.15
Category
Category 3 — Therapeutic Procedures
Description
Sacro-iliac joint—arthrodesis of (H) (Anaes.) (Assist.)
MBS Fee
$653.55
DVA Fee
$637.00
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.)
MBS Fee
$1295.85
DVA Fee
$1263.00
Category
Category 3 — Therapeutic Procedures
Description
Hip, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.)
MBS Fee
$1014.15
DVA Fee
$988.45
Category
Category 3 — Therapeutic Procedures
Description
Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Total arthroplasty of hip, including minor bone grafting (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
$2771.25
DVA Fee
$2701.00
Category
Category 3 — Therapeutic Procedures
Description
Bilateral total arthroplasty of hip, including minor bone grafting (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
$1915.75
DVA Fee
$1867.20
Category
Category 3 — Therapeutic Procedures
Description
Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$411.75
DVA Fee
$401.30
Category
Category 3 — Therapeutic Procedures
Description
Diagnostic arthroscopy of hip, 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 of the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$495.70
DVA Fee
$483.15
Category
Category 3 — Therapeutic Procedures
Description
Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (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) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.)
MBS Fee
$1104.05
DVA Fee
$1076.05
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.)
MBS Fee
$2050.45
DVA Fee
$1998.50
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$2523.70
DVA Fee
$2459.75
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$2208.05
DVA Fee
$2152.10
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$2681.35
DVA Fee
$2613.40
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$3470.05
DVA Fee
$3382.10
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.)
MBS Fee
$4100.90
DVA Fee
$3997.00
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.)
MBS Fee
$2839.15
DVA Fee
$2767.20
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$3312.30
DVA Fee
$3228.35
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$3943.25
DVA Fee
$3843.30
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.)
MBS Fee
$5520.50
DVA Fee
$5380.60
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.)
MBS Fee
$4731.80
DVA Fee
$4611.90
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$3154.55
DVA Fee
$3074.60
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$2365.95
DVA Fee
$2306.00
Category
Category 3 — Therapeutic Procedures
Description
Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$450.65
DVA Fee
$439.25
Category
Category 3 — Therapeutic Procedures
Description
Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.)
MBS Fee
$586.00
DVA Fee
$571.15
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
MBS Fee
$879.05
DVA Fee
$856.75
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Total synovectomy of knee, by open procedure, other than a service performed in association 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 an arthroplasty (H) (Anaes.) (Assist.)
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