Plastic and reconstructive surgery (medically necesssary)

What are 'Plastic and reconstructive surgery (medically necessary) services'?

Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity, whether acquired as a result of illness or accident or congenital. For example: burns requiring a graft, cleft palate, club foot and angioma.

  • Plastic surgery that is medically necessary relating to the treatment of a skin-related condition is listed separately under Skin.
  • Chemotherapy and radiotherapy for cancer is listed separately under Chemotherapy, radiotherapy and immunotherapy for cancer.

Which level of Hospital cover includes these services?

To find out which level of Hospital cover includes plastic and reconstructive surgery (medically necessary) services, please refer to our Hospital Comparison Table.

What MBS item numbers are included in the Plastic and reconstructive surgery (medically necessary) services category?

Please refer to privatehealth.gov.au for MBS item numbers that are included in the 'Plastic and reconstructive surgery (medically necessary) services' services category.

Important, please note.
The MBS item numbers listed 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.