Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 43975 | Group T8 · Subheading 3 | $2606.55 | ≠ CHANGED | ||||
|
Item Number
43975
Schedule Fee
$2606.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
CHOLEDOCHAL CYST, resection of, with 2 duct anastomoses (Anaes.) (Assist.)
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| 43978 | Group T8 · Subheading 3 | $2218.25 | ≠ CHANGED | ||||
|
Item Number
43978
Schedule Fee
$2218.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
BILIARY ATRESIA, portoenterostomy for (Anaes.) (Assist.)
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| 43981 | Group T8 · Subheading 3 | $610.05 | ≠ CHANGED | ||||
|
Item Number
43981
Schedule Fee
$610.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
NEPHROBLASTOMA, NEUROBLASTOMA OR OTHER MALIGNANT TUMOUR, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)
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| 43984 | Group T8 · Subheading 3 | $1552.75 | ≠ CHANGED | ||||
|
Item Number
43984
Schedule Fee
$1552.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
NEPHROBLASTOMA, radical nephrectomy for (Anaes.) (Assist.)
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| 43987 | Group T8 · Subheading 3 | $1719.20 | ≠ CHANGED | ||||
|
Item Number
43987
Schedule Fee
$1719.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
NEUROBLASTOMA, radical excision of (Anaes.) (Assist.)
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| 43990 | Group T8 · Subheading 3 | $2107.45 | ≠ CHANGED | ||||
|
Item Number
43990
Schedule Fee
$2107.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Aganglionosis Coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes.) (Assist.)
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| 43993 | Group T8 · Subheading 3 | $2273.75 | ≠ CHANGED | ||||
|
Item Number
43993
Schedule Fee
$2273.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Aganglionosis Coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma (Anaes.) (Assist.)
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| 43996 | Group T8 · Subheading 3 | $2551.00 | ≠ CHANGED | ||||
|
Item Number
43996
Schedule Fee
$2551.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Aganglionosis Coli, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis (Anaes.) (Assist.)
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| 43999 | Group T8 · Subheading 3 | $319.00 | ≠ CHANGED | ||||
|
Item Number
43999
Schedule Fee
$319.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Aganglionosis Coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
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| 44101 | Group T8 · Subheading 3 | $399.85 | ≠ CHANGED | ||||
|
Item Number
44101
Schedule Fee
$399.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.2015
Gov. Change Flags
Fee ≠
Full Description
RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
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| 44102 | Group T8 · Subheading 3 | $307.60 | ≠ CHANGED | ||||
|
Item Number
44102
Schedule Fee
$307.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
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| 44104 | Group T8 · Subheading 3 | $70.25 | ≠ CHANGED | ||||
|
Item Number
44104
Schedule Fee
$70.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.09.2015
Gov. Change Flags
Fee ≠
Full Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient under 2 years of age (H) (Anaes.)
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| 44105 | Group T8 · Subheading 3 | $53.95 | ≠ CHANGED | ||||
|
Item Number
44105
Schedule Fee
$53.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient 2 years of age or over (H) (Anaes.)
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|
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| 44108 | Group T8 · Subheading 3 | $722.70 | ≠ CHANGED | ||||
|
Item Number
44108
Schedule Fee
$722.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months (H) (Anaes.) (Assist.)
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| 44111 | Group T8 · Subheading 3 | $811.15 | ≠ CHANGED | ||||
|
Item Number
44111
Schedule Fee
$811.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Obstructed or strangulated inguinal hernia, laparoscopic or open repair of, at age less than 12 months, including orchidopexy when performed (H) (Anaes.) (Assist.)
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|
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| 44114 | Group T8 · Subheading 3 | $811.15 | ≠ CHANGED | ||||
|
Item Number
44114
Schedule Fee
$811.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months when orchidopexy also required (H) (Anaes.) (Assist.)
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|
|||||||
| 44130 | Group T8 · Subheading 4 | $554.50 | ≠ CHANGED | ||||
|
Item Number
44130
Schedule Fee
$554.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (H) (Anaes.) (Assist.)
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| 44133 | Group T8 · Subheading 4 | $440.10 | ≠ CHANGED | ||||
|
Item Number
44133
Schedule Fee
$440.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
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| 44136 | Group T8 · Subheading 4 | $202.90 | ≠ CHANGED | ||||
|
Item Number
44136
Schedule Fee
$202.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 4
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
Ingrown toe nail, operation for, under general anaesthesia (H) (Anaes.)
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| 44325 | Group T8 | $353.90 | ≠ CHANGED | ||||
|
Item Number
44325
Schedule Fee
$353.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of hand, transcarpal (H) (Anaes.) (Assist.)
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|||||||
| 44328 | Group T8 | $426.55 | ≠ CHANGED | ||||
|
Item Number
44328
Schedule Fee
$426.55
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) (Anaes.) (Assist.)
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|||||||
| 44331 | Group T8 | $703.25 | ≠ CHANGED | ||||
|
Item Number
44331
Schedule Fee
$703.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation at shoulder (H) (Anaes.) (Assist.)
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| 44334 | Group T8 | $1429.40 | ≠ CHANGED | ||||
|
Item Number
44334
Schedule Fee
$1429.40
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Interscapulothoracic amputation (H) (Anaes.) (Assist.)
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| 44338 | Group T8 | $172.40 | ≠ CHANGED | ||||
|
Item Number
44338
Schedule Fee
$172.40
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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|||||||
| 44342 | Group T8 | $263.15 | ≠ CHANGED | ||||
|
Item Number
44342
Schedule Fee
$263.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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|||||||
| 44346 | Group T8 | $304.00 | ≠ CHANGED | ||||
|
Item Number
44346
Schedule Fee
$304.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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| 44350 | Group T8 | $344.95 | ≠ CHANGED | ||||
|
Item Number
44350
Schedule Fee
$344.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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| 44354 | Group T8 | $394.75 | ≠ CHANGED | ||||
|
Item Number
44354
Schedule Fee
$394.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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|||||||
| 44358 | Group T8 | $263.15 | ≠ CHANGED | ||||
|
Item Number
44358
Schedule Fee
$263.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) (Anaes.) (Assist.)
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| 44359 | Group T8 | $315.85 | ≠ CHANGED | ||||
|
Item Number
44359
Schedule Fee
$315.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1999
Gov. Change Flags
Fee ≠
Full Description
Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; —applicable only once per foot per occasion on which the service is performed (H) (Anaes.) (Assist.)
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| 44361 | Group T8 | $522.35 | ≠ CHANGED | ||||
|
Item Number
44361
Schedule Fee
$522.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
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|||||||
| 44364 | Group T8 | $353.90 | ≠ CHANGED | ||||
|
Item Number
44364
Schedule Fee
$353.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
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|||||||
| 44367 | Group T8 | $624.70 | ≠ CHANGED | ||||
|
Item Number
44367
Schedule Fee
$624.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.)
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| 44370 | Group T8 | $862.05 | ≠ CHANGED | ||||
|
Item Number
44370
Schedule Fee
$862.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Amputation at hip (H) (Anaes.) (Assist.)
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|||||||
| 44373 | Group T8 | $1769.45 | ≠ CHANGED | ||||
|
Item Number
44373
Schedule Fee
$1769.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Hindquarter, amputation of (H) (Anaes.) (Assist.)
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|||||||
| 44376 | Group T8 | — | |||||
|
Item Number
44376
Schedule Fee
—
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: D
Benefit: A
Effective Dates
Item from: 01.12.1991
Gov. Change Flags
No changes flagged
Full Description
Amputation stump, re‑amputation of, to provide adequate skin and muscle cover (H) (Anaes.) (Assist.)
Derived Fee Formula
75% of the original amputation fee
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|||||||
| 45000 | Group T8 · Subheading 1 | $647.85 | ≠ CHANGED | ||||
|
Item Number
45000
Schedule Fee
$647.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31383 (Anaes.)
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|||||||
| 45003 | Group T8 · Subheading 1 | $720.15 | ≠ CHANGED | ||||
|
Item Number
45003
Schedule Fee
$720.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
EMSN Cap
%: 80%
Gov. Change Flags
Fee ≠
Full Description
Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31383 (Anaes.)
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|||||||
| 45006 | Group T8 · Subheading 1 | $1242.00 | ≠ CHANGED | ||||
|
Item Number
45006
Schedule Fee
$1242.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
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| 45009 | Group T8 · Subheading 1 | $453.70 | ≠ CHANGED | ||||
|
Item Number
45009
Schedule Fee
$453.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Single stage local muscle flap repair to 1 defect, simple and small, other than a service associated with a service to which item 30278, 30281 or 41722 applies (H) (Anaes.) (Assist.)
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| 45012 | Group T8 · Subheading 1 | $931.45 | ≠ CHANGED | ||||
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Item Number
45012
Schedule Fee
$931.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Single stage large muscle flap repair to one defect (pectoralis major, gastrocnemius, gracilis or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
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| 45015 | Group T8 · Subheading 1 | $359.95 | ≠ CHANGED | ||||
|
Item Number
45015
Schedule Fee
$359.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
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| 45018 | Group T8 · Subheading 1 | $566.95 | ≠ CHANGED | ||||
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Item Number
45018
Schedule Fee
$566.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171; and (b) other than a service associated with a service to which item 39615, 39715, 40106 or 40109 applies; and (c) other than a service to which item 38502 applies (H) (Anaes.) (Assist.)
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| 45019 | Group T8 · Subheading 1 | $474.85 | ≠ CHANGED | ||||
|
Item Number
45019
Schedule Fee
$474.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 19.06.1997
Gov. Change Flags
Fee ≠
Full Description
Full face chemical peel for severely sun‑damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period (Anaes.)
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| 45021 | Group T8 · Subheading 1 | $212.30 | ≠ CHANGED | ||||
|
Item Number
45021
Schedule Fee
$212.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Abrasive therapy for severely disfiguring scarring of face resulting from trauma, burns or acne, if sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes—limited to one claim per patient per episode (Anaes.)
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| 45025 | Group T8 · Subheading 1 | $212.30 | ≠ CHANGED | ||||
|
Item Number
45025
Schedule Fee
$212.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1995
EMSN Cap
%: 80%
Gov. Change Flags
Fee ≠
Full Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
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| 45026 | Group T8 · Subheading 1 | $477.05 | ≠ CHANGED | ||||
|
Item Number
45026
Schedule Fee
$477.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1995
EMSN Cap
%: 80%
Gov. Change Flags
Fee ≠
Full Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
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|||||||
| 45027 | Group T8 · Subheading 1 | $144.10 | ≠ CHANGED | ||||
|
Item Number
45027
Schedule Fee
$144.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H) (Anaes.)
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| 45030 | Group T8 · Subheading 1 | $162.45 | ≠ CHANGED | ||||
|
Item Number
45030
Schedule Fee
$162.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of (Anaes.)
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| 45033 | Group T8 · Subheading 1 | $294.30 | ≠ CHANGED | ||||
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Item Number
45033
Schedule Fee
$294.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of (H) (Anaes.) (Assist.)
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