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53239 - TMJ Arthrodesis

MBS service description:

Temporomandibular joint, arthrodesis of, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.)
Schedule Fee:
536.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 28, 2025

When is item code 53239 (TMJ Arthrodesis) typically used?

The need for arthrodesis of the temporomandibular joint (TMJ) arises when a patient has severe, irreparable TMJ damage—often from ankylosis or end-stage arthritis—causing pain or complete immobility, requiring surgical fusion under anesthesia with assistance in a hospital, excluding other grouped procedures, to stabilise the joint permanently. This is indicated for extreme cases, critical where joint function cannot be restored in the maxillofacial region.

Specific scenarios include:

  • Ankylosis: Bony fusion needs intentional stabilisation.
  • End-stage arthritis: Severe damage causes pain.
  • Trauma: Irreparable joint needs fusion.
  • Stability: Prevents further dysfunction.

For example, a patient with TMJ ankylosis might need this to stop pain, with fusion for stability. In aged care, an elderly patient could benefit for comfort, given frailty. By fusing the joint, this service relieves pain, stabilises the jaw, and manages severe damage, making it a last-resort maxillofacial procedure.

Benefits to the patient

Stabilises TMJ permanently, relieves severe pain, and manages irreparable damage.

Recovery considerations

Recovery of 6-8 weeks with swelling and permanent restriction; hospital stay required.

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