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Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

11607

11607 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
D1 - Miscellaneous Diagnostic Procedures And Investigations
Subgroup
5 - Vascular

Continuous ambulatory blood pressure recording for 24 hours or more for a patient if:

(a) the patient has a clinic blood pressure measurement (using a sphygmomanometer or a validated oscillometric blood pressure monitoring device) of either or both of the following measurements:

(i) systolic blood pressure greater than or equal to 140 mmHg and less than or equal to 180 mmHg;

(ii) diastolic blood pressure greater than or equal to 90 mmHg and less than or equal to 110 mmHg; and

(b) the patient has not commenced anti‑hypertensive therapy; and

(c) the recording includes the patient’s resting blood pressure; and

(d) the recording is conducted using microprocessor‑based analysis equipment; and

(e) the recording is interpreted by a medical practitioner and a report is prepared by the same medical practitioner; and

(f) a treatment plan is provided for the patient; and

(g) the service:

(i) is not provided in association with ambulatory electrocardiogram recording, and

(ii) is not associated with a service to which any of the following items apply:

(A) 177;

(B) 224 to 228;

(C) 231 to 244;

(D) 392 or 393;

(E) 699;

(F) 701 to 707;

(G) 715;

(H) 729, 731, 965 or 967;

(I) 735 to 758;

(J) 92004, 92011, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061.

Applicable only once in any 12 month period

 



Fee: $120.10 Benefit: 75% = $90.10 85% = $102.10

(See para DN.1.35 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $96.10

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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