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Speech pathology health service provided to a patient by an eligible speech pathologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $205.65

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Attendance by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who:

(a)    is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and

(b)    is not an admitted patient

Telehealth Item

Fee: $35.70 Benefit: 100% = $35.70

(See para MN.12.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $107.10

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• Next - Item 10987

Programming by telehealth of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which items 82301, 82302 or 82304 applies has not been performed on the patient on the same day

Applicable up to a total of 4 services to which this item, item 11302 or item 11345 applies on the same day

Fee: $169.45 Benefit: 85% = $144.05

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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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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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Twelve‑lead electrocardiography, trace and formal report, by a specialist or a consultant physician, if the service:

(a) is requested by a requesting practitioner; and

(b) is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies.

Note: the following are also requirements of the service:

1. a formal report is completed; and
2. a copy of the formal report is provided to the requesting practitioner; and
3. the service is not provided to the patient as part of an episode of hospital treatment or hospital-substitute treatment; and
4. is not provided in association with an attendance item (Part 2 of the schedule); and
5. the specialist or consultant physician who renders the service does not have a financial relationship with the requesting practitioner.

Fee: $34.40 Benefit: 85% = $29.25

(See para DN.1.31, DR.1.4 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $25.80

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UP-RIGHT TILT TABLE TESTING for the investigation of syncope of suspected cardiothoracic origin, including blood pressure monitoring, continuous ECG monitoring and the recording of the parameters, and involving an established intravenous line and the continuous attendance of a specialist or consultant physician - on premises equipped with a mechanical respirator and defibrillator

Fee: $185.85 Benefit: 75% = $139.40 85% = $158.00

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• Next - Item 11725

SUPERVISION IN HOSPITAL by a medical specialist of  haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day

Fee: $150.45 Benefit: 75% = $112.85 85% = $127.90

(See para TN.1.2 of explanatory notes to this Category)

• Previous - Item 13030
• Next - Item 13103

SUPERVISION IN HOSPITAL by a medical specialist of  haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day

Fee: $78.40 Benefit: 75% = $58.80 85% = $66.65

(See para TN.1.2 of explanatory notes to this Category)

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