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Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—initial cycle in a single calendar year

Fee: $3,543.85 Benefit: 75% = $2,657.90 85% = $3,445.15

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

Extended Medicare Safety Net Cap: $1,996.80

• Previous - Item 13110
• Next - Item 13201

Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—each cycle after the first in a single calendar year

Fee: $3,314.90 Benefit: 75% = $2,486.20 85% = $3,216.20

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

Extended Medicare Safety Net Cap: $2,898.50

• Previous - Item 13200
• Next - Item 13202

Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203 or 13218 applies, being services rendered during one treatment cycle

Fee: $530.35 Benefit: 75% = $397.80 85% = $450.80

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

Extended Medicare Safety Net Cap: $77.30

• Previous - Item 13201
• Next - Item 13203

Ovulation monitoring services for artificial insemination or gonadotrophin, stimulated ovulation induction, including quantitative estimation of hormones and ultrasound examinations, being services rendered during one treatment cycle but excluding a service to which item 13200, 13201, 13202, 13212, 13215 or 13218 applies

Fee: $554.45 Benefit: 75% = $415.85 85% = $471.30

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

Extended Medicare Safety Net Cap: $128.70

• Previous - Item 13202
• Next - Item 13207

Biopsy of an embryo, from a patient who is eligible for a service described in item 73384 under clause 2.7.3A of the pathology services table (see PR.7.1), for the purpose of providing a sample for pre-implantation genetic testing—applicable to one or more tests performed in one assisted reproductive treatment cycle

Fee: $125.90 Benefit: 75% = $94.45 85% = $107.05

(See para PR.7.1 of explanatory notes to this Category)

• Previous - Item 13203
• Next - Item 13209

Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination—applicable once during a treatment cycle

Fee: $96.45 Benefit: 75% = $72.35 85% = $82.00

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

Extended Medicare Safety Net Cap: $12.90

• Previous - Item 13207
• Next - Item 13212

Oocyte retrieval for the purpose of assisted reproductive technologies—only if rendered in connection with a service to which item 13200 or 13201 applies

Fee: $403.80 Benefit: 75% = $302.85 85% = $343.25

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

Extended Medicare Safety Net Cap: $83.70

• Previous - Item 13209
• Next - Item 13215

Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination—only if rendered in connection with a service to which item 13200, 13201 or 13218 applies, being services rendered in one treatment cycle

Fee: $126.65 Benefit: 75% = $95.00 85% = $107.70

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

Extended Medicare Safety Net Cap: $57.90

• Previous - Item 13212
• Next - Item 13218

Preparation of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in one treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203 or 13212 applies

Fee: $904.00 Benefit: 75% = $678.00 85% = $805.30

(See para TN.1.4, TN.1.5 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $837.40

• Previous - Item 13215
• Next - Item 13221

Preparation of semen for the purpose of artificial insemination—only if rendered in connection with a service to which item 13203 applies

Fee: $57.85 Benefit: 75% = $43.40 85% = $49.20

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

Extended Medicare Safety Net Cap: $25.80

• Previous - Item 13218
• Next - Item 13241