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Capsule endoscopy to investigate an episode of obscure gastrointestinal bleeding, using a capsule endoscopy device (including administration of the capsule, associated endoscopy procedure if required for placement, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:

(a) the service is provided to a patient who:

(i) has overt gastrointestinal bleeding; or

(ii) has gastrointestinal bleeding that is recurrent or persistent, and iron deficiency anaemia that is not due to coeliac disease, and, if the patient also has menorrhagia, has had the menorrhagia considered and managed; and

(b)    an upper gastrointestinal endoscopy and a colonoscopy have been performed on the patient and have not identified the cause of the
   bleeding; and

(c)  the service has not been provided to the same patient on more than 2 occasions in the preceding 12 months; and

(d)  the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and

(e)   the service is not associated with a service to which item 30680, 30682, 30684 or 30686 applies

Fee: $1,471.40 Benefit: 75% = $1,103.55 85% = $1,366.90

(See para DN.1.15 of explanatory notes to this Category)

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Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, without intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding if the patient:

(a) has recurrent or persistent bleeding; and

(b) is anaemic or has active bleeding; and

(c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding;

not in association with another item in this Subgroup (other than item 30680 or 30684) (H)

Multiple Operation Rule

Fee: $1,400.40 Benefit: 75% = $1,050.30

(See para TN.8.17 of explanatory notes to this Category)

• Previous - Item 30680
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Balloon enteroscopy, examination of the small bowel (oral approach), with or without biopsy, with one or more of the following procedures—snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation, for diagnosis and management of patients with obscure gastrointestinal bleeding if the patient:

(a) has recurrent or persistent bleeding; and

(b) is anaemic or has active bleeding; and

(c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding;

not in association with another item in this Subgroup (other than item 30682 or 30686) (H)

Multiple Operation Rule

Fee: $1,723.30 Benefit: 75% = $1,292.50

(See para TN.8.17 of explanatory notes to this Category)

• Previous - Item 30682
• Next - Item 30686

Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, with one or more of the following procedures—snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation, for diagnosis and management of patients with obscure gastrointestinal bleeding if the patient:

(a) has recurrent or persistent bleeding; and

(b) is anaemic or has active bleeding; and

(c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding;

not in association with another item in this Subgroup (other than item 30680 or 30684) (H)

Multiple Operation Rule

Fee: $1,723.30 Benefit: 75% = $1,292.50

(See para TN.8.17 of explanatory notes to this Category)

• Previous - Item 30684
• Next - Item 30687