SUMMARY OF CHANGES FOR 1 JULY 2016 AMA LIST OF MEDICAL SERVICES AND FEES

Transcription

1 SUMMARY OF CHANGES FOR 1 JULY 2016 AMA LIST OF MEDICAL SERVICES AND FEES These changes will appear in the respective sections of the AMA List of Medical Services and Fees (AMA List) as follows (deletions are shown in red, and new items and amendments to items in blue): AMA Number Fee AQ590 $ AR500 $ BJ100 $ BJ110 $ BQ680 BT220 $ CV Descriptor of Medical Service MBS Number DIAGNOSTIC PROCEDURES Otolaryngology GLYCEROL INDUCED COCHLEAR FUNCTION CHANGES assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) Respiratory BRONCHOSPIROMETRY, including gas analysis THERAPEUTIC PROCEDURES Gastroenterology GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant IN THE ABSENCE OF GASTROINTESTINAL HAEMORRHAGE GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant FOR UPPER GASTROINTESTINAL HAEMORRHAGE RADIATION ONCOLOGY Megavoltage RADIATION ONCOLOGY TREATMENT with IGRT imaging facilities undertaken: (a) to implement an IMRT dosimetry plan prepared in accordance with item BR633; and (b) utilising an intensity modulated treatment delivery mode (delivered by a fixed or dynamic gantry linear accelerator or by a helical non C-arm based linear accelerator) mode, once only at each attendance at which treatment is given Obstetrics Antenatal Attendances TREATMENT OF HABITUAL MISCARRIAGE by injection of hormones each injection up to a maximum of 12 injections, where the injection is not administered during a routine antenatal attendance Anaesthesia Therapeutic and Diagnostic Services INJECTION OF AN ANAESTHETIC AGENT, glossopharyngeal nerve Page 1 of 5

2 EM240 $ EM270 $2, EP335 $ EP345 $ EW740 $ FA540 $1, FA550 $2, HA610 $ HC804 $2, HE678 $2, MA625 $ MA675 $ SURGICAL OPERATIONS General Surgery Hernia and Hydrocele UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of symptomatic, requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item EJ185 or EJ195 Miscellaneous SCROTAL HERNIA, repair of large and irreducible, where duration of surgery exceeds 2 hours, in a person 10 years of age or over, other than a service to which item 30403, 30405, 30614, 30615, or Colorectal SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is less than or equal to 45 minutes SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or more polyps where the time taken is greater than 45 minutes Vascular Operations for Vascular Access TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital or approved day-hospital facility Endovascular Interventional Procedures TRANSLUMINAL STENT INSERTION, 1 or more stents, including associated balloon dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare TRANSLUMINAL STENT INSERTION, 1 or more stents, including associated balloon dilatation for visceral arteries or veins, or more than 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare Gynaecological General CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital or approved day-hospital facility Urological Operations on Bladder (Open) BLADDER STRESS INCONTINENCE, sling procedure for, using a nonadjustable synthetic male sling system, with or without mesh, other than a service associated with a service to which item EJ195, HA390 or HC805 Operations on Urethra, Penis or Scrotum URETHRAL SYNTHETIC MALE SLING SYSTEM, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence, other than a service associated with a service to which item HE675 or HE Ear, Nose and Throat CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage NASAL TURBINATES, cryotherapy to Page 2 of 5

3 MA895 $ MA905 $ MB205 $ MB215 $ MP005 $ MP015 MP025 $ MP035 $ MP045 $ MP046 $ MP055 $ MP056 MP065 MP066 $ MP075 $ MP076 $ MP085 MP086 $ MP095 MP096 $1, MP105 $ MP106 $1, MP115 DIVISION OF PHARYNGEAL ADHESIONS POST NASAL SPACE, direct examination of, with or without biopsy LARYNX, direct examination of, with biopsy LARYNX, direct examination of, WITH REMOVAL OF TUMOUR Orthopaedic Treatment of Fractures DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by closed, including percutaneous fixation where used DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by closed DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by open DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular fracture of, by open MIDDLE PHALANX of FINGER, treatment of fracture of, by closed PHALANX, MIDDLE OR PROXIMAL, treatment of fracture of, by closed, requiring anaesthesia, not provided on the same occasion as a service described in item MP056, MP066, MP076, MP086, MP096 or MP106 MIDDLE PHALANX of FINGER, treatment of intra articular fracture of, by closed METACARPAL, treatment of fracture of, by closed, requiring anaesthesia, not provided on the same occasion as a service described in item MP046, MP066, MP076, MP086, MP096 or MP106 MIDDLE PHALANX OF FINGER, treatment of fracture of, by open PHALANX OR METACARPAL, treatment of fracture of, by closed with percutaneous k wire fixation MIDDLE PHALANX OF FINGER, treatment of intra articular fracture of, by open PHALANX OR METACARPAL, treatment of fracture of, by open with fixation PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by closed PHALANX OR METACARPAL, treatment of intra-articular fracture of, by closed with percutaneous k wire fixation PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intraarticular fracture of, by closed PHALANX OR METACARPAL, treatment of intra-articular fracture of, by open with fixation, not provided on the same occasion as a service to which item MP106 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture of, by open MIDDLE PHALANX, proximal end, treatment of intra-articular fracture of, by open with fixation, not provided on the same occasion as a service to which item MP096 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intraarticular fracture of, by open Page 3 of 5

4 MP125 MP135 MP145 $ MP155 MP205 $ MP206 $ MP215 MP216 MP225 $ MP226 $ MP235 $ MP236 $ MP245 MP246 $1, MP255 $1, MP256 $ OF384 $ OF492 $ METACARPAL, treatment of fracture of, by closed METACARPAL, treatment of intra-articular fracture of, by closed METACARPAL, treatment of fracture of, by open METACARPAL, treatment of intra-articular fracture of, by open RADIUS OR ULNA, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item MP215 or MP225 RADIUS OR ULNA, or RADIUS AND ULNA, distal end of, treatment of fracture of, by cast immobilisation, other than a service associated with a service to which item MP216, MP226, MP236, MP246 or MP256 RADIUS OR ULNA, distal end of, treatment of fracture of, by closed RADIUS OR ULNA, or RADIUS AND ULNA, distal end of, treatment of fracture of, by closed, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item MP206, MP226, MP236, MP246 or MP256 RADIUS OR ULNA, distal end of, treatment of fracture of, by open RADIUS OR ULNA, distal end of, not involving joint surface, treatment of fracture of, by open with fixation, other than a service associated with a service to which item MP206 or MP216 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture of, by cast immobilisation, not being a service to which item MP245 or MP255 RADIUS, distal end of, treatment of fracture of, by closed with percutaneous fixation, other than a service associated with a service to which item MP206 or MP216 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed RADIUS, distal end of, treatment of intra-articular fracture of, by open with fixation, other than a service associated with a service to which item MP206 or MP216 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, by open ULNA, distal end of, treatment of intra-articular fracture of, by open with fixation, other than a service associated with a service to which item MP206 or MP216 DIAGNOSTIC IMAGING SERVICES Diagnostic Radiology Radiographic Examination Alimentary Tract and Biliary System GRAHAM'S TEST (cholecystography), with preliminary plain films and with or without tomography (R) Radiographic Examination in Connection with Pregnancy PELVIMETRY, not being a service associated with a service to which item OD555 (R) Page 4 of 5

5 OF510 $ OF532 $ OF556 $ OS575 $ Radiographic Examination with Opaque or Contract Media BRONCHOGRAPHY, 1 side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age (R) VASOEPIDIDYMOGRAPHY, 1 side (R) PERITONEOGRAM (herniography) with or without contrast medium including preparation - performed on a person over 14 years of age (R) Nuclear Medicine Imaging VENOGRAPHY (R) Fibreoptic Colonoscopy AMA items EP375 and EP385 for fibreoptic colonoscopy now show reference to MBS items and for participants on the National Bowel Cancer Screening Program. Page 5 of 5