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Complex measurement of properties of the respiratory system, including the lungs and respiratory muscles, that is performed:

(a) in a respiratory laboratory; and

(b) under the supervision of a specialist or consultant physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports on tests performed; and

(c) using any of the following tests:

(i) measurement of absolute lung volumes by any method;

(ii) measurement of carbon monoxide diffusing capacity by any method;

(iii) measurement of airway or pulmonary resistance by any method;

(iv) inhalation provocation testing, including pre‑provocation spirometry and the construction of a dose response curve, using a recognised direct or indirect bronchoprovocation agent and post‑bronchodilator spirometry;

(v) provocation testing involving sequential measurement of lung function at baseline and after exposure to specific sensitising agents, including drugs, or occupational asthma triggers;

(vi) spirometry performed before and after simple exercise testing undertaken as a provocation test for the investigation of asthma, in premises equipped with resuscitation equipment and personnel trained in Advanced Life Support;

(vii) measurement of the strength of inspiratory and expiratory muscles at multiple lung volumes;

(viii) simulated altitude test involving exposure to hypoxic gas mixtures and oxygen saturation at rest and/or during exercise with or without an observation of the effect of supplemental oxygen;

(ix) calculation of pulmonary or cardiac shunt by measurement of arterial oxygen partial pressure and haemoglobin concentration following the breathing of an inspired oxygen concentration of 100% for a duration of 15 minutes or greater;

(x) if the measurement is for the purpose of determining eligibility for pulmonary arterial hypertension medications subsidised under the Pharmaceutical Benefits Scheme or eligibility for the provision of portable oxygen—functional exercise test by any method (including 6 minute walk test and shuttle walk test);

each occasion at which one or more tests are performed

Not applicable to a service performed in association with a spirometry or sleep study service to which item 11505, 11506, 11507, 11508, 11512, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Not applicable to a service to which item 11507 applies

Fee: $152.60 Benefit: 75% = $114.45 85% = $129.75

(See para DN.1.14 of explanatory notes to this Category)

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Measurement of spirometry, that:

(a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and

(b) is performed to confirm diagnosis of:

(i) asthma; or

(ii) chronic obstructive pulmonary disease (COPD); or

(iii) another cause of airflow limitation;

each occasion at which 3 or more recordings are made

Applicable only once in any 12 month period

Fee: $45.30 Benefit: 75% = $34.00 85% = $38.55

(See para DN.1.20 of explanatory notes to this Category)

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Measurement of spirometry, that:

(a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and

(b) is performed to:

(i) confirm diagnosis of chronic obstructive pulmonary disease (COPD); or

(ii) assess acute exacerbations of asthma; or

(iii) monitor asthma and COPD; or

(iv) assess other causes of obstructive lung disease or the presence of restrictive lung disease;

each occasion at which recordings are made

Fee: $22.65 Benefit: 75% = $17.00 85% = $19.30

(See para DN.1.20 of explanatory notes to this Category)

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Measurement of spirometry:

(a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and

(b) fractional exhaled nitric oxide (FeNO) concentration in exhaled breath;

if:

(c) the measurement is performed:

(i) under the supervision of a specialist or consultant physician; and

(ii) with continuous attendance by a respiratory scientist; and

(iii) in a respiratory laboratory equipped to perform complex lung function tests; and

(d) a permanently recorded tracing and written report is provided; and

(e) 3 or more spirometry recordings are performed unless difficult to achieve for clinical reasons;

each occasion at which one or more such tests are performed

Not applicable to a service associated with a service to which item 11503 or 11512 applies

Fee: $110.30 Benefit: 75% = $82.75 85% = $93.80

(See para DN.1.21 of explanatory notes to this Category)

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Maximal symptom‑limited incremental exercise test using a calibrated cycle ergometer or treadmill, if:

(a) the test is performed for the evaluation of:

(i) breathlessness of uncertain cause from tests performed at rest; or

(ii) breathlessness out of proportion with impairment due to known conditions; or

(iii) functional status and prognosis in a patient with significant cardiac or pulmonary disease for whom complex procedures such as organ transplantation are considered; or

(iv) anaesthetic and perioperative risks in a patient undergoing major surgery who is assessed as substantially above average risk after standard evaluation; and

(b) the test has been requested by a specialist or consultant physician following professional attendance on the patient by the specialist or consultant physician; and

(c) a respiratory scientist and a medical practitioner are in constant attendance during the test; and

(d) the test is performed in a respiratory laboratory equipped with airway management and defibrillator equipment; and

(e) there is continuous measurement of at least the following:

(i) work rate;

(ii) pulse oximetry;

(iii) respired oxygen and carbon dioxide partial pressures and respired volumes;

(iv) ECG;

(v) heart rate and blood pressure; and

(f) interpretation and preparation of a permanent report is provided by a specialist or consultant physician who is also responsible for the supervision of technical staff and quality assurance

Fee: $320.10 Benefit: 75% = $240.10 85% = $272.10

(See para DN.1.21 of explanatory notes to this Category)

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• Next - Item 11512

Measurement of spirometry:

(a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and

(b) that is performed with a respiratory scientist in continuous attendance; and

(c) that is performed in a respiratory laboratory equipped to perform complex lung function tests; and

(d) that is performed under the supervision of a specialist or consultant physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports; and

(e) for which a permanently recorded tracing and written report is provided; and

(f) for which 3 or more spirometry recordings are performed;

each occasion at which one or more such tests are performed

Not applicable for a service associated with a service to which item 11503 or 11507 applies

Fee: $68.00 Benefit: 75% = $51.00 85% = $57.80

(See para DN.1.20 of explanatory notes to this Category)

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