View Associated Notes
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
11012 - Additional Information
NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 1 nerve OR ELECTROMYOGRAPHY of 1 or more muscles using concentric needle electrodes OR both these examinations (not being a service associated with a service to which item 11015 or 11018 applies)
Fee: $123.25 Benefit: 75% = $92.45 85% = $104.80
(See para DN.1.3, DN.1.32 of explanatory notes to this Category)
Associated Notes
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
DN.1.3
Neuromuscular Diagnosis - (Item 11012)
Based on advice from the Australian Association of Neurologists, Medicare benefits are not payable under Item 11012 for quantitative sensory nerve testing using "Neurometer CPT" diagnostic devices. The advice indicated that the device was still in the evaluation and research stage and did not have widespread clinical application.
Related Items: 11012
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
DN.1.32
Neuromuscular electrodiagnosis (items 11012, 11015 and 11018)
Nerve conduction studies and/or EMG should not be used in the following indications/situations. In some of these situations these tests would be of relatively low diagnostic value, while in others it would be more appropriate to refer the patient for alternative investigations first (e.g. magnetic resonance imaging [MRI] in mild radiculopathy)
- Muscle pain in the absence of other abnormalities on examination or laboratory testing
- A four limb needle EMG/nerve conduction study for neck and back pain after trauma
- EMG for low back pain without leg pain or sciatica.
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