Medicare Benefits Schedule - Item 11823

Search Results for Item 11823

View Associated Notes

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

11823

11823 - Additional Information

Item Start Date:
01-Mar-2009
Description Updated:
01-Mar-2014
Schedule Fee Updated:
01-Jul-2021

Group
D1 - Miscellaneous Diagnostic Procedures And Investigations
Subgroup
7 - Gastroenterology & Colorectal

Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz-Jeghers Syndrome, using a

capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:


(a) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by

the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and

(b) the item is performed only once in any 2 year period; and

(c) the service is not associated with balloon enteroscopy.

Fee: $1,279.15 Benefit: 75% = $959.40 85% = $1,191.25

(See para DN.1.15 of explanatory notes to this Category)


Associated Notes

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

DN.1.15

Capsule Endoscopy - (Item 11820 and 11823)

Capsule endoscopy is primarily used to view the small bowel, which cannot be viewed by upper gastrointestinal endoscopy and colonoscopy.  

Capsule endoscopy imaging must be kept in a manner that facilitates retrieval on the basis of the patient's name and date of service. Records must be retained for a period of 2 years commencing on the day on which the service was rendered.

 Conjoint committee

The Conjoint Committee comprises representatives from the Gastroenterological Society of Australia (GESA), the Royal Australasian College of Physicians (RACP) and the Royal Australasian College of Surgeons (RACS). For the purposes of Items 11820 and 11823, specialists or consultant physicians performing this procedure must have endoscopic training recognised by The Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy, and the Department of Human Services notified of that recognition. 

Related Items: 11820 11823


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change