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News & Resources

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 wording 73297 – November 2023 – the term ‘may’ has been included concerning familial variant predictive gene testing, indicating other genes not listed may be covered.
 
New wording 73296 – November 2023 – the requirement for a ‘Quantitative algorithm’ has been removed when determining the >10% risk  a patient has of having a pathogenic or likely pathogenic gene.
 
New Item 73410 – July 2022 – testing for common HBA1 and HBA2 deletions for diagnosis or carrier screening for alpha thalassaemia in a patient of reproductive age.
 

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.

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