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Joint replacements

What are 'Joint replacements'?

Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses. For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint, spinal disc replacement.

  • Joint fusions are listed separately under Bone, joint and muscle.
  • Spinal fusions are listed separately under Back, neck and spine
  • Joint reconstructions are listed separately under Joint reconstructions.
  • Podiatric surgery performed by a registered podiatric surgeon is listed separately under Podiatric surgery (provided by a registered podiatric surgeon).

Which level of Hospital cover includes these services?

Hospital Psychiatric services are included under our Silver Plus No Maternity Combo, Gold and Gold Star Hospital policies.

What MBS item numbers are included in the Joint replacement category?

46309, 46312, 46315, 46318, 46321, 46324, 46325, 48915, 48918, 48921, 48924, 48927, 49112, 49115, 49116, 49117, 49209, 49210, 49211, 49309, 49312, 49315, 49318, 49319, 49321, 49324, 49327, 49330, 49333, 49336, 49339, 49342, 49345, 49346, 49515, 49517, 49518, 49519, 49521, 49524, 49527, 49530, 49533, 49534, 49554, 49715, 49716, 49717, 49839, 49842, 49857, 50127

Important, please note.
The item numbers listed above will attract benefits from HIF provided that (a) the code forms part of a hospital inpatient admission; (b) the Member holds an eligible Hospital Cover product; and (c) the Member has served the necessary waiting periods.  To search for more information on a particular item code, simply copy and paste the code into Medicare's online search function here: http://www9.health.gov.au/mbs/search.cfm

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