Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_25205:p1
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 25205 (pt 1/2)
Character Range: 1310999–1315495

25205                                                                                                       Assistance in the management of elective anaesthesia, if:                                                                                                                                                                                                                                                                                                                                                      Amount under clause 5.9.2
                                                                                                            (a) the patient has complex airway problems; or
                                                                                                            (b) the patient is a neonate; or
                                                                                                            (c) the patient is a paediatric patient and is receiving one or more of the following services:
                                                                                                            (i) invasive monitoring, either intravascular or transoesophageal;
                                                                                                            (ii) organ transplantation;
                                                                                                            (iii) craniofacial surgery;
                                                                                                            (iv) major tumour resection;
                                                                                                            (v) separation of conjoint twins; or
                                                                                                            (d) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or
                                                                                                            (e) the patient is critically ill, with multiple organ failure; or
                                                                                                            (f) the service time of the management of anaesthesia exceeds 6 hours and the assistance is provided to the exclusion of attendance on all other patients

Division 5.10—Group T8: Surgical operations

Subdivision A—Subgroup 1 of Group T8

5.10.1  Meaning of amount under clause 5.10.1
  In item 30001:
amount under clause 5.10.1 means 50% of the fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.

5.10.2  Meaning of amount under clause 5.10.2
  In item 31340:
amount under clause 5.10.2, for the excision of muscle, bone or cartilage in association with the excision of a malignant tumour of skin under another item, means 75% of the fee payable under that other item.

5.10.3  Histopathological proof of malignancy—items 30196 and 30202
  For the purposes of items 30196 and 30202, the requirement for histopathological proof of malignancy is satisfied if:
 (a) multiple lesions are removed from a single anatomical region; and
 (b) a single lesion from that region is histologically tested and proven positive for malignancy.

5.10.5  Items 30440, 30451, 30492 and 30495 do not include imaging
  A service described in item 30440, 30451, 30492 or 30495 does not include imaging.
Note: The imaging services associated with these services are described in the diagnostic imaging services table.

5.10.5A  Meaning of treatment cycle
  In item 30665:
treatment cycle, for a patient, means a series of treatments for the patient that:
 (a) begins on the day of the initial failed attempt at biliary stone removal via ERCP extraction techniques; and
 (b) ends at the conclusion of the aftercare period for the procedure (being either the lithotripsy procedure or a definitive surgical management procedure) that has resulted in removal of the biliary stones.

5.10.6  Restrictions on items 30688, 30690, 30692 and 30694—patient notes
  Item 30688, 30690, 30692 or 30694 applies to a service only if the provider makes a record of the findings of the ultrasound imaging in the patient's notes.

5.10.7  Application of item 35412
 (1) Intra‑operative imaging is taken to be part of the service associated with the coiling of an aneurysm and cannot be charged in