Medicare Benefits Schedule - Item 35401

Search Results for Item 35401

Category 3 - THERAPEUTIC PROCEDURES

35401

35401 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Nov-2021

Group
T8 - Surgical Operations
Subgroup
3 - Vascular
Subheading
13 - Interventional Radiology Procedures

Vertebroplasty, for one or more fractures in one or more vertebrae, performed by an interventional radiologist, for the treatment of a painful osteoporotic thoracolumbar vertebral compression fracture of the thoracolumbar spinal segment (T11, T12, L1 or L2), if:

(a) pain is severe (numeric rated pain score greater than or equal to 7 out of 10); and

(b) symptoms are poorly controlled by opiate therapy; and

(c) severe pain duration is 3 weeks or less; and

(d) there is MRI (or SPECT‑CT if MRI unavailable) evidence of acute vertebral fracture

Applicable only once for the same fracture, but is applicable for a new fracture of the same vertebra or vertebrae (H)

Multiple Operation Rule

(Anaes.)

Fee: $710.50 Benefit: 75% = $532.90


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change