Schedule 1 – relevant services

<table cellspacing="0" cellpadding="0" style="width:467pt; border-collapse:collapse"><thead><tr><td colspan="6" style="width:456.3pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Category </span><span style="font-size:10pt; font-weight:bold">2</span><span style="font-size:10pt; font-weight:bold"> – </span><span style="font-size:10pt; font-weight:bold">Diagnostic</span><span style="font-size:10pt; font-weight:bold"> Procedures </span><span style="font-size:10pt; font-weight:bold">and Investigations</span></p></td></tr><tr><td colspan="6" style="width:456.3pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Group </span><span style="font-size:10pt; font-weight:bold">D1</span><span style="font-size:10pt; font-weight:bold"> – </span><span style="font-size:10pt; font-weight:bold">Miscellaneous Diagnostic Procedures And Investigations</span></p></td></tr><tr><td colspan="6" style="width:456.3pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Subgroup </span><span style="font-size:10pt; font-weight:bold">10</span><span style="font-size:10pt; font-weight:bold"> </span><span style="font-size:10pt; font-weight:bold">–</span><span style="font-size:10pt; font-weight:bold"> </span><span style="font-size:10pt; font-weight:bold">Other Diagnostic Procedures and Investigations</span></p></td></tr><tr><td style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; vertical-align:top"></td><td colspan="2" style="width:59.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td colspan="2" style="width:301.15pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Service</span></p></td><td style="width:73.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="2" style="width:59.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><a id="CU_54742"></a><span>12254</span></p></td><td colspan="2" style="width:301.15pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Multiple </span><span>s</span><span>leep </span><span>l</span><span>atency </span><span>t</span><span>est</span><span> </span><span>for the</span><span> assessment of unexplained hypersomnolence in a patient aged 18 years or more</span><span>,</span><span> if:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner or neurologist determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria for drugs relevant to treat that condition under the Pharmaceutical Benefits Scheme are fulfilled;</span><span> and</span></p></div><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> </span><span>is performed, with</span><span> </span><span>continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p></div><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(ii) continuous EMG;</span><span style="width:76.6pt; display:inline-block"></span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(iii) anterior tibial EMG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(iv) continuous ECG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(v) continuous EEG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(vi) EOG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(vii) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(ix)</span><span> position;</span><span> and</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation </span><span>a daytime investigation is performed where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:40.6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:40.6pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a service mentioned in any of items</span><span> </span><span>11003, </span><span>12203, 12204, 12205, 12208</span><span>,</span><span> 12250 </span><span>or 12258</span><span> </span><span>is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a 12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>928.30</span></p></td></tr><tr><td colspan="2" style="width:59.4pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><a id="CU_66703"></a><span>12258</span></p></td><td colspan="2" style="width:301.15pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Maintenance of </span><span>w</span><span>akefulness </span><span>t</span><span>est</span><span> for the </span><span>assessment of the ability to maintain wakefulness in a patient aged 18 years or more</span><span>,</span><span> if</span><span>:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner or neurologist determines that testing</span><span> is necessary </span><span>to objectively confirm the ability to maintain wakefulness</span><span>;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> is performed, with</span><span> </span><span>continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p></div><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(ii) continuous EMG;</span><span style="width:76.6pt; display:inline-block"></span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(iii) anterior tibial EMG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(iv) continuous ECG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(v) continuous EEG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(vi) EOG;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(vii) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="ListParagraph" style="margin-left:35.8pt; font-size:10pt"><span>(ix)</span><span> position</span><span>; and</span></p><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation</span><span>, </span><span>a daytime investigation is performed</span><span> </span><span>where at least 4 </span><span>wakefulness trials</span><span> are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> and</span><span></span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:40.45pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (</span><span>for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements</span><span>) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:40.45pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a ser</span><span>vice mentioned in any of items </span><span>1</span><span>1003,</span><span> </span><span>12203, 12204, 12205, 12208</span><span>, </span><span>12250 </span><span>or 12254 </span><span>is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:0pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a 12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>928.30</span></p></td></tr><tr><td colspan="2" style="width:59.4pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><a id="CU_78530"></a><span>12261</span></p></td><td colspan="2" style="width:301.15pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Multiple </span><span>s</span><span>leep </span><span>l</span><span>atency </span><span>t</span><span>est</span><span> for the </span><span>assessment of unexplained hypersomnolence in a patient aged </span><span>at least </span><span>12</span><span> years but less than</span><span> 18 years</span><span>,</span><span> if:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria for drugs relevant to treat that condition under the Pharmaceutical Benefits Scheme are fulfilled;</span><span> and</span></p></div><div style="margin-left:17.85pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span style="font-size:12pt"><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> </span><span>where </span><span>continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p></div><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(ii) continuous EMG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iii) ECG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(v) EOG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vi) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><div style="margin-left:17.85pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation</span><span>, </span><span>a daytime investigation is performed where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:40.45pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (</span><span>for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement</span><span>) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:40.6pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a service mentioned in any of items </span><span>11003,</span><span> </span><span></span><span>122</span><span>1</span><span>3</span><span>,</span><span> </span><span>122</span><span>17 </span><span>or 12265 </span><span>is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:0pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a 12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>973.35</span></p></td></tr><tr><td colspan="2" style="width:59.4pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><a id="CU_810790"></a><span>12265</span></p></td><td colspan="2" style="width:301.15pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Maintenance of </span><span>w</span><span>akefulness </span><span>t</span><span>est </span><span>for the </span><span>assessment of the ability to maintain wakefulness in a patient aged </span><span>at least </span><span>12 </span><span>years but less than</span><span> 18 years</span><span>,</span><span> if</span><span>:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner determines that testing </span><span>to objectively confirm the ability to maintain wakefulness is necessary</span><span>;</span><span> and</span></p></div><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> where </span><span>continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p></div><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(ii) continuous EMG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iii) ECG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(v) EOG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vi) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous)</span><span>; and</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation</span><span>, </span><span>a daytime investigation is performed where at least 4 </span><span>wakefulness trials</span><span> are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> </span><span>and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:33.35pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:33.5pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a service mentioned in any of items </span><span>1</span><span>1003,</span><span> </span><span>122</span><span>13</span><span>,</span><span> </span><span>122</span><span>17</span><span> or 1</span><span>22</span><span>61</span><span> </span><span>or is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a </span><span>12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>973.35</span></p></td></tr><tr><td colspan="2" style="width:59.4pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><a id="CU_912841"></a><span>12268</span></p></td><td colspan="2" style="width:301.15pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Multiple </span><span>s</span><span>leep </span><span>l</span><span>atency </span><span>t</span><span>est</span><span> for the </span><span>assessment of unexplained hypersomnolence </span><span>for a patient less than 12 years of age,</span><span> if:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria for drugs relevant to treat that condition under the Pharmaceutical Benefits Scheme are fulfilled;</span><span> and</span></p></div><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span style="font-size:12pt"><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> </span><span>where </span><span>there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p></div><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(ii) continuous EMG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iii) ECG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(v) EOG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vi) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous);</span><span> </span><span>and</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation</span><span>,</span><span> </span><span>a daytime investigation is performed</span><span> </span><span>where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:40.45pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:40.6pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a service mentioned in any of items </span><span>1</span><span>1003,</span><span> </span><span>122</span><span>10</span><span>,</span><span> </span><span>122</span><span>15</span><span> or 12272</span><span> is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a 12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>1,044.00</span></p></td></tr><tr><td colspan="2" style="width:59.4pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:115%; font-size:10pt"><span>12272</span></p></td><td colspan="2" style="width:301.15pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-bottom:6pt; font-size:10pt; background-color:#ffffff"><span>Maintenance of </span><span>w</span><span>akefulness </span><span>t</span><span>est</span><span> for the</span><span> assessment of the ability to maintain wakefulness </span><span>for a patient less than 12 years of age, if</span><span>:</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(a)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a qualified sleep medicine practitioner determines that testing </span><span>to objectively confirm the ability to maintain wakefulness is necessary</span><span>;</span><span> and</span></p></div><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(b)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>an overnight diagnostic assessment of sleep, for a period of at least 8 hours duration</span><span> where </span><span>there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p></div><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(i) airflow;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(ii) continuous EMG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iii) ECG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(v) EOG;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vi) oxygen saturation;</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="ListParagraph" style="margin-left:51.35pt; text-indent:-15.55pt; font-size:10pt"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous);</span><span> and</span></p><div style="margin-left:18pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(c)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>immediately following the overnight investigation</span><span>, </span><span>a daytime investigation is performed</span><span> </span><span>where at least 4 </span><span>wakefulness trials</span><span> are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG;</span><span> </span><span>and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(d)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner;</span><span> and</span></p></div><div style="margin-left:18.15pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(e)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>p</span><span>olygraphic records are:</span></p></div><div style="margin-left:40.45pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(i)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p></div><div style="margin-left:40.45pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(ii)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>stored for interpretation and preparation of report; and</span></p></div><div style="margin-left:18.15pt; margin-bottom:6pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:17.85pt; margin-bottom:0pt; text-indent:-17.85pt; font-size:10pt"><span><span>(f)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p></div><div style="margin-left:18pt; margin-bottom:14pt; background-color:#ffffff"><p class="tabletext" style="margin-top:0pt; margin-left:18pt; margin-bottom:0pt; text-indent:-18pt; font-size:10pt"><span><span>(g)</span></span><span style="font:7pt 'Times New Roman'"> </span><span>the diagnostic assessment is not provided to the patient on the same occasion that a service mentioned in any of items </span><span>1</span><span>1003, </span><span></span><span>122</span><span>10</span><span>,</span><span> </span><span>122</span><span>15</span><span> </span><span>or 12268 </span><span>is provided to the patient</span></p></div><p class="tabletext" style="margin-top:0pt; margin-bottom:0pt; font-size:10pt; background-color:#ffffff"><span>Applicable only once in a </span><span>12 month period</span></p></td><td colspan="2" style="width:74.35pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-left:29.7pt; margin-bottom:3pt; page-break-after:avoid; line-height:115%; font-size:10pt"><span>1,044.00</span><span></span></p></td></tr></tbody><tbody><tr style="height:0pt"><td style="width:0.95pt"></td><td style="width:69.15pt"></td><td style="width:0.95pt"></td><td style="width:310.9pt"></td><td style="width:0.95pt"></td><td style="width:84.1pt"></td></tr></tbody></table>