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52818 - Nerve Transposition

MBS service description:

Nerve, transposition of (H) (Anaes.) (Assist.)
Schedule Fee:
539.75
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 52818 (Nerve Transposition) typically used?

The need for nerve transposition arises when a patient has a nerve in the oral and maxillofacial region—often the inferior alveolar or lingual nerve—positioned unfavorably, causing pain, dysfunction, or risk during surgery, requiring surgical repositioning under anesthesia with assistance in a hospital to protect or restore function. This is indicated for nerve relocation needs, critical where nerve placement affects maxillofacial sensation or safety.

Reasons include:

  • Surgical risk: Nerve near a tumour needs moving.
  • Trauma: Displaced nerve causes numbness.
  • Pain: Nerve compression prompts repositioning.
  • Function: Restores sensation or movement.

For example, a patient with a nerve near a mandibular tumour might need this for safety, with assistance for precision. In aged care, an elderly patient could benefit for sensation, given frailty. By repositioning the nerve, this service protects function, prevents damage, and enhances comfort, making it a key maxillofacial procedure.

Benefits to the patient

Protects nerve function, prevents damage, and improves sensation.

Recovery considerations

Recovery of 3-4 weeks with swelling and nerve monitoring; hospital stay likely.

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