Medicare Benefits Schedule - Item 73333

Detection of germline mutations of the von Hippel‑Lindau (VHL) gene:

(a) in a patient who has a clinical diagnosis of VHL syndrome and:

(i) a family history of VHL syndrome and one of the following:

(A) haemangioblastoma (retinal or central nervous system);

(B) phaeochromocytoma;

(C) renal cell carcinoma; or

(ii) 2 or more haemangioblastomas; or

(iii) one haemangioblastoma and a tumour or a cyst of:

(A) the adrenal gland; or

(B) the kidney; or

(C) the pancreas; or

(D) the epididymis; or

(E) a broad ligament (other than epididymal and single renal cysts, which are common in the general population); or

(b) in a patient presenting with one or more of the following clinical features suggestive of VHL syndrome:

(i) haemangiblastomas of the brain, spinal cord, or retina;

(ii) phaeochromocytoma;

(iii) functional extra‑adrenal paraganglioma

Fee: $600.00 Benefit: 75% = $450.00 85% = $510.00

(See para PN.0.23 of explanatory notes to this Category)

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Items 73297, 73300, 73305, 73334, 73339, 73340, 73393, 73394, 73417, 73418, 73440, 73441, 73442, 73443, and 73444

Prior to ordering these tests the ordering practitioner should ensure the patient (or approximate proxy) has given written informed consent. Testing should only be performed after genetic counselling. Appropriate genetic counselling should be provided to the patient either by the specialist treating practitioner, a genetic counselling service or a clinical geneticist on referral. Further counselling may be necessary upon receipt of the test results.

Items 73295, 73296, 73304, 73333, 73392, 73395, 73416 and 73419

Patients who are found to have any form of affected allele should be referred for post-test genetic counselling as there may be implications for other family members. Appropriate genetic counselling should be provided to the patient either by the specialist treating practitioner, a genetic counselling service or a clinical geneticist on referral.

Related Items: 73295 73296 73297 73300 73304 73305 73333 73334 73339 73340 73392 73393 73394 73395 73416 73417 73418 73419 73440 73441 73442 73443 73444