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Related Items: 11503

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Related Items: 12203 12204 12205 12207 12208 12210 12213 12215 12217 12250

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Complex measurement of properties of the respiratory system, including the lungs and respiratory muscles, that is performed:

(a) in a respiratory laboratory; and

(b) under the supervision of a specialist or consultant physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports on tests performed; and

(c) using any of the following tests:

(i) measurement of absolute lung volumes by any method;

(ii) measurement of carbon monoxide diffusing capacity by any method;

(iii) measurement of airway or pulmonary resistance by any method;

(iv) inhalation provocation testing, including pre‑provocation spirometry and the construction of a dose response curve, using a recognised direct or indirect bronchoprovocation agent and post‑bronchodilator spirometry;

(v) provocation testing involving sequential measurement of lung function at baseline and after exposure to specific sensitising agents, including drugs, or occupational asthma triggers;

(vi) spirometry performed before and after simple exercise testing undertaken as a provocation test for the investigation of asthma, in premises equipped with resuscitation equipment and personnel trained in Advanced Life Support;

(vii) measurement of the strength of inspiratory and expiratory muscles at multiple lung volumes;

(viii) simulated altitude test involving exposure to hypoxic gas mixtures and oxygen saturation at rest and/or during exercise with or without an observation of the effect of supplemental oxygen;

(ix) calculation of pulmonary or cardiac shunt by measurement of arterial oxygen partial pressure and haemoglobin concentration following the breathing of an inspired oxygen concentration of 100% for a duration of 15 minutes or greater;

(x) if the measurement is for the purpose of determining eligibility for pulmonary arterial hypertension medications subsidised under the Pharmaceutical Benefits Scheme or eligibility for the provision of portable oxygen—functional exercise test by any method (including 6 minute walk test and shuttle walk test);

each occasion at which one or more tests are performed

Not applicable to a service performed in association with a spirometry or sleep study service to which item 11505, 11506, 11507, 11508, 11512, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Not applicable to a service to which item 11507 applies

Fee: $161.75 Benefit: 75% = $121.35 85% = $137.50

(See para DN.1.14 of explanatory notes to this Category)

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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.

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: $36.45 Benefit: 85% = $31.00

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

Extended Medicare Safety Net Cap: $25.80

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• Next - Item 11705

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

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.

Fee: $21.45 Benefit: 75% = $16.10 85% = $18.25

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

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Twelve‑lead electrocardiography, trace only, by a medical practitioner, if:

(a) the trace:

(i) is required to inform clinical decision making; and

(ii) is reviewed in a clinically appropriate timeframe to identify potentially serious or life‑threatening abnormalities; and

(iii) does not need to be fully interpreted or reported on; 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

Applicable not more than twice on the same day

Note: the service is not provided to the patient as part of an episode of:

1. hospital treatment; or
2. hospital-substitute treatment.

Fee: $21.45 Benefit: 85% = $18.25

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

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Twelve‑lead electrocardiography, trace and clinical note, by a specialist or consultant physician, if the service is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Applicable not more than twice on the same day

Note: the service is not provided to the patient as part of an episode of:

1. hospital treatment; or
2. hospital-substitute treatment.

Fee: $28.25 Benefit: 85% = $24.05

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

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Note: the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1

Continuous ambulatory electrocardiogram recording for 12 or more hours, by a specialist or consultant physician, if the service:

(a) is indicated for the evaluation of any of the following:

(i) syncope;

(ii) pre‑syncopal episodes;

(iii) palpitations where episodes are occurring more than once a week;

(iv) another asymptomatic arrhythmia is suspected with an expected frequency of greater than once a week;

(v) surveillance following cardiac surgical procedures that have an established risk of causing dysrhythmia; and

(b) utilises a system capable of superimposition and full disclosure printout of at least 12 hours of recorded electrocardiogram data (including resting electrocardiogram and the recording of parameters) and microprocessor based scanning analysis; and

(c) includes interpretation and report; and

(d) is not provided in association with ambulatory blood pressure monitoring; and

(e) is not associated with a service to which item 11704, 11705, 11707, 11714, 11717, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Applicable only once in any 4 week period

Note: this services does not apply if the patient is being provided with the service as part of an episode of:

1. hospital treatment; or
2. hospital‑substitute treatment.

Fee: $195.45 Benefit: 85% = $166.15

(See para DN.1.28, DR.1.1 of explanatory notes to this Category)

• Previous - Item 11714
• Next - Item 11717

Note: the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1

Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service:

(a) utilises a patient activated, single or multiple event memory recording device that:

(i) is connected continuously to the patient for between 7 and 30 days; and

(ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and

(b) includes transmission, analysis, interpretation and reporting (including the indication for the investigation); and

(c) is for the investigation of recurrent episodes of:

1. unexplained syncope; or
2. palpitation; or
3. other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and

(d) is not associated with a service to which item 11716, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Applicable only once in any 3 month period

Note: the service does not apply if the patient is being provided with the service as part of an episode of:

1. hospital treatment; or
2. hospital‑substitute treatment.

Fee: $114.85 Benefit: 85% = $97.65

(See para DN.1.26, DR.1.1 of explanatory notes to this Category)

• Previous - Item 11716
• Next - Item 11719

Note: the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1

Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service:

(a) utilises a patient activated, single or multiple event recording, on a memory recording device that:

(i) is connected continuously to the patient for up to 7 days; and

(ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and

(b) includes transmission, analysis, interpretation and formal report (including the indication for the investigation); and

(c) is for the investigation of recurrent episodes of:

(i) unexplained syncope; or

(ii) palpitation; or

(iii) other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and

(d) is not associated with a service to which item 11716, 11717, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies

Applicable only once in any 3 month period

Note: The service does not apply if the patient is an admitted patient.

Fee: $60.60 Benefit: 85% = $51.55

(See para DN.1.26, DR.1.1 of explanatory notes to this Category)

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