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Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12210

12210 - Additional Information

Item Start Date:
01-Nov-2001
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 PAEDIATRIC INVESTIGATION FOR A PERIOD OF AT LEAST 8 HOURS DURATION FOR A CHILD AGED 0 - 12 YEARS, WHERE:


a)    continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recording of EEG (minimum of 4 EEG leads with facility to increase to 6 in selected investigations), EOG, EMG submental +/- diaphragm, respiratory movement must include rib and abdomen (+/- sum) airflow detection, measurement of CO2 either end-tidal or transcutaneous, oxygen saturation and ECG are performed;

b)    a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner;

c)    the patient is referred by a medical practitioner;

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

e)    polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and the assessment of clinically significant alterations in heart rate and body 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;

f)    the interpretation and report to be provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient.


payable only in relation to the first 3 occasions the investigation is performed in a 12 month period.



Fee: $701.85 Benefit: 75% = $526.40 85% = $622.35

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

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12213

12213 - Additional Information

Item Start Date:
01-Nov-2001
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 PAEDIATRIC INVESTIGATION FOR A PERIOD OF AT LEAST 8 HOURS DURATION FOR A CHILD AGED BETWEEN 12 AND 18 YEARS, WHERE:


a)  continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recording of EEG (minimum of 4 EEG leads with facility to increase to 6 in selected investigations), EOG, EMG submental +/- diaphragm, respiratory movement must include rib and abdomen (+/- sum) airflow detection, measurement of CO2 either end-tidal or transcutaneous, oxygen saturation and ECG are performed;

b)  a technician or registered nurse with sleep technology training 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 sleep medicine practitioner prior to the investigation;

e)  polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and the assessment of clinically significant alterations in heart rate and body 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;

f)  the interpretation and report to be provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient.


payable only in relation to the first 3 occasions the investigation is performed in a 12 month period.



Fee: $632.30 Benefit: 75% = $474.25 85% = $552.80

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

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12215

12215 - Additional Information

Item Start Date:
01-Nov-2001
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 PAEDIATRIC INVESTIGATION FOR A PERIOD OF AT LEAST 8 HOURS DURATION FOR CHILDREN AGED 0 - 12 YEARS, WHERE:


a)  continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recording of EEG (minimum of 4 EEG leads with facility to increase to 6 in selected investigations), EOG, EMG submental +/- diaphragm, respiratory movement must include rib and abdomen (+/- sum) airflow detection, measurement of CO2 either end-tidal or transcutaneous, oxygen saturation and ECG are performed;

b)  a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner;

c)  the patient is referred by a medical practitioner;

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

e)  polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and the assessment of clinically significant alterations in heart rate and body 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;

f)  the interpretation and report to be provided by a qualified paediatric 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 12210 applies, for therapy with Continuous Positive Airway Pressure (CPAP), bilevel pressure support and/or ventilation is instigated or in the presence of recurring hypoxia and supplemental oxygen is required - each additional investigation.



Fee: $701.85 Benefit: 75% = $526.40 85% = $622.35

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

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

12217

12217 - Additional Information

Item Start Date:
01-Nov-2001
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 PAEDIATRIC INVESTIGATION FOR A PERIOD OF AT LEAST 8 HOURS DURATION FOR CHILDREN AGED BETWEEN 12 AND 18 YEARS, WHERE:


a)  continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recording of EEG (minimum of 4 EEG leads with facility to increase to 6 in selected investigations), EOG, EMG submental +/- diaphragm, respiratory movement must include rib and abdomen (+/- sum) airflow detection, measurement of CO2 either end-tidal or transcutaneous, oxygen saturation and ECG are performed;

b)  a technician or registered nurse with sleep technology training 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 sleep medicine practitioner prior to the investigation;

e)  polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and the assessment of clinically significant alterations in heart rate and body 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;

f)  the interpretation and report to be provided by a qualified 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 12213 applies, for therapy with Continuous Positive Airway Pressure (CPAP), bilevel pressure support and/or ventilation is instigated or in the presence of recurring hypoxia and supplemental oxygen is required - each additional investigation.



Fee: $632.30 Benefit: 75% = $474.25 85% = $552.80

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

Results 1 to 4 of 4 matches


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  • 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