4810GOVERNMENT GAZETTE, WA 7 October 2022

4810 GOVERNMENT GAZETTE, WA 7 October 2022 ANAESTHETISTS All anaesthesia fees are calculated by multiplying the units for the consultation, attendance, procedure or service by the $ value per unit allocated by this Schedule. $ VALUE PER UNIT $ value per unit $93.60 CONSULTATIONS AND ATTENDANCES Units Anaesthetist Consultation — an attendance of 15 minutes or less duration 2 — an attendance of more than 15 minutes but not more than 30 minutes duration 4 — an attendance of more than 30 minutes but not more than 45 minutes duration 6 — an attendance of more than 45 minutes duration 8 Post anaesthesia patient care following a day procedure 2 EMERGENCY ATTENDANCES After hours — where immediate attendance is required after 6 pm and before 8 am on any weekday, or at any time on a Saturday, Sunday or a public holiday 6 Note: No after hours loading applies to the above item Attendance on a patient in imminent danger of death requiring continuous life saving emergency treatment to the exclusion of all other patients 6 Call back from home, office or other distant location for the provision of emergency services 4 PROCEDURES AND SERVICES All anaesthesia fees in relation to procedures and services are to be charged on the relative value guide (RVG) system. In most cases, the RVG system comprises 3 elements: base units (BUs), modifying units (MUs) and time units (TUs). In Division 1, the fee for a procedure is calculated by adding the base units for the procedure, the time units and any modifying units and multiplying the result by the $ value per unit allocated by this Schedule. (BUs + TUs + MUs) x $ value per unit = Fee In Division 2, the fee for a therapeutic or diagnostic service only includes modifying units (MUs) and time units (TUs) if the item notes that service as including either or both.

7 October 2022 GOVERNMENT GAZETTE, WA 4811 Base units The appropriate number of base units for each procedure has been established and is set out in this Schedule. [The number of base units for each procedure has been calculated so as to include usual postoperative visits, the administration of fluids and/or blood incidental to the anaesthesia care and usual monitoring procedures.] Time units For the first 2 hours, each 15 minutes (or part thereof) of anaesthetic time constitutes 1 time unit. After 2 hours, time units are calculated at 1 per 10 minutes (or part thereof). Modifying units Many anaesthetic services are provided under particularly difficult circumstances depending on factors such as the medical condition of the patient and unusual risk factors. These factors significantly affect the character of the anaesthetic services provided. Circumstances giving rise to additional modifying units are set out in this Schedule. [Note: The modifying units are, in the main, derived from the modifying units set out in the AMA’s “List of Medical Services and Fees”.] Description Units A normal healthy patient 0 A patient with a mild systemic disease 0 A patient with a severe systemic disease 1 A patient with a severe systemic disease that is a constant threat to life 4 A moribund patient who is not expected to survive for 24 hours with or without the operation 6 A patient who is morbidly obese (body mass index is more than 35) 2 A patient who is in the 3rd trimester of pregnancy 2 A patient declared brain-dead whose organs are being removed for donor purposes 0 Where the patient is aged under 1 year or over 70 years of age 1 Emergency surgery (i.e. when undue delay in treatment of the patient would lead to a significant increase in a threat to life or body part) 2 Anaesthesia in the prone position (not applicable to lower intestinal endoscopic procedures) 3 Anaesthesia for after hours emergencies A 50% loading should apply to emergency after hours anaesthesia. It is calculated using the “total relative value”. The 50% loading and the emergency surgery modifier should not be used together.