based adult the nose via mask that keeps be claimed once in a 12 initiation studies are billed under MBS that is needed to ensure the patient’s treatment the airway open to ensure month period. 12203. These services will transfer to airway stays open. initiation study unobstructed breathing. the new item. A treatment initiation test occurs in a sleep centre following diagnosis of a sleep disorder and the recommending of PAP therapy. New item – This test is used when a patient A new MBS item specifically At present, there are no items for this A change in symptoms, weight or other Laboratory has been diagnosed with a sleep for treatment effectiveness service. However, some effectiveness medical conditions may affect how well based adult disorder and received treatment which may be claimed once studies may be being billed under MBS the PAP treatment works for a patient. treatment but symptoms recur or there is a in a 12 month period. 12203. These services are expected to An effectiveness study is used to check effectiveness significant change in weight or transfer to the new item. whether the air pressure needs to be study other medical conditions. changed. New item – Titration is a process used The Committee noted that Not applicable at this stage. Not applicable at this stage. Home based with PAP treatment where this proposal should be adult automatic the air pressure is adjusted placed on hold for 2-3 years positive airway until the right pressure to until the impact of the pressure (APAP) keep the airway open is changes to items 12203 and titration study identified. 12250 is known. This item will allow patients who are diagnosed with uncomplicated sleep apnoea to undergo titration at home. New item – This study involves an The Committee recommend Not applicable at this stage. Not applicable at this stage. Laboratory assessment of excessive daytime that vigilance testing be based adult sleepiness or the ability to stay evaluated by the Medical vigilance testing alert using several tests. Services Advisory Committee as this service is not currently funded.
based adult treatment initiation study the nose via mask that keeps the airway open to ensure unobstructed breathing. A treatment initiation test occurs in a sleep centre following diagnosis of a sleep disorder and the recommending of PAP therapy. be claimed once in a 12 month period. initiation studies are billed under MBS 12203. These services will transfer to the new item. that is needed to ensure the patient’s airway stays open. New item – Laboratory based adult treatment effectiveness study This test is used when a patient has been diagnosed with a sleep disorder and received treatment but symptoms recur or there is a significant change in weight or other medical conditions. A new MBS item specifically for treatment effectiveness which may be claimed once in a 12 month period. At present, there are no items for this service. However, some effectiveness studies may be being billed under MBS 12203. These services are expected to transfer to the new item. A change in symptoms, weight or other medical conditions may affect how well the PAP treatment works for a patient. An effectiveness study is used to check whether the air pressure needs to be changed. New item – Home based adult automatic positive airway pressure (APAP) titration study Titration is a process used with PAP treatment where the air pressure is adjusted until the right pressure to keep the airway open is identified. This item will allow patients who are diagnosed with uncomplicated sleep apnoea to undergo titration at home. The Committee noted that this proposal should be placed on hold for 2-3 years until the impact of the changes to items 12203 and 12250 is known. Not applicable at this stage. Not applicable at this stage. New item – Laboratory based adult vigilance testing This study involves an assessment of excessive daytime sleepiness or the ability to stay alert using several tests. The Committee recommend that vigilance testing be evaluated by the Medical Services Advisory Committee as this service is not currently funded. Not applicable at this stage. Not applicable at this stage.