Medicare Benefits Schedule - Note TN.1.1

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Category 3 - THERAPEUTIC PROCEDURES

TN.1.1

Hyperbaric Oxygen Therapy - (Items 13015, 13020, 13025 and 13030)

Hyperbaric Oxygen Therapy not covered by these items would attract benefits on an attendance basis. For the purposes of these items, a comprehensive hyperbaric medicine facility means a separate hospital area that, on a 24 hour basis: 

(a) is equipped and staffed so that it is capable of providing to a patient:

(i) hyperbaric oxygen therapy at a treatment pressure of at least 2.8 atmospheric pressure absolute (180 kilopascal gauge pressure); and

(ii) mechanical ventilation and invasive cardiovascular monitoring within a monoplace or multiplace chamber for the duration of the hyperbaric treatment; and

(b)  is under the direction of at least 1 medical practitioner who is rostered, and immediately available, to the facility during the facility's ordinary working hours if the practitioner:

(i) is a specialist with training in diving and hyperbaric medicine; or

(ii) holds a Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society; and

(c) is staffed by:

(i) at least 1 medical practitioner with training in diving and hyperbaric medicine who is present in the facility and immediately available at all times when patients are being treated at the facility; and

(ii) at least 1 registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Technicians and Nurses Association, who is present during hyperbaric oxygen therapy; and

(d) has admission and discharge policies in operation.

Related Items: 13015 13020 13025 13030


Related Items

Category 3 - THERAPEUTIC PROCEDURES

13015

13015 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

HYPERBARIC, OXYGEN THERAPY, for treatment of localised non-neurological soft tissue radiation injuries excluding radiation-induced soft tissue lymphoedema of the arm after treatment for breast cancer, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance.

Fee: $265.10 Benefit: 75% = $198.85 85% = $225.35

(See para TN.1.1 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

13020

13020 - Additional Information

Item Start Date:
01-Jul-1996
Description Updated:
01-May-2002
Schedule Fee Updated:
01-Jul-2021

HYPERBARIC OXYGEN THERAPY, for treatment of decompression illness, gas gangrene, air or gas embolism; diabetic wounds including diabetic gangrene and diabetic foot ulcers; necrotising soft tissue infections including necrotising fasciitis or Fournier's gangrene; or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance

Fee: $269.35 Benefit: 75% = $202.05 85% = $228.95

(See para TN.1.1 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

13025

13025 - Additional Information

Item Start Date:
01-Jul-1996
Description Updated:
01-Nov-2001
Schedule Fee Updated:
01-Jul-2021

HYPERBARIC OXYGEN THERAPY for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance - per hour (or part of an hour)

Fee: $120.35 Benefit: 75% = $90.30 85% = $102.30

(See para TN.1.1 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

13030

13030 - Additional Information

Item Start Date:
01-Jul-1996
Description Updated:
01-Jul-1996
Schedule Fee Updated:
01-Jul-2021

HYPERBARIC OXYGEN THERAPY performed in a comprehensive hyperbaric medicine facility where the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life saving emergency treatment, including any associated attendance - per hour (or part of an hour)

Fee: $170.05 Benefit: 75% = $127.55 85% = $144.55

(See para TN.1.1 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