Subcutaneous lipoma
Meaning of subcutaneous lipoma: For the purposes of this Statement of Principles, subcutaneous lipoma: (a) means a benign neoplasm of mature adipose cells occurring in subcutaneous tissues, which is usually surrounded by a capsule; and (b) excludes: (i) breast lipoma; (ii) fat hyperplasia; (iii) liposarcoma; and (iv) prolapse of adipose tissue. (3) While subcutaneous lipoma attracts ICD-10-AM code D17, in applying this Statement of Principles the meaning of subcutaneous lipoma is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Reasonable Hypothesis (RH) — Statement of Principles No. 82 of 2024
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting subcutaneous lipoma or death from subcutaneous lipoma with the circumstances of a person's relevant service:
- (1)having alcohol use disorder at the time of the clinical onset of benign symmetrical lipomatosis;
Note: Benign symmetrical lipomatosis is also known as multiple symmetrical lipomatosis or Madelung disease, which usually manifests as multiple symmetrical fat deposits in the head, neck and shoulder area.
- (2)having blunt trauma to the affected site within the 3 years the before the clinical onset of encapsulated lipoma;
- (3)inability to obtain appropriate clinical management for subcutaneous lipoma before clinical worsening;
Aggravation-only factors: the factors in subsection 9(3) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 83 of 2024
2 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, subcutaneous lipoma or death from subcutaneous lipoma is connected with the circumstances of a person's relevant service:
- (1)having alcohol use disorder at the time of the clinical onset of benign symmetrical lipomatosis;
Note: Benign symmetrical lipomatosis is also known as multiple symmetrical lipomatosis or Madelung disease, which usually manifests as multiple symmetrical fat deposits in the head, neck and shoulder area.
- (2)inability to obtain appropriate clinical management for subcutaneous lipoma before clinical worsening;
Aggravation-only factors: the factors in subsection 9(2) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
