Z804

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DIAGNOSTIC AND THERAPEUTIC PROCEDURES
 NEUROLOGY
                                                                                                       Fee
   Z804 Lumbar puncture.....................................................................          150.00
       Payment rules:
       1. Z804 is not eligible for payment with C-suffix anaesthesia services rendered for surgical
         procedures, obstetrical anaesthesia procedures or with epidural services described in the
         nerve block sections of the Schedule.
          2. Z804 includes injection of any medication or other therapeutic agent introduced at time of
            lumbar puncture.
          3. Z804 includes image guidance if performed.
# G410 Amytal test (Wada)-bilateral - supervision and co-ordination of
          tests....................................................................................    68.40
# G413 Electrocorticogram - supervision and interpretation ...............                            170.85
          Note:
          G413 payable at nil when claimed with G267 same patient, same day.
# G551 Katzman test (subarachnoid infusion test) including lumbar
         puncture .............................................................................       170.85
# G267 Intra-operative evaluation of movement disorder patient during
          functional neurosurgery......................................................               270.05
     Note:
     G267 is not payable with assistant units.
# G547 Clinical Programming of Deep Brain Stimulator (DBS) -
          includes one or more visits for DBS checking, minor and
          major DBS adjustments, and intensive programming. First
          implantation site (maximum 1 per patient) .........................                         185.70
# G549 - additional implantation site(s) (maximum 1 per patient).....                                 157.85
    Electrophysiological assessment
# G266 - of movement disorders - includes multi-channel recording of
          EEG and EMG, rectification, averaging, back averaging,
          frequency analysis and cross correlation. Minimum of 3
          hours. Physician must be physically present throughout
          assessment ........................................................................         278.85
# G548         - of Deep Brain Stimulators - includes measuring electrode
                 impedance, recording EEG and EMG, rectification,
                 averaging, frequency analysis and cross correlation.
                 Minimum of 3 hours. Physician must be physically present
                 throughout assessment ......................................................         278.85

PDF page 539 / K9

Payment rules:
         1.Anaesthesia extra units listed on GP97 are not eligible for payment with P014C except for
           E010C, E022C and E017C.
         2.Z804 is not eligible for payment with P014C or P016C.
         3.Anaesthesia extra units listed on GP97 are not eligible for payment with P016C or E100C.
         4.E100C time units are payable for time spent in constant attendance at delivery, exclusive of
           time spent engaged in any separately payable services except for P016C. Start and stop
           times must be recorded in the patient’s permanent medical record.
         5.E100C time units for attendance at delivery are calculated as 4 basic units and 1 unit for
           each ¼ hour.
         6.In instances where more than one anaesthesiologist is required to provide maintenance of
           obstetrical epidural anaesthesia sequentially, P016C is limited to a maximum of 12 units per
           patient, per physician, per day.
         [Commentary:
         Anaesthesia extra units listed on GP97 are eligible for payment with other C-suffix anaesthesia
         service rendered the same day as P014C/P016C/E100C, unless otherwise listed.]
         Medical record requirements:
         Where P016C is claimed by more than one anaesthesiologist per patient, per day, the medical
         records must document that care was provided by each anaesthesiologist sequentially.

Master, record 7457. Record Layout PDF, page 1.

Z80420250401999999990000150000000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.