(a) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea using the following screening tools: (i) an Epworth Sleepiness Scale score of 8 or more; AND (ii) one of the following: a STOP-BANG score of 5 or more; or an OSA-50 score of 5 or more; or a high risk score on the Berlin Questionnaire. OR (b) Following personal attendance, a qualified adult sleep medicine practitioner or a consultant respiratory physician determines that testing to confirm the diagnosis of obstructive sleep apnoea is necessary; AND (c) during a period of sleep, the investigation involves the monitoring of at least seven physiological parameters which must include: (i) airflow; and (ii) chin electro-myogram (EMG); and (iii) continuous electro-cardiogram (ECG); and (iv) continuous electro-encephalogram (EEG); and (v) electro-oculogram (EOG); and (vi) oxygen saturation; and (vii) respiratory effort. AND (d) The investigation is performed under the supervision of an accredited sleep medicine practitioner; AND (e) The equipment is applied to the patient by trained technicians; AND (f) Polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and cardiac abnormalities) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; AND (g) Interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with direct review of raw data from the original recording of polygraphic data from the patient. Not to be provided on the same occasion as a service mentioned in any of items 11000 to 11005, 11503, 11700 to 11709, 11713 and 12203 is provided to the patient. Payable once in a 12 month period. Proposed explanatory notes for items 12250 and 12203
(a) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea using the following screening tools: (i) an Epworth Sleepiness Scale score of 8 or more; AND (ii) one of the following: a STOP-BANG score of 5 or more; or an OSA-50 score of 5 or more; or a high risk score on the Berlin Questionnaire. OR (b) Following personal attendance, a qualified adult sleep medicine practitioner or a consultant respiratory physician determines that testing to confirm the diagnosis of obstructive sleep apnoea is necessary; AND (c) during a period of sleep, the investigation involves the monitoring of at least seven physiological parameters which must include: (i) airflow; and (ii) chin electro-myogram (EMG); and (iii) continuous electro-cardiogram (ECG); and (iv) continuous electro-encephalogram (EEG); and (v) electro-oculogram (EOG); and (vi) oxygen saturation; and (vii) respiratory effort. AND (d) The investigation is performed under the supervision of an accredited sleep medicine practitioner; AND (e) The equipment is applied to the patient by trained technicians; AND (f) Polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and cardiac abnormalities) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; AND (g) Interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with direct review of raw data from the original recording of polygraphic data from the patient. Not to be provided on the same occasion as a service mentioned in any of items 11000 to 11005, 11503, 11700 to 11709, 11713 and 12203 is provided to the patient. Payable once in a 12 month period. Proposed explanatory notes for items 12250 and 12203