Medicare Benefits Schedule - Item 30097

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Category 3 - THERAPEUTIC PROCEDURES

30097

30097 - Additional Information

Item Start Date:
01-Nov-2006
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Nov-2012

Group
T8 - Surgical Operations
Subgroup
1 - General

Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented, if:

  1. serum cortisol at 0830-0930 hours on any day in the preceding month has been measured at greater than 100 nmol/L but less than 400 nmol/L; or
  2. in a patient who is acutely unwell and adrenal insufficiency is suspected.

Multiple Operation Rule

Fee: $97.15 Benefit: 75% = $72.90 85% = $82.60

(See para TN.8.139 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.139

Personal performance of a Synacthen Stimulation Test (item 30097)

A 0900h serum cortisol (0830-0930) less than 100 nmol/L indicates adrenal deficiency and a Synacthen Test is not required.

A 0900h serum cortisol (0830-0930) greater than 400 nmol/L indicates adrenal sufficiency and a Synacthen Test is not required. An exception to this is when testing women on oral contraception where cortisol levels may be higher due to increases in cortisol-binding globulin and this threshold may not exclude women with adrenal insufficiency.

Related Items: 30097


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