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53700 - Trigeminal Nerve Anaesthetic Injection

MBS service description:

TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent
Schedule Fee:
142.25
@85% Benefit Fee:
120.95
@75% Benefit Fee:
120.95
Last updated on
March 28, 2025

When is item code 53700 (Trigeminal Nerve Anaesthetic Injection) typically used?

The need for injection of an anaesthetic agent into a primary division of the trigeminal nerve arises when a patient requires temporary pain relief or diagnostic assessment for facial pain—often from trigeminal neuralgia or surgical planning—necessitating a nerve block with a local anaesthetic to numb a specific facial region served by the nerve’s main branches (ophthalmic, maxillary, or mandibular). This procedure is indicated for acute pain management or testing, critical in the maxillofacial region where trigeminal nerve irritation affects facial sensation and comfort.

Specific conditions driving this need include:

  • Trigeminal neuralgia: Sudden, severe facial pain might need a block to provide immediate relief and assess trigger points.
  • Diagnostic tool: Numbing a division can confirm the source of chronic pain before more invasive treatments.
  • Surgical preparation: Anaesthetising a region might aid in planning procedures by testing nerve response.
  • Pain management: Temporary relief from acute facial pain allows time for further evaluation.

For instance, a patient with stabbing maxillary pain from trigeminal neuralgia might receive an injection into the maxillary division for relief, performed outpatient. In an aged care context, an elderly patient with facial pain could benefit from this to manage symptoms temporarily, given their frailty and medication sensitivities. By injecting an anaesthetic, this service provides rapid pain relief, aids diagnosis, and enhances patient comfort, making it a practical and immediate solution within the maxillofacial framework.

Benefits to the patient

Provides rapid facial pain relief, aids diagnosis, and improves comfort temporarily.

Recovery considerations

Recovery of a few hours with temporary numbness; minimal downtime typically outpatient.

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