Medicare Benefits Schedule - Item 39137

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View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

39137

39137 - Additional Information

Item Start Date:
01-Mar-2022
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T8 - Surgical Operations
Subgroup
7 - Neurosurgical
Subheading
2 - Pain Relief

Epidural or peripheral nerve lead that was implanted for the management of chronic neuropathic pain or pain from refractory angina pectoris, open surgical repositioning of, to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, other than a service to which item 39130, 39138 or 39139 applies (H) 

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $640.00 Benefit: 75% = $480.00

(See para TN.8.244 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.244

Implanted device items

As with all interventions, implant procedures should be performed in the context of clinical best practice. This is of particular importance given the high cost of the devices. Current clinical best practice for use of these item numbers includes:

-          All procedures being performed in the context of a comprehensive pain management approach with a multidisciplinary team.

-          Patients should be appropriately selected for the procedure, including, but not limited to assessment of physical and psychological function prior to implantation with findings documented in the medical record.

-          Outcome evaluation pre and post implantation.

-          Appropriate follow up and ongoing management of implanted medical devices should be ensured.

Implantable devices require ongoing monitoring and management. If the person providing the implantation service is not the ongoing physician manager of the device, they are responsible for ensuring that appropriate ongoing management has been arranged.

Items 39130 and 39139 provide for the insertion of one or multiple leads. There is no intention to change current billing practices for these items, e.g. where more than one lead may be billed as part of an episode. 

Related Items: 14218 39125 39126 39127 39128 39130 39131 39133 39134 39135 39136 39137 39139 39141


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