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Category 3 - THERAPEUTIC PROCEDURES

32222

32222 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy, for a patient:

(a) following a positive faecal occult blood test; or

(b) who has symptoms consistent with pathology of the colonic mucosa; or

(c) with anaemia or iron deficiency; or

(d) for whom diagnostic imaging has shown an abnormality of the colon; or

(e) who is undergoing the first examination following surgery for colorectal cancer; or

(f) who is undergoing pre‑operative evaluation; or

(g) for whom a repeat colonoscopy is required due to inadequate bowel preparation for the patient’s previous colonoscopy; or

(h) for the management of inflammatory bowel disease

Applicable only once on a day under a single episode of anaesthesia or other sedation

Multiple Operation Rule


(Anaes.)

Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32223

32223 - Additional Information

Item Start Date:
01-Mar-2021
Description Updated:
01-Mar-2021
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy, for a patient:

(a) who has had a colonoscopy that revealed:

(i) 1 to 4 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or

(ii) 1 or 2 sessile serrated lesions, each of which was less than 10 mm in diameter, and without dysplasia; or

(b) with a moderate risk of colorectal cancer due to family history; or

(c) with a history of colorectal cancer, who has had an initial post‑operative colonoscopy that did not reveal any adenomas or colorectal cancer

Applicable only once in any 5 year period.

Multiple Operation Rule



Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32224

32224 - Additional Information

Item Start Date:
01-Mar-2021
Description Updated:
01-Mar-2021
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to:

(a) a history of adenomas, including an adenoma that:

(i) was 10 mm or greater in diameter; or

(ii) had villous features; or

(iii) had high grade dysplasia; or

(b) having had a previous colonoscopy that revealed:

(i) 5 to 9 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or

(ii) 1 or 2 sessile serrated lesions, each of which was 10 mm or greater in diameter or had dysplasia; or

(iii) a hyperplastic polyp that was 10 mm or greater in diameter; or

(iv) 3 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or

(v) 1 or 2 traditional serrated adenomas, of any size

Applicable only once in any 3 year period (Anaes.)

Multiple Operation Rule



Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32225

32225 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to having had a previous colonoscopy that:

(a) revealed 10 or more adenomas; or

(b) included a piecemeal, or possibly incomplete, excision of a large, sessile polyp

Applicable not more than 4 times in any 12 month period

Multiple Operation Rule


(Anaes.)

Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32226

32226 - Additional Information

Item Start Date:
01-Mar-2021
Description Updated:
01-Mar-2021
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

 Endoscopic examination of the colon to the caecum by colonoscopy, for a patient who has a high risk of colorectal cancer due to:

(a) having either:

(i) a known or suspected familial condition, such as familial adenomatous polyposis, Lynch syndrome or serrated polyposis syndrome; or

(ii) a genetic mutation associated with hereditary colorectal cancer; or

(b) having had a previous colonoscopy that revealed:

(i) 5 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or

(ii) 3 or more sessile serrated lesions, 1 or more of which was 10 mm or greater in diameter or had dysplasia; or

(iii) 3 or more traditional serrated adenomas, of any size

Applicable only once in any 12 month period (Anaes.)

Multiple Operation Rule



Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32227

32227 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy:

(a) for the treatment of bleeding, including one or more of the following:

    (i) radiation proctitis;

    (ii) angioectasia;

    (iii) post‑polypectomy bleeding; or

(b) for the treatment of colonic strictures with balloon dilatation

Applicable only once on a day under a single episode of anaesthesia or other sedation

Multiple Operation Rule


(Anaes.)

Fee: $488.20 Benefit: 75% = $366.15 85% = $415.00

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32228

32228 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Endoscopic examination of the colon to the caecum by colonoscopy, other that a service to which item 32222, 32223, 32224, 32225, or 32226 applies. Applicable only once

Multiple Operation Rule


(Anaes.)

Fee: $347.90 Benefit: 75% = $260.95 85% = $295.75

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

32229

32229 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
T8 - Surgical Operations
Subgroup
2 - Colorectal

Removal of one or more polyps during colonoscopy, in association with a service to which item 32222, 32223, 32224, 32225, 32226, or 32228 applies

 

Multiple Operation Rule


(Anaes.)

Fee: $280.60 Benefit: 75% = $210.45 85% = $238.55

(See para TN.8.2, TN.8.17, TN.8.152 of explanatory notes to this Category)

Results 1 to 8 of 8 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