Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_45051
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 45051
Character Range: 2382387–2384092

45051                                           Contour reconstruction by open repair of contour defects, due to deformity, if:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       492.95
                                                (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and
                                                (b) insertion of a non‑biological implant is required, other than one or more of the following:
                                                (i) insertion of a non‑biological implant that is a component of another service specified in Group T8;
                                                (ii) injection of liquid or semisolid material;
                                                (iii) an oral and maxillofacial implant service to which item 52321 applies;
                                                (iv) a service to insert mesh; and
                                                (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes
                                                (H) (Anaes.) (Assist.)