Medicare Benefits Schedule - Note TN.1.18

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Category 3 - THERAPEUTIC PROCEDURES

TN.1.18

Implantable Drug Delivery System for the Treatment of Severe Chronic Spasticity - (Items 14227 to 14237)

Baclofen is provided under Section 100 of the Pharmaceutical Benefits Scheme for the following indications: Severe chronic spasticity, where oral agents have failed or have caused unacceptable side effects, in patients with chronic spasticity:

(a) of cerebral origin; or

(b) due to multiple sclerosis; or

(c) due to spinal cord injury; or

(d) due to spinal cord disease. 

Items 14227, 14234 and 14237 should be used in accordance with these restrictions.

 

Related Items: 14227 14234 14237


Related Items

Category 3 - THERAPEUTIC PROCEDURES

14227

14227 - Additional Information

Item Start Date:
01-May-2006
Description Updated:
01-May-2006
Schedule Fee Updated:
01-Nov-2023

IMPLANTED INFUSION PUMP, REFILLING of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity

Fee: $107.85 Benefit: 75% = $80.90 85% = $91.70

(See para TN.1.18 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

14234

14234 - Additional Information

Item Start Date:
01-Nov-2020
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Nov-2023

Infusion pump or components of an infusion pump, removal or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity

(Anaes.)

Fee: $398.30 Benefit: 75% = $298.75

(See para TN.1.18 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

14237

14237 - Additional Information

Item Start Date:
01-Nov-2020
Description Updated:
01-Nov-2020
Schedule Fee Updated:
01-Nov-2023

Infusion pump or components of an infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity

(Anaes.)

Fee: $726.35 Benefit: 75% = $544.80

(See para TN.1.18 of explanatory notes to this Category)


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