Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55895:p1
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55895 (pt 1/4)
Character Range: 131832–135190

55895                                  Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55893 (NR)                                                                                                                  42.65

Subdivision E—Subgroup 7 of Group I1: Transthoracic and stress echocardiograms

2.1.11  Restrictions on items for transthoracic echocardiograms—assessments

Items 55126, 55127, 55128, 55129, 55133 and 55134
 (1) Items 55126, 55127, 55128, 55129, 55133 and 55134 apply to a service only if the service includes assessments of each of the following, to the extent possible:
 (a) the left ventricular structure and function, including quantification of systolic function using M‑mode, 2‑dimensional or 3‑dimensional imaging and diastolic function;
 (b) the right ventricular structure and function, with quantitative assessment;
 (c) the left and right atrial structure, including quantification of atrial sizes;
 (d) the vascular connections of the heart, including the great vessels and systemic venous structures;
 (e) the pericardium and any haemodynamic consequences of pericardial abnormalities;
 (f) all present valves, including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation;
 (g) additional haemodynamic parameters, including the assessment of pulmonary pressures.

Item 55132
 (2) Item 55132 applies to a service only if the service includes assessments of each of the following, to the extent possible:
 (a) the ventricular structure and function, including quantification of systolic function (if the ventricular configuration allows accurate quantification) using at least one of M‑mode, 2‑dimensional or 3‑dimensional imaging;
 (b) the diastolic function;
 (c) the atrial structure, including quantification of atrial sizes;
 (d) the vascular connections of the heart, including the great vessels and systemic venous structures;
 (e) the pericardium and any haemodynamic consequences of pericardial abnormalities;
 (f) all present valves, including structural assessment and measurement of blood flow velocities across the valves using relevant Doppler techniques with quantification;
 (g) subxiphoid views where recommended for congenital heart lesions;
 (h) additional haemodynamic parameters relevant to the clinical condition under review.

Item 55137
 (3) Item 55137 applies to a service only if the service includes assessments of each of the following, to the extent possible:
 (a) the ventricular structure and function;
 (b) the atrial structure;
 (c) the vascular connections of the heart, including the great vessels and systemic venous structures;
 (d) the pericardium and any haemodynamic consequences of pericardial abnormalities;
 (e) all present valves, including structural assessment and measurement of blood flow velocities across the valves using pulsed wave and continuous wave Doppler techniques with quantification of stenosis or regurgitation.

2.1.12  Restriction on item 55126—timing
  Item 55126 does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item 55127, 55128, 55129, 55132, 55133