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General Explanatory Notes

Category 3 - THERAPEUTIC PROCEDURES

Category 3 - THERAPEUTIC PROCEDURES

13200

13200 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, semen preparation, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item  13201, 13202, 13203, 13218 applies - being services rendered during 1 treatment cycle - INITIAL cycle in a single calendar year



Fee: $3,288.55 Benefit: 75% = $2,466.45 85% = $3,195.35

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $1,765.65

Category 3 - THERAPEUTIC PROCEDURES

13201

13201 - Additional Information

Item Start Date:
01-Jan-2010
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, semen preparation, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item  13200, 13202, 13203, 13218 applies - being services rendered during 1 treatment cycle - each cycle SUBSEQUENT to the first in a single calendar year



Fee: $3,076.10 Benefit: 75% = $2,307.10 85% = $2,982.90

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $2,563.00

Category 3 - THERAPEUTIC PROCEDURES

13202

13202 - Additional Information

Item Start Date:
01-Jan-2010
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED TREATMENT CYCLE THAT IS CANCELLED BEFORE OOCYTE RETRIEVAL, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, semen preparation, ultrasound examinations, but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which Item 13200, 13201, 13203, 13218, applies being services rendered during 1 treatment cycle



Fee: $492.15 Benefit: 75% = $369.15 85% = $418.35

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $68.45

Category 3 - THERAPEUTIC PROCEDURES

13203

13203 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

Ovulation monitoring services for artificial insemination or gonadotrophin, stimulated ovulation induction, including quantitative estimation of hormones and ultrasound examinations, being services rendered during one treatment cycle but excluding a service to which item 13200, 13201, 13202, 13212, 13215 or 13218 applies



Fee: $514.55 Benefit: 75% = $385.95 85% = $437.40

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $113.95

Category 3 - THERAPEUTIC PROCEDURES

13212

13212 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

Oocyte retrieval for the purpose of assisted reproductive technologies-only if rendered in connection with a service to which item 13200 or 13201 applies


(Anaes.)

Fee: $374.70 Benefit: 75% = $281.05 85% = $318.50

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $74.15

Category 3 - THERAPEUTIC PROCEDURES

13215

13215 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination-only if rendered in connection with a service to which item 13200, 13201 or 13218 applies, being services rendered in one treatment cycle


(Anaes.)

Fee: $117.50 Benefit: 75% = $88.15 85% = $99.90

(See para TN.1.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $51.35

Category 3 - THERAPEUTIC PROCEDURES

13218

13218 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Mar-2022
Schedule Fee Updated:
01-Jul-2022

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

PREPARATION of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203, 13212 applies


(Anaes.)

Fee: $838.90 Benefit: 75% = $629.20 85% = $745.70

(See para TN.1.4, TN.1.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $740.45

Results 1 to 9 of 9 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