Billing Codes — Australian Health Schedule Tracker

Showing 3651–3700 of 6045 Pg 74/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	49109	ELBOW, total synovectomy of (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$845.00	—	≠ CHANGED
Item Number 49109 Schedule Fee $845.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 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 ELBOW, total synovectomy of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49112	Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$845.00	—	≠ CHANGED
Item Number 49112 Schedule Fee $845.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 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 Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49113	Removal of radial head prosthesis (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$840.80	—	≠ CHANGED
Item Number 49113 Schedule Fee $840.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2024 Gov. Change Flags Fee ≠ Full Description Removal of radial head prosthesis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49114	Revision of radial head replacement (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$840.80	—	≠ CHANGED
Item Number 49114 Schedule Fee $840.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2024 Gov. Change Flags Fee ≠ Full Description Revision of radial head replacement (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49115	Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$1352.05	—	≠ CHANGED
Item Number 49115 Schedule Fee $1352.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 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 Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49116	ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$1784.70	—	≠ CHANGED
Item Number 49116 Schedule Fee $1784.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2006 Gov. Change Flags Fee ≠ Full Description ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49117	Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$2141.65	—	≠ CHANGED
Item Number 49117 Schedule Fee $2141.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2006 Gov. Change Flags Fee ≠ Full Description Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49118	ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$326.70	—	≠ CHANGED
Item Number 49118 Schedule Fee $326.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 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 ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49121	Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$732.50	—	≠ CHANGED
Item Number 49121 Schedule Fee $732.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 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 Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49124	Excision of olecranon bursa, including bony prominence, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$444.65	—	≠ CHANGED
Item Number 49124 Schedule Fee $444.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Excision of olecranon bursa, including bony prominence, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49127	Elbow joint, arthroplasty of, other than a service to which another item applies (H) (Anaes.) (Assist.) Group T8 · Subheading 9	Category 3 — Therapeutic Procedures	$840.80	—	≠ CHANGED
Item Number 49127 Schedule Fee $840.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2024 Gov. Change Flags Fee ≠ Full Description Elbow joint, arthroplasty of, other than a service to which another item applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49200	Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$980.25	—	≠ CHANGED
Item Number 49200 Schedule Fee $980.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Wrist, arthrodesis of, with synovectomy if performed, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49203	Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$928.50	—	≠ CHANGED
Item Number 49203 Schedule Fee $928.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49206	Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$676.10	—	≠ CHANGED
Item Number 49206 Schedule Fee $676.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49209	Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$901.55	—	≠ CHANGED
Item Number 49209 Schedule Fee $901.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49210	Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$1190.10	—	≠ CHANGED
Item Number 49210 Schedule Fee $1190.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2006 Gov. Change Flags Fee ≠ Full Description Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49212	Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$281.85	—	≠ CHANGED
Item Number 49212 Schedule Fee $281.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Arthrotomy of wrist or distal radioulnar joint, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49213	Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$1008.40	—	≠ CHANGED
Item Number 49213 Schedule Fee $1008.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49215	Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$777.65	—	≠ CHANGED
Item Number 49215 Schedule Fee $777.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Reconstruction of single or multiple ligaments or capsules of wrist, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49218	Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$326.70	—	≠ CHANGED
Item Number 49218 Schedule Fee $326.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49219	Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$326.70	—	≠ CHANGED
Item Number 49219 Schedule Fee $326.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Diagnosis of carpometacarpal joint of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49220	Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$732.50	—	≠ CHANGED
Item Number 49220 Schedule Fee $732.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Treatment of carpometacarpal joint of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49221	Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$732.50	—	≠ CHANGED
Item Number 49221 Schedule Fee $732.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49224	Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$845.00	—	≠ CHANGED
Item Number 49224 Schedule Fee $845.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49227	Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$845.00	—	≠ CHANGED
Item Number 49227 Schedule Fee $845.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 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 Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49230	Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$1102.65	—	≠ CHANGED
Item Number 49230 Schedule Fee $1102.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, including any of the following (if performed): (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49233	Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$464.20	—	≠ CHANGED
Item Number 49233 Schedule Fee $464.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including any of the following (if performed): (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a distal radioulnar joint reconstruction, a proximal row carpectomy or a limited wrist fusion—applicable once for a single operation (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49236	Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$699.95	—	≠ CHANGED
Item Number 49236 Schedule Fee $699.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Stabilisation of soft tissue of distal radioulnar joint, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49239	Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 10	Category 3 — Therapeutic Procedures	$348.15	—	≠ CHANGED
Item Number 49239 Schedule Fee $348.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 10 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Excision of pisiform or hook of hamate or sesamoid bone of hand, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49300	Sacro-iliac joint—arthrodesis of (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$623.95	—	≠ CHANGED
Item Number 49300 Schedule Fee $623.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Sacro-iliac joint—arthrodesis of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49303	Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$653.55	—	≠ CHANGED
Item Number 49303 Schedule Fee $653.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49306	Hip, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1295.85	—	≠ CHANGED
Item Number 49306 Schedule Fee $1295.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Hip, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49309	Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$901.55	—	≠ CHANGED
Item Number 49309 Schedule Fee $901.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49315	Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1014.15	—	≠ CHANGED
Item Number 49315 Schedule Fee $1014.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49318	Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49318 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49319	Bilateral total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2771.25	—	≠ CHANGED
Item Number 49319 Schedule Fee $2771.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1996 Gov. Change Flags Fee ≠ Full Description Bilateral total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49321	Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1915.75	—	≠ CHANGED
Item Number 49321 Schedule Fee $1915.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 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 Complex primary arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49360	Diagnostic arthroscopy of hip, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure of the hip joint by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$411.75	—	≠ CHANGED
Item Number 49360 Schedule Fee $411.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Diagnostic arthroscopy of hip, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure of the hip joint by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49363	Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$495.70	—	≠ CHANGED
Item Number 49363 Schedule Fee $495.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Diagnostic arthroscopy of hip, with synovial biopsy, other than a service associated with a service to which another item in this Schedule applies that is performed on the hip joint by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49366	Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$732.50	—	≠ CHANGED
Item Number 49366 Schedule Fee $732.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49372	Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1104.05	—	≠ CHANGED
Item Number 49372 Schedule Fee $1104.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49374	Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2050.45	—	≠ CHANGED
Item Number 49374 Schedule Fee $2050.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49376	Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2523.70	—	≠ CHANGED
Item Number 49376 Schedule Fee $2523.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49378	Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2208.05	—	≠ CHANGED
Item Number 49378 Schedule Fee $2208.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49380	Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2681.35	—	≠ CHANGED
Item Number 49380 Schedule Fee $2681.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49382	Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$3470.05	—	≠ CHANGED
Item Number 49382 Schedule Fee $3470.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49384	Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$4100.90	—	≠ CHANGED
Item Number 49384 Schedule Fee $4100.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49386	Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2839.15	—	≠ CHANGED
Item Number 49386 Schedule Fee $2839.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49388	Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$3312.30	—	≠ CHANGED
Item Number 49388 Schedule Fee $3312.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49390	Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$3943.25	—	≠ CHANGED
Item Number 49390 Schedule Fee $3943.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 11 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category