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Results 1 to 6 of 6 matches

Category 6 - PATHOLOGY SERVICES

73358

73358 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if:

(a) the characterisation is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of:

(i) dysmorphic facial appearance and one or more major structural congenital anomalies; or

(ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and

(c) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and

(d) the characterisation is not performed in conjunction with a service to which item 73359 applies

Applicable only once per lifetime

 



Fee: $2,100.00 Benefit: 75% = $1,575.00 85% = $2,015.30

(See para PN.7.4 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

73359

73359 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if:

(a) the characterisation is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the request for the characterisation states that singleton testing is inappropriate; and

(c) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of:

(i) dysmorphic facial appearance and one or more major structural congenital anomalies; or

(ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and

(d) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and

(e) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and

(f) the characterisation is not performed in conjunction with a service to which item 73358 applies

Applicable only once per lifetime

 



Fee: $2,900.00 Benefit: 75% = $2,175.00 85% = $2,815.30

(See para PN.7.4 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

73360

73360 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Re-analysis of whole exome or genome data obtained in performing a service to which item 73358 or 73359 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re-analysis is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the patient is aged 15 years or younger and is strongly suspected of having a monogenic condition; and

(c) the re-analysis is performed at least 18 months after:

(i) a service to which item 73358 or 73359 applies; or

(ii) a service to which this item applies

Applicable only twice per lifetime

 



Fee: $500.00 Benefit: 75% = $375.00 85% = $425.00

Category 6 - PATHOLOGY SERVICES

73361

73361 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Detection of a single gene variant for diagnostic purposes, if:

(a) the detection is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the patient has a biological sibling with a known monogenic condition; and

(c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the sibling’s condition; and

(d) the results of the testing performed for the sibling are made available for the purpose of providing the detection for the patient; and

(e) the detection is not performed in conjunction with a service to which item 73362 or 73363 applies

Applicable only once per variant per lifetime

 



Fee: $400.00 Benefit: 75% = $300.00 85% = $340.00

Category 6 - PATHOLOGY SERVICES

73362

73362 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Detection of a single gene variant for the purpose of reproductive decision making, if:

(a) the detection is requested by a consultant physician or specialist; and

(b) the patient has a first-degree relative with a known monogenic condition; and

(c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the relative; and

(d) the results of the testing performed for the relative are made available for the purpose of providing the detection for the patient; and

(e) the detection is not performed in conjunction with item 73361 or 73363

Applicable only once per variant per lifetime



Fee: $400.00 Benefit: 75% = $300.00 85% = $340.00

Category 6 - PATHOLOGY SERVICES

73363

73363 - Additional Information

Item Start Date:
01-May-2020
Description Updated:
01-May-2020
Schedule Fee Updated:
01-May-2020

Group
P7 - Genetics

Detection of a single gene variant for segregation purposes in relation to a person, if:

(a) the detection is:

(i) requested by a consultant physician practising as a clinical geneticist; or

(ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and

(b) the patient:

(i) is a biological parent or other biological relative of the person and has a known phenotype of the person; or

(ii) is a biological parent of the person and has a suspected monogenic condition; and

(c) a sample has not previously been tested for the patient for a service to which item 73359 applies; and

(d) a service to which item 73358, 73359 or 73360 applies has identified a potentially causative variant for the person; and

(e) the results of the testing performed for the patient are made available for the purpose of providing the detection for the person; and

(f) the detection is not performed in conjunction with item 73361 or 73362

Applicable only once per variant per lifetime

 



Fee: $400.00 Benefit: 75% = $300.00 85% = $340.00

Results 1 to 6 of 6 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