Medicare Benefits Schedule - Item 13207

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Category 3 - THERAPEUTIC PROCEDURES

13207

13207 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Jul-2024

Group
T1 - Miscellaneous Therapeutic Procedures
Subgroup
3 - Assisted Reproductive Services

Biopsy of an embryo, from a patient who is eligible for a service described in item 73384 under clause 2.7.3A of the pathology services table (see PR.7.1), for the purpose of providing a sample for pre-implantation genetic testing—applicable to one or more tests performed in one assisted reproductive treatment cycle

Fee: $125.90 Benefit: 75% = $94.45 85% = $107.05

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


Associated Notes

Category 6 - PATHOLOGY SERVICES

PR.7.1

Items 73384 to 73387 (relating to pre implantation genetic testing under clause 2.7.3A of the pathology services table)—patient eligibility

A patient is eligible for a service described in any of items 73384 to 73387 only if:

(a)  the patient or the patient’s reproductive partner:

  1. has an identified gene variant which places the patient at risk of having a pregnancy affected by a Mendelian or mitochondrial disorder; or
  2. is at risk of an autosomal dominant disorder which places the patient at risk of having a child who develops the autosomal dominant disorder; or
  3. has a chromosome re‑arrangement or copy number variant which places the patient at risk of having a pregnancy affected by a chromosome disorder; and

(b)  there is no curative treatment for the disorder and there is severe limitation of quality of life despite contemporary management of the disorder; and

(c)  the patient has previously had a consultation, with a specialist or consultant physician practising as a clinical geneticist, that included a discussion about the disorder.

 

Related Items: 13207 73384 73385 73386 73387


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