Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 46101 | Group T8 | $404.00 | ≠ CHANGED | ||||
|
Item Number
46101
Schedule Fee
$404.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Excision of burnt tissue, if the area of burn excised involves not more than 1% of the total body surface (Anaes.) (Assist.)
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|
|||||||
| 46102 | Group T8 | $641.30 | ≠ CHANGED | ||||
|
Item Number
46102
Schedule Fee
$641.30
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
Excision of burnt tissue, if the area of burn excised involves more than 1% but less than 3% of the total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46103 | Group T8 | $703.35 | ≠ CHANGED | ||||
|
Item Number
46103
Schedule Fee
$703.35
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Excision of burnt tissue, if the area of burn excised involves 3% or more but less than 10% of the total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46104 | Group T8 | $1073.10 | ≠ CHANGED | ||||
|
Item Number
46104
Schedule Fee
$1073.10
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
Excision of burnt tissue, if the area of burn excised involves 10% or more but less than 20% of the total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46105 | Group T8 | $1443.15 | ≠ CHANGED | ||||
|
Item Number
46105
Schedule Fee
$1443.15
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
Excision of burnt tissue, if the area of burn excised involves 20% or more but less than 30% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46106 | Group T8 | $1813.90 | ≠ CHANGED | ||||
|
Item Number
46106
Schedule Fee
$1813.90
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
Excision of burnt tissue, if the area of burn excised involves 30% or more but less than 40% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46107 | Group T8 | $2184.00 | ≠ CHANGED | ||||
|
Item Number
46107
Schedule Fee
$2184.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Excision of burnt tissue, if the area of burn excised involves 40% or more but less than 50% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46108 | Group T8 | $2553.45 | ≠ CHANGED | ||||
|
Item Number
46108
Schedule Fee
$2553.45
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
Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|
|||||||
| 46109 | Group T8 | $2923.60 | ≠ CHANGED | ||||
|
Item Number
46109
Schedule Fee
$2923.60
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
Excision of burnt tissue, if the area of burn excised involves 60% or more but less than 70% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46110 | Group T8 | $3331.00 | ≠ CHANGED | ||||
|
Item Number
46110
Schedule Fee
$3331.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Excision of burnt tissue, if the area of burn excised involves 70% or more but less than 80% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46111 | Group T8 | $3730.50 | ≠ CHANGED | ||||
|
Item Number
46111
Schedule Fee
$3730.50
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
Excision of burnt tissue, if the area of burn excised involves 80% or more of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46112 | Group T8 | $2059.45 | ≠ CHANGED | ||||
|
Item Number
46112
Schedule Fee
$2059.45
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 ≠
Descriptor ≠
Full Description
Excision of burnt tissue, if the area of burn excised involves whole of face (excluding ears)—may be claimed with any one of items 46101 to 46111, based on the percentage total body surface (excluding the face), excluding aftercare (H) (Anaes.) (Assist.)
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|
|||||||
| 46113 | Group T8 | $404.00 | ≠ CHANGED | ||||
|
Item Number
46113
Schedule Fee
$404.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Excised burn wound closure, or closure of skin defect secondary to burns contracture release, to an area of less than 1% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure, or autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface; or (iii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound (H) (Anaes.) (Assist.)
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|
|||||||
| 46114 | Group T8 | $641.30 | ≠ CHANGED | ||||
|
Item Number
46114
Schedule Fee
$641.30
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, or closure of skin defect secondary to burns contracture release, to an area of at least 1% but less than 3% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure, or autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface; or (iii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound (H) (Anaes.) (Assist.)
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|
|||||||
| 46115 | Group T8 | $703.35 | ≠ CHANGED | ||||
|
Item Number
46115
Schedule Fee
$703.35
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Excised burn wound closure or closure of skin defect secondary to burns contracture release, to an area of at least 3% but less than 10% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure, or autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface; or (iii) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound (H) (Anaes.) (Assist.)
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|
|||||||
| 46116 | Group T8 | $1073.10 | ≠ CHANGED | ||||
|
Item Number
46116
Schedule Fee
$1073.10
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure or closure of skin defect secondary to burns contracture release, to an area of at least 10% but less than 20% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision or contracture release; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) for a patient aged less than 15 years—autologous skin cell suspension for definitive closure, or autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iii) for a patient aged 15 years or over—autologous skin cell suspension for definitive closure, or autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure, if the total area being treated in the procedure is at least 20% of total body surface; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|
|||||||
| 46117 | Group T8 | $1443.15 | ≠ CHANGED | ||||
|
Item Number
46117
Schedule Fee
$1443.15
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 20% but less than 30% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46118 | Group T8 | $1813.90 | ≠ CHANGED | ||||
|
Item Number
46118
Schedule Fee
$1813.90
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 30% but less than 40% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46119 | Group T8 | $2184.00 | ≠ CHANGED | ||||
|
Item Number
46119
Schedule Fee
$2184.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 40% but less than 50% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46120 | Group T8 | $2553.45 | ≠ CHANGED | ||||
|
Item Number
46120
Schedule Fee
$2553.45
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 50% but less than 60% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and (b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46121 | Group T8 | $2923.60 | ≠ CHANGED | ||||
|
Item Number
46121
Schedule Fee
$2923.60
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 60% but less than 70% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46122 | Group T8 | $3331.00 | ≠ CHANGED | ||||
|
Item Number
46122
Schedule Fee
$3331.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 70% but less than 80% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and (b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46123 | Group T8 | $3730.50 | ≠ CHANGED | ||||
|
Item Number
46123
Schedule Fee
$3730.50
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure, to an area of at least 80% of total body surface, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46124 | Group T8 | $2059.45 | ≠ CHANGED | ||||
|
Item Number
46124
Schedule Fee
$2059.45
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 ≠
Descriptor ≠
Full Description
Excised burn wound closure of whole of face, if the service: (a) is performed at the same time as the procedure for the primary burn wound excision; and(b) involves: (i) autologous skin grafting for definitive closure; or(ii) autologous skin cell suspension for definitive closure; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting for definitive closure; or(iv) allogenic skin grafting, or biosynthetic skin substitutes, to temporize the excised wound; excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46125 | Group T8 | $404.00 | ≠ CHANGED | ||||
|
Item Number
46125
Schedule Fee
$404.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves less than 1% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (Anaes.) (Assist.)
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|||||||
| 46126 | Group T8 | $641.30 | ≠ CHANGED | ||||
|
Item Number
46126
Schedule Fee
$641.30
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
Non‑excisional debridement of superficial or mid‑dermal partial thickness burns, if the area of burn involves 1% or more but less than 3% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (H) (Anaes.) (Assist.)
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|||||||
| 46127 | Group T8 | $888.35 | ≠ CHANGED | ||||
|
Item Number
46127
Schedule Fee
$888.35
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 3% or more but less than 10% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements) (H) (Anaes.) (Assist.)
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|||||||
| 46128 | Group T8 | $1628.55 | ≠ CHANGED | ||||
|
Item Number
46128
Schedule Fee
$1628.55
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
Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 10% or more but less than 30% of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46129 | Group T8 | $2980.30 | ≠ CHANGED | ||||
|
Item Number
46129
Schedule Fee
$2980.30
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
Non-excisional debridement of superficial or mid-dermal partial thickness burns, if the area of burn involves 30% or more of total body surface, and application of skin substitute (skin allograft or biosynthetic epidermal replacements), excluding aftercare (H) (Anaes.) (Assist.)
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|||||||
| 46130 | Group T8 | $404.00 | ≠ CHANGED | ||||
|
Item Number
46130
Schedule Fee
$404.00
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, to an area involving less than 1% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure or simple dressings; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension, or autologous skin cell suspension in conjunction with autologous skin grafting, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46131 | Group T8 | $641.30 | ≠ CHANGED | ||||
|
Item Number
46131
Schedule Fee
$641.30
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 ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, to an area involving at least 1% but less than 3% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure or simple dressings; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension, or autologous skin cell suspension in conjunction with autologous skin grafting, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface (H) (Anaes.) (Assist.)
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| 46132 | Group T8 | $703.35 | ≠ CHANGED | ||||
|
Item Number
46132
Schedule Fee
$703.35
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: 01.07.2023
Gov. Change Flags
Fee ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, to an area involving at least 3% but less than 10% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure or simple dressings; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension, or autologous skin cell suspension in conjunction with autologous skin grafting, if the total area being treated in the procedure is: (A) for a patient aged less than 15 years—at least 10% of total body surface; or(B) for a patient aged 15 years or over—at least 20% of total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46133 | Group T8 | $1073.10 | ≠ CHANGED | ||||
|
Item Number
46133
Schedule Fee
$1073.10
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 ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis or secondary to release of burns scar contracture, to an area involving at least 10% but less than 20% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure or simple dressings; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) for a patient aged less than 15 years—autologous skin cell suspension, or autologous skin cell suspension in conjunction with autologous skin grafting; or(iii) for a patient aged 15 years or over—autologous skin cell suspension, or autologous skin cell suspension in conjunction with autologous skin grafting, if the total area being treated in the procedure is at least 20% of total body surface; (excluding aftercare) (H) (Anaes.) (Assist.)
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|||||||
| 46134 | Group T8 | $2374.90 | ≠ CHANGED | ||||
|
Item Number
46134
Schedule Fee
$2374.90
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 ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, to an area involving at least 20% but less than 30% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting; (excluding aftercare) (H) (Anaes.) (Assist.)
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|||||||
| 46135 | Group T8 | $3730.50 | ≠ CHANGED | ||||
|
Item Number
46135
Schedule Fee
$3730.50
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 ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, to an area involving at least 30% of total body surface, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting; (excluding aftercare) (H) (Anaes.) (Assist.)
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|||||||
| 46136 | Group T8 | $2059.45 | ≠ CHANGED | ||||
|
Item Number
46136
Schedule Fee
$2059.45
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 ≠
Descriptor ≠
Full Description
Definitive burn wound closure, or closure of skin defect secondary to necrotising fasciitis, of whole face, if the service: (a) is provided following a previous procedure that used non‑autologous temporary wound closure; and(b) involves: (i) autologous tissue (split skin graft or other); or(ii) autologous skin cell suspension; or(iii) autologous skin cell suspension in conjunction with autologous skin grafting; (excluding aftercare) (H) (Anaes.) (Assist.)
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|||||||
| 46140 | Group T8 | $308.10 | ≠ CHANGED | ||||
|
Item Number
46140
Schedule Fee
$308.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is less than 1% of total body surface, including direct repair if performed (Anaes.) (Assist.)
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|||||||
| 46141 | Group T8 | $462.25 | ≠ CHANGED | ||||
|
Item Number
46141
Schedule Fee
$462.25
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 1% or more but less than 3% of total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46142 | Group T8 | $554.55 | ≠ CHANGED | ||||
|
Item Number
46142
Schedule Fee
$554.55
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
Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 3% or more but less than 10% of total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46143 | Group T8 | $718.85 | ≠ CHANGED | ||||
|
Item Number
46143
Schedule Fee
$718.85
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
Burns contracture, release of, by excision or incision of scar, if the defect resulting from surgery is 10% or more but less than 20% of total body surface (H) (Anaes.) (Assist.)
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|||||||
| 46150 | Group T8 | $1591.65 | ≠ CHANGED | ||||
|
Item Number
46150
Schedule Fee
$1591.65
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
Mandible or maxilla, procedure for advancement, retrusion or alteration of tilt, by osteotomy in standard planes, including fixation by any means (including application of distractors if used)—one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46151 | Group T8 | $1735.45 | ≠ CHANGED | ||||
|
Item Number
46151
Schedule Fee
$1735.45
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
Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)—conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46152 | Group T8 | $1301.60 | ≠ CHANGED | ||||
|
Item Number
46152
Schedule Fee
$1301.60
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
Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)—conjoint surgery, conjoint specialist surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46153 | Group T8 | $2169.10 | ≠ CHANGED | ||||
|
Item Number
46153
Schedule Fee
$2169.10
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
Mandible and maxilla (bimaxillary), procedure for advancement, retrusion or alteration of tilt, or combination of these, by osteotomies in standard planes, including fixation by any means (including application of distractors if used)—single surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46154 | Group T8 | $1816.50 | ≠ CHANGED | ||||
|
Item Number
46154
Schedule Fee
$1816.50
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
Maxilla, procedure for reshaping arch of, by complex segmental osteotomies, including fixation by any means (including application of distractors if used), one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46155 | Group T8 | $1816.50 | ≠ CHANGED | ||||
|
Item Number
46155
Schedule Fee
$1816.50
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
Mandible, procedure for reshaping arch of, by complex segmental osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used), one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46156 | Group T8 | $2073.75 | ≠ CHANGED | ||||
|
Item Number
46156
Schedule Fee
$2073.75
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—conjoint surgery, principal specialist surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46157 | Group T8 | $1555.30 | ≠ CHANGED | ||||
|
Item Number
46157
Schedule Fee
$1555.30
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
Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—conjoint surgery, conjoint specialist surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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|||||||
| 46158 | Group T8 | $2592.15 | ≠ CHANGED | ||||
|
Item Number
46158
Schedule Fee
$2592.15
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
Mandible and maxilla (bimaxillary), procedure for any combination of arch reshaping, advancement, retrusion or tilting of, involving complex segmental osteotomies, with or without standard osteotomies, including genioplasty (if performed) and fixation by any means (including application of distractors if used)—single surgeon, one service per patient on the same occasion (H) (Anaes.) (Assist.)
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| 46159 | Group T8 | $2293.35 | ≠ CHANGED | ||||
|
Item Number
46159
Schedule Fee
$2293.35
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: 01.07.2023
Gov. Change Flags
Fee ≠
Full Description
Midfacial osteotomies, Le Fort II or Le Fort III—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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