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Category 3 - THERAPEUTIC PROCEDURES

18360

18360 - Additional Information

Item Start Date:
01-Nov-2005
Description Start Date:
01-Jul-2015
Schedule Fee Start Date:
01-Nov-2012

Group
T11 - BOTULINUM TOXIN INJECTIONS

Untitled document

Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of moderate to severe focal spasticity, if:

(a)     the patient is at least 18 years of age; and

(b)     the spasticity is associated with a previously diagnosed neurological disorder; and

(c)     treatment is provided as:

    (i)     second line therapy when standard treatment for the conditions has failed; or

    (ii)     an adjunct to physical therapy; and

(d)     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 limb), including all injections per set; and

(e)     the treatment is not provided on the same occasion as a service mentioned in item 18365



Fee: $124.85 Benefit: 75% = $93.65 85% = $106.15

(See para T11.1 of explanatory notes to this Category)

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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