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Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening;

(b) correction of muscle imbalance by transfer of a tendon or tendons;

(c) correction of femoral torsion by rotational osteotomy of the femur;

(d) correction of tibial torsion by rotational osteotomy of the tibia;

(e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

Multiple Operation Rule

Fee: $1,297.10 Benefit: 75% = $972.85

(See para TN.8.118 of explanatory notes to this Category)

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Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening;

(b) correction of muscle imbalance by transfer of a tendon or tendons;

(c) correction of femoral torsion by rotational osteotomy of the femur;

(d) correction of tibial torsion by rotational osteotomy of the tibia;

(e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis with synovectomy if performed, or os calcis lengthening;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) 

Multiple Operation Rule

Fee: $1,297.10 Benefit: 75% = $972.85

(See para TN.8.118 of explanatory notes to this Category)

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• Next - Item 50455

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

Multiple Operation Rule

Fee: $1,468.85 Benefit: 75% = $1,101.65

(See para TN.8.118 of explanatory notes to this Category)

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Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

Multiple Operation Rule

Fee: $1,468.85 Benefit: 75% = $1,101.65

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50455
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Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

Multiple Operation Rule

Fee: $2,193.05 Benefit: 75% = $1,644.80

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50456
• Next - Item 50461

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

Multiple Operation Rule

Fee: $2,193.05 Benefit: 75% = $1,644.80

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50460
• Next - Item 50465

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

Multiple Operation Rule

Fee: $3,088.85 Benefit: 75% = $2,316.65

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50461
• Next - Item 50466

Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

Multiple Operation Rule

Fee: $3,088.85 Benefit: 75% = $2,316.65

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50465
• Next - Item 50470

Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and

(e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion;

conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H)

Multiple Operation Rule

Fee: $3,917.40 Benefit: 75% = $2,938.05

(See para TN.8.118 of explanatory notes to this Category)

• Previous - Item 50466
• Next - Item 50471

Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with:

(a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and

(b) correction of muscle imbalance by transfer of a tendon or tendons; and

(c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and

(d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and

(e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion;

conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H)

Multiple Operation Rule

Fee: $3,917.40 Benefit: 75% = $2,938.05

(See para TN.8.118 of explanatory notes to this Category)

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• Next - Item 50475