3 minutes
min read

53052 - Post-Nasal Space Examination

MBS service description:

POST-NASAL SPACE, direct examination of, with or without biopsy (Anaes.)

Sub-category:

O7 - Neurosurgery
Schedule Fee:
139.9
@85% Benefit Fee:
118.95
@75% Benefit Fee:
118.95
Last updated on
March 28, 2025

When is item code 53052 (Post-Nasal Space Examination) typically used?

The need for direct examination of the post-nasal space, with or without biopsy, arises when a patient presents with symptoms suggestive of pathology in the nasopharynx—such as nasal obstruction, hearing loss, or persistent throat discomfort—requiring visual inspection and possibly tissue sampling under anesthesia to diagnose conditions like tumours, infections, or chronic inflammation. This procedure is indicated for diagnostic clarity in the maxillofacial region, critical where nasopharyngeal health affects breathing, hearing, and swallowing.

Several scenarios necessitate this intervention:

  • Suspected malignancy: Unexplained nasal bleeding or a neck lump might suggest nasopharyngeal carcinoma, requiring examination and biopsy to confirm and guide oncology treatment.
  • Chronic infection: Persistent nasopharyngeal inflammation or discharge could indicate tuberculosis or fungal infection, needing direct visualization to assess and sample for culture.
  • Hearing issues: Eustachian tube dysfunction causing ear pressure or hearing loss might stem from a nasopharyngeal mass, prompting inspection to identify the cause.
  • Diagnostic uncertainty: Vague symptoms like throat pain or nasal stuffiness unresolved by routine tests demand a closer look to rule out serious pathology.

For instance, a patient with unilateral hearing loss and nasal congestion might undergo this procedure to check for a nasopharyngeal tumour, with a biopsy taken if a mass is found, performed under anesthesia for comfort. In an aged care context, an elderly patient with chronic throat irritation could need this to exclude malignancy, adjusted for their frailty and potential comorbidities. By directly examining the post-nasal space and obtaining tissue if needed, this service provides essential diagnostic information, enables early intervention for serious conditions, and alleviates uncertainty, making it a key diagnostic tool in the maxillofacial framework.

Benefits to the patient

Diagnoses nasopharyngeal pathology, enables early treatment, and clarifies symptoms.

Recovery considerations

Recovery of a few days with mild throat discomfort; biopsy may extend healing slightly.

Email this page to yourself for later, and
You should receive the article link in your inbox shortly.
Oops! Something went wrong while submitting the form.
For Surgeons

Explore the full Medicare Benefits Schedule (MBS) Services and Item Codes

Not sure about what MBS Item Code you are looking for? Browse the full Schedule by treatment category.
View the full MBS Schedule
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.