Brain and nervous system

The following MBS item numbers are included in this clinical category.

6011
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her--an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital
6013
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her--an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital
6015
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her--an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital
6016
Professional attendance on a patient by a specialist practising in his or her specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6007 lasting more than 10 minutes; or (ii) provided with item 6009, 6011, 6013 or 6015; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (a) within a telehealth eligible area; and (b) at the time of the attendance--at least 15 kms by road from the specialist; or (ii) is a care recipient in a residential care service; or (iii) is a patient of: (a) an aboriginal medical service; or (b) an aboriginal community controlled health service; for which a direction made under subsection 19(2) of the act applies
14227
Implanted infusion pump, refilling of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity
14230
Intrathecal or epidural spinal catheter insertion or replacement of, for connection to a subcutaneous implanted infusion pump, for the management of severe chronic spasticity with baclofen (Anaes.) (Assist.)
14233
Infusion pump, subcutaneous implantation or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.) (Assist.)
14236
Infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.) (Assist.)
14239
Removal of subcutaneously implanted infusion pump, or removal or repositioning of intrathecal or epidural spinal catheter, for the management of severe chronic spasticity (Anaes.)
14242
Subcutaneous reservoir and spinal catheter, insertion of, for the management of severe chronic spasticity (Anaes.)
18377
Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of chronic migraine, including all injections in 1 day, if: (a) the patient is at least 18 years of age; and (b) the patient has experienced an inadequate response, intolerance or contraindication to at least 3 prophylactic migraine medications before commencement of treatment with botulinum toxin, as manifested by an average of 15 or more headache days per month, with at least 8 days of migraine, over a period of at least 6 months, before commencement of treatment with botulinum toxin; and (c) the requirements relating to botulinum toxin type a under the pharmaceutical benefits scheme are complied withfor each patient—applicable not more than twice except if the patient achieves and maintains at least a 50% reduction in the number of headache days per month from baseline after 2 treatment cycles (each of 12 weeks duration)
35000
Lumbar sympathectomy (Anaes.) (Assist.)
35003
Cervical or upper thoracic sympathectomy by any surgical approach (Anaes.) (Assist.)
35006
Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (Anaes.) (Assist.)
35009
Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (Anaes.) (Assist.)
35012
Sacral or pre-sacral sympathectomy (Anaes.) (Assist.)
35412
Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling if performed, with parent artery preservation, not for use with liquid embolics only, including aftercare, including intra-operative imaging, but in association with the following pre-operative diagnostic imaging items: - either 60009 or 60010; and - either 60072, 60073, 60075, 60076, 60078 or 60079 (Anaes.) (Assist.)
35414
Mechanical thrombectomy, in a patient with a diagnosis of acute ischaemic stroke caused by occlusion of a large vessel of the anterior cerebral circulation, including intra-operative imaging and aftercare, if: (a) the diagnosis is confirmed by an appropriate imaging modality such as computed tomography, magnetic resonance imaging or angiography; and (b) the service is performed by a specialist or consultant physician with appropriate training that is recognised by the Conjoint Committee for Recognition of Training in Interventional Neuroradiology; and (c) the service is provided in an eligible stroke centre. For any particular patient - applicable once per presentation by the patient at an eligible stroke centre, regardless of the number of times mechanical thrombectomy is attempted during that presentation (Anaes.) (Assist.)
39003
Cisternal puncture (Anaes.)
39006
Ventricular puncture (not including burr-hole) (Anaes.)
39009
Subdural haemorrhage, tap for, each tap (Anaes.)
39012
Burr-hole, single, preparatory to ventricular puncture or for inspection purpose - not being a service to which another item applies (Anaes.)
39013
Injection under image intensification with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves (Anaes.)
39015
Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of - including burr-hole (excluding after-care) (Anaes.) (Assist.)
39018
Cerebrospinal fluid reservoir, insertion of (Anaes.) (Assist.)
39300
Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (Anaes.) (Assist.)
39303
Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
39306
Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.)
39309
Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
39312
Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.)
39315
Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)
39318
Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (Anaes.) (Assist.)
39321
Nerve, transposition of (Anaes.) (Assist.)
39324
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Anaes.) (Assist.)
39327
Neurectomy, neurotomy or removal of tumour from deep peripheral or cranial nerve, by open operation, not being a service to which item 41575, 41576, 41578 or 41579 applies (Anaes.) (Assist.)
39330
Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (Anaes.) (Assist.)
39333
Brachial plexus, exploration of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
39500
Vestibular nerve, section of, via posterior fossa (Anaes.) (Assist.)
39503
Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (Anaes.) (Assist.)
39600
Intracranial haemorrhage, burr-hole craniotomy for - including burr-holes (Anaes.) (Assist.)
39603
Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (Anaes.) (Assist.)
39606
Fractured skull, depressed or comminuted, operation for (Anaes.) (Assist.)
39609
Fractured skull, compound, without dural penetration, operation for (Anaes.) (Assist.)
39612
Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Anaes.) (Assist.)
39615
Fractured skull with rhinorrhoea or otorrhoea, repair of by cranioplasty or endoscopic approach (Anaes.) (Assist.)
39640
Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (Anaes.) (Assist.)
39642
Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension, (intracranial procedure) (Anaes.) (Assist.)
39646
Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve, (intracranial procedure) (Anaes.) (Assist.)
39650
Tumour involving middle cranial fossa and infra-temporal fossa, removal of, craniotomy and radical or sub-total radical excision, with division and reconstruction of zygomatic arch, (intracranial procedure) (Anaes.) (Assist.)
39653
Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub-total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies (Anaes.) (Assist.)
39654
Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure), conjoint surgery, principal surgeon (Anaes.) (Assist.)
39656
Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub-total radical excision, (intracranial procedure), conjoint surgery, co-surgeon (Assist.)
39658
Tumour involving the clivus, radical or sub-total radical excision of, involving transoral or transmaxillary approach (Anaes.) (Assist.)
39660
Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (Anaes.) (Assist.)
39662
Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (Anaes.) (Assist.)
39700
Skull tumour, benign or malignant, excision of, excluding cranioplasty (Anaes.) (Assist.)
39703
Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (Anaes.) (Assist.)
39706
Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (Anaes.) (Assist.)
39709
Craniotomy for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem - not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
39712
Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
39715
Pituitary tumour, removal of, by transcranial or transphenoidal approach (Anaes.) (Assist.)
39718
Arachnoidal cyst, craniotomy for (Anaes.) (Assist.)
39721
Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (Anaes.) (Assist.)
39800
Aneurysm, clipping or reinforcement of sac (Anaes.) (Assist.)
39803
Intracranial arteriovenous malformation, excision of (Anaes.) (Assist.)
39806
Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (Anaes.) (Assist.)
39812
Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (Anaes.) (Assist.)
39815
Carotid-cavernous fistula, obliteration of - combined cervical and intracranial procedure (Anaes.) (Assist.)
39818
Extracranial to intracranial bypass using superficial temporal artery (Anaes.) (Assist.)
39821
Extracranial to intracranial bypass using saphenous vein graft (Anaes.) (Assist.)
39900
Intracranial infection, drainage of, via burr-hole - including burr-hole (Anaes.) (Assist.)
39903
Intracranial abscess, excision of (Anaes.) (Assist.)
39906
Osteomyelitis of skull or removal of infected bone flap, craniectomy for (Anaes.) (Assist.)
40000
Ventriculo-cisternostomy (Torkildsen's operation) (Anaes.) (Assist.)
40003
Cranial or cisternal shunt diversion, insertion of (Anaes.) (Assist.)
40006
Lumbar shunt diversion, insertion of (Anaes.) (Assist.)
40009
Cranial, cisternal or lumbar shunt, revision or removal of (Anaes.) (Assist.)
40012
Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (Anaes.) (Assist.)
40015
Subtemporal decompression (Anaes.) (Assist.)
40018
Lumbar cerebrospinal fluid drain, insertion of (Anaes.)
40100
Meningocele, excision and closure of (Anaes.) (Assist.)
40103
Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (Anaes.) (Assist.)
40106
Arnold-Chiari malformation, decompression of (Anaes.) (Assist.)
40109
Encephalocoele, excision and closure of (Anaes.) (Assist.)
40112
Tethered cord, release of, including lipomeningocele or diastematomyelia (Anaes.) (Assist.)
40115
Craniostenosis, operation for - single suture (Anaes.) (Assist.)
40118
Craniostenosis, operation for - more than 1 suture (Anaes.) (Assist.)
40303
Recurrent disc lesion or spinal stenosis, or both, partial or total laminectomy for - 1 level (Anaes.) (Assist.)
40306
Spinal stenosis, partial or total laminectomy for, involving more than 1 vertebral interspace (disc level) (Anaes.) (Assist.)
40331
Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
40332
Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies (Anaes.) (Assist.)
40334
Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
40335
Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)
40342
Hydromyelia, craniotomy and partial or total laminectomy for, with cavity packing and csf shunt (Anaes.) (Assist.)
40345
Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (Anaes.) (Assist.)
40348
Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (Anaes.) (Assist.)
40351
Thoraco-lumbar or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (Anaes.) (Assist.)
40600
Cranioplasty, reconstructive (Anaes.) (Assist.)
40700
Corpus callosum, anterior section of, for epilepsy (Anaes.) (Assist.)
40701
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, subcutaneous placement of electrical pulse generator, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
40702
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
40703
Corticectomy, topectomy or partial lobectomy for epilepsy (Anaes.) (Assist.)
40704
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical placement of lead, including connection of lead to left vagus nerve and intra-operative test stimulation, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
40705
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of lead attached to left vagus nerve for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
40706
Hemispherectomy for intractable epilepsy (Anaes.) (Assist.)
40707
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, electrical analysis and programming of vagus nerve stimulation therapy device using external wand, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery
40708
Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical replacement of battery in electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treating refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
40709
Burr-hole placement of intracranial depth or surface electrodes (Anaes.) (Assist.)
40712
Intracranial electrode placement via craniotomy (Anaes.) (Assist.)
40800
Stereotactic anatomical localisation, as an independent procedure (Anaes.) (Assist.)
40801
Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation, and lesion production in the basal ganglia, brain stem or deep white matter tracts, not being a service associated with deep brain stimulation for parkinson's disease, essential tremor or dystonia (Anaes.) (Assist.)
40803
Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Anaes.) (Assist.)
40850
deep brain stimulation (unilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of: parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability (Anaes.) (Assist.)
40851
deep brain stimulation (bilateral) functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes for the treatment of:parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.) (Assist.)
40852
deep brain stimulation (unilateral) subcutaneous placement of neurostimulator receiver or pulse generator for the treatment of:parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.) (Assist.)
40854
deep brain stimulation (unilateral) revision or removal of brain electrode for the treatment of:parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.)
40856
deep brain stimulation (unilateral) removal or replacement of neurostimulator receiver or pulse generator for the treatment of: parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.)
40858
deep brain stimulation (unilateral) placement, removal or replacement of extension lead for the treatment of: parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.)
40860
deep brain stimulation (unilateral) target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire for the treatment of:parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.)
40862
deep brain stimulation (unilateral) electronic analysis and programming of neurostimulator pulse generator for the treatment of: parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations; oressential tremor or dystonia where the patient's symptoms cause severe disability. (Anaes.)
40903
Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr hole (Anaes.) (Assist.)
40905
Craniotomy, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities (Anaes.)
43987
Neuroblastoma, radical excision of (Anaes.) (Assist.)
48630
Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (Anaes.) (Assist.)
52800
Neurolysis by open operation, without transposition, not being a service associated with a service to which item 52803 applies (Anaes.) (Assist.)
52803
Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.)
52806
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (Anaes.) (Assist.)
52809
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (Anaes.) (Assist.)
52812
Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.)
52815
Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
52818
Nerve, transposition of (Anaes.) (Assist.)
52821
Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)
52824
Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (Anaes.) (Assist.)
52826
Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.)
52828
Cutaneous nerve, primary repair of, using microsurgical techniques (Anaes.) (Assist.)
52830
Cutaneous nerve, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
52832
Cutaneous nerve, nerve graft to, using microsurgical techniques (Anaes.) (Assist.)


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