Bone, joint and muscle - MBS item (18365)

The following MBS item is included in this clinical category.

18365
Botulinum toxin type a purified neurotoxin complex (Botox) or clostridium botulinum type a toxin-haemagglutinin complex (Dysport) or incobotulinumtoxina (Xeomin), injection of, for the treatment of moderate to severe spasticity of the upper limb following a stroke, if :(a) the patient is at least 18 years of age; and (b) treatment is provided as: (i) second line therapy when standard treatment for the condition has failed; or (ii) an adjunct to physical therapy; and (c) the patient does not have established severe contracture in the limb that is to be treated; 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 upper limb), including all injections per set; and (e) for a patient who has received treatment on 2 previous separate occasions - the patient has responded to the treatment

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