Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

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

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Total Items
5886
DVA fee schedule items
Showing 3751–3800 of 5886 Pg 76/118
Item No. Description MBS Fee DVA Fee
49738
Stabilisation of ligament of talonavicular or metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement (H) (Anaes.) (Assist.)
$563.40 $549.10
Item Number
49738
Fee Comparison
MBS
$563.40
DVA
$549.10
-$14.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.85
RMFS Out-Hosp
$768.75
Full Description
Stabilisation of ligament of talonavicular or metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement (H) (Anaes.) (Assist.)
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49740
Revision of 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
$1690.35 $1647.50
Item Number
49740
Fee Comparison
MBS
$1690.35
DVA
$1647.50
-$42.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2306.65
RMFS Out-Hosp
$2306.50
Full Description
Revision of 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
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49742
Arthrodesis of extended ankle and hindfoot, 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.)
$1595.70 $1555.25
Item Number
49742
Fee Comparison
MBS
$1595.70
DVA
$1555.25
-$40.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2177.35
RMFS Out-Hosp
$2177.35
Full Description
Arthrodesis of extended ankle and hindfoot, 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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49744
Revision of arthrodesis of extended ankle and hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
$2393.60 $2332.95
Item Number
49744
Fee Comparison
MBS
$2393.60
DVA
$2332.95
-$60.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3266.30
RMFS Out-Hosp
$3266.15
Full Description
Revision of arthrodesis of extended ankle and hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
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49760
Arthroereisis of subtalar joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
$422.60 $411.90
Item Number
49760
Fee Comparison
MBS
$422.60
DVA
$411.90
-$10.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$576.70
RMFS Out-Hosp
$576.70
Full Description
Arthroereisis of subtalar joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
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49761
Stabilisation of metatarsophalangeal joint at metatarsal, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —one metatarsal (H) (Anaes.) (Assist.)
$619.75 $604.05
Item Number
49761
Fee Comparison
MBS
$619.75
DVA
$604.05
-$15.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$845.75
RMFS Out-Hosp
$845.70
Full Description
Stabilisation of metatarsophalangeal joint at metatarsal, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —one metatarsal (H) (Anaes.) (Assist.)
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49762
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —2 metatarsals (H) (Anaes.) (Assist.)
$929.60 $906.05
Item Number
49762
Fee Comparison
MBS
$929.60
DVA
$906.05
-$23.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1268.55
RMFS Out-Hosp
$1268.50
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —2 metatarsals (H) (Anaes.) (Assist.)
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49763
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —3 metatarsals (H) (Anaes.) (Assist.)
$1084.60 $1057.10
Item Number
49763
Fee Comparison
MBS
$1084.60
DVA
$1057.10
-$27.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1479.95
RMFS Out-Hosp
$1479.95
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —3 metatarsals (H) (Anaes.) (Assist.)
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49764
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —4 metatarsals (H) (Anaes.) (Assist.)
$1239.45 $1208.05
Item Number
49764
Fee Comparison
MBS
$1239.45
DVA
$1208.05
-$31.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1691.35
RMFS Out-Hosp
$1691.30
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —4 metatarsals (H) (Anaes.) (Assist.)
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49765
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —5 metatarsals (H) (Anaes.) (Assist.)
$1394.50 $1359.15
Item Number
49765
Fee Comparison
MBS
$1394.50
DVA
$1359.15
-$35.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1902.85
RMFS Out-Hosp
$1902.85
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —5 metatarsals (H) (Anaes.) (Assist.)
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49766
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —6 metatarsals (H) (Anaes.) (Assist.)
$1549.35 $1510.10
Item Number
49766
Fee Comparison
MBS
$1549.35
DVA
$1510.10
-$39.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2114.25
RMFS Out-Hosp
$2114.15
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —6 metatarsals (H) (Anaes.) (Assist.)
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49767
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —7 metatarsals (H) (Anaes.) (Assist.)
$1704.35 $1661.15
Item Number
49767
Fee Comparison
MBS
$1704.35
DVA
$1661.15
-$43.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2325.65
RMFS Out-Hosp
$2325.65
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —7 metatarsals (H) (Anaes.) (Assist.)
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49768
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —8 metatarsals (H) (Anaes.) (Assist.)
$1859.20 $1812.10
Item Number
49768
Fee Comparison
MBS
$1859.20
DVA
$1812.10
-$47.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2537.05
RMFS Out-Hosp
$2536.95
Full Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —8 metatarsals (H) (Anaes.) (Assist.)
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49769
Unilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
$1084.60 $1057.10
Item Number
49769
Fee Comparison
MBS
$1084.60
DVA
$1057.10
-$27.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1480.00
RMFS Out-Hosp
$1479.95
Full Description
Unilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
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49770
Bilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
$1802.75 $1757.05
Item Number
49770
Fee Comparison
MBS
$1802.75
DVA
$1757.05
-$45.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2460.05
RMFS Out-Hosp
$2459.90
Full Description
Bilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
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49771
Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H) (Anaes.) (Assist.)
$444.65 $433.40
Item Number
49771
Fee Comparison
MBS
$444.65
DVA
$433.40
-$11.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$606.85
RMFS Out-Hosp
$606.80
Full Description
Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H) (Anaes.) (Assist.)
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49772
Excision of rheumatoid nodules or gouty tophi, excluding aftercare, including any of the following (if performed): (a) capsulotomy; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercle or osteophyte; —each incision (H) (Anaes.) (Assist.)
$392.45 $382.50
Item Number
49772
Fee Comparison
MBS
$392.45
DVA
$382.50
-$9.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$535.65
RMFS Out-Hosp
$535.50
Full Description
Excision of rheumatoid nodules or gouty tophi, excluding aftercare, including any of the following (if performed): (a) capsulotomy; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercle or osteophyte; —each incision (H) (Anaes.) (Assist.)
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49773
Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one web space (H) (Anaes.) (Assist.)
$486.40 $474.05
Item Number
49773
Fee Comparison
MBS
$486.40
DVA
$474.05
-$12.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$663.90
RMFS Out-Hosp
$663.70
Full Description
Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one web space (H) (Anaes.) (Assist.)
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49774
Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
$331.25 $322.85
Item Number
49774
Fee Comparison
MBS
$331.25
DVA
$322.85
-$8.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$452.05
RMFS Out-Hosp
$452.00
Full Description
Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
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49775
Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
$447.25 $435.90
Item Number
49775
Fee Comparison
MBS
$447.25
DVA
$435.90
-$11.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$610.55
RMFS Out-Hosp
$610.30
Full Description
Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
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49776
Revision of arthrodesis of joint of hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non‑union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site—may only be claimed once per joint (H) (Anaes.) (Assist.)
$1406.85 $1371.20
Item Number
49776
Fee Comparison
MBS
$1406.85
DVA
$1371.20
-$35.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1919.70
RMFS Out-Hosp
$1919.70
Full Description
Revision of arthrodesis of joint of hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non‑union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site—may only be claimed once per joint (H) (Anaes.) (Assist.)
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49777
Arthrodesis of joint of midfoot, 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; —one joint (H) (Anaes.) (Assist.)
$833.00 $811.90
Item Number
49777
Fee Comparison
MBS
$833.00
DVA
$811.90
-$21.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1136.75
RMFS Out-Hosp
$1136.70
Full Description
Arthrodesis of joint of midfoot, 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; —one joint (H) (Anaes.) (Assist.)
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49778
Arthrodesis of joints of midfoot, 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 joints; —2 joints (H) (Anaes.) (Assist.)
$1249.50 $1217.85
Item Number
49778
Fee Comparison
MBS
$1249.50
DVA
$1217.85
-$31.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1705.15
RMFS Out-Hosp
$1705.00
Full Description
Arthrodesis of joints of midfoot, 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 joints; —2 joints (H) (Anaes.) (Assist.)
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49779
Arthrodesis of joints of midfoot, 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 joints; —3 joints (H) (Anaes.) (Assist.)
$1457.70 $1420.75
Item Number
49779
Fee Comparison
MBS
$1457.70
DVA
$1420.75
-$36.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1989.15
RMFS Out-Hosp
$1989.05
Full Description
Arthrodesis of joints of midfoot, 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 joints; —3 joints (H) (Anaes.) (Assist.)
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49780
Arthrodesis of joints of midfoot, 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 joints; —4 joints (H) (Anaes.) (Assist.)
$1665.85 $1623.65
Item Number
49780
Fee Comparison
MBS
$1665.85
DVA
$1623.65
-$42.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2273.40
RMFS Out-Hosp
$2273.15
Full Description
Arthrodesis of joints of midfoot, 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 joints; —4 joints (H) (Anaes.) (Assist.)
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49781
Revision of arthrodesis of joint of midfoot, 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 ostephytes at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion; —one joint (H) (Anaes.) (Assist.)
$1249.50 $1217.85
Item Number
49781
Fee Comparison
MBS
$1249.50
DVA
$1217.85
-$31.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1705.15
RMFS Out-Hosp
$1705.00
Full Description
Revision of arthrodesis of joint of midfoot, 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 ostephytes at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion; —one joint (H) (Anaes.) (Assist.)
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49782
Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
$676.75 $659.60
Item Number
49782
Fee Comparison
MBS
$676.75
DVA
$659.60
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$923.55
RMFS Out-Hosp
$923.45
Full Description
Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
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49783
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —3 joints (H) (Anaes.) (Assist.)
$907.55 $884.55
Item Number
49783
Fee Comparison
MBS
$907.55
DVA
$884.55
-$23.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1238.60
RMFS Out-Hosp
$1238.40
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —3 joints (H) (Anaes.) (Assist.)
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49784
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —4 joints (H) (Anaes.) (Assist.)
$1037.20 $1010.90
Item Number
49784
Fee Comparison
MBS
$1037.20
DVA
$1010.90
-$26.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1415.25
RMFS Out-Hosp
$1415.30
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —4 joints (H) (Anaes.) (Assist.)
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49785
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —5 joints (H) (Anaes.) (Assist.)
$1166.70 $1137.15
Item Number
49785
Fee Comparison
MBS
$1166.70
DVA
$1137.15
-$29.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1592.10
RMFS Out-Hosp
$1592.05
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —5 joints (H) (Anaes.) (Assist.)
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49786
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —6 joints (H) (Anaes.) (Assist.)
$1296.25 $1263.40
Item Number
49786
Fee Comparison
MBS
$1296.25
DVA
$1263.40
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1769.00
RMFS Out-Hosp
$1768.80
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —6 joints (H) (Anaes.) (Assist.)
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49787
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —7 joints (H) (Anaes.) (Assist.)
$1425.80 $1389.65
Item Number
49787
Fee Comparison
MBS
$1425.80
DVA
$1389.65
-$36.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1945.55
RMFS Out-Hosp
$1945.55
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —7 joints (H) (Anaes.) (Assist.)
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49788
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —8 joints (H) (Anaes.) (Assist.)
$1555.35 $1515.95
Item Number
49788
Fee Comparison
MBS
$1555.35
DVA
$1515.95
-$39.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2122.45
RMFS Out-Hosp
$2122.35
Full Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —8 joints (H) (Anaes.) (Assist.)
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49789
Bilateral arthrodesis of first metatarsophalangeal joint, 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.)
$1337.80 $1303.90
Item Number
49789
Fee Comparison
MBS
$1337.80
DVA
$1303.90
-$33.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1825.70
RMFS Out-Hosp
$1825.50
Full Description
Bilateral arthrodesis of first metatarsophalangeal joint, 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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49790
Revision of arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of exostosis at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion (H) (Anaes.) (Assist.)
$1162.00 $1132.55
Item Number
49790
Fee Comparison
MBS
$1162.00
DVA
$1132.55
-$29.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1585.75
RMFS Out-Hosp
$1585.60
Full Description
Revision of arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of exostosis at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion (H) (Anaes.) (Assist.)
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49791
Arthrodesis of hallux interphalangeal or lesser metatarsophalangeal joint, 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.)
$526.85 $513.50
Item Number
49791
Fee Comparison
MBS
$526.85
DVA
$513.50
-$13.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$719.05
RMFS Out-Hosp
$718.90
Full Description
Arthrodesis of hallux interphalangeal or lesser metatarsophalangeal joint, 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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49792
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —one or 2 toes (H) (Anaes.) (Assist.)
$591.75 $576.75
Item Number
49792
Fee Comparison
MBS
$591.75
DVA
$576.75
-$15.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$807.60
RMFS Out-Hosp
$807.45
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —one or 2 toes (H) (Anaes.) (Assist.)
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49793
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —3 toes (H) (Anaes.) (Assist.)
$690.35 $672.85
Item Number
49793
Fee Comparison
MBS
$690.35
DVA
$672.85
-$17.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$942.20
RMFS Out-Hosp
$942.00
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —3 toes (H) (Anaes.) (Assist.)
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49794
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —4 toes (H) (Anaes.) (Assist.)
$788.95 $768.95
Item Number
49794
Fee Comparison
MBS
$788.95
DVA
$768.95
-$20.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1076.80
RMFS Out-Hosp
$1076.55
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —4 toes (H) (Anaes.) (Assist.)
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49795
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —5 toes (H) (Anaes.) (Assist.)
$887.60 $865.10
Item Number
49795
Fee Comparison
MBS
$887.60
DVA
$865.10
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1211.35
RMFS Out-Hosp
$1211.15
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —5 toes (H) (Anaes.) (Assist.)
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49796
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —6 toes (H) (Anaes.) (Assist.)
$986.25 $961.25
Item Number
49796
Fee Comparison
MBS
$986.25
DVA
$961.25
-$25.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1345.95
RMFS Out-Hosp
$1345.75
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —6 toes (H) (Anaes.) (Assist.)
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49797
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —7 toes (H) (Anaes.) (Assist.)
$1084.85 $1057.35
Item Number
49797
Fee Comparison
MBS
$1084.85
DVA
$1057.35
-$27.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1480.35
RMFS Out-Hosp
$1480.30
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —7 toes (H) (Anaes.) (Assist.)
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49798
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —8 toes (H) (Anaes.) (Assist.)
$1183.50 $1153.50
Item Number
49798
Fee Comparison
MBS
$1183.50
DVA
$1153.50
-$30.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1614.90
RMFS Out-Hosp
$1614.90
Full Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —8 toes (H) (Anaes.) (Assist.)
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49800
Primary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
$157.75 $153.75
Item Number
49800
Fee Comparison
MBS
$157.75
DVA
$153.75
-$4.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$227.75
Full Description
Primary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
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49803
Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
$202.90 $197.75
Item Number
49803
Fee Comparison
MBS
$202.90
DVA
$197.75
-$5.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$276.85
Full Description
Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
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49806
Subcutaneous tenotomy of foot, by small percutaneous incisions—one or more tendons (Anaes.)
$157.75 $153.75
Item Number
49806
Fee Comparison
MBS
$157.75
DVA
$153.75
-$4.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$227.75
RMFS Out-Hosp
$215.25
Full Description
Subcutaneous tenotomy of foot, by small percutaneous incisions—one or more tendons (Anaes.)
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49809
Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
$259.10 $252.55
Item Number
49809
Fee Comparison
MBS
$259.10
DVA
$252.55
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$373.65
Full Description
Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
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49812
Advancement of tendon or ligament transfer of foot, including: (a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and (b) either or both of the following (if performed): (i) synovial biopsy; (ii) synovectomy; —one major tendon or toe (H) (Anaes.) (Assist.)
$518.25 $505.10
Item Number
49812
Fee Comparison
MBS
$518.25
DVA
$505.10
-$13.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$747.35
Full Description
Advancement of tendon or ligament transfer of foot, including: (a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and (b) either or both of the following (if performed): (i) synovial biopsy; (ii) synovectomy; —one major tendon or toe (H) (Anaes.) (Assist.)
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49814
Reconstruction of major tendon of ankle, by any method, including: (a) osteotomy of hindfoot, with internal fixation; and (b) lengthening of major tendon of ankle; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) adjacent tendon transfer; (iv) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
$1183.35 $1153.35
Item Number
49814
Fee Comparison
MBS
$1183.35
DVA
$1153.35
-$30.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1614.70
RMFS Out-Hosp
$1614.70
Full Description
Reconstruction of major tendon of ankle, by any method, including: (a) osteotomy of hindfoot, with internal fixation; and (b) lengthening of major tendon of ankle; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) adjacent tendon transfer; (iv) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
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49815
Triple arthrodesis of hindfoot joints, 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 joints (H) (Anaes.) (Assist.)
$1641.35 $1599.75
Item Number
49815
Fee Comparison
MBS
$1641.35
DVA
$1599.75
-$41.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2848.95
Full Description
Triple arthrodesis of hindfoot joints, 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 joints (H) (Anaes.) (Assist.)
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MBS Fee
$563.40
DVA Fee
$549.10
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of ligament of talonavicular or metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement (H) (Anaes.) (Assist.)
MBS Fee
$1690.35
DVA Fee
$1647.50
Category
Category 3 — Therapeutic Procedures
Description
Revision of 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
MBS Fee
$1595.70
DVA Fee
$1555.25
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of extended ankle and hindfoot, 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
$2393.60
DVA Fee
$2332.95
Category
Category 3 — Therapeutic Procedures
Description
Revision of arthrodesis of extended ankle and hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
MBS Fee
$422.60
DVA Fee
$411.90
Category
Category 3 — Therapeutic Procedures
Description
Arthroereisis of subtalar joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
MBS Fee
$619.75
DVA Fee
$604.05
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsal, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —one metatarsal (H) (Anaes.) (Assist.)
MBS Fee
$929.60
DVA Fee
$906.05
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —2 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1084.60
DVA Fee
$1057.10
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —3 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1239.45
DVA Fee
$1208.05
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —4 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1394.50
DVA Fee
$1359.15
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —5 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1549.35
DVA Fee
$1510.10
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —6 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1704.35
DVA Fee
$1661.15
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —7 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1859.20
DVA Fee
$1812.10
Category
Category 3 — Therapeutic Procedures
Description
Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —8 metatarsals (H) (Anaes.) (Assist.)
MBS Fee
$1084.60
DVA Fee
$1057.10
Category
Category 3 — Therapeutic Procedures
Description
Unilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
MBS Fee
$1802.75
DVA Fee
$1757.05
Category
Category 3 — Therapeutic Procedures
Description
Bilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
MBS Fee
$444.65
DVA Fee
$433.40
Category
Category 3 — Therapeutic Procedures
Description
Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—each incision (H) (Anaes.) (Assist.)
MBS Fee
$392.45
DVA Fee
$382.50
Category
Category 3 — Therapeutic Procedures
Description
Excision of rheumatoid nodules or gouty tophi, excluding aftercare, including any of the following (if performed): (a) capsulotomy; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercle or osteophyte; —each incision (H) (Anaes.) (Assist.)
MBS Fee
$486.40
DVA Fee
$474.05
Category
Category 3 — Therapeutic Procedures
Description
Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one web space (H) (Anaes.) (Assist.)
MBS Fee
$331.25
DVA Fee
$322.85
Category
Category 3 — Therapeutic Procedures
Description
Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
MBS Fee
$447.25
DVA Fee
$435.90
Category
Category 3 — Therapeutic Procedures
Description
Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item 30023 applies that is performed at the same site—one foot (H) (Anaes.) (Assist.)
MBS Fee
$1406.85
DVA Fee
$1371.20
Category
Category 3 — Therapeutic Procedures
Description
Revision of arthrodesis of joint of hindfoot, 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; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non‑union or malunion; other than a service associated with a service to which item 30023 applies that is performed at the same site—may only be claimed once per joint (H) (Anaes.) (Assist.)
MBS Fee
$833.00
DVA Fee
$811.90
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of joint of midfoot, 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; —one joint (H) (Anaes.) (Assist.)
MBS Fee
$1249.50
DVA Fee
$1217.85
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of joints of midfoot, 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 joints; —2 joints (H) (Anaes.) (Assist.)
MBS Fee
$1457.70
DVA Fee
$1420.75
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of joints of midfoot, 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 joints; —3 joints (H) (Anaes.) (Assist.)
MBS Fee
$1665.85
DVA Fee
$1623.65
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of joints of midfoot, 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 joints; —4 joints (H) (Anaes.) (Assist.)
MBS Fee
$1249.50
DVA Fee
$1217.85
Category
Category 3 — Therapeutic Procedures
Description
Revision of arthrodesis of joint of midfoot, 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 ostephytes at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion; —one joint (H) (Anaes.) (Assist.)
MBS Fee
$676.75
DVA Fee
$659.60
Category
Category 3 — Therapeutic Procedures
Description
Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023 applies that is performed at the same site (H) (Anaes.) (Assist.)
MBS Fee
$907.55
DVA Fee
$884.55
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —3 joints (H) (Anaes.) (Assist.)
MBS Fee
$1037.20
DVA Fee
$1010.90
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —4 joints (H) (Anaes.) (Assist.)
MBS Fee
$1166.70
DVA Fee
$1137.15
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —5 joints (H) (Anaes.) (Assist.)
MBS Fee
$1296.25
DVA Fee
$1263.40
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —6 joints (H) (Anaes.) (Assist.)
MBS Fee
$1425.80
DVA Fee
$1389.65
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —7 joints (H) (Anaes.) (Assist.)
MBS Fee
$1555.35
DVA Fee
$1515.95
Category
Category 3 — Therapeutic Procedures
Description
Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —8 joints (H) (Anaes.) (Assist.)
MBS Fee
$1337.80
DVA Fee
$1303.90
Category
Category 3 — Therapeutic Procedures
Description
Bilateral arthrodesis of first metatarsophalangeal joint, 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
$1162.00
DVA Fee
$1132.55
Category
Category 3 — Therapeutic Procedures
Description
Revision of arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of exostosis at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion (H) (Anaes.) (Assist.)
MBS Fee
$526.85
DVA Fee
$513.50
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis of hallux interphalangeal or lesser metatarsophalangeal joint, 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
$591.75
DVA Fee
$576.75
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —one or 2 toes (H) (Anaes.) (Assist.)
MBS Fee
$690.35
DVA Fee
$672.85
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —3 toes (H) (Anaes.) (Assist.)
MBS Fee
$788.95
DVA Fee
$768.95
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —4 toes (H) (Anaes.) (Assist.)
MBS Fee
$887.60
DVA Fee
$865.10
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —5 toes (H) (Anaes.) (Assist.)
MBS Fee
$986.25
DVA Fee
$961.25
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —6 toes (H) (Anaes.) (Assist.)
MBS Fee
$1084.85
DVA Fee
$1057.35
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —7 toes (H) (Anaes.) (Assist.)
MBS Fee
$1183.50
DVA Fee
$1153.50
Category
Category 3 — Therapeutic Procedures
Description
Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —8 toes (H) (Anaes.) (Assist.)
MBS Fee
$157.75
DVA Fee
$153.75
Category
Category 3 — Therapeutic Procedures
Description
Primary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
MBS Fee
$202.90
DVA Fee
$197.75
Category
Category 3 — Therapeutic Procedures
Description
Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
MBS Fee
$157.75
DVA Fee
$153.75
Category
Category 3 — Therapeutic Procedures
Description
Subcutaneous tenotomy of foot, by small percutaneous incisions—one or more tendons (Anaes.)
MBS Fee
$259.10
DVA Fee
$252.55
Category
Category 3 — Therapeutic Procedures
Description
Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (H) (Anaes.) (Assist.)
MBS Fee
$518.25
DVA Fee
$505.10
Category
Category 3 — Therapeutic Procedures
Description
Advancement of tendon or ligament transfer of foot, including: (a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and (b) either or both of the following (if performed): (i) synovial biopsy; (ii) synovectomy; —one major tendon or toe (H) (Anaes.) (Assist.)
MBS Fee
$1183.35
DVA Fee
$1153.35
Category
Category 3 — Therapeutic Procedures
Description
Reconstruction of major tendon of ankle, by any method, including: (a) osteotomy of hindfoot, with internal fixation; and (b) lengthening of major tendon of ankle; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) adjacent tendon transfer; (iv) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
MBS Fee
$1641.35
DVA Fee
$1599.75
Category
Category 3 — Therapeutic Procedures
Description
Triple arthrodesis of hindfoot joints, 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 joints (H) (Anaes.) (Assist.)
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