Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_35401
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 35401
Character Range: 1768652–1770129

35401                         Vertebroplasty, for one or more fractures in one or more vertebrae, for the treatment of a painful osteoporotic thoracolumbar vertebral compression fracture of the thoracolumbar spinal segment (T11, T12, L1 or L2), if:                                                                                                                                                                                                                                                                        710.50
                              (a) the service is performed by a specialist or consultant physician practising in the specialist's or consultant physician's speciality of diagnostic radiology, neurosurgery, neurology or orthopaedic surgery; and
                              (b) the specialist or consultant physician has undertaken appropriate training in the vertebroplasty procedure; and
                              (c) pain is severe (numeric rated pain score greater than or equal to 7 out of 10); and
                              (d) the symptoms are poorly controlled by opiate therapy; and
                              (e) the severe pain duration is 3 weeks or less; and
                              (f) there is MRI (or SPECT‑CT if MRI unavailable) evidence of acute vertebral fracture
                              Applicable only once for the same fracture, but is applicable for a new fracture of the same vertebra or vertebrae (H) (Anaes.)