Medicare Benefits Schedule - Note DR.1.3

This service can be performed as an out-of-hospital service or for admitted hospital patients. 

Item 11730 does not apply to a service unless:

   (i)   the patient’s body habitus, or other physical condition, is suitable for exercise stress testing or pharmacological induced stress testing; and

   (ii)  the patient can complete the exercise sufficiently or respond adequately to pharmacological induced stress, to take the required measurements; and

   (iii) one of the persons mentioned in subparagraphs b(iv) and (v) of the item descriptor must be a medical practitioner.

Item 11730 does not apply to a service performed on a patient who is asymptomatic and has a normal cardiac examination.

Exercise testing and cardiopulmonary resuscitation

The Taskforce recommended changes to the performance of exercise or pharmacological electrocardiogram stress testing for optimal patient safety. For a service to be performed, the person performing the monitoring and recording must be:

1. in continuous attendance; and
2. trained in “exercise testing”  and cardiopulmonary resuscitation; and
3. A second person trained in cardiopulmonary resuscitation must be located at the premise and available to attend the electrocardiogram stress testing in an emergency.

Please refer to the Cardiac Society of Australia and New Zealand position statement on clinical exercise stress testing:

https://www.csanz.edu.au/wp-content/uploads/2014/12/Clinical_Exercise_Stress_Testing_2014-December.pdf

Related Items: 11730

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Multi channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts), if:

(a) the patient is less than 17 years; and

(b) the patient:

(i) has symptoms consistent with cardiac ischemia; or

(ii) has other cardiac disease which may be exacerbated by exercise; or

(iii) has a first degree relative with suspected heritable arrhythmia; and

(c) the monitoring and recording:

(i) is not less than 20 minutes in duration; and

(ii) includes resting electrocardiogram; and

(d) a written report is produced by a medical practitioner that includes interpretation of the monitoring and recording data, commenting on the significance of the data, and the relationship of the data to clinical decision making for the patient in the clinical context; and

(e) the service is not a service:

(i) provided on the same occasion as a service to which item 11704, 11705, 11707 or 11714 applies; or

(ii) performed within 24 months of a service to which item 55141, 55143, 55145, 55146, 61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406, 61410 or 61414 applies

 Applicable only once in any 24 month period

Fee: $173.40 Benefit: 75% = $130.05 85% = $147.40

(See para DN.1.30, DR.1.3 of explanatory notes to this Category)