part of a therapeutic service. the same service if these services were not restricted. 30476 A procedure that uses a digital Consolidate this service with item These services will be combined Consolidate services to simplify the scope to visually examine the 30478 with item 30478 to create one item structure for upper gastrointestinal tract and provide general upper interventional item gastrointestinal endoscopy services treatment and minimise confusion about which items should be billed by the practitioner The consolidation of items Need to simplify the item 30478 A procedure that uses a digital Consolidate this service with 30476 and 30478 will structure these services and scope to visually examine the item 30476 to form a general combine pathologies and minimise confusion about gastrointestinal tract and provide therapeutic service (without treatments previously listed which items should be billed treatment laser therapy). under item 30476. This by the practitioner Argon Plasma Coagulation change will not alter the fee APC is more appropriately (APC) a procedure to control or the intent of this item. provided under item 30478 bleeding in the The use of APC under this (lower fee than item 30479) as gastrointestinal tract should item will benefit patients as it no more time consuming of be moved from item 30479 the fee will be lower than the skills required than other into this item. currently under item 30479. forms of non -laser endoscopic The Committee recommends The addition of Push interventions. Push Enteroscopy (a digital Enteroscopy will allow the Push Enteroscopy is an upper scope to examine the small removal of lesions in the gastrointestinal examination bowel) currently performed small bowel under this item or procedure and it is under item 30487 for small This service will not be able appropriate for this service to bowel intubation to be to be claimed with item be provided under this item included in this item 30479. 30478. Stop billing of this item with
part of a therapeutic service. the same service if these services were not restricted. 30476 A procedure that uses a digital scope to visually examine the gastrointestinal tract and provide treatment Consolidate this service with item 30478 These services will be combined with item 30478 to create one general upper interventional item Consolidate services to simplify the item structure for upper gastrointestinal endoscopy services and minimise confusion about which items should be billed by the practitioner 30478 A procedure that uses a digital scope to visually examine the gastrointestinal tract and provide treatment Consolidate this service with item 30476 to form a general therapeutic service (without laser therapy). Argon Plasma Coagulation (APC) a procedure to control bleeding in the gastrointestinal tract should be moved from item 30479 into this item. The Committee recommends Push Enteroscopy (a digital scope to examine the small bowel) currently performed under item 30487 for small bowel intubation to be included in this item Stop billing of this item with The consolidation of items 30476 and 30478 will combine pathologies and treatments previously listed under item 30476. This change will not alter the fee or the intent of this item. The use of APC under this item will benefit patients as the fee will be lower than currently under item 30479. The addition of Push Enteroscopy will allow the removal of lesions in the small bowel under this item This service will not be able to be claimed with item 30479. Need to simplify the item structure these services and minimise confusion about which items should be billed by the practitioner APC is more appropriately provided under item 30478 (lower fee than item 30479) as it no more time consuming of the skills required than other forms of non -laser endoscopic interventions. Push Enteroscopy is an upper gastrointestinal examination or procedure and it is appropriate for this service to be provided under this item 30478.
Final%20report%20from%20the%20Gastroenterology%20Clinical%20Committee.docx