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52319 - Large Autogenous Bone Graft Harvesting

MBS service description:

Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies—Autogenous, large quantity (H) (Anaes.)
Schedule Fee:
268.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52319 (Large Autogenous Bone Graft Harvesting) typically used?

The need for harvesting a large quantity of autogenous bone graft via a separate incision arises when a patient requires significant bone augmentation in the oral and maxillofacial region—often for major reconstruction—necessitating a substantial amount of the patient’s own bone, taken under anesthesia in a hospital as part of another procedure in Groups O3 to O9. This is indicated for extensive defects needing robust repair, critical where bone supports maxillofacial structure.

Specific scenarios include:

  • Major resection: Post-tumour mandibular loss might need a large graft.
  • Trauma: A shattered maxilla could require extensive bone for rebuilding.
  • Congenital: Large cleft defects might need significant grafting.
  • Stability: Extensive repair ensures functional support.

For instance, a patient post-hemimandiblectomy might need a large iliac graft, tied to reconstruction. In aged care, an elderly patient could benefit from this for major maxillary repair, given their frailty. By harvesting ample bone, this service rebuilds structure, enhances healing, and supports function, making it vital for significant maxillofacial reconstruction.

Benefits to the patient

Surgeons harvesting a large quantity of autogenous bone graft via a separate incision for the patient under anesthesia deliver substantial benefits. A key advantage is restoring large defects. This graft provides ample bone to rebuild the patient’s significant loss—crucial for 'large bone graft benefits.' It also ensures stability by reinforcing the area with natural material, supporting the patient’s structure. Furthermore, it promotes robust healing by using compatible tissue, enhancing the patient’s recovery. For surgeons exploring 'large autogenous graft advantages,' this service ensures patients experience defect restoration, strong stability, and effective healing, making it ideal for extensive bone reconstruction.

Recovery considerations

Recovery of 6-8 weeks with swelling and donor site care; hospital stay required.

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