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Related Items: 32500 32504 32507 32508 32511 32514 32517 35321

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Related Items: 32500 32507 32508 32511 32514 32517 32520 32522 32523 32526 32528 32529

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• Next - Note TN.8.34

Related Items: 32500

• Previous - Note TN.8.227
• Next - Note TN.8.229

Investigation of venous reflux or obstruction in one or more limbs at rest by CW Doppler or pulsed Doppler involving examination at multiple sites along each limb using intermittent limb compression or Valsalva manoeuvres, or both, to detect prograde and retrograde flow, other than a service associated with a service to which item 32500 applies—hard copy trace and written report, the report component of which must be performed by a medical practitioner, maximum of 2 examinations in a 12 month period, not to be used in conjunction with sclerotherapy

Fee: $69.10 Benefit: 75% = $51.85 85% = $58.75

Extended Medicare Safety Net Cap: $55.30

• Previous - Item 11600
• Next - Item 11604

Investigation of chronic venous disease in the upper and lower extremities, one or more limbs, by plethysmography (excluding photoplethysmography)—examination, hard copy trace and written report, not being a service associated with a service to which item 32500 applies

Fee: $90.55 Benefit: 75% = $67.95 85% = $77.00

Extended Medicare Safety Net Cap: $72.45

• Previous - Item 11602
• Next - Item 11605

Investigation of complex chronic lower limb reflux or obstruction, in one or more limbs, by infrared photoplethysmography, during and following exercise to determine surgical intervention or the conservative management of deep venous thrombotic disease—hard copy trace, calculation of 90% recovery time and written report, not being a service associated with a service to which item 32500 applies

Fee: $90.55 Benefit: 75% = $67.95 85% = $77.00

• Previous - Item 11604
• Next - Item 11607

Varicose veins, multiple injections of sclerosant using continuous compression techniques, including associated consultation, one or both legs, if:

(a) proximal reflux of 0.5 seconds or longer has been demonstrated; and

(b) the service is not for cosmetic purposes; and

(c) the service is not associated with:

(i) any other varicose vein operation on the same leg (excluding aftercare); or

(ii) a service on the same leg (excluding aftercare) to which any of the following items apply:

(A) 35200;

(B) 59970 to 60078;

(C) 60500 to 60509;

(D) 61109

Applicable to a maximum of 6 treatments in a 12 month period

Multiple Operation Rule

Fee: $131.45 Benefit: 75% = $98.60 85% = $111.75

(See para TN.8.4, TN.8.32, TN.8.33, TN.8.228 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $144.60

• Previous - Item 32237
• Next - Item 32504

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply:

(a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) of the patient demonstrates reflux of 0.5 seconds or longer;

(b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction;

(c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive;

(d) the service is not associated with a service (on the same leg) to which any of the following items apply:

(i) 32500 to 32507;

(ii) 35200;

(iii) 59970 to 60021;

(iv) 60036 to 60045;

(v) 60060 to 60078;

(vi) 60500 to 60509;

(vii) 61109

The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both)

Multiple Operation Rule

Fee: $638.70 Benefit: 75% = $479.05 85% = $542.90

(See para TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $95.85

• Previous - Item 32517
• Next - Item 32522

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great and small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a laser probe introduced by an endovenous catheter, if all of the following apply:

(a) it is documented by duplex ultrasound that the great and small saphenous veins of the patient demonstrate reflux of 0.5 seconds or longer;

(b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction;

(c) the service does not include radiofrequency diathermy, radiofrequency ablation or cyanoacrylate adhesive;

(d) the service is not associated with a service (on the same leg) to which any of the following items apply:

(i) 32500 to 32507;

(ii) 35200;

        (iii) 59970 to 60021;

        (iv) 60036 to 60045;

        (v) 60060 to 60078;

        (vi) 60500 to 60509;

        (vii) 61109 

The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both)

Multiple Operation Rule

Fee: $949.50 Benefit: 75% = $712.15 85% = $845.00

(See para TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $94.95

• Previous - Item 32520
• Next - Item 32523

Varicose veins, abolition of venous reflux by occlusion of a primary or recurrent great or small saphenous vein (and major tributaries of saphenous veins as necessary) in one leg of a patient, using a radiofrequency catheter introduced by an endovenous catheter, if all of the following apply:

(a) it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer;

(b) the patient has significant signs or symptoms (including one or more of the following signs or symptoms) attributable to venous reflux:

(i) ache;

(ii) pain;

(iii) tightness;

(iv) skin irritation;

(v) heaviness;

(vi) muscle cramps;

(vii) limb swelling;

(viii) discolouration;

(ix) discomfort;

(x) any other signs or symptoms attributable to venous dysfunction;

(c) the service does not include endovenous laser therapy or cyanoacrylate adhesive;

(d) the service is not associated with a service (on the same leg) to which any of the following items apply:

(i) 32500 to 32507;

(ii) 35200;

        (iii) 59970 to 60021;

        (iv) 60036 to 60045;

        (v) 60060 to 60078;

        (vi) 60500 to 60509;

        (vii) 61109 

The service includes all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both)

Multiple Operation Rule

Fee: $638.70 Benefit: 75% = $479.05 85% = $542.90

(See para TN.8.33 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $95.85

• Previous - Item 32522
• Next - Item 32526