41819 which is higher than 30475 but lower than 41820 41831 Procedure that uses air or gas Amend item to indicate that the The item will better target The clinical circumstances for this under pressure in a balloon that service is specific to the treatment patients whose indications and service will be better defined. relieves the lower oesophageal of achalasia ( a type of narrowing) conditions require this service muscle tension Table B6: Recommendation 6 – Sigmoidoscopy/Colonoscopy Item What it does Committee Recommendation What would be different Why Patients will benefit from this To better define the clinical 32084 A diagnostic procedure using digital Amend item to better define quality measure which will requirements for a complete scope to visually examine the colon the extent of the examination require a more and comprehensive and can include biopsy which ‘has not reach the comprehensive and examination caecum’ and remove complete examination to be Patients could effectively pay terminology. performed. twice for the same service if Stop the billing of more than These services will not able other colonoscopy services one colonoscopy service to be billed with other were allowed to be billed during the same episode of colonoscopy services on the together sedation/anaesthesia same day, same patient and practitioner unless under a separate sedation/anaesthesia. Patients will benefit from this The clinical requirements for a 32087 A therapeutic procedure using a Amend item to better define
41819 which is higher than 30475 but lower than 41820 41831 Procedure that uses air or gas under pressure in a balloon that relieves the lower oesophageal muscle tension Amend item to indicate that the service is specific to the treatment of achalasia ( a type of narrowing) The item will better target patients whose indications and conditions require this service The clinical circumstances for this service will be better defined. Table B6: Recommendation 6 – Sigmoidoscopy/Colonoscopy Item What it does Committee Recommendation What would be different Why 32084 A diagnostic procedure using digital scope to visually examine the colon and can include biopsy Amend item to better define the extent of the examination which ‘has not reach the caecum’ and remove terminology. Stop the billing of more than one colonoscopy service during the same episode of sedation/anaesthesia Patients will benefit from this quality measure which will require a more comprehensive and complete examination to be performed. These services will not able to be billed with other colonoscopy services on the same day, same patient and practitioner unless under a separate sedation/anaesthesia. To better define the clinical requirements for a complete and comprehensive examination Patients could effectively pay twice for the same service if other colonoscopy services were allowed to be billed together 32087 A therapeutic procedure using a Amend item to better define Patients will benefit from this The clinical requirements for a
Final%20report%20from%20the%20Gastroenterology%20Clinical%20Committee.docx