Medicare Benefits Schedule - Note TN.1.6

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Category 3 - THERAPEUTIC PROCEDURES

TN.1.6

Peripherally Inserted Central Catheters

Peripherally inserted central catheters (PICC) are an alternative to standard percutaneous central venous catheter placement or surgically placed intravenous catheters where long-term venous access is required for ongoing patient therapy. 

Medicare benefits for PICC can be claimed under central vein catheterisation items 13318, 13319, 13815 and 22020. 

These items are for central vein catheterisation (where the tip of the catheter is positioned in a central vein) and cannot be used for venous catheters where the tip is positioned in a peripheral vein. 

 

Related Items: 13318 13815 22020


Related Items

Category 3 - THERAPEUTIC PROCEDURES

13318

13318 - Additional Information

Item Start Date:
01-Dec-1991
Description Start Date:
01-Jul-2012
Schedule Fee Start Date:
01-Nov-2012

CENTRAL VEIN CATHETERISATION - by open exposure in a person under 12 years of age

(Anaes.)

Fee: $227.45 Benefit: 75% = $170.60 85% = $193.35

(See para TN.1.6 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

13815

13815 - Additional Information

Item Start Date:
01-Jul-1993
Description Start Date:
01-Jul-2012
Schedule Fee Start Date:
01-Nov-2012

CENTRAL VEIN CATHETERISATION by percutaneous or open exposure not being a service to which item 13318 applies

(Anaes.)

Fee: $85.25 Benefit: 75% = $63.95 85% = $72.50

(See para TN.1.6 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

22020

22020 - Additional Information

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

CENTRAL VEIN CATHETERISATION by percutaneous or open exposure, not being a service to which item 13318 applies, when performed in association with the administration of anaesthesia

(4 basic units)

Fee: $79.20 Benefit: 75% = $59.40 85% = $67.35

(See para TN.1.6, TN.10.8 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