The item number for this operation is 45520.
The description of this item number is;
“REDUCTION MAMMAPLASTY (unilateral) with surgical repositioning of nipple”
If you have private health insurance then you will be able to claim some money back for the operation. It is important that you check what cover you do have as not all health insurance covers are the same. Some health funds do not cover Private hospital, others have specific exclusions of certain item numbers.
It is important that you have a GP referral that states that you are having significant physical health issues from your large breasts such as rashes under the breast fold, back ache, bra strap pain. The MBS does not specify a weight that needs to be removed from the breast to be eligible for the item number, however each health fund has different rules when it comes to this. In our experience you need to have at least 300 grams of breast tissue removed to be considered a breast reduction by the health funds. Breast lifts are generally not covered by private health funds.
What is covered by the Private health fund?
If you have private health cover that includes this procedure then you will be covered by them for the hospital charges including any overnight stay.
You will also receive a rebate for part of the surgeons fee and the anaesthetist fee.
Every health fund is different.