Medicare Benefits Schedule - Note TN.7.6

These services must be performed under image guidance.

Imaging items can be co-claimed with these items when indicated.

Related Items: 18290 18292 18294 18296 39013 39014 39100

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Multiple Operation Rule

Injection of primary branch of trigeminal nerve (ophthalmic, maxillary or mandibular branches) with alcohol, cortisone, phenol, or similar neurolytic substance, under image guidance

(Anaes.)

Fee: $277.15 Benefit: 75% = $207.90 85% = $235.60

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

Multiple Operation Rule

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: $127.30 Benefit: 75% = $95.50 85% = $108.25

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

Multiple Operation Rule

Medial branch block of one or more primary posterior rami, injection of an anaesthetic agent under image guidance 

(Anaes.)

Fee: $145.65 Benefit: 75% = $109.25 85% = $123.85

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

Cranial nerve other than trigeminal, destruction by a neurolytic agent under image guidance, other than a service associated with the injection of botulinum toxin 

(Anaes.)

Fee: $291.30 Benefit: 75% = $218.50 85% = $247.65

(See para TN.7.6 of explanatory notes to this Category)

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: $145.65 Benefit: 75% = $109.25 85% = $123.85

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

Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent under image guidance (H)

(Anaes.)

Fee: $205.35 Benefit: 75% = $154.05

(See para TN.7.6 of explanatory notes to this Category)

Lumbar or pelvic sympathetic chain, destruction by a neurolytic agent under image guidance (H)

(Anaes.)

Fee: $175.60 Benefit: 75% = $131.70

(See para TN.7.6 of explanatory notes to this Category)