Medicare Benefits Schedule - Item 73358

Search Results for Item 73358

View Associated Notes

Category 6 - PATHOLOGY SERVICES

73358

73358 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if:

(a) the characterisation is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of:

(i) dysmorphic facial appearance and one or more major structural congenital anomalies; or

(ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and

(c) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and

(d) the characterisation is not performed in conjunction with a service to which item 73359 applies

Applicable only once per lifetime

 

Fee: $2,100.00 Benefit: 75% = $1,575.00 85% = $2,015.30

(See para PN.7.4 of explanatory notes to this Category)


Associated Notes

Category 6 - PATHOLOGY SERVICES

PN.7.4

Intellectual disability or global developmental delay

Intellectual disability or global developmental delay of at least moderate severity, to be determined by a specialist paediatrician according to Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria.

Related Items: 73358 73359


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