Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55895:p4
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55895 (pt 4/4)
Character Range: 140474–143623

for a pharmacological stress echocardiogram:
 (i) two‑dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and
 (ii) at least 2 matching recordings during drug infusion (with one recording at the time of the peak drug dose), including at least parasternal short and long axis views, and apical 4‑chamber and 2‑chamber views;
 (c) recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen;
 (d) resting electrocardiogram and continuous multi‑channel electrocardiogram monitoring and recording during stress;
 (e) blood pressure monitoring and the recording of other parameters (including heart rate).

2.1.16  Restrictions on items for stress echocardiograms—timing
 (1) Item 55141 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 55143, 55145 or 55146 applies has been provided to the patient.
 (2) Item 55145 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 55141, 55143 or 55146 applies has been provided to the patient.
 (3) Item 55146 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 55143 or 55145 applies has been provided to the patient.

2.1.17  Reduction in fees—multiple services on same day—transthoracic and stress echocardiograms
 (1) If a medical practitioner provides 2 or more echocardiogram services mentioned in items 55126, 55127, 55128, 55129, 55132, 55133, 55134, 55137, 55141, 55143, 55145 or 55146 for the same patient on the same day, any fees specified for the items that apply to the services, except the highest fee, are reduced by 40%.
 (2) For the purposes of subclause (1):
 (a) if 2 or more applicable fees are equally the highest—only one of those fees is taken to be the highest fee; and
 (b) if a reduced fee calculated under subclause (1) is not a multiple of 5 cents—the reduced fee is taken to be the nearest amount that is a multiple of 5 cents.

2.1.18  Items in Subgroup 7 of Group I1
  This clause sets out items in Subgroup 7 of Group I1.
Note: The fees in Group I1 are indexed in accordance with clause 2.7.1.

Group I1—Ultrasound
Column 1                                             Column 2                                                                                                                                                                                                                                                                                                                                 Column 3

Item                                                 Description                                                                                                                                                                                                                                                                                                                              Fee ($)
Subgroup 7—Transthoracic and stress echocardiograms