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53706 - Nerve Branch Neurolysis

MBS service description:

NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies
Schedule Fee:
142.25
@85% Benefit Fee:
120.95
@75% Benefit Fee:
120.95
Last updated on
March 28, 2025

When is item code 53706 (Nerve Branch Neurolysis) typically used?

The need for destruction of a nerve branch by a neurolytic agent arises when a patient suffers chronic, severe pain from a specific nerve branch—often due to neuralgia, trauma, or neuroma—resistant to other treatments, requiring injection of a neurolytic agent like alcohol or phenol under anesthesia to permanently disrupt the nerve and relieve pain, excluding other grouped nerve procedures. This is indicated for intractable pain, critical in the maxillofacial region where nerve irritation affects comfort.

Reasons include:

  • Neuralgia: Persistent nerve pain needs permanent relief.
  • Neuroma: Painful scar tissue requires destruction.
  • Trauma: Chronic pain from injury prompts neurolysis.
  • Pain management: Lasting relief for severe cases.

For example, a patient with chronic facial pain from a neuroma might need this for relief, with precision injection. In aged care, an elderly patient could benefit for comfort, given frailty. By destroying the nerve, this service provides lasting pain relief, enhances comfort, and improves life quality, making it a key maxillofacial procedure.

Benefits to the patient

Provides permanent pain relief, improves comfort, and enhances quality of life.

Recovery considerations

Recovery of 1-2 weeks with numbness and mild swelling; typically outpatient.

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