Document ID: chunk:federal_register_of_legislation:F2024C00605:reg:18365:p1
Version: federal_register_of_legislation:F2024C00605
Segment Type: reg
Provision Reference: reg 18365 (pt 1/3)
Character Range: 6118–9323

18365                      Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or Clostridium Botulinum Type A Toxin‑Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of moderate to severe spasticity of the upper limb following an acute event, if:                   129.90
                               (a) the patient is at least 18 years of age; and
                               (b) treatment is provided as:
                                    (i) second line therapy when standard treatment for the condition has failed; or
                                    (ii) an adjunct to physical therapy; and
                               (c) the patient does not have established severe contracture in the limb that is to be treated; and
                               (d) the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve, with a maximum of 4 sets of injections for the patient on any one day (with a maximum of 2 sets of injections for each upper limb), including all injections per set; and
                               (e) for a patient who has received treatment on 2 previous separate occasions—the patient has responded to the treatment

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