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Category 3 - THERAPEUTIC PROCEDURES
18360 - Additional Information
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: $142.25 Benefit: 75% = $106.70 85% = $120.95
(See para TN.11.1 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