Workers Rehabilitation and Compensation (Scales of Charges—Medical Practitioners) Variation Regulations 2008


Anaesthesia/perfusion modifying units - physical status



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Anaesthesia/perfusion modifying units - physical status


25000

Anaesthesia, perfusion or assistance at anaesthesia (a) for anaesthesia performed in association with an item in the range 20100 to 21997 or 22900 to 22905; or (b) for perfusion performed in association with item 22060; or (c) for assistance at anaesthesia performed in association with items 25200 to 25205 - where the patient has severe systemic disease equivalent to asa physical status indicator 3 (001) (basic units)

$49.10

25005

Where the patient has severe systemic disease which is a constant threat to life equivalent to asa physical status indicator 4 (002) (basic units)

$98.20

25010

For a patient who is not expected to survive for 24 hours with or without the operation, equivalent to asa physical status indicator 5 (003) (basic units)

$147.30

Anaesthesia/perfusion modifying units - other


25015

Anaesthesia, perfusion or assistance at anaesthesia - where the patient is less than 12 months of age or 70 years or greater (001) (basic units)

$49.10

25020

Anaesthesia, perfusion or assistance at anaesthesia - where the patient requires immediate treatment without which there would be significant threat to life or body part - not being a service associated with a service to which item 25025 or 25030 or 25050 applies (002) (basic units)

$98.20

Anaesthesia after hours emergency modifier


25025

Emergency anaesthesia performed in the after hours period where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for the emergency anaesthesia service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25030 or 25050 applies (000) (basic units)

Derived fee: An additional amount of 50% of the fee for the anaesthetic service. That is: (a) an anaesthesia item/s in the range 20100 – 21997 or 22900 plus, (b) an item in the range 23010 – 24136, plus (c) where applicable, an item in the range 25000 – 25015, (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001 – 22050



DF

25030

Assistance at after hours emergency anaesthesia where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the time for which the assistant is in professional attendance on the patient is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a Saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25050 applies (000) (basic units)

Derived fee: An additional amount of 50% of the fee for the anaesthetic service. That is: (a) an anaesthesia item in the range 25200 - 25205 plus, (b) an item in the range 23010 – 24136, plus (c) where applicable, an item in the range 25000 – 25015 plus, (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001 – 22050



DF

Perfusion after hours emergency modifier


25050

After hours emergency perfusion where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the perfusion service is provided in the after hours period, being the period from 8pm to 8am on any weekday, or at any time on a saturday, a Sunday or a public holiday - not being a service associated with a service to which item 25020, 25025 or 25030 applies (000) (basic units)

Derived fee: An additional amount of 50% of the fee for the perfusion service. That is: (a) item 22060, plus (b) an item in the range 23010 – 24136, plus (c) where applicable, an item in the range 25000 – 25015 plus, (d) where performed, any associated therapeutic or diagnostic service/s in the range 22001 – 22050 and 22065 – 22075



DF

Assistance at anaesthesia


25200

Assistance in the administration of anaesthesia requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of all other patients (005) (basic units)

Derived fee: An amount of $245.50 (5 basic units) plus an item in the range 23010 – 24136 plus, where applicable, an item in the range 25000 – 25021



DF

25205

Assistance in the administration of elective anaesthesia, where: (i) the patient has complex airway problems; or (ii) the patient is a neonate or a complex paediatric case; or (iii) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (iv) the patient is critically ill, with multiple organ failure; or (v)where the anaesthesia time exceeds 6 hours and the assistance is provided to the exclusion of all other patients (005) (basic units)

Derived fee: An amount of $245.50 (5 basic units), plus an item in the range 23010 – 24136, plus, where applicable, an item in the range 25000 – 25020.



DF

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