Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_12254
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 12254
Character Range: 774559–778254

12254                                                            Multiple sleep latency test for the assessment of unexplained hypersomnolence in a patient aged 18 years or more, if:                                                                                                                                                                                                                                                                                                                                                                                                                                                       950.70
                                                                 (a) a qualified adult sleep medicine practitioner or neurologist determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and
                                                                 (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring and recording, 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
                                                                 (c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 nap periods are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and
                                                                 (d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; 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 diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12203, 12204, 12205, 12208, 12250 or 12258 is provided to the patient
                                                                 Applicable only once in a 12 month period