Medicare Benefits Schedule - Item 36671

Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if:

(a) the patient has been diagnosed with idiopathic overactive bladder; and

(b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and

(c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and

(d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and

(e) the patient is willing and able to comply with the treatment protocol; and

(f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and

(g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes.

For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period.

Not applicable for a service associated with a service to which item 36672 or 36673 applies

Multiple Operation Rule

Fee: $220.15 Benefit: 75% = $165.15 85% = $187.15

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