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Intracytoplasmic sperm injection for the purpose of assisted reproductive technologies, for male factor infertility, excluding a service to which item 13203 or 13218 applies

Fee: $460.05 Benefit: 75% = $345.05 85% = $391.05

(See para TN.1.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $128.70

• Previous - Item 13241
• Next - Item 13260

INITIATION OF MANAGEMENT OF ANAESTHESIA for transvaginal assisted reproductive services

Fee: $87.20 Benefit: 75% = $65.40 85% = $74.15

• Previous - Item 20942
• Next - Item 20944

Ovarian cyst aspiration, for cysts of at least 4 cm in diameter in a premenopausal patient and at least 2 cm in diameter in a postmenopausal patient, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques, and not in cases of suspected or possible malignancy 

Multiple Operation Rule

Fee: $228.80 Benefit: 75% = $171.60 85% = $194.50

(See para TN.4.11 of explanatory notes to this Category)

• Previous - Item 35517
• Next - Item 35527

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from a sample from one embryo, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on an embryo that was produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73386 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per embryo

Fee: $635.00 Benefit: 75% = $476.25 85% = $539.75

(See para PR.7.1, TN.1.4 of explanatory notes to this Category)

• Previous - Item 73384
• Next - Item 73386

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from samples from 2 embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 2 embryos tested

Fee: $1,270.00 Benefit: 75% = $952.50 85% = $1,171.30

(See para PR.7.1, TN.1.4 of explanatory notes to this Category)

• Previous - Item 73385
• Next - Item 73387

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A of the Pathology Services Table (see PR.7.1), of embryonic tissue from samples from 3 or more embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73386 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 3 or more embryos tested

Fee: $1,905.00 Benefit: 75% = $1,428.75 85% = $1,806.30

(See para PR.7.1, TN.1.4 of explanatory notes to this Category)

• Previous - Item 73386
• Next - Item 73388

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.40.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $56.85

• Previous - Item 92701
• Next - Item 92716

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $11.00 Benefit: 100% = $11.00

(See para AN.40.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $33.00

• Previous - Item 92715
• Next - Item 92717

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $15.15 Benefit: 100% = $15.15

(See para AN.40.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $45.45

• Previous - Item 92716
• Next - Item 92718

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.40.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $124.20

• Previous - Item 92717
• Next - Item 92719