Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_12268
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 12268
Character Range: 789395–793256

12268                                                            Multiple sleep latency test for the assessment of unexplained hypersomnolence for a patient less than 12 years of age, if:                                                                                                                                                                                                                                                                                                                                                                                                                                                  1,069.20
                                                                 (a) a qualified paediatric sleep medicine practitioner 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 of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines:
                                                                 (i) airflow;
                                                                 (ii) continuous EMG;
                                                                 (iii) ECG;
                                                                 (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);
                                                                 (v) EOG;
                                                                 (vi) oxygen saturation;
                                                                 (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);
                                                                 (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); 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 paediatric 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 paediatric 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, 12210, 12215 or 12272 is provided to the patient
                                                                 Applicable only once in a 12 month period