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 3701–3750 of 5886 Pg 75/118
Item No. Description MBS Fee DVA Fee
49512
Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.)
$1577.30 $1537.35 ▼
Item Number
49512
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1818.80
Full Description
Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.)
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49515
Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.)
$1014.15 $988.45 ▼
Item Number
49515
Fee Comparison
MBS
$1014.15
→
DVA
$988.45
-$25.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1684.65
Full Description
Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.)
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49516
Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
$2526.80 $2462.75 ▼
Item Number
49516
Fee Comparison
MBS
$2526.80
→
DVA
$2462.75
-$64.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3448.05
RMFS Out-Hosp
$3447.85
Full Description
Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
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49517
Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
$1443.90 $1407.30 ▼
Item Number
49517
Fee Comparison
MBS
$1443.90
→
DVA
$1407.30
-$36.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2440.80
Full Description
Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
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49518
Total arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; 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
49518
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2589.30
Full Description
Total arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; 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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49519
Bilateral total arthroplasty of knee, including patellar resurfacing, 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
49519
Fee Comparison
MBS
$2771.25
→
DVA
$2701.00
-$70.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4606.55
Full Description
Bilateral total arthroplasty of knee, including patellar resurfacing, 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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49521
Complex primary arthroplasty of knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; 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
49521
Fee Comparison
MBS
$1915.75
→
DVA
$1867.20
-$48.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3073.90
Full Description
Complex primary arthroplasty of knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; 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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49524
Complex primary arthroplasty of knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$2253.75 $2196.65 ▼
Item Number
49524
Fee Comparison
MBS
$2253.75
→
DVA
$2196.65
-$57.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3557.75
Full Description
Complex primary arthroplasty of knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; 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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49525
Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.)
$1915.75 $1867.20 ▼
Item Number
49525
Fee Comparison
MBS
$1915.75
→
DVA
$1867.20
-$48.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2614.30
RMFS Out-Hosp
$2614.10
Full Description
Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.)
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49527
Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; 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
49527
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2467.65
Full Description
Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; 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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49530
Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (if performed); other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$2366.50 $2306.55 ▼
Item Number
49530
Fee Comparison
MBS
$2366.50
→
DVA
$2306.55
-$59.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3434.30
Full Description
Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (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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49533
Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$3043.10 $2966.00 ▼
Item Number
49533
Fee Comparison
MBS
$3043.10
→
DVA
$2966.00
-$77.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3913.45
Full Description
Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (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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49534
Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.)
$870.50 $848.45 ▼
Item Number
49534
Fee Comparison
MBS
$870.50
→
DVA
$848.45
-$22.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$851.90
Full Description
Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.)
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49536
Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
$1126.80 $1098.25 ▼
Item Number
49536
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1793.55
Full Description
Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
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49542
Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
$1577.30 $1537.35 ▼
Item Number
49542
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2731.45
Full Description
Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
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49544
Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
$1836.40 $1789.85 ▼
Item Number
49544
Fee Comparison
MBS
$1836.40
→
DVA
$1789.85
-$46.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2506.00
RMFS Out-Hosp
$2505.80
Full Description
Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
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49548
Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.)
$1126.80 $1098.25 ▼
Item Number
49548
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1610.20
Full Description
Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.)
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49551
Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.)
$1577.30 $1537.35 ▼
Item Number
49551
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2678.50
Full Description
Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.)
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49554
Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
$2253.75 $2196.65 ▼
Item Number
49554
Fee Comparison
MBS
$2253.75
→
DVA
$2196.65
-$57.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2896.40
Full Description
Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
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49564
Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
$1100.10 $1072.20 ▼
Item Number
49564
Fee Comparison
MBS
$1100.10
→
DVA
$1072.20
-$27.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1813.15
Full Description
Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
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49565
Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
$1578.80 $1538.80 ▼
Item Number
49565
Fee Comparison
MBS
$1578.80
→
DVA
$1538.80
-$40.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2154.50
RMFS Out-Hosp
$2154.35
Full Description
Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
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49569
Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.)
$901.55 $878.70 ▼
Item Number
49569
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1141.45
Full Description
Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.)
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49570
Diagnosis of knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.)
$326.70 $318.40 ▼
Item Number
49570
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 knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.)
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49572
Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.)
$795.05 $774.90 ▼
Item Number
49572
Fee Comparison
MBS
$795.05
→
DVA
$774.90
-$20.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1084.90
RMFS Out-Hosp
$1084.90
Full Description
Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.)
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49574
Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.)
$795.05 $774.90 ▼
Item Number
49574
Fee Comparison
MBS
$795.05
→
DVA
$774.90
-$20.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1084.90
RMFS Out-Hosp
$1084.90
Full Description
Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.)
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49576
Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.)
$795.05 $774.90 ▼
Item Number
49576
Fee Comparison
MBS
$795.05
→
DVA
$774.90
-$20.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1084.90
RMFS Out-Hosp
$1084.90
Full Description
Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.)
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49578
Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.)
$795.05 $774.90 ▼
Item Number
49578
Fee Comparison
MBS
$795.05
→
DVA
$774.90
-$20.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1084.90
RMFS Out-Hosp
$1084.90
Full Description
Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.)
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49580
Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.)
$795.05 $774.90 ▼
Item Number
49580
Fee Comparison
MBS
$795.05
→
DVA
$774.90
-$20.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1084.90
RMFS Out-Hosp
$1084.90
Full Description
Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.)
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49582
Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.)
$928.30 $904.80 ▼
Item Number
49582
Fee Comparison
MBS
$928.30
→
DVA
$904.80
-$23.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1266.85
RMFS Out-Hosp
$1266.75
Full Description
Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.)
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49584
Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.)
$928.30 $904.80 ▼
Item Number
49584
Fee Comparison
MBS
$928.30
→
DVA
$904.80
-$23.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1266.85
RMFS Out-Hosp
$1266.75
Full Description
Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.)
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49586
Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis (H) (Anaes.) (Assist.)
$928.30 $904.80 ▼
Item Number
49586
Fee Comparison
MBS
$928.30
→
DVA
$904.80
-$23.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1266.85
Full Description
Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis (H) (Anaes.) (Assist.)
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49590
Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
$444.65 $433.40 ▼
Item Number
49590
Fee Comparison
MBS
$444.65
→
DVA
$433.40
-$11.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$606.80
Full Description
Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
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49592
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) (Anaes.) (Assist.)
$1366.30 $1331.70 ▼
Item Number
49592
Fee Comparison
MBS
$1366.30
→
DVA
$1331.70
-$34.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1864.40
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) (Anaes.) (Assist.)
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49594
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) (Anaes.) (Assist.)
$1093.05 $1065.35 ▼
Item Number
49594
Fee Comparison
MBS
$1093.05
→
DVA
$1065.35
-$27.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1491.60
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) (Anaes.) (Assist.)
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49596
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) (Anaes.) (Assist.)
$819.85 $799.05 ▼
Item Number
49596
Fee Comparison
MBS
$819.85
→
DVA
$799.05
-$20.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1118.70
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) (Anaes.) (Assist.)
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49703
Surgery of ankle 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 if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49703
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1201.35
Full Description
Surgery of ankle 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 if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.)
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49706
Arthrotomy of joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.)
$394.45 $384.45 ▼
Item Number
49706
Fee Comparison
MBS
$394.45
→
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$568.85
Full Description
Arthrotomy of joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.)
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49709
Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.)
$845.00 $823.60 ▼
Item Number
49709
Fee Comparison
MBS
$845.00
→
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1218.35
Full Description
Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.)
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49712
Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
$1126.80 $1098.25 ▼
Item Number
49712
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1590.00
Full Description
Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
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49715
Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
$1352.05 $1317.80 ▼
Item Number
49715
Fee Comparison
MBS
$1352.05
→
DVA
$1317.80
-$34.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2275.85
Full Description
Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
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49716
Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.)
$1784.70 $1739.45 ▼
Item Number
49716
Fee Comparison
MBS
$1784.70
→
DVA
$1739.45
-$45.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2325.15
Full Description
Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.)
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49717
Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) (Anaes.) (Assist.)
$2141.65 $2087.40 ▼
Item Number
49717
Fee Comparison
MBS
$2141.65
→
DVA
$2087.40
-$54.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2790.05
Full Description
Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) (Anaes.) (Assist.)
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49718
Primary repair of major tendon of ankle, by any method, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy —one tendon (H) (Anaes.) (Assist.)
$450.65 $439.25 ▼
Item Number
49718
Fee Comparison
MBS
$450.65
→
DVA
$439.25
-$11.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$721.60
Full Description
Primary repair of major tendon of ankle, by any method, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy —one tendon (H) (Anaes.) (Assist.)
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49724
Reconstruction of major tendon of ankle, by any method, including any of the following (if performed): (a) synovial biopsy; (b) synovectomy; (c) adjacent tendon transfer; (d) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
$788.90 $768.90 ▼
Item Number
49724
Fee Comparison
MBS
$788.90
→
DVA
$768.90
-$20.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1294.70
Full Description
Reconstruction of major tendon of ankle, by any method, including any of the following (if performed): (a) synovial biopsy; (b) synovectomy; (c) adjacent tendon transfer; (d) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
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49727
Lengthening of major tendon of ankle, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy (H) (Anaes.) (Assist.)
$337.90 $329.35 ▼
Item Number
49727
Fee Comparison
MBS
$337.90
→
DVA
$329.35
-$8.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$487.25
Full Description
Lengthening of major tendon of ankle, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy (H) (Anaes.) (Assist.)
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49728
Lengthening of Achilles’ tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; other than a service associated with a service to which item 49727 applies (H) (Anaes.) (Assist.)
$675.95 $658.80 ▼
Item Number
49728
Fee Comparison
MBS
$675.95
→
DVA
$658.80
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$880.70
Full Description
Lengthening of Achilles’ tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; other than a service associated with a service to which item 49727 applies (H) (Anaes.) (Assist.)
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49730
Surgery of joint of hindfoot (other than ankle) or first metatarsophalangeal 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 of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means—one joint (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49730
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
Surgery of joint of hindfoot (other than ankle) or first metatarsophalangeal 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 of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means—one joint (H) (Anaes.) (Assist.)
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49732
Endoscopy of large tendons of foot, including any of the following (if performed): (a) debridement of tendon and sheath; (b) removal of loose bodies; (c) synovectomy; (d) excision of tendon impingement; other than a service associated with a service to which item 49718 or 49724 applies (H) (Anaes.) (Assist.)
$732.50 $713.95 ▼
Item Number
49732
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
Endoscopy of large tendons of foot, including any of the following (if performed): (a) debridement of tendon and sheath; (b) removal of loose bodies; (c) synovectomy; (d) excision of tendon impingement; other than a service associated with a service to which item 49718 or 49724 applies (H) (Anaes.) (Assist.)
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49734
Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; —each incision (H) (Anaes.) (Assist.)
$394.45 $384.45 ▼
Item Number
49734
Fee Comparison
MBS
$394.45
→
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$538.40
RMFS Out-Hosp
$538.25
Full Description
Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; —each incision (H) (Anaes.) (Assist.)
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49736
Transfer of major tendon of foot and ankle, including: (a) split or whole transfer to contralateral side of foot; and (b) passage of posterior or anterior tendon to, or through, interosseous membrane; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) tendon lengthening; (iv) insetting of tendon (H) (Anaes.) (Assist.)
$788.90 $768.90 ▼
Item Number
49736
Fee Comparison
MBS
$788.90
→
DVA
$768.90
-$20.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1076.70
RMFS Out-Hosp
$1076.50
Full Description
Transfer of major tendon of foot and ankle, including: (a) split or whole transfer to contralateral side of foot; and (b) passage of posterior or anterior tendon to, or through, interosseous membrane; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) tendon lengthening; (iv) insetting of tendon (H) (Anaes.) (Assist.)
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MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.)
MBS Fee
$1014.15
DVA Fee
$988.45
Category
Category 3 — Therapeutic Procedures
Description
Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.)
MBS Fee
$2526.80
DVA Fee
$2462.75
Category
Category 3 — Therapeutic Procedures
Description
Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
MBS Fee
$1443.90
DVA Fee
$1407.30
Category
Category 3 — Therapeutic Procedures
Description
Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Total arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; 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 knee, including patellar resurfacing, 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 knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$2253.75
DVA Fee
$2196.65
Category
Category 3 — Therapeutic Procedures
Description
Complex primary arthroplasty of knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; 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
Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$2366.50
DVA Fee
$2306.55
Category
Category 3 — Therapeutic Procedures
Description
Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (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
$3043.10
DVA Fee
$2966.00
Category
Category 3 — Therapeutic Procedures
Description
Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (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
$870.50
DVA Fee
$848.45
Category
Category 3 — Therapeutic Procedures
Description
Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1836.40
DVA Fee
$1789.85
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.)
MBS Fee
$2253.75
DVA Fee
$2196.65
Category
Category 3 — Therapeutic Procedures
Description
Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
MBS Fee
$1100.10
DVA Fee
$1072.20
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$1578.80
DVA Fee
$1538.80
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$901.55
DVA Fee
$878.70
Category
Category 3 — Therapeutic Procedures
Description
Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.)
MBS Fee
$326.70
DVA Fee
$318.40
Category
Category 3 — Therapeutic Procedures
Description
Diagnosis of knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.)
MBS Fee
$795.05
DVA Fee
$774.90
Category
Category 3 — Therapeutic Procedures
Description
Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.)
MBS Fee
$795.05
DVA Fee
$774.90
Category
Category 3 — Therapeutic Procedures
Description
Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.)
MBS Fee
$795.05
DVA Fee
$774.90
Category
Category 3 — Therapeutic Procedures
Description
Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.)
MBS Fee
$795.05
DVA Fee
$774.90
Category
Category 3 — Therapeutic Procedures
Description
Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.)
MBS Fee
$795.05
DVA Fee
$774.90
Category
Category 3 — Therapeutic Procedures
Description
Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.)
MBS Fee
$928.30
DVA Fee
$904.80
Category
Category 3 — Therapeutic Procedures
Description
Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$928.30
DVA Fee
$904.80
Category
Category 3 — Therapeutic Procedures
Description
Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$928.30
DVA Fee
$904.80
Category
Category 3 — Therapeutic Procedures
Description
Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis (H) (Anaes.) (Assist.)
MBS Fee
$444.65
DVA Fee
$433.40
Category
Category 3 — Therapeutic Procedures
Description
Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
MBS Fee
$1366.30
DVA Fee
$1331.70
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) (Anaes.) (Assist.)
MBS Fee
$1093.05
DVA Fee
$1065.35
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) (Anaes.) (Assist.)
MBS Fee
$819.85
DVA Fee
$799.05
Category
Category 3 — Therapeutic Procedures
Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Surgery of ankle 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 if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.)
MBS Fee
$845.00
DVA Fee
$823.60
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.)
MBS Fee
$1126.80
DVA Fee
$1098.25
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
MBS Fee
$1352.05
DVA Fee
$1317.80
Category
Category 3 — Therapeutic Procedures
Description
Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
MBS Fee
$1784.70
DVA Fee
$1739.45
Category
Category 3 — Therapeutic Procedures
Description
Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.)
MBS Fee
$2141.65
DVA Fee
$2087.40
Category
Category 3 — Therapeutic Procedures
Description
Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) (Anaes.) (Assist.)
MBS Fee
$450.65
DVA Fee
$439.25
Category
Category 3 — Therapeutic Procedures
Description
Primary repair of major tendon of ankle, by any method, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy —one tendon (H) (Anaes.) (Assist.)
MBS Fee
$788.90
DVA Fee
$768.90
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of major tendon of ankle, by any method, including any of the following (if performed): (a) synovial biopsy; (b) synovectomy; (c) adjacent tendon transfer; (d) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
MBS Fee
$337.90
DVA Fee
$329.35
Category
Category 3 — Therapeutic Procedures
Description
Lengthening of major tendon of ankle, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy (H) (Anaes.) (Assist.)
MBS Fee
$675.95
DVA Fee
$658.80
Category
Category 3 — Therapeutic Procedures
Description
Lengthening of Achilles’ tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; other than a service associated with a service to which item 49727 applies (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Surgery of joint of hindfoot (other than ankle) or first metatarsophalangeal 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 of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means—one joint (H) (Anaes.) (Assist.)
MBS Fee
$732.50
DVA Fee
$713.95
Category
Category 3 — Therapeutic Procedures
Description
Endoscopy of large tendons of foot, including any of the following (if performed): (a) debridement of tendon and sheath; (b) removal of loose bodies; (c) synovectomy; (d) excision of tendon impingement; other than a service associated with a service to which item 49718 or 49724 applies (H) (Anaes.) (Assist.)
MBS Fee
$394.45
DVA Fee
$384.45
Category
Category 3 — Therapeutic Procedures
Description
Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$788.90
DVA Fee
$768.90
Category
Category 3 — Therapeutic Procedures
Description
Transfer of major tendon of foot and ankle, including: (a) split or whole transfer to contralateral side of foot; and (b) passage of posterior or anterior tendon to, or through, interosseous membrane; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) tendon lengthening; (iv) insetting of tendon (H) (Anaes.) (Assist.)
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