News & Resources
Genomic testing and diagnosis is a fast moving field so, as an organisation, we are committed to finding and sharing new developments and genetic breakthroughs with you. Please check this page regularly for updates and news.
Genetic Carrier Screening – Now on the MBS!
The Federal Government added reproductive carrier testing for three conditions – cystic fibrosis (CF), spinal muscular atrophy (SMA) and fragile X syndrome (FXS) to the Medicare Benefit Schedule in November 2023.
This was very welcome news, as it will benefit many Australian families, providing more options for couples on their reproductive journey and removing the health inequity of having to pay for testing.
The item number 73451 covers females who are planning to have a baby or who are pregnant to identify carrier status of CF, SMA or FXS, for the purpose of determining reproductive risk.
The item number 73452 covers testing of either CF or SMA in the male reproductive partner of a carrier female, for the purpose of determining the couple's reproductive risk.
CF, SMA and FXS are the most common inheritable genetic disorders with substantially reduced life expectancy in the Australian population. When considered together (FXS, CF and SMA), one in 20 women will be carriers of at least one of the condition. Put together, the affected pregnancy rate of these three conditions is the equivalent to the population risk of a Down syndrome pregnancy.
Latest MBS Genetic Updates
New Item 73448 – November 2023 – characterisation of variants in a panel of at least 25 genes using DNA, to determine the diagnosis, prognosis and/or management of a patient with a suspected malignancy of lymphoid origin.
New Item 73447 – November 2023 – characterisation of variants in a panel of at least 25 genes using DNA, to determine the diagnosis, prognosis and/or management of a patient with a suspected malignancy of myeloid origin.
New Item 73446 – November 2023 – characterisation of variants in a panel of at least 25 genes using DNA and RNA, to determine the diagnosis, prognosis and/or management of a patient with a suspected malignancy of lymphoid origin.
New Item 73445 – November 2023 – characterisation of variants in a panel of at least 25 genes using DNA and RNA, to determine the diagnosis, prognosis and/or management of a patient with a suspected malignancy of myeloid origin.
New Items 73411, 73412, 73413 – July 2022 – comprehensive testing of HBA1 and HBA2 for diagnosis or carrier screening of alpha thalassaemia in a patient of reproductive age, contingent on inconclusive testing performed under item 73410.
Resources
NSW Centre for Genetics Education
https://www.genetics.edu.au/NHMRC information on genetics for consumers and clinicians:
https://www.nhmrc.gov.au/health-advice/genomics
RACGP genomics in general practice
RCPA – what is pathology and what is genetic pathology
https://www.rcpa.edu.au/Library/College-Policies/Position-Statements/Role-of-the-Genetic-PathologistRANZCOG guidelines on prenatal screening and diagnostic tests for fetal genetic conditions
RANZCOG guidelines on Genetic carrier screening
NIH – Genetics Home Reference
PHG Foundation – working to translate medical advances into practical benefits with a special focus on genomics
https://www.phgfoundation.org/news
Genomics Education Programme
ESHG – European Society for Human Genetics
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