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Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12203

12203 - Additional Information

Item Start Date:
01-Jul-1995
Description Start Date:
01-Mar-1999
Schedule Fee Start Date:
01-Nov-2012

Group
D1 - MISCELLANEOUS DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Subgroup
10 - OTHER DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

OVERNIGHT INVESTIGATION FOR SLEEP APNOEA FOR A PERIOD OF AT LEAST 8 HOURS DURATION, FOR AN ADULT AGED 18 YEARS AND OVER WHERE:

a)    continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recording

    of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation    

    and ECG are performed;

b)    a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;

c)    the patient is referred by a medical practitioner;

d)    the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the

    investigation;

e)     polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and

    assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or

     manual correction of computerised scoring in epochs of not more than 1 minute, and stored for

     interpretation and preparation of report ; and

f)    interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the

    direct

    original recording of polygraphic data from the patient


- payable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period.



Fee: $588.00 Benefit: 75% = $441.00 85% = $508.50

(See para D1.18 of explanatory notes to this Category)

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12207

12207 - Additional Information

Item Start Date:
01-Nov-1997
Description Start Date:
01-Nov-2001
Schedule Fee Start Date:
01-Nov-2012

Group
D1 - MISCELLANEOUS DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Subgroup
10 - OTHER DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

OVERNIGHT INVESTIGATION FOR SLEEP APNOEA FOR A PERIOD OF AT LEAST 8 HOURS DURATION, FOR AN ADULT AGED 18 YEARS AND OVER WHERE:

a)    continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of

    EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation and ECG

    are performed;

b)    a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;

c)    the patient is referred by a medical practitioner;

d)    the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the investigation;

e)    polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of

    clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of

    computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of

    report; and

f)    interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the direct

    original recording of polygraphic data from the patient


where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12203 applies for the adjustment and/or testing of the effectiveness of a positive pressure ventilatory support device (other than nasal continuous positive airway pressure) in sleep, in a patient with severe cardio-respiratory failure, and where previous studies have demonstrated failure of continuous positive airway pressure or oxygen - each additional investigation



Fee: $588.00 Benefit: 75% = $441.00 85% = $508.50

(See para D1.18 of explanatory notes to this Category)

Results 1 to 2 of 2 matches


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