Medicare Benefits Schedule - Note TN.4.11

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Category 3 - THERAPEUTIC PROCEDURES

TN.4.11

Interventional Techniques - (Items 16600 to 16627, 35518 and 35674)

For Items 16600 to 16627, 35518 and 35674 there is no component in the Schedule fee for the associated ultrasound.  Benefits are attracted for the ultrasound under the appropriate items in Group I1 of the Diagnostic Imaging Services Table.  If diagnostic ultrasound is performed on a separate occasion to the procedure, benefits would be payable under the appropriate ultrasound item.

Item 51312 provides a benefit for assistance by a medical practitioner at interventional techniques covered by Items 16606, 16609, 16612, 16615, and 16627. 

Related Items: 16600 16603 16606 16609 16612 16615 16618 16621 16624 16627 35518 35674 51312


Related Items

Category 3 - THERAPEUTIC PROCEDURES

16600

16600 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

INTERVENTIONAL TECHNIQUES


AMNIOCENTESIS, diagnostic

Fee: $64.50 Benefit: 75% = $48.40 85% = $54.85

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16603

16603 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

CHORIONIC VILLUS SAMPLING, by any route

Fee: $123.80 Benefit: 75% = $92.85 85% = $105.25

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16606

16606 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Nov-2017
Schedule Fee Start Date:
01-Jul-2019

Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis

(Anaes.)

Fee: $247.15 Benefit: 75% = $185.40 85% = $210.10

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16609

16609 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

FOETAL INTRAVASCULAR BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling

(Anaes.)

Fee: $503.95 Benefit: 75% = $378.00 85% = $428.40

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16612

16612 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

FOETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling - not performed in conjunction with a service described in item 16609

(Anaes.)

Fee: $396.50 Benefit: 75% = $297.40 85% = $337.05

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16615

16615 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

FOETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling - performed in conjunction with a service described in item 16609

(Anaes.)

Fee: $211.20 Benefit: 75% = $158.40 85% = $179.55

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16618

16618 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

AMNIOCENTESIS, THERAPEUTIC, when indicated because of polyhydramnios with at least 500ml being aspirated

Fee: $211.20 Benefit: 75% = $158.40 85% = $179.55

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16621

16621 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

AMNIOINFUSION, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios

Fee: $211.20 Benefit: 75% = $158.40 85% = $179.55

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16624

16624 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

FOETAL FLUID FILLED CAVITY, drainage of

Fee: $303.90 Benefit: 75% = $227.95 85% = $258.35

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

16627

16627 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

FETO-AMNIOTIC SHUNT, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis

Fee: $618.70 Benefit: 75% = $464.05 85% = $535.30

(See para TN.4.3, TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

35518

35518 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jan-2014
Schedule Fee Start Date:
01-Jul-2019

OVARIAN CYST ASPIRATION, for cysts of at least 4cm in diameter in a premenopausal person and at least 2cm in diameter in a postmenopausal person, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques

(Anaes.)

Fee: $211.20 Benefit: 75% = $158.40 85% = $179.55

(See para TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

35674

35674 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Jul-1995
Schedule Fee Start Date:
01-Jul-2019

ULTRASOUND GUIDED NEEDLING and injection of ectopic pregnancy

Fee: $211.20 Benefit: 75% = $158.40 85% = $179.55

(See para TN.4.11 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

51312

51312 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Nov-2017
Schedule Fee Start Date:
01-Nov-1998

Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627

one fifth of the established fee for the procedure or combination of procedures

(See para TN.4.11, TN.9.1 of explanatory notes to this Category)


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