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Anaesthetic services assessing rules in Medicare 011-42060010



This document outlines information for Service Officers relating to anaesthetic services administered during operative procedures. It also contains examples of invoices/receipts and statements relating to anaesthetic procedures.

Processing Relative Value Guide (RVG) items

This table contains the processing requirements for Group 10 - RVG items.

Step

Action

1

Processing order + Read more ...

Health professionals must process RVG claims with the services in the following order:

1. Basic Unit Value/s (where more than one appears on an invoice/receipt, they should all be listed above the time value unit – Medicare benefit will only be payable for one Basic Unit Value)

2. One Time Unit Value

3. Physical Status Modifier – where applicable

4. Age Modifier – where applicable

5. ‘In Hours’ Emergency Modifier – where applicable

6. Therapeutic/Diagnostic Service/s – where applicable

7. Emergency After Hours Modifier – where applicable

The Training and Support page contains a link to infographic Relative Value Guide for anaesthesia order of services billing with the anaesthetic item numbers.