Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_12203:p1
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 12203 (pt 1/2)
Character Range: 732483–737906

12203                                                            Overnight diagnostic assessment of sleep, for at least 8 hours, for a patient aged 18 years or more, to confirm diagnosis of a sleep disorder, if:                                                                                                                                                                                                                                                                                                                                                                                                                          611.80
                                                                 (a) either:
                                                                 (i) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea based on clinical screening tool results; or
                                                                 (ii) following professional attendance on the patient (either face‑to‑face or by video conference) by a qualified adult sleep medicine practitioner or a consultant respiratory physician, the qualified adult sleep medicine practitioner or consultant respiratory physician determines that assessment is necessary to confirm the diagnosis of a sleep disorder; and
                                                                 (b) the overnight diagnostic assessment is performed to investigate:
                                                                 (i) suspected obstructive sleep apnoea syndrome where the patient is assessed as not suitable for an unattended sleep study; or
                                                                 (ii) suspected central sleep apnoea syndrome; or
                                                                 (iii) suspected sleep hypoventilation syndrome; or
                                                                 (iv) suspected sleep‑related breathing disorders in association with non‑respiratory co‑morbid conditions including heart failure, significant cardiac arrhythmias, neurological disease, acromegaly or hypothyroidism; or
                                                                 (v) unexplained hypersomnolence which is not attributed to inadequate sleep hygiene or environmental factors; or
                                                                 (vi) suspected parasomnia or seizure disorder where clinical diagnosis cannot be established on clinical features alone (including associated atypical features, vigilance behaviours or failure to respond to conventional therapy); or
                                                                 (vii) suspected sleep related movement disorder, where the diagnosis of restless legs syndrome is not evident on clinical assessment; and
                                                                 (c) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and
                                                                 (d) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures:
                                                                 (i) airflow;
                                                                 (ii) continuous EMG;
                                                                 (iii) anterior tibial EMG;
                                                                 (iv) continuous ECG;
                                                                 (v) continuous EEG;
                                                                 (vi) EOG;
                                                                 (vii) oxygen saturation;
                                                                 (viii) respiratory movement (chest and abdomen);
                                                                 (ix) position; and
                                                                 (e) polygraphic records are:
                                                                 (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and
                                                                 (ii) stored for interpretation and preparation of a report; and
                                                                 (f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and
                                                                 (g) the overnight diagnostic assessment is not provided to the patient on the same occasion that a service described in any of items 11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient
                                                                 Applicable only once