MBS Online
MBS Online
MBS Note TN.8.103 | Reduction of eyelids - Items 45617 and 45620
MBS Note TN.8.104 | Rhinoplasty - Items 45632 to 45644 and 45650
Plastic and reconstructive surgery MBS changes
Three new items relating to plastic and reconstructive surgery for nurse practitioners
FAQ about breast augmentation
Table 1
Item | Description |
1 | If a patient has undergone previous cosmetic breast augmentation surgery and there have been complications (such as rupture, migration of prosthetic material, or capsule contracture) can item numbers 45553 or 45554 be billed? Yes. The circumstances of the original implant, such as if it was for cosmetic reasons, do not affect eligibility for MBS rebates if removal and replacement is clinically relevant. |
2 | Is treatment of hypomastia considered to be cosmetic? Yes, breast augmentation for hypomastia (under-developed breasts) is considered cosmetic. There is no MBS item number for surgical treatment of hypomastia. |
FAQ about the reduction of eyelids
Table 2
Item | Description |
1 | Does a health professional need to provide photos when claiming items 45617, 45620, or 45623? No, however full clinical details must be documented in patient notes, including clear photographic evidence of the loss of visual field for audit purposes. |
2 | Can the health professional claim items 45617 or 45620 twice? Yes, the item is payable twice on the same day. Service officers must check for text or notation for left or right eye. |
3 | Can items 45617 and 45623 be claimed on the same occasion? Yes, if the health professional determines that the service is 'clinically relevant'. Medicare benefits may be payable. Service officers must check for text/notation for left and right eye. |
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