Medicare Benefits Schedule - Note TN.7.5

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Category 3 - THERAPEUTIC PROCEDURES

TN.7.5

Regional or Field Nerve Blocks - (Items 18234 to 18298)

Items in the range 18234 - 18298 are intended to cover the injection of anaesthetic into the nerve or nerve sheath and not for the treatment of carpal tunnel or similar compression syndromes. 

Paravertebral nerve block item 18276 covers the provision of regional anaesthesia for surgical and related procedures for the management acute pain or of chronic pain related to radiculopathy. Blockade of lumbar paravertebral nerves should be claimed under 18276. Infiltration of the soft tissue of the paravertebral area for the treatment of other pain symptoms does not attract benefit under this item. Additionally, item 18276 does not cover zygo‑apophyseal joint blocks/injections. This procedure is covered under item 39013. 

Item 18292 may not be claimed for the injection of botulinum toxin, but may be claimed where a neurolytic agent (such as phenol) is used to treat the obturator nerve in patients receiving botulinum toxin injections under item 18354 for a dynamic foot deformity.

 

Related Items: 18234 18236 18238 18240 18242 18244 18248 18250 18252 18254 18256 18258 18260 18262 18264 18266 18268 18270 18272 18276 18278 18280 18282 18284 18286 18288 18292 18354 39013


Related Items

Category 3 - THERAPEUTIC PROCEDURES

18354

18354 - Additional Information

Item Start Date:
01-May-2003
Description Updated:
01-Nov-2014
Schedule Fee Updated:
01-Nov-2023

Botulinum Toxin Type A Purified Neurotixin Complex (Botox) or Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport), injection of, for the treatment of dynamic equinus foot deformity (including equinovarus and equinovalgus) due to spasticity in an ambulant cerebral palsy patient, if:

(a)    the patient is at least 2 years of age; and

(b)    the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve,     with a maximum of 4 sets of injections for the patient on any one day (with a maximum of  2 sets of injections for     each lower limb), including all injections per set

(Anaes.)

Fee: $137.45 Benefit: 75% = $103.10 85% = $116.85

(See para TN.7.5, TN.11.1 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

39013

39013 - Additional Information

Item Start Date:
01-Jul-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Injection of one or more zygo-apophyseal or costo-transverse joints with one or more of contrast media, local anaesthetic or corticosteroid under image guidance

(Anaes.)

Fee: $120.10 Benefit: 75% = $90.10 85% = $102.10

(See para TN.7.5, TN.7.6, TN.8.4, TN.8.240 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18234

18234 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Trigeminal nerve, primary branch (ophthalmic, maxillary or mandibular branches, excluding infraorbital nerve), injection of an anaesthetic agent or steroid, but not in association with a service to which an item in Group T8 applies, unless a targeted percutaneous technique is used 

(Anaes.)

Fee: $137.45 Benefit: 75% = $103.10 85% = $116.85

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18236

18236 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Trigeminal nerve, peripheral branch (including infraorbital nerve), injection of an anaesthetic agent, but not in association with a service to which an item in Group T8 applies, unless a targeted percutaneous technique is used

(Anaes.)

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18238

18238 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Facial nerve, injection of an anaesthetic agent, other than a service associated with a service to which item 18240 applies, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach

Fee: $41.45 Benefit: 75% = $31.10 85% = $35.25

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18240

18240 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

RETROBULBAR OR PERIBULBAR INJECTION of an anaesthetic agent

Fee: $103.00 Benefit: 75% = $77.25 85% = $87.55

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18242

18242 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

GREATER OCCIPITAL NERVE, injection of an anaesthetic agent

(Anaes.)

Fee: $41.45 Benefit: 75% = $31.10 85% = $35.25

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18244

18244 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Vagus nerve, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach

Fee: $111.00 Benefit: 75% = $83.25 85% = $94.35

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18248

18248 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

PHRENIC NERVE, injection of an anaesthetic agent

Fee: $97.55 Benefit: 75% = $73.20 85% = $82.95

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18250

18250 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

SPINAL ACCESSORY NERVE, injection of an anaesthetic agent

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18252

18252 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Cervical plexus, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies,  unless the nerve block is performed using a targeted percutaneous approach

Fee: $111.00 Benefit: 75% = $83.25 85% = $94.35

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18254

18254 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Brachial plexus, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach

Fee: $111.00 Benefit: 75% = $83.25 85% = $94.35

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18256

18256 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

SUPRASCAPULAR NERVE, injection of an anaesthetic agent

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18258

18258 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

INTERCOSTAL NERVE (single), injection of an anaesthetic agent

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18260

18260 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

INTERCOSTAL NERVES (multiple), injection of an anaesthetic agent

Fee: $97.55 Benefit: 75% = $73.20 85% = $82.95

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18262

18262 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Ilio inguinal, iliohypogastric or genitofemoral nerves, one or more of, injections of an anaesthetic agent, not in association with a service to which an item in Group T8 applies,  unless the nerve block is performed using a targeted percutaneous approach

(Anaes.)

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18264

18264 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Pudendal nerve or dorsal nerve (or both), injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach

Fee: $111.00 Benefit: 75% = $83.25 85% = $94.35

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18266

18266 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Ulnar, radial or median nerve, main trunk of, one or more of, injections of an anaesthetic agent, not being associated with a brachial plexus block, not in association with a service to which an item in Group T8 applies,  unless the nerve block is performed using a targeted percutaneous approach

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18268

18268 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

OBTURATOR NERVE, injection of an anaesthetic agent

Fee: $97.55 Benefit: 75% = $73.20 85% = $82.95

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18270

18270 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

FEMORAL NERVE, injection of an anaesthetic agent

Fee: $97.55 Benefit: 75% = $73.20 85% = $82.95

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18272

18272 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

SAPHENOUS, SURAL, POPLITEAL OR POSTERIOR TIBIAL NERVE, MAIN TRUNK OF, 1 or more of, injection of an anaesthetic agent

Fee: $68.85 Benefit: 75% = $51.65 85% = $58.55

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18276

18276 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

PARAVERTEBRAL NERVES, injection of an anaesthetic agent, (multiple levels)

Fee: $137.45 Benefit: 75% = $103.10 85% = $116.85

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18278

18278 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Sciatic nerve, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach

Fee: $97.55 Benefit: 75% = $73.20 85% = $82.95

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18280

18280 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Sphenopalatine ganglion, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies, unless the nerve block is performed using a targeted percutaneous approach 

(Anaes.)

Fee: $137.45 Benefit: 75% = $103.10 85% = $116.85

(See para TN.7.1, TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18282

18282 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Nov-1993
Schedule Fee Updated:
01-Nov-2023

CAROTID SINUS, injection of an anaesthetic agent, as an independent percutaneous procedure

Fee: $111.00 Benefit: 75% = $83.25 85% = $94.35

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18284

18284 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Cervical or thoracic sympathetic chain, injection of an anaesthetic agent 

 

(Anaes.)

Fee: $162.45 Benefit: 75% = $121.85 85% = $138.10

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18286

18286 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Lumbar or pelvic sympathetic chain, injection of an anaesthetic agent 

(Anaes.)

Fee: $162.45 Benefit: 75% = $121.85 85% = $138.10

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18288

18288 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent, not in association with a service to which an item in Group T8 applies,  unless the nerve block is performed using a targeted percutaneous approach 

(Anaes.)

Fee: $162.45 Benefit: 75% = $121.85 85% = $138.10

(See para TN.7.5 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

18292

18292 - Additional Information

Item Start Date:
01-Nov-1993
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Nov-2023

Nerve branch, destruction by a neurolytic agent under image guidance, other than a service to which another item in this Group applies or a service associated with the injection of botulinum toxin except a service to which item 18354 applies  

(Anaes.)

Fee: $137.45 Benefit: 75% = $103.10 85% = $116.85

(See para TN.7.5, TN.7.6 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