What is an RVG anaesthetic service?

An RVG anaesthetic service is defined by

1.	A pre-anaesthetic consultation in the range 17610-17625

2.	A base anaesthesia item in the range 20100 - 21997, or 22060, 22900, 22905, 25200, 25205

3.	A time item in the range 23010 - 24136

4.	One or more modifiers in the range 25000 - 25020

5.	Additional therapeutic or diagnostic items in the range 22001 - 22075

6.	After hours emergency modifier in the range 25025 - 25050

The base and time items (2 & 3) are essential, the others are optional.

The modifiers (4, 6) and additional procedures (5) can only be used when the base and time items are used. In other words, these cannot be used on their own or in conjunction with any other procedure. For example, an age modifier can't be used with an epidural (18216).

Similarly, when a procedure such as insertion of a central line is performed, outside of anaesthesia, item 13815 should be used instead of 22020.

Time items (3) are only applicable when a base item (2) is also used.

Nerve block items in the range 18213 - 18373 cannot be used during an RVG anaesthesia service. These are for standalone services only. During anaesthesia, the only nerve block items that can be charged for are 22040 - 22050. All other nerve blocks during anaesthesia are deemed to be included as part of the overall anaesthesia service.

For additional guidelines on using specific item numbers, please see the document compiled by the ASA on the members section of the ASA website. Follow the links to Economic Issues > Relative Value Guide > Frequently asked questions.

See also the following Medicare webpages for more information on the RVG

http://www.medicareaustralia.gov.au/provider/pubs/program/medicare.jsp#N1008D

http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=T10.1&qt=noteID&criteria=20100