Medicare Benefits Schedule - Note PN.7.22

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Category 6 - PATHOLOGY SERVICES

PN.7.22

DPYD genotyping to diagnose or predict fluoropyrimidine-induced toxicity

The list of gene variants analysed should be selected in line with current clinical guidelines, such as the eviQ guidelines, and should include direct detection of at least the following variants:
• NM_000110.4(DPYD):c.1905+1G>A
• NM_000110.4(DPYD):c.1679T>G
• NM_000110.4(DPYD):c.2846A>T
• NM_000110.4(DPYD):c.1129-5923C>G

Related Items: 73322


Related Items

Category 6 - PATHOLOGY SERVICES

73322

73322 - Additional Information

Item Start Date:
01-Nov-2025
Description Updated:
01-Nov-2025
Schedule Fee Updated:
01-Nov-2025

Genetic testing in the DPYD gene to diagnose or predict fluoropyrimidine-induced toxicity in a patient, if:

(a) the service is requested by a specialist or consultant physician; and

(b) the service is rendered before, during or after systemic administration of chemotherapy or radio-sensitisation, with a fluoropyrimidine, to the patient; and

(c) genotyping is performed to detect DPYD variants linked to reduced or absent dihydropyrimidine dehydrogenase activity

Applicable once per lifetime

Fee: $182.00 Benefit: 75% = $136.50 85% = $154.70

(See para PN.7.22 of explanatory notes to this Category)


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  • NewMin - New Item (previous Ministerial Determination)
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