Back neck and spine

The following MBS item numbers are included in this clinical category. The following is an indicative list of MBS items that are covered in the clinical category. Other MBS items not listed here may also be covered. If you cannot find the item you are looking for, please speak with your insurer.

30672
Coccyx, excision of (Anaes.) (Assist.)
40300
Intervertebral disc or discs, partial or total laminectomy for removal of (Anaes.) (Assist.)
40301
Intervertebral disc or discs, microsurgical discectomy of (Anaes.) (Assist.)
40309
Extradural tumour or abscess, partial or total laminectomy for (Anaes.) (Assist.)
40312
Intradural lesion, partial or total laminectomy for, not being a service to which another item in this Group applies (Anaes.) (Assist.)
40315
Craniocervical junction lesion, transoral approach for (Anaes.) (Assist.)
40316
Odontoid screw fixation (Anaes.) (Assist.)
40318
Intramedullary tumour or arteriovenous malformation, partial or total laminectomy and radical excision of (Anaes.) (Assist.)
40321
Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (Anaes.) (Assist.)
40324
Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together laminectomy, including aftercare (Anaes.) (Assist.)
40327
Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together posterior fusion, including aftercare (Assist.)
40330
Spinal rhizolysis involving exposure of spinal nerve roots for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels with or without partial or total laminectomy (Anaes.) (Assist.)
40333
Cervical partial or total discectomy (anterior), without fusion (Anaes.) (Assist.)
40336
Intradiscal injection of chymopapain (discase) - 1 disc (Anaes.) (Assist.)
40339
Hydromyelia, plugging of obex for, with or without duroplasty (Anaes.) (Assist.)
44133
Torticollis, open division of sternomastoid muscle for (Anaes.) (Assist.)
47681
Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements - each attendance
47684
Spine, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, with immobilisation by calipers or halo (Anaes.) (Assist.)
47687
Spine, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, with immobilisation by calipers or halo, and including up to 14 days post-operative care (Assist.)
47690
Spine, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation (Anaes.) (Assist.)
47693
Spine, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, with immobilisation by calipers or halo, requiring reduction by closed manipulation, including up to 14 days post-operative care (Assist.)
47696
Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital (Anaes.) (Assist.)
47699
Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Anaes.) (Assist.)
47702
Spine, treatment of fracture, dislocation or fracture-dislocation with cord involvement requiring open reduction with or without internal fixation, including up to 14 days post-operative care (Anaes.) (Assist.)
47705
Skull calipers, insertion of, as an independent procedure (Anaes.) (Assist.)
47708
Plaster jacket, application of, as an independent procedure (Anaes.)
47711
Halo, application of, as an independent procedure (Anaes.) (Assist.)
47714
Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes.)
47717
Halo-thoracic traction - application of both halo and thoracic jacket (Anaes.) (Assist.)
47720
Halo-femoral traction, as an independent procedure (Anaes.) (Assist.)
47723
Halo-femoral traction in conjunction with a major spine operation (Anaes.) (Assist.)
48600
Spine, manipulation of, performed in the operating theatre of a hospital (Anaes.)
48603
Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital, not being a service associated with a service to which item 48600 or 50115 applies (Anaes.)
48606
Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (Anaes.) (Assist.)
48612
Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (Anaes.) (Assist.)
48613
Scoliosis or kyphosis, spinal fusion for, using segmental instrumentation, reconstruction using separate anterior and posterior approaches (Anaes.) (Assist.)
48615
Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (Anaes.) (Assist.)
48618
Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (Anaes.) (Assist.)
48621
Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) - not more than 4 levels (Anaes.) (Assist.)
48624
Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels (Anaes.) (Assist.)
48627
Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (Anaes.) (Assist.)
48632
Scoliosis, congenital, vertebral resection and fusion for (Anaes.) (Assist.)
48636
Percutaneous lumbar partial or total discectomy, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty (Anaes.) (Assist.)
48639
Vertebral body, total or subtotal excision of, including bone grafting or other form of fixation (Anaes.) (Assist.)
48640
Vertebral body, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes.) (Assist.)
48642
Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels (Anaes.) (Assist.)
48645
Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - more than 2 levels (Anaes.) (Assist.)
48648
Spine, bone graft to, (postero-lateral fusion) - 1 or 2 levels (Anaes.) (Assist.)
48651
Spine, bone graft to, (postero-lateral fusion) - more than 2 levels (Anaes.) (Assist.)
48654
Spinal fusion (posterior interbody), with partial or total laminectomy, 1 level (Anaes.) (Assist.)
48657
Spinal fusion (posterior interbody), with partial or total laminectomy, more than 1 level (Anaes.) (Assist.)
48660
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (Anaes.) (Assist.)
48663
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level - principal surgeon (Anaes.)
48666
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level - assisting surgeon
48669
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (Anaes.) (Assist.)
48672
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level - principal surgeon (Anaes.)
48675
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level - assisting surgeon
48678
Spine, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Anaes.) (Assist.)
48681
Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies (Anaes.) (Assist.)
48684
Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels (Anaes.) (Assist.)
48687
Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels (Anaes.) (Assist.)
48690
Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - more than 4 levels (Anaes.) (Assist.)
48691
Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301 (Anaes.) (Assist.)
48692
Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301 - principal surgeon (Anaes.) (Assist.)
48693
Lumbar artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal fusion surgery at the same lumbar level; and (b) does not have vertebral osteoporosis; and (c) has failed conservative therapy; other than a service associated with item 40300 or 40301—assisting surgeon (Anaes.) (Assist.)
48694
Cervical artificial intervertebral total disc replacement, at one level only, including removal of disc, for a patient who: (a) has not had prior spinal surgery at the same cervical level; and (b) is skeletally mature; and (c) has symptomatic degenerative disc disease with radiculopathy; and (d) does not have vertebral osteoporosis; and (e) has failed conservative therapy; other than a service associated with item 40300 or 40301 (Anaes.) (Assist.)
50600
Scoliosis or kyphosis, in a growing child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital (Anaes.) (Assist.)
50604
Scoliosis or kyphosis, in a child or adolescent, spinal fusion for (without instrumentation) (Anaes.) (Assist.)
50608
Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50612
Scoliosis or kyphosis, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50616
Scoliosis, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (Anaes.) (Assist.)
50620
Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50624
Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels (Anaes.) (Assist.)
50628
Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels (Anaes.) (Assist.)
50632
Scoliosis or kyphosis, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50636
Scoliosis, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50640
Scoliosis, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which item 48642 to 48675 applies (Anaes.) (Assist.)
50644
Spine, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (Anaes.) (Assist.)


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