Appendix A Recommendations list

Item Current descriptor Recommendation

12201

Administration, by a specialist or consultant physician in the practice of his or her specialty, of thyrotropin alfa-rch (recombinant human thyroid-stimulating hormone), and arranging services to which both items 61426 and 66650 apply, for the detection of recurrent well-differentiated thyroid cancer in a patient if: (a) the patient has had a total thyroidectomy and 1 ablative dose of radioactive iodine; and (b) the patient is maintained on thyroid hormone therapy; and (c) the patient is at risk of recurrence; and (d) on at least 1 previous whole body scan or serum thyroglobulin test when withdrawn from thyroid hormone therapy, the patient did not have evidence of well-differentiated thyroid cancer; and (e) either: (i) withdrawal from thyroid hormone therapy resulted in severe psychiatric disturbances when hypothyroid; or (ii) withdrawal is medically contra-indicated because the patient has: (a) unstable coronary artery disease; or (b) hypopituitarism; or (c) a high risk of relapse or exacerbation of a previous severe psychiatric illness— applicable once only in a 12 month period.

Change

30097

Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented.

Change

30296

Thyroidectomy, total. (Anaes.) (Assist.)

Change

30297

Thyroidectomy following previous thyroid surgery. (Anaes.) (Assist.)

Change

30306

Total hemithyroidectomy. (Anaes.) (Assist.)

Change

30308

Bilateral subtotal thyroidectomy. (Anaes.) (Assist.)

Change

30309

Thyroidectomy, subtotal for thyrotoxicosis. (Anaes.) (Assist.)

Delete

30310

Thyroid, unilateral subtotal thyroidectomy or equivalent partial thyroidectomy. (Anaes.) (Assist.)

Change

30313

Thyroglossal cyst, removal of. (Anaes.) (Assist.)

Delete

30314

Thyroglossal cyst or fistula or both, on a person 10 years of age or over. Radical removal of, including thyroglossal duct and portion of hyoid bone. (Anaes.) (Assist.)

Change

30315

Parathyroid operation for hyperparathyroidism. (Anaes.) (Assist.)

Change

30317

Cervical reexploration for recurrent or persistent hyperparathyroidism. (Anaes.) (Assist.)

Change

30318

Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy). (Anaes.) (Assist.)

Change

30320

Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy). (Anaes.) (Assist.)

Change

30321

Retroperitoneal neuroendocrine tumour, removal of. (Anaes.) (Assist.)

Change

30323

Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection. (Anaes.) (Assist.)

Change

30324

Adrenal gland tumour, excision of. (Anaes.) (Assist.)

Change




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