Medicare Benefits Schedule - Note TN.10.9

Search Results for Note TN.10.9

View Related Items

Category 3 - THERAPEUTIC PROCEDURES

TN.10.9

Assistance in the Administration of Anaesthesia

The RVG provides for a separate benefit to be paid for the services of an assistant anaesthetist in connection with an operation or series of operations in specified circumstances, as outlined below. This benefit is payable only in respect of one assistant anaesthetist who must not be the surgeon or assistant surgeon. 

Therapeutic and Diagnostic services covered by Subgroup 19 items (such as blood transfusion, pressure monitoring, insertion of CVC, etc) are payable only once per patient per anaesthetic episode.  Where these services are provided by the assistant anaesthetist these services are eligible for Medicare benefits only where the same service is not also claimed by the primary anaesthetist. 

Assistance at anaesthesia in connection with emergency treatment (Item 25200)

Item 25200 provides for assistance at anaesthesia where the patient is in imminent danger of death. Situations where imminent danger of death requiring an assistant anaesthetist might arise include: complex airway problems, anaphylaxis or allergic reactions, malignant hyperpyrexia, neonatal and complicated paediatric anaesthesia, massive blood loss and subsequent resuscitation, intra-operative cardiac arrest, critically ill patients from intensive care units or inability to wean critically ill patients from pulmonary bypass. 

Assistance in the administration of elective anaesthesia (Item 25205) 

A separate benefit is payable under Item 25205 for the services of an assistant anaesthetist in connection with elective anaesthesia in the circumstances outlined in the item descriptor. This benefit is only payable in respect of one assistant anaesthetist who must not be the surgeon or assistant surgeon. 

For the purposes of Item 25205, a 'complex paediatric case' involves one or more of the following:

  • the need for invasive monitoring (intravascular or transoesophageal); or
  • organ transplantation; or
  • craniofacial surgery; or
  • major tumour resection; or
  • separation of conjoint twins.

 

Related Items: 25200 25205


Related Items

Category 3 - THERAPEUTIC PROCEDURES

25200

25200 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Jul-2024

Assistance in the management of anaesthesia requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of attendance on all other patients

(5 basic units)

An amount of $112.85 (5 basic units) plus an item in the range 23010 - 24136 plus, where applicable - an item in the range 25000 - 25020 plus, where performed, any associated therapeutic or diagnostic service/s in the range 22001 - 22051

(See para TN.10.9 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

25205

25205 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Jul-2024

Assistance in the management of elective anaesthesia, if:

(a)    the patient has complex airway problems; or

(b)    the patient is a neonate; or

(c)    the patient is a paediatric patient and is receiving one or more of the following services:

(i) invasive monitoring, either intravascular or transoesophageal;

(ii) organ transplantation;

(iii) craniofacial surgery;

(iv) major tumour resection;

(v) separation of conjoint twins; or

(d)    there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or

(e)    the patient is critically ill, with multiple organ failure; or

(f)     the service time of the management of anaesthesia exceeds 6 hours and the assistance is provided to the exclusion of attendance on all other patients

(5 basic units)

An amount of $112.85 (5 basic units) plus an item in the range 23010 - 24136 plus, where applicable - an item in the range 25000 - 25020 plus, where performed, any associated therapeutic or diagnostic service/s in the range 22002 - 22051

(See para TN.10.9 of explanatory notes to this Category)


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