Medicare Benefits Schedule - Item 30097

Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented, if:

1. serum cortisol at 0830-0930 hours on any day in the preceding month has been measured at greater than 100 nmol/L but less than 400 nmol/L; or
2. in a patient who is acutely unwell and adrenal insufficiency is suspected.

Multiple Operation Rule

Fee: $106.40 Benefit: 75% = $79.80 85% = $90.45

(See para TN.8.139 of explanatory notes to this Category)

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A 0900h serum cortisol (0830-0930) less than 100 nmol/L indicates adrenal deficiency and a Synacthen Test is not required.

A 0900h serum cortisol (0830-0930) greater than 400 nmol/L indicates adrenal sufficiency and a Synacthen Test is not required. An exception to this is when testing women on oral contraception where cortisol levels may be higher due to increases in cortisol-binding globulin and this threshold may not exclude women with adrenal insufficiency.

Related Items: 30097