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Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

11820

11820 - Additional Information

Item Start Date:
01-May-2004
Description Start Date:
01-Jul-2016
Schedule Fee Start Date:
01-Nov-2012

Group
D1 - MISCELLANEOUS DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Subgroup
7 - GASTROENTEROLOGY & COLORECTAL

Untitled document

Capsule endoscopy to investigate an episode of obscure gastrointestinal bleeding, using a capsule endoscopy device (including administration of the capsule, associated endoscopy procedure if required for placement, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:

(a)     the patient to whom the service is provided:

    (i)     has recurrent or persistent bleeding; and

    (ii)     is anaemic or has active bleeding; and

(b)     an upper gastrointestinal endoscopy and a colonoscopy have been performed on the patient and have not identified the cause of the bleeding; and

(c)  the service has not been provided to the same patient on more than 2 occasions in the preceding 12 months; and

(d)     the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and

(e)     the service is not associated with balloon enteroscopy



Fee: $2,039.20 Benefit: 75% = $1,529.40 85% = $1,959.00

(See para D1.15 of explanatory notes to this Category)

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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