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53225 - TMJ Arthrocentesis

MBS service description:

Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space (H) (Anaes.) (Assist.)
Schedule Fee:
331
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53225 (TMJ Arthrocentesis) typically used?

The need for arthrocentesis and irrigation of the temporomandibular joint (TMJ) arises when a patient has TMJ dysfunction—such as locking or inflammation from arthritis or disc issues—requiring the insertion of two cannuli under anesthesia with assistance in a hospital to flush the joint with fluid, relieve pressure, and reduce inflammation. This is indicated for minimally invasive TMJ relief, critical where joint function affects maxillofacial comfort.

Specific scenarios include:

  • Locking: A stuck TMJ needs fluid to free it.
  • Arthritis: Inflammation causes pain, requiring irrigation.
  • Disc issues: Adhesions limit motion, needing flushing.
  • Pain relief: Reduces joint discomfort.

For example, a patient with TMJ locking might need this to restore motion, with assistance for precision. In aged care, an elderly patient could benefit for pain, given frailty. By irrigating the joint, this service relieves symptoms, enhances mobility, and supports function, making it a practical maxillofacial solution.

Benefits to the patient

Relieves TMJ pain, restores mobility, and reduces inflammation.

Recovery considerations

Recovery of 1-2 weeks with mild soreness and jaw exercises; hospital stay typically short.

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