Health Insurance (Section 3C General Medical Services – Botox Injection) Determination 2020
7. Indexation7. Indexation
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7. Indexation
(1) At the start of 1 July 2025 (the indexation time), each amount covered by subsection (2) is replaced by the amount worked out using the following formula: 1.024 multiplied by the amount immediately before the indexation time Note: The indexed fees could in 2025 be viewed on the Department of Health and Aged Care’s MBS Online website (https://www.mbsonline.gov.au). (2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination. (3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Schedule 1 – relevant services
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group T11—Botulinum toxin</span></p></td></tr><tr><td style="width:14.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.18%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.58%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:14.24%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>18361</span></p></td><td style="width:69.18%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><span>Clostridium Botulinum Type A Toxin</span><span>‑</span><span>Haemagglutinin Complex (Dysport) or Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or IncobotulinumtoxinA (Xeomin), injection of, for the </span><a id="_Hlk214959120"><span>treatment of moderate to severe upper limb spasticity due to cerebral palsy </span></a><span>if:</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><span>(a) the patient is at least 2 years of age; and</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><span>(b) 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</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><span>(Anaes.)</span></p></td><td style="width:16.58%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>145.65</span></p></td></tr></tbody></table>