Medicare Benefits Schedule - Note TN.8.257

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Rhinology - (Item 41764)

Item 41764 can be performed on a patient by an eligible speech pathologist on behalf of a specialist in the speciality of otolaryngology head and neck surgery, if:

(a) the service is performed following a written request made by the specialist to assist the specialist in the diagnosis, treatment or management of a laryngeal condition or related disorder in the patient; and

(b) the service is performed in a medical facility; and

(c) the service is performed on the patient individually and in person; and

(d) after the service is performed, the eligible speech pathologist gives the specialist:

     (i) recorded dynamic images of, and a copy of the results of, the service; and

     (ii) relevant written comments, prepared by the eligible speech pathologist, about those results; and

(e) a service to which item 41764 applies has not been performed on the same patient on the same day. 

For the purposes of item 41764, a medical facility may include medical or allied health consulting rooms, hospitals (including outpatient clinics and wards), community health facilities, and residential aged care facilities (as defined in the Aged Care Act 1997).

Related Items: 41764

Related Items



41764 - Additional Information

Item Start Date:
Description Updated:
Schedule Fee Updated:

Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, one or more of these procedures, unilateral or bilateral examination, other than a service associated with a service to which item 41693, 41702, 41703, 41705, 41734 or 41737 applies


Fee: $135.15 Benefit: 75% = $101.40 85% = $114.90

(See para TN.8.257 of explanatory notes to this Category)


  • 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