Brain and nervous system - MBS items

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.

6007

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital

6009

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital

6011

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-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 the specialist-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 the specialist-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

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.)

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.)

51011

Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, one motion segment, not being a service associated with a service to which item 51012, 51013, 51014 or 51015 applies (Anaes.) (Assist.)

51012

Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 2 motion segments, not being a service associated with a service to which item 51011, 51013, 51014 or 51015 applies (Anaes.) (Assist.)

51013

Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 3 motion segments, not being a service associated with a service to which item 51011, 51012, 51014 or 51015 applies (Anaes.) (Assist.)

51014

Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51015 applies (Anaes.) (Assist.)

51015

Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, more than 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51014 applies (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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