Billing Codes — Australian Health Schedule Tracker

Showing 3701–3750 of 6045 Pg 75/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	49392	Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$5520.50	—	≠ CHANGED
Item Number 49392 Schedule Fee $5520.50 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: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49394	Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$4731.80	—	≠ CHANGED
Item Number 49394 Schedule Fee $4731.80 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) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49396	Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$3154.55	—	≠ CHANGED
Item Number 49396 Schedule Fee $3154.55 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: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49398	Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$2365.95	—	≠ CHANGED
Item Number 49398 Schedule Fee $2365.95 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: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49500	Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$450.65	—	≠ CHANGED
Item Number 49500 Schedule Fee $450.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49503	Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$586.00	—	≠ CHANGED
Item Number 49503 Schedule Fee $586.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49506	Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$879.05	—	≠ CHANGED
Item Number 49506 Schedule Fee $879.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49509	Total synovectomy of knee, by open procedure, other than a service performed in association 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 arthroplasty (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$901.55	—	≠ CHANGED
Item Number 49509 Schedule Fee $901.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 synovectomy of knee, by open procedure, other than a service performed in association 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 arthroplasty (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49512	Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49512 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49515	Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1014.15	—	≠ CHANGED
Item Number 49515 Schedule Fee $1014.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49516	Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$2526.80	—	≠ CHANGED
Item Number 49516 Schedule Fee $2526.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49517	Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1443.90	—	≠ CHANGED
Item Number 49517 Schedule Fee $1443.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1993 Gov. Change Flags Fee ≠ Full Description Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49518	Total arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49518 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; 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
	49519	Bilateral total arthroplasty of knee, including patellar resurfacing, other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$2771.25	—	≠ CHANGED
Item Number 49519 Schedule Fee $2771.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, including patellar resurfacing, 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
	49521	Complex primary arthroplasty of knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1915.75	—	≠ CHANGED
Item Number 49521 Schedule Fee $1915.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, using revision femoral or tibial components, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; 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
	49524	Complex primary arthroplasty of knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$2253.75	—	≠ CHANGED
Item Number 49524 Schedule Fee $2253.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee: (a) using revision femoral and tibial components; or (b) using revision femoral or tibial components including anatomic specific allograft of femur or tibia; including either or both of the following (if performed): (c) ligament reconstruction; (d) patellar resurfacing; 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
	49525	Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1915.75	—	≠ CHANGED
Item Number 49525 Schedule Fee $1915.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service described in the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49527	Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49527 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Minor revision of total or partial arthroplasty of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; 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
	49530	Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (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 12	Category 3 — Therapeutic Procedures	$2366.50	—	≠ CHANGED
Item Number 49530 Schedule Fee $2366.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Revision of total or partial arthroplasty of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (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
	49533	Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (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 12	Category 3 — Therapeutic Procedures	$3043.10	—	≠ CHANGED
Item Number 49533 Schedule Fee $3043.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Revision of total or partial arthroplasty of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (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
	49534	Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$870.50	—	≠ CHANGED
Item Number 49534 Schedule Fee $870.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Arthroplasty of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49536	Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1126.80	—	≠ CHANGED
Item Number 49536 Schedule Fee $1126.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49542	Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49542 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49544	Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1836.40	—	≠ CHANGED
Item Number 49544 Schedule Fee $1836.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49548	Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1126.80	—	≠ CHANGED
Item Number 49548 Schedule Fee $1126.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49551	Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1577.30	—	≠ CHANGED
Item Number 49551 Schedule Fee $1577.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49554	Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$2253.75	—	≠ CHANGED
Item Number 49554 Schedule Fee $2253.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than 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
	49564	Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1100.10	—	≠ CHANGED
Item Number 49564 Schedule Fee $1100.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.2000 Gov. Change Flags Fee ≠ Full Description Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49565	Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1578.80	—	≠ CHANGED
Item Number 49565 Schedule Fee $1578.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49569	Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$901.55	—	≠ CHANGED
Item Number 49569 Schedule Fee $901.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49570	Diagnosis of knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$326.70	—	≠ CHANGED
Item Number 49570 Schedule Fee $326.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49572	Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$795.05	—	≠ CHANGED
Item Number 49572 Schedule Fee $795.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49574	Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$795.05	—	≠ CHANGED
Item Number 49574 Schedule Fee $795.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49576	Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$795.05	—	≠ CHANGED
Item Number 49576 Schedule Fee $795.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49578	Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$795.05	—	≠ CHANGED
Item Number 49578 Schedule Fee $795.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49580	Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$795.05	—	≠ CHANGED
Item Number 49580 Schedule Fee $795.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49582	Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$928.30	—	≠ CHANGED
Item Number 49582 Schedule Fee $928.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49584	Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$928.30	—	≠ CHANGED
Item Number 49584 Schedule Fee $928.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49586	Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$928.30	—	≠ CHANGED
Item Number 49586 Schedule Fee $928.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating uncomplicated osteoarthritis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49590	Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$444.65	—	≠ CHANGED
Item Number 49590 Schedule Fee $444.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49592	Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) (Anaes.) (Assist.) Group T8 · Subheading 11	Category 3 — Therapeutic Procedures	$1366.30	—	≠ CHANGED
Item Number 49592 Schedule Fee $1366.30 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: 01.03.2024 Gov. Change Flags Fee ≠ Full Description Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the hip, including pelvis and proximal femur (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49594	Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) (Anaes.) (Assist.) Group T8 · Subheading 12	Category 3 — Therapeutic Procedures	$1093.05	—	≠ CHANGED
Item Number 49594 Schedule Fee $1093.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 12 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 Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the knee, including distal femur, proximal fibula and proximal tibia (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49596	Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$819.85	—	≠ CHANGED
Item Number 49596 Schedule Fee $819.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the lower leg, other than a service to which item 49594 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49703	Surgery of ankle joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$732.50	—	≠ CHANGED
Item Number 49703 Schedule Fee $732.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 ankle joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies if the service described in the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49706	Arthrotomy of joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$394.45	—	≠ CHANGED
Item Number 49706 Schedule Fee $394.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 joint of ankle, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49709	Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$845.00	—	≠ CHANGED
Item Number 49709 Schedule Fee $845.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49712	Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$1126.80	—	≠ CHANGED
Item Number 49712 Schedule Fee $1126.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49715	Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$1352.05	—	≠ CHANGED
Item Number 49715 Schedule Fee $1352.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49716	Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$1784.70	—	≠ CHANGED
Item Number 49716 Schedule Fee $1784.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) or plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	49717	Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) (Anaes.) (Assist.) Group T8 · Subheading 13	Category 3 — Therapeutic Procedures	$2141.65	—	≠ CHANGED
Item Number 49717 Schedule Fee $2141.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 13 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 ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies that is performed at the same site (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category