Medicare Benefits Schedule - Item 17690

-    Where a pre-anaesthesia consultation covered by an item  in the range 17615-17625 is performed in-rooms if:

(a) the service is provided to a patient prior to an admitted patient episode of care involving anaesthesia; and

(b) the service is not provided  to an admitted patient of a hospital; and

(c) the service is not provided on the day of admission to hospital for the subsequent episode of care involving anaesthesia services; and

(d) the service is of more than 15 minutes duration

not being a service associated with a service to which items 2801 - 3000 apply.

Fee: $45.70 Benefit: 75% = $34.30 85% = $38.85

(See para TN.6.3 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $137.10

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A consultation occurring immediately before the institution of major regional blockade for a patient in labour is covered by item 17680. 

Item 17690 can only be claimed where all of the conditions set out in (a) to (d) of item 17690 have been met. 

Item 17690 can only be claimed in conjunction with a service covered by items 17615, 17620, or 17625. 

Item 17690 cannot be claimed where the pre-anaesthesia consultation covered by items 17615, 17620 or 17625 is provided on the same day as admission to hospital for the subsequent episode of care involving anaesthesia services. 

NOTE: Consultation services covered by pain medicine specialist items in the range 2801-3000 cannot be claimed in conjunction with anaesthesia consultation items 17610 - 17690.

 

Related Items: 17680 17690