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52800 - Open Neurolysis

MBS service description:

Neurolysis by open operation, without transposition, other than a service associated with a service to which item 52803 applies (H) (Anaes.) (Assist.)
Schedule Fee:
315.3
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52800 (Open Neurolysis) typically used?

The need for neurolysis by open operation, without transposition, arises when a patient has a compressed or scarred nerve in the oral and maxillofacial region—often from trauma, surgery, or pathology—causing pain, numbness, or dysfunction, requiring surgical freeing under anesthesia with assistance in a hospital, excluding nerve repositioning. This is indicated for nerve entrapment not tied to specific other services, critical where nerve function affects maxillofacial sensation or movement.

Reasons include:

  • Trauma: Facial nerve scarring from injury needs release.
  • Surgery: Post-operative adhesions cause numbness.
  • Pain: Nerve compression prompts neurolysis.
  • Function: Restores sensation or movement.

For example, a patient with facial numbness post-fracture might need this to free the nerve, with assistance for precision. In aged care, an elderly patient could benefit for sensation, given frailty. By releasing the nerve, this service relieves symptoms, restores function, and enhances comfort, making it a key maxillofacial procedure.

Benefits to the patient

Surgeons performing open neurolysis on the patient without transposition under anesthesia with assistance offer nerve relief benefits. A key advantage is relieving nerve pain. This procedure frees the patient’s compressed nerve, reducing discomfort—crucial for 'neurolysis benefits.' It also restores sensation by decompressing the nerve, improving the patient’s sensory function. Furthermore, it improves function by enhancing nerve health, aiding the patient’s movement or sensation. For surgeons exploring 'open neurolysis advantages,' this assisted service ensures patients benefit from pain relief, sensation restoration, and functional improvement, providing an effective solution for nerve compression.

Recovery considerations

Recovery of 2-3 weeks with swelling and nerve monitoring; hospital stay likely.

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