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1 July 2018 MBS changes to the surgical repair of Pelvic Organ Prolapse (POP) via vaginal approach

Posted: 5th of July, 2018

The Government has announced several changes to the Medicare Benefits Schedule (MBS) to take effect on 1 July 2018. These changes have now been finalised.

The changes to the MBS will amend MBS items 35570; 35571; 35573; and 35577 to clarify that Medicare rebates will be only payable for procedures with native tissue, without graft / mesh.  The descriptors are as follows: 

35570

Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving repair of urethrocele and cystocele), using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies. (H) (Anaes.) (Assist.)

(See para TN.8.2 of explanatory notes to this Category)

Fee: $553.85             Benefit: 75% = $415.40

35571

Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse involving repair of one or more of the following:

(a) perineum;

(b) rectocoele;

(c) enterocoele;

using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies. (H) (Anaes.) (Assist.)

(See para TN.8.2 of explanatory notes to this Category)

Fee: $553.85             Benefit: 75% = $415.40

35573

Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving anterior and posterior compartment defects), using native tissue without graft, other than a service associated with a service to which item 35577 or 35578 applies. (H) (Anaes.) (Assist.)

(See para TN.8.2 of explanatory notes to this Category)

Fee: $830.90             Benefit: 75% = $623.20

35577

Manchester (Donald Fothergill) operation for pelvic organ prolapse (includes cervical amputation, anterior and posterior native tissue vaginal wall repairs without graft). (H) (Anaes.) (Assist.)

(See para TN.8.2 of explanatory notes to this Category)

Fee: $674.50             Benefit: 75% = $505.90


The Minister for Health also announced the introduction of new, interim items for the surgical removal of mesh. The new items are being introduced on an interim basis pending the release of the Medicare Benefits Review Taskforce report on Gynaecology Services. The item descriptors are as follows:

35581

Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies. (H) (Anaes.) (Assist.)

(See para TN.8.140 of explanatory notes to this Category)

Fee: $553.85             Benefit: 75% = $415.40

35582

Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, more than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies. (H) (Anaes.) (Assist.)

(See para TN.8.140 of explanatory notes to this Category)

Fee: $830.90             Benefit: 75% = $623.20

35585

Abdominal procedure either open, laparoscopic or robotic, for removal of graft material in patients symptomatic with graft related complications, including graft related pain or discharge and bleeding related to graft exposure or where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel, including retroperitoneal dissection and mobilisation of bladder and/or bowel, other than a service associated with a service to which item 35581 or 35582 applies. (H) (Anaes.) (Assist.)

Fee: $1,473.20          Benefit: 75% = $1104.90


New explanatory note for Excision of graft material (Items 35581 and 35582):

TN.8.140

For items 35581 and 35582 the size of the excised graft material must be histologically tested and confirmed.


The Department acknowledges the significant work that the Gynaecology Clinical Committee (GCC) of the Medicare Benefits Review Taskforce has undertaken to date in reviewing MBS gynaecological services, including items for POP surgery.  The Department has aligned these changes with the current advice of the GCC where possible.

Please find attached the fact sheet for the above listings, which is also available at www.mbsonline.gov.au.

For any enquiries about the listings, please contact the department at surgicalservices@health.gov.au.

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