benefit as this will eliminate the services. need for a second anaesthesia on another day. Table B8: Recommendation 8 – Balloon Enteroscopy Item What it does Committee Recommendation What would be different Why 30680 to 30686 A group of diagnostic procedures An assessment by the Medical The service will better target Currently the items are restricted used to assess the spread of cancer Services Advisory patients whose indications and to patients who present with Committee(MSAC) to expand the conditions require these services. bleeding and anaemia. This conditions for these items to These patients will benefit as significantly restricts the manage small bowel disease they will not be exposed to management of patients with small without anaemia or bleeding unnecessary other tests and bowel disease without these procedures, including surgery, to symptoms. manage their condition Table B9: Recommendation 9: Endoscopic Mucosal Resection Item What it does Committee Recommendation What would be different Why New item A procedure to remove very large An assessment by MSAC to Patients would not require EMR has widespread use in public polyps by using an internal digital consider public funding for this surgery to remove these polyps hospitals but currently under the scope service. The Gastroenterological which would be safer for the MBS the only approach for the
benefit as this will eliminate the need for a second anaesthesia on another day. services. Table B8: Recommendation 8 – Balloon Enteroscopy Item What it does Committee Recommendation What would be different Why 30680 to 30686 A group of diagnostic procedures used to assess the spread of cancer An assessment by the Medical Services Advisory Committee(MSAC) to expand the conditions for these items to manage small bowel disease without anaemia or bleeding The service will better target patients whose indications and conditions require these services. These patients will benefit as they will not be exposed to unnecessary other tests and procedures, including surgery, to manage their condition Currently the items are restricted to patients who present with bleeding and anaemia. This significantly restricts the management of patients with small bowel disease without these symptoms. Table B9: Recommendation 9: Endoscopic Mucosal Resection Item What it does Committee Recommendation What would be different Why New item A procedure to remove very large polyps by using an internal digital scope An assessment by MSAC to consider public funding for this service. The Gastroenterological Patients would not require surgery to remove these polyps which would be safer for the EMR has widespread use in public hospitals but currently under the MBS the only approach for the
Final%20report%20from%20the%20Gastroenterology%20Clinical%20Committee.docx