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Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
11823 - Additional Information
Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz-Jeghers Syndrome, using a
capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:
(a) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by
the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and
(b) the item is performed only once in any 2 year period; and
(c) the service is not associated with balloon enteroscopy.
Fee: $1,299.60 Benefit: 75% = $974.70 85% = $1,206.40
(See para DN.1.15 of explanatory notes to this Category)
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