Billing Codes — Australian Health Schedule Tracker

Showing 3201–3250 of 6045 Pg 65/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	45788	Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1973.85	—	≠ CHANGED
Item Number 45788 Schedule Fee $1973.85 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: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45791	Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1066.25	—	≠ CHANGED
Item Number 45791 Schedule Fee $1066.25 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: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45794	Osseo‑integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$603.15	—	≠ CHANGED
Item Number 45794 Schedule Fee $603.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Osseo‑integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45797	Osseo‑integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$223.25	—	≠ CHANGED
Item Number 45797 Schedule Fee $223.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Osseo‑integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45801	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$161.55	—	≠ CHANGED
Item Number 45801 Schedule Fee $161.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45807	TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$295.10	—	≠ CHANGED
Item Number 45807 Schedule Fee $295.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45809	Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$444.65	—	≠ CHANGED
Item Number 45809 Schedule Fee $444.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45811	Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$601.15	—	≠ CHANGED
Item Number 45811 Schedule Fee $601.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45813	Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$703.25	—	≠ CHANGED
Item Number 45813 Schedule Fee $703.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45815	Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 45815 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45823	Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$130.35	—	≠ CHANGED
Item Number 45823 Schedule Fee $130.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45825	MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$405.00	—	≠ CHANGED
Item Number 45825 Schedule Fee $405.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45827	Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$387.05	—	≠ CHANGED
Item Number 45827 Schedule Fee $387.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45829	MAXILLARY TUBEROSITY, reduction of (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$295.30	—	≠ CHANGED
Item Number 45829 Schedule Fee $295.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description MAXILLARY TUBEROSITY, reduction of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45831	Papillary hyperplasia of the palate, surgical reduction of—cannot be claimed more than once per occasion of service (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$387.05	—	≠ CHANGED
Item Number 45831 Schedule Fee $387.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Papillary hyperplasia of the palate, surgical reduction of—cannot be claimed more than once per occasion of service (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45837	VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$702.00	—	≠ CHANGED
Item Number 45837 Schedule Fee $702.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45841	ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$566.95	—	≠ CHANGED
Item Number 45841 Schedule Fee $566.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45845	Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$603.15	—	≠ CHANGED
Item Number 45845 Schedule Fee $603.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45847	Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$223.25	—	≠ CHANGED
Item Number 45847 Schedule Fee $223.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45849	Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$695.30	—	≠ CHANGED
Item Number 45849 Schedule Fee $695.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45851	Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$171.20	—	≠ CHANGED
Item Number 45851 Schedule Fee $171.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45855	Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$347.75	—	≠ CHANGED
Item Number 45855 Schedule Fee $347.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45857	Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)—one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$782.60	—	≠ CHANGED
Item Number 45857 Schedule Fee $782.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)—one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45865	ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$347.75	—	≠ CHANGED
Item Number 45865 Schedule Fee $347.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45871	Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1602.00	—	≠ CHANGED
Item Number 45871 Schedule Fee $1602.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45873	Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1800.15	—	≠ CHANGED
Item Number 45873 Schedule Fee $1800.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45874	Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 45874 Schedule Fee $1577.30 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45882	The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser. Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$51.50	—	≠ CHANGED
Item Number 45882 Schedule Fee $51.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 Gov. Change Flags Fee ≠ Full Description The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser. Sign in to watch this code → Get an email alert when this item changes
	45888	Removal of a deep foreign body using interventional imaging techniques (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$495.00	—	≠ CHANGED
Item Number 45888 Schedule Fee $495.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 Gov. Change Flags Fee ≠ Full Description Removal of a deep foreign body using interventional imaging techniques (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45891	Repair to one defect using temporalis muscle by a single stage local flap (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$721.10	—	≠ CHANGED
Item Number 45891 Schedule Fee $721.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Repair to one defect using temporalis muscle by a single stage local flap (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45894	Grafting (mucosa or split skin), in the oral cavity of a mucosal defect (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$245.00	—	≠ CHANGED
Item Number 45894 Schedule Fee $245.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 Gov. Change Flags Fee ≠ Full Description Grafting (mucosa or split skin), in the oral cavity of a mucosal defect (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45939	Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$535.05	—	≠ CHANGED
Item Number 45939 Schedule Fee $535.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 Gov. Change Flags Fee ≠ Full Description Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46050	Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$941.45	—	≠ CHANGED
Item Number 46050 Schedule Fee $941.45 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46052	Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$297.15	—	≠ CHANGED
Item Number 46052 Schedule Fee $297.15 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46060	Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3186.20	—	≠ CHANGED
Item Number 46060 Schedule Fee $3186.20 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46062	Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3047.70	—	≠ CHANGED
Item Number 46062 Schedule Fee $3047.70 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46064	Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$2285.90	—	≠ CHANGED
Item Number 46064 Schedule Fee $2285.90 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46066	Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$4571.50	—	≠ CHANGED
Item Number 46066 Schedule Fee $4571.50 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46068	Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3428.85	—	≠ CHANGED
Item Number 46068 Schedule Fee $3428.85 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46070	Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$4571.50	—	≠ CHANGED
Item Number 46070 Schedule Fee $4571.50 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46072	Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3428.85	—	≠ CHANGED
Item Number 46072 Schedule Fee $3428.85 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46080	Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3515.20	—	≠ CHANGED
Item Number 46080 Schedule Fee $3515.20 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46082	Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$6151.55	—	≠ CHANGED
Item Number 46082 Schedule Fee $6151.55 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46084	Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$3047.70	—	≠ CHANGED
Item Number 46084 Schedule Fee $3047.70 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46086	Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$2285.90	—	≠ CHANGED
Item Number 46086 Schedule Fee $2285.90 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46088	Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$5333.40	—	≠ CHANGED
Item Number 46088 Schedule Fee $5333.40 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46090	Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$4000.20	—	≠ CHANGED
Item Number 46090 Schedule Fee $4000.20 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46092	Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$485.95	—	≠ CHANGED
Item Number 46092 Schedule Fee $485.95 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46094	Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$359.05	—	≠ CHANGED
Item Number 46094 Schedule Fee $359.05 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	46100	Excision of burnt tissue, or definitive burn wound closure, if: (a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46111, 46113 to 46123 and 46125 to 46135 apply; other than a service to which item 46112, 46124 or 46136 applies Group T8	Category 3 — Therapeutic Procedures	—	—	≠ CHANGED
Item Number 46100 Schedule Fee — Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: D Benefit: C Effective Dates Item from: 01.07.2023 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Excision of burnt tissue, or definitive burn wound closure, if: (a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46111, 46113 to 46123 and 46125 to 46135 apply; other than a service to which item 46112, 46124 or 46136 applies Derived Fee Formula 40% of the fee for the co-claimed service Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category