Results 71 to 80 of 582 matches
Category 5 - DIAGNOSTIC IMAGING SERVICES
55126 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of any of the following:
(i) symptoms or signs of cardiac failure;
(ii) suspected or known ventricular hypertrophy or dysfunction;
(iii) pulmonary hypertension;
(iv) valvular, aortic, pericardial, thrombotic or embolic disease;
(v) heart tumour;
(vi) symptoms or signs of congenital heart disease;
(vii) other rare indications; and
(b) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies
Applicable not more than once in a 24 month period (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.3, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55127 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of known valvular dysfunction; and
(b) is requested by a specialist or consultant physician; and
(c) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.4, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55128 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of known valvular dysfunction; and
(b) is requested by a medical practitioner (other than a specialist or consultant physician) at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and
(c) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.4, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55129 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if:
(a) valvular dysfunction is not the primary issue for the patient (although it may be a secondary issue); and
(b) the service is for the investigation of any of the following:
(i) symptoms or signs of cardiac failure;
(ii) suspected or known ventricular hypertrophy or dysfunction;
(iii) pulmonary hypertension;
(iv) aortic, thrombotic, embolic disease or pericardial disease (excluding isolated pericardial effusion or pericarditis);
(v) heart tumour;
(vi) structural heart disease;
(vii) other rare indications; and
(c) the service is requested by a specialist or consultant physician; and
(d) the service is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.5, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55130 - Additional Information
Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service:
(a) includes Doppler techniques with colour flow mapping and recordings on digital media; and
(b) is performed during cardiac surgery; and
(c) incorporates sequential assessment of cardiac function before and after the surgical procedure; and
(d) is not associated with a service to which item 55135, or an item in Subgroup 3, applies (R)
(Anaes.)
Fee: $184.15 Benefit: 75% = $138.15 85% = $156.55
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55132 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of a patient who:
(i) is under 17 years of age; or
(ii) has complex congenital heart disease; and
(b) is performed by a specialist or consultant physician practising in the speciality of cardiology; and
(c) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.6, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55133 - Additional Information
Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2
Frequent repetition serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of a patient who:
(i) has an isolated pericardial effusion or pericarditis; or
(ii) has a normal baseline study, and has commenced medication for non‑cardiac purposes that has cardiotoxic side effects and is a pharmaceutical benefit (within the meaning of Part VII of the National Health Act 1953) for the writing of a prescription for the supply of which under that Part an echocardiogram is required; and
(b) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $224.95 Benefit: 75% = $168.75 85% = $191.25
(See para IN.0.19, IN.1.7, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55134 - Additional Information
Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2
Repeat real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of rare cardiac pathologies, if the service:
(a) is requested by a specialist or consultant physician; and
(b) is not associated with a service to which:
(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or
(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or
(iii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.8, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55135 - Additional Information
Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service:
(a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and
(b) includes Doppler techniques with colour flow mapping and recordings on digital media; and
(c) is performed during cardiac valve surgery (replacement or repair); and
(d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and
(e) is not associated with a service to which item 22054, 55130, or an item in Subgroup 3, applies (R)
(Anaes.)
Fee: $383.10 Benefit: 75% = $287.35 85% = $325.65
(See para IN.0.19 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55137 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2
Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service:
(a) is for the investigation of a fetus with suspected or confirmed:
(i) complex congenital heart disease; or
(ii) functional heart disease; or
(iii) fetal cardiac arrhythmia; or
(iv) cardiac structural abnormality requiring confirmation; and
(b) is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and
(c) is not associated with a service to which:
(i) an item in Subgroup 2 applies (except items 55118 and 55130); or
(ii) an item in Subgroup 3 applies (R)
Fee: $249.95 Benefit: 75% = $187.50 85% = $212.50
(See para IN.0.19, IN.1.9, IR.1.2, IR.1.3 of explanatory notes to this Category)
Results 71 to 80 of 582 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