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New Medicare item number (42705) listed for MIGS

Following continued discussions between RANZCO and the federal Department of Health, a new Medicare item number (42705) has been listed today for the implant of minimally invasive glaucoma surgery (MIGS) devices. The new item number is an interim measure only, with a current expiry date of 31 December 2017.

It follows the notification that as of 1 May the goniotomy item number 42758 cannot be used for the implant of MIGS devices. The new item number is specifically designed to allow the continued implant of devices whilst a full MSAC review is underway. It can only be done in conjunction with cataract surgery and does not provide a specific rebate for the surgical component other than the cataract element.

However, following the discussions with the Department of Health it should not be assumed that the restrictions applied now, including the implant in conjunction with cataract surgery, will be the same if the MSAC review is positive. RANZCO will continue to work with MSAC and the Department of Health as they undertake a full review with a result expected later this year.

The exact item number is:

Last updated: November 9, 2018

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