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18360 - Additional Information

Item Start Date:
Description Updated:
Schedule Fee Updated:

T11 - Botulinum Toxin Injections

Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), or Clostridium Botulinum Type A Toxin Haemagglutinin Complex (Dysport), 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: $137.45 Benefit: 75% = $103.10 85% = $116.85

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

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  • Assist - Addition/Deletion of (Assist.)
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  • 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