Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_45528
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 45528
Character Range: 2416338–2417777

45528                                           Mammaplasty, augmentation, bilateral (other than a service to which item 45527 applies), if:                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1,157.40
                                                (a) reconstructive surgery is indicated because of:
                                                (i) developmental malformation of breast tissue (excluding hypomastia); or
                                                (ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or
                                                (iii) amastia secondary to a congenital endocrine disorder; and
                                                (b) photographic or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes
                                                other than a service associated with a service to which item 45006 or 45012 applies (H) (Anaes.) (Assist.)