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Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait, including:

(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 flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and

(d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and

(e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and

(f) correction of foot instability by os calcis lengthening or subtalar fusion;

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

Multiple Operation Rule

Fee: $4,871.20 Benefit: 75% = $3,653.40

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

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Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait including:

(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 flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and

(d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and

(e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and

(f) correction of foot instability by os calcis lengthening or subtalar fusion;

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

Multiple Operation Rule

Fee: $4,871.20 Benefit: 75% = $3,653.40

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

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