Medicare Benefits Schedule - Item 30478

Search Results for Item 30478

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

30478

30478 - Additional Information

Item Start Date:
31-Oct-1992
Description Start Date:
01-Nov-2017
Schedule Fee Start Date:
01-Nov-2012

Group
T8 - Surgical Operations
Subgroup
1 - General

Oesophagoscopy (other than a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy, panendoscopy or push enteroscopy, one or more such procedures, if:

(a) the procedures are performed using one or more of the following endoscopic procedures:

(i) polypectomy;

(ii) sclerosing or adrenalin injections;

(iii) banding;

(iv) endoscopic clips;

(v) haemostatic powders;

(vi) diathermy;

(vii) argon plasma coagulation; and

 

(b) the procedures are for the treatment of one or more of the following:

(i) upper gastrointestinal tract bleeding;

(ii) polyps;

(iii) removal of foreign body;

(iv) oesophageal or gastric varices;

(v) peptic ulcers;

(vi) neoplasia;

(vii) benign vascular lesions;

(viii) strictures of the gastrointestinal tract;

(ix) tumorous overgrowth through or over oesophageal stents;

 

other than a service associated with a service to which item 30473 or 30479 applies

Multiple Operation Rule

(Anaes.)

Fee: $245.55 Benefit: 75% = $184.20 85% = $208.75

(See para TN.8.17 of explanatory notes to this Category)


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.8.17

Gastrointestinal Endoscopic Procedures - (Items 30473 to 30481, 30484, 30485, 30490 to 30494, 30680 to 32023, 32084 to 32095, 32103, 32104 and 32106)

The following are guidelines for appropriate minimum standards for the performance of GI endoscopy in relation to (a) cleaning, disinfection and sterilisation procedures, and (b) anaesthetic and resuscitation equipment.

 These guidelines are based on the advice of the Gastroenterological Society of Australia, the Sections of HPB and Upper GI and of Colon and Rectal Surgery of the Royal Australasian College of Surgeons, and the Colorectal Surgical Society of Australia.

 Cleaning, disinfection and sterilisation procedures
Endoscopic procedures should be performed in facilities where endoscope and accessory reprocessing protocols follow procedures outlined in:

  1. Infection Control in Endoscopy, Gastroenterological Society of Australia and Gastroenterological Nurses College of Australia , 2011;
  2. Australian Guidelines for the Prevention and Control of Infection in Healthcare (NHMRC, 2010);
  3. Australian Standard AS 4187 2014 (and Amendments), Standards Association of Australia. 

Anaesthetic and resuscitation equipment
Where the patient is anaesthetised, anaesthetic equipment, administration and monitoring, and post-operative and resuscitation facilities should conform to the standards outlined in 'Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures' (PS09), Australian & New Zealand College of Anaesthetists, Gastroenterological Society of Australia and Royal Australasian College of Surgeons.

Conjoint Committee

For the purposes of Item 32023, the procedure is to be performed by a colorectal surgeon or gastroenterologist with endoscopic training who is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy.

 

Related Items: 30473 30475 30478 30479 30481 30484 30485 30490 30491 30494 30680 30682 30684 30686 30687 30688 30690 30692 30694 32023 32084 32087 32088 32089 32090 32093 32094 32095 32103 32104 32106


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