Workers Rehabilitation and Compensation (Scales of Charges—Medical Practitioners) Variation Regulations 2008



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Neurosurgical


39000

Lumbar puncture (Anaes.)

$170.00

39003

Cisternal puncture (Anaes.)

$161.50

39006

Ventricular puncture (not including burr-hole) (Anaes.)

$268.50

39009

Subdural haemorrhage, tap for, each tap (Anaes.)

$106.60

39012

Burr-hole, single, preparatory to ventricular puncture or for inspection purpose - not being a service to which another item applies (Anaes.)

$404.10

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.)

$166.40

39015

Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of - including burr-hole (excluding after-care) (Assist.) (Anaes.)

$576.60

39018

Cerebrospinal fluid reservoir, insertion of (Assist.) (Anaes.)

$532.40

39100

Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.)

$404.10

39106

Neurectomy, intracranial, for trigeminal neuralgia (Assist.) (Anaes.)

$2,146.60

39109

Trigeminal gangliotomy by radiofrequency, balloon or glycerol (Anaes.)

$807.10

39112

Cranial nerve, intracranial decompression of, using microsurgical techniques (Assist.) (Anaes.)

$2,146.60

39115

Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (Anaes.)

$166.40

39118

Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Assist.) (Anaes.)

$492.90

39121

Percutaneous cordotomy (Assist.) (Anaes.)

$1,205.10

39124

Cordotomy or myelotomy, partial or total laminectomy for, or operation for dorsal root entry zone (Drez) lesion (Assist.) (Anaes.)

$2,479.40

39125

Intrathecal or epidural spinal catheter insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of chronic intractable pain (Assist.) (Anaes.)

$500.30

39126

Infusion pump, subcutaneous implantation or replacement of, and connection of the pump to an intrathecal or epidural catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain (Assist.) (Anaes.)

$608.70

39127

Subcutaneous reservoir and spinal catheter, insertion of, for the management of chronic intractable pain (Anaes.)

$1,005.60

39128

Infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion of, and connection of pump to catheter, and filling of reservoir with a therapeutic agent or agents, with or without programming the pump, for the management of chronic intractable pain (Assist.) (Anaes.)

$1,115.20

39130

Epidural lead, percutaneous placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads (Anaes.)

$1,031.40

39131

Electrodes, epidural or peripheral nerve, management of patient and adjustment or reprogramming of neurostimulator by a medical practitioner, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris - each day

$215.60

39133

Removal of subcutaneously implanted infusion pump or removal or repositioning of intrathecal or epidural spinal catheter, for the management of chronic intractable pain (Anaes.)

$268.50

39134

Neurostimulator or receiver, subcutaneous placement of, including placement and connection of extension wires to epidural or peripheral nerve electrodes, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris (Assist.) (Anaes.)

$576.60

39135

Neurostimulator or receiver, that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital (Anaes.)

$231.60

39136

Lead, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital (Anaes.)

$268.50

39137

Lead, epidural or peripheral nerve that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, surgical repositioning to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, not being a service to which item 39130, 39138 or 39139 applies (Anaes.)

$879.20

39138

Peripheral nerve lead, surgical placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, to a maximum of 4 leads (Assist.) (Anaes.)

$979.10

39139

Epidural electrode for management of pain, insertion of 1 or more of by partial or total laminectomy, including implantation of pulse generator (1 or 2 stages) (Assist.) (Anaes.)

$1,820.10

39140

Epidural catheter, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.)

$492.90

39300

Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (Assist.) (Anaes.)

$532.40

39303

Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (Assist.) (Anaes.)

$736.90

39306

Nerve trunk, primary repair of, using microsurgical techniques (Assist.) (Anaes.)

$1,141.10

39309

Nerve trunk, secondary repair of, using microsurgical techniques (Assist.) (Anaes.)

$1,205.10

39312

Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Assist.) (Anaes.)

$666.60

39315

Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (Assist.) (Anaes.)

$1,742.40

39318

Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (Assist.) (Anaes.)

$1,069.60

39321

Nerve, transposition of (Assist.) (Anaes.)

$807.10

39323

Percutaneous neurotomy by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Assist.) (Anaes.)

$460.80

39324

Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Assist.) (Anaes.)

$474.40

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 (Assist.) (Anaes.)

$807.10

39330

Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (Assist.) (Anaes.)

$474.40

39331

Carpal tunnel release (division of transverse carpal ligament), by any method (Anaes.)

$474.40

39333

Brachial plexus, exploration of, not being a service to which another item in this Group applies (Assist.) (Anaes.)

$666.60

39500

Vestibular nerve, section of, via posterior fossa (Assist.) (Anaes.)

$2,146.60

39503

Facio-hypoglossal nerve or facio- accessory nerve, anastomosis of (Assist.) (Anaes.)

$1,608.10

39600

Intracranial haemorrhage, burr-hole craniotomy for - including burr-holes (Assist.) (Anaes.)

$807.10

39603

Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (Assist.) (Anaes.)

$2,006.10

39606

Fractured skull, depressed or comminuted, operation for (Assist.) (Anaes.)

$1,339.50

39609

Fractured skull, compound, without dural penetration, operation for (Assist.) (Anaes.)

$1,742.40

39612

Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Assist.) (Anaes.)

$2,006.10

39615

Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (Assist.) (Anaes.)

$2,006.10

39640

Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (Assist.) (Anaes.)

$5,118.80

39642

Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension, (intracranial procedure) (Assist.) (Anaes.)

$5,345.50

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) (Assist.) (Anaes.)

$6,128.00

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) (Assist.) (Anaes.)

$4,441.10

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 (Assist.) (Anaes.)

$7,166.90

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 (Assist.) (Anaes.)

$5,739.90

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.)

$4,301.80

39658

Tumour involving the clivus, radical or sub-total radical excision of, involving transoral or transmaxillary approach (Assist.) (Anaes.)

$5,084.30

39660

Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (Assist.) (Anaes.)

$5,084.30

39662

Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (Assist.) (Anaes.)

$5,084.30

39700

Skull tumour, benign or malignant, excision of, excluding cranioplasty (Assist.) (Anaes.)

$1,069.60

39703

Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (Assist.) (Anaes.)

$871.20

39706

Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (Assist.) (Anaes.)

$1,870.50

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 (Assist.) (Anaes.)

$2,678.90

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 (Assist.) (Anaes.)

$3,832.80

39715

Pituitary tumour, removal of, by transcranial or transphenoidal approach (Assist.) (Anaes.)

$3,344.30

39718

Arachnoidal cyst, craniotomy for (Assist.) (Anaes.)

$1,473.80

39721

Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (Assist.) (Anaes.)

$1,339.50

39800

Aneurysm, clipping or reinforcement of sac (Assist.) (Anaes.)

$3,614.20

39803

Intracranial arteriovenous malformation, excision of (Assist.) (Anaes.)

$3,818.70

39806

Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (Assist.) (Anaes.)

$2,409.10

39812

Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (Assist.) (Anaes.)

$1,205.10

39815

Carotid-cavernous fistula, obliteration of - combined cervical and intracranial procedure (Assist.) (Anaes.)

$3,081.90

39818

Extracranial to intracranial bypass using superficial temporal artery (Assist.) (Anaes.)

$3,081.90

39821

Extracranial to intracranial bypass using saphenous vein graft (Assist.) (Anaes.)

$3,605.60

39900

Intracranial infection, drainage of, via burr-hole - including burr-hole (Assist.) (Anaes.)

$865.10

39903

Intracranial abscess, excision of (Assist.) (Anaes.)

$2,678.90

39906

Osteomyelitis of skull or removal of infected bone flap, craniectomy for (Assist.) (Anaes.)

$1,339.50

40000

Ventriculo-cisternostomy (Torkildsen's operation) (Assist.) (Anaes.)

$1,339.50

40003

Cranial or cisternal shunt diversion, insertion of (Assist.) (Anaes.)

$1,339.50

40006

Lumbar shunt diversion, insertion of (Assist.) (Anaes.)

$1,069.60

40009

Cranial, cisternal or lumbar shunt, revision or removal of (Assist.) (Anaes.)

$807.10

40012

Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (Assist.) (Anaes.)

$1,742.40

40015

Subtemporal decompression (Assist.) (Anaes.)

$993.20

40018

Lumbar cerebrospinal fluid drain, insertion of (Anaes.)

$268.50

40100

Meningocele, excision and closure of (Assist.) (Anaes.)

$967.30

40103

Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (Assist.) (Anaes.)

$1,447.90

40106

Arnold-Chiari malformation, decompression of (Assist.) (Anaes.)

$1,742.40

40109

Encephalocoele, excision and closure of (Assist.) (Anaes.)

$1,870.50

40112

Tethered cord, release of, including lipomeningocele or diastematomyelia (Assist.) (Anaes.)

$2,409.10

40115

Craniostenosis, operation for - single suture (Assist.) (Anaes.)

$1,069.60

40118

Craniostenosis, operation for - more than 1 suture (Assist.) (Anaes.)

$1,608.10

40300

Intervertebral disc or discs, partial or total laminectomy for removal of (Assist.) (Anaes.)

$1,339.50

40301

Intervertebral disc or discs, microsurgical discectomy of (Assist.) (Anaes.)

$1,301.30

40303

Recurrent disc lesion or spinal stenosis, or both, partial or total laminectomy for - 1 level (Assist.) (Anaes.)

$1,548.90

40306

Spinal stenosis, partial or total laminectomy for, involving more than 1 vertebral interspace (disc level) (Assist.) (Anaes.)

$2,020.10

40309

Extradural tumour or abscess, partial or total laminectomy for (Assist.) (Anaes.)

$2,006.10

40312

Intradural lesion, partial or total laminectomy for, not being a service to which another item in this Group applies (Assist.) (Anaes.)

$2,479.40

40315

Craniocervical junction lesion, transoral approach for (Assist.) (Anaes.)

$2,678.90

40316

Odontoid screw fixation (Assist.) (Anaes.)

$3,489.80

40318

Intramedullary tumour or arteriovenous malformation, partial or total laminectomy and radical excision of (Assist.) (Anaes.)

$3,344.30

40321

Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (Assist.) (Anaes.)

$1,608.10

40324

Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together - laminectomy, including aftercare (Assist.) (Anaes.)

$1,069.60

40327

Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together - posterior fusion, including aftercare (Assist.)

$1,069.60

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 (Assist.) (Anaes.)

$2,146.60

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 (Assist.) (Anaes.)

$1,600.70

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 (Assist.) (Anaes.)

$2,614.90

40333

Cervical partial or total discectomy (anterior), without fusion (Assist.) (Anaes.)

$1,339.50

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 (Assist.) (Anaes.)

$1,768.30

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 (Assist.) (Anaes.)

$3,247.00

40336

Intradiscal injection of chymopapain (discase) - 1 disc (Assist.) (Anaes.)

$532.40

40339

Hydromyelia, plugging of obex for, with or without duroplasty (Assist.) (Anaes.)

$2,678.90

40342

Hydromyelia, craniotomy and partial or total laminectomy for, with cavity packing and csf shunt (Assist.) (Anaes.)

$2,479.40

40345

Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (Assist.) (Anaes.)

$2,288.40

40348

Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (Assist.) (Anaes.)

$2,904.50

40351

Thoraco-lumbar or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (Assist.) (Anaes.)

$2,904.50

40600

Cranioplasty, reconstructive (Assist.) (Anaes.)

$1,608.10

40700

Corpus callosum, anterior section of, for epilepsy (Assist.) (Anaes.)

$2,947.60

40703

Corticectomy, topectomy or partial lobectomy for epilepsy (Assist.) (Anaes.)

$2,479.40

40706

Hemispherectomy for intractable epilepsy (Assist.) (Anaes.)

$3,614.20

40709

Burr-hole placement of intracranial depth or surface electrodes (Assist.) (Anaes.)

$865.10

40712

Intracranial electrode placement via craniotomy (Assist.) (Anaes.)

$1,756.00

40800

Stereotactic anatomical localisation, as an independent procedure (Assist.) (Anaes.)

$1,077.00

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 (Assist.) (Anaes.)

$2,941.50

40803

Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Assist.) (Anaes.)

$2,006.10

40850

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Assist.) (Anaes.)

$3,067.60

40851

Deep brain stimulation (bilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (Assist.) (Anaes.)

$5,368.40

40852

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, subcutaneous placement of neurostimulator receiver or pulse generator (Assist.) (Anaes.)

$461.40

40854

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, revision or removal of brain electrode (Anaes.)

$713.00

40856

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, removal or replacement of neurostimulator receiver or pulse generator (Anaes.)

$346.10

40858

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, placement, removal or replacement of extension lead (Anaes.)

$713.00

40860

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, target localisation incorporating anatomical and physiological techniques, including intra-operative clinical evaluation, for the insertion of a single neurostimulation wire (Anaes.)

$2,740.10

40862

Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations, electronic analysis and programming of neurostimulator pulse generator (Anaes.)

$256.90

40903

Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr hole (Assist.) (Anaes.)

$927.80

40905

Craniotomy, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities (Anaes.)

$855.70

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