Results 31 to 40 of 95 matches
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)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55141 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 and does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55143, 55145 or 55146 applies has been provided to the patient.
Exercise stress echocardiography focused study, other than a service associated with a service to which:
(a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or
(b) an item in Subgroup 3 applies
Applicable not more than once in a 24 month period (R)
Fee: $445.55 Benefit: 75% = $334.20 85% = $378.75
(See para IN.0.19, IN.1.10, IR.0.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55143 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2
Repeat pharmacological or exercise stress echocardiography if:
(a) a service to which item 55141, 55145, 55146, or this item, applies has been performed on the patient in the previous 24 months; and
(b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and
(c) the service is requested by a specialist or a consultant physician; and
(d) the service is not associated with a service to which:
(i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or
(ii) an item in Subgroup 3 applies
Applicable not more than once in a 12 month period (R)
Fee: $445.55 Benefit: 75% = $334.20 85% = $378.75
(See para IN.0.19, IN.1.10, IR.0.1, IR.1.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55145 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2
Pharmacological stress echocardiography, other than a service associated with a service to which:
(a) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or
(b) an item in Subgroup 3 applies
Applicable not more than once in a 24 month period (R)
Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55141, 55143 or 55146 applies has been provided to the patient.
Fee: $516.40 Benefit: 75% = $387.30 85% = $438.95
(See para IN.0.19, IN.1.10, IR.0.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55146 - Additional Information
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2
Pharmacological stress echocardiography if:
(a) a service to which item 55141 applies has been performed on the patient in the previous 4 weeks, and the test has failed due to an inadequate heart rate response; and
(b) the service is not associated with a service to which:
(i) item 11704, 11705, 11707, 11714, 11729 or 11730 applies; or
(ii) an item in Subgroup 3 applies
Applicable not more than once in a 24 month period (R)
Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55143 or 55145 applies has been provided to the patient.
Fee: $516.40 Benefit: 75% = $387.30 85% = $438.95
(See para IN.0.19, IN.1.10, IR.0.1, IR.1.2, IR.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
55208 - Additional Information
DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R).
Note: This item is only available for services rendered by Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065.
Fee: $183.65 Benefit: 75% = $137.75 85% = $156.15
Category 5 - DIAGNOSTIC IMAGING SERVICES
55211 - Additional Information
DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of:
(a) priapism; or
(b) fibrosis of any type; or
(c) fracture of the tunica; or
(d) arteriovenous malformations (R)
Note: This items is only available for Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065
Fee: $183.65 Benefit: 75% = $137.75 85% = $156.15
Results 31 to 40 of 95 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