Medicare Benefits Schedule - Item 13251

Search Results for Item 13251

View Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

13251

13251 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Jan-2010
Schedule Fee Updated:
01-Jul-2021

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

INTRACYTOPLASMIC SPERM INJECTION for the purposes of assisted reproductive technologies, for male factor infertility, excluding a service to which Item 13203 or 13218 applies

Fee: $434.90 Benefit: 75% = $326.20 85% = $369.70

(See para TN.1.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $110.65


Associated Notes

Category 3 - THERAPEUTIC PROCEDURES

TN.1.5

Intracytoplasmic Sperm Injection - (Item 13251)

Item 13251 provides for intracytoplasmic sperm injection for male factor infertility under the following circumstances:

-           where fertilisation with standard IVF is highly unlikely to be successful; or

-           where in a previous cycle of IVF, the fertilisation rate has failed due to low or no fertilisation. 

Item 13251 excludes a service to which item 13218 applies.  Sperm retrieval procedures associated with intracytoplasmic sperm injection are covered under items 37605 and 37606. 

Items 13251, 37605, 37606 do not include services provided in relation to artificial insemination using the husband's or donated sperm.

 

Related Items: 13218 13251 37605 37606


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