View Associated Notes
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
12272 - Additional Information
Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness for a patient less than 12 years of age, if:
(a) a qualified paediatric sleep medicine practitioner determines that testing to objectively confirm the ability to maintain wakefulness is necessary; and
(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines:
(i) airflow;
(ii) continuous EMG;
(iii) ECG;
(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);
(v) EOG;
(vi) oxygen saturation;
(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);
(viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and
(c) immediately following the overnight investigation, a daytime investigation is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and
(d) a sleep technician is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and
(e) polygraphic records are:
(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and
(ii) stored for interpretation and preparation of a report; and
(f) interpretation and preparation of a permanent report is provided by a qualified paediatric sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and
(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12210, 12215 or 12268 is provided to the patient
Applicable only once in a 12 month period
Fee: $1,170.65 Benefit: 75% = $878.00 85% = $1,071.95
(See para DN.1.23 of explanatory notes to this Category)
Associated Notes
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
DN.1.23
Multiple sleep latency testing and Maintenance of wakefulness testing
Determination of the need for testing and testing procedures should be performed in accordance with current Australasian Sleep Association guidelines.
Current Professional Guidelines include:
· Guidelines for the performance of sleep studies in adults – a position statement of the Australasian Sleep Association. Refer to the document under the heading Sleep Studies in Adults - Position statements (sleep.org.au)
· The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: rules, terminology and technical specifications (you will require an account to access this resource). Refer to the section Sleep Staging Rules in the AASM Scoring Manual - American Academy of Sleep Medicine
· An Australian Commentary on the AASM Manual for the Scoring of Sleep and Associated Events. Refer to the document under the heading Scoring of Sleep and Associated Events - Position statements (sleep.org.au)
Not to be used as part of an occupational health service or pre-employment assessment.
The date of service for the purposes of items 12254 to 12272 is deemed to be the day on which the daytime investigation component of the test is completed. Billing for the service must only occur once all of the requirements of the item have been fulfilled.
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