Document ID: chunk:federal_register_of_legislation:F2018L00556:front:0:p1
Version: federal_register_of_legislation:F2018L00556
Segment Type: other
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Character Range: 0–3168

Statement of Principles
concerning
CUSHING SYNDROME
(Balance of Probabilities)
(No. 44 of 2018)
The Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(3) of the Veterans' Entitlements Act 1986.

Dated 27 April 2018

The Common Seal of the
Repatriation Medical Authority
was affixed to this instrument
at the direction of:

Professor Nicholas Saunders AO
Chairperson

Contents
1 Name
2 Commencement
3 Authority
4 Revocation
5 Application
6 Definitions
7 Kind of injury, disease or death to which this Statement of Principles relates
8 Basis for determining the factors
9 Factors that must exist
10 Relationship to service
11 Factors referring to an injury or disease covered by another Statement of Principles
Schedule 1 - Dictionary
1 Definitions

     1               Name
This is the Statement of Principles concerning Cushing syndrome (Balance of Probabilities) (No. 44 of 2018).
     2               Commencement
 This instrument commences on 28 May 2018.
     3               Authority
This instrument is made under subsection 196B(3) of the Veterans' Entitlements Act 1986.
     4               Revocation
The Statement of Principles concerning Cushing's syndrome No. 34 of 2009 made under subsection 196B(3) of the VEA is revoked.
     5               Application
This instrument applies to a claim to which section 120B of the VEA or section 339 of the Military Rehabilitation and Compensation Act 2004 applies.
     6               Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
     7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about Cushing syndrome and death from Cushing syndrome.
         Meaning of Cushing syndrome
(2)          For the purposes of this Statement of Principles, Cushing syndrome means an endocrine disorder resulting from an excess of endogenous or exogenous glucocorticoids.
            Note: Features of Cushing syndrome may include proximal muscle weakness, facial plethora, wasting of the extremities with increased fat in the abdomen (centripetal fat) and face ("moon facies"), wide (> 1 cm) purplish striae, bruising with no obvious trauma, supraclavicular fat pads and dorsocervical fat pad ("buffalo hump").
(3)          While Cushing syndrome attracts ICD‑10‑AM code E24.0, E24.2, E24.3, E24.8 or E24.9, in applying this Statement of Principles the meaning of Cushing syndrome is that given in subsection (2).
(4)          For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
     Death from Cushing syndrome
(5)          For the purposes of this Statement of Principles, Cushing syndrome, in relation to a person, includes death from a terminal event or