Medicare Benefits Schedule - Note DN.1.27

1. Also permissible for babies, young children and other patients, due to the patient’s age, cognitive capacity or expressive language impairment, where symptoms have not been satisfactorily investigated by other methods.
2. Discussions of the results, findings or interpretation of a study are reasonably expected to be part of a formal report. Discussion of these findings with a patient does not constitute a consult. Similarly, discussion(s) during the course of a study or to determine the safety or appropriateness of the study is part of the service and should not be claimed as a consult.

Related Items: 11731

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Implanted electrocardiogram loop recording, by a medical practitioner, including reprogramming (if required), retrieval of stored data, analysis, interpretation and report, if the service is:

(a) an investigation for a patient with:

(i) cryptogenic stroke; or

(ii) recurrent unexplained syncope; and

(b) not a service to which item 38285 applies

Applicable only once in any 4 week period

Fee: $38.25 Benefit: 75% = $28.70 85% = $32.55

(See para DN.1.27 of explanatory notes to this Category)