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Twelve‑lead electrocardiography, trace and formal report, by a specialist or a consultant physician, if the service:

(a) is requested by a requesting practitioner; and

(b) is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies; and

(c) is not a service to which item 12218 or 12219 applies

Note: the following are also requirements of the service:

1. a formal report is completed; and
2. a copy of the formal report is provided to the requesting practitioner; and
3. the service is not provided to the patient as part of an episode of hospital treatment or hospital-substitute treatment; and
4. is not provided in association with an attendance item (Part 2 of the schedule); and
5. the specialist or consultant physician who renders the service does not have a financial relationship with the requesting practitioner.

Fee: $37.40 Benefit: 85% = $31.80

(See para DN.1.31, DR.1.4 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $29.95

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Twelve‑lead electrocardiography, formal report only, by a specialist or a consultant physician, if the service:

(a) is requested by a requesting practitioner; and

(b) is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies; and

(c) is not a service to which item 12218 or 12219 applies

Applicable not more than twice on the same day

Note: the following are also requirements of the service:

1. a formal report is completed; and
2. a copy of the formal report is provided to the requesting practitioner; and
3. the specialist or consultant physician who renders the service does not have a financial relationship with the requesting practitioner; and
4. is not provided in association with an attendance item (Part 2 of the schedule), unless there has been a significant change in the patient's clinical condition or care circumstances that necessitates the providing of the service.

Fee: $22.00 Benefit: 75% = $16.50 85% = $18.70

(See para DN.1.31, DR.1.4 of explanatory notes to this Category)

• Previous - Item 11704
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Twelve‑lead electrocardiography, trace only, by a medical practitioner, if:

(a) the trace is provided to a specialist or consultant physician for a formal report; and

(b) the service is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies; and

(c) the service is not a service to which item 12218 or 12219 applies

Applicable not more than twice on the same day

Note: the following are also requirements of the service:

1. the service is not provided to the patient as part of an episode of hospital treatment; or
2. hospital-substitute treatment.

Fee: $22.00 Benefit: 85% = $18.70

(See para DR.1.4 of explanatory notes to this Category)

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• Next - Item 11713

Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician, other than a service to which item 12218 or 12219 applies

Fee: $83.45 Benefit: 75% = $62.60 85% = $70.95

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