Item Short Description MBS rebate

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1 Item Short Description MBS rebate CLINIC CONSULTATIONS 3 Consult - brief, < 6 mins $ Consult - standard, < 20 mins $ Consult - long, mins $ Consult - prolonged, > 40 mins $ Bulk billing incentive (Comonwealth concession and <16 years) $10.85 HEALTH ASSESSMENTS (over 75, ATSI or 4 yo) 701 Health Assessment - Brief, < 30 mins $ Health Assessment - Standard, mins $ Health Assessment - Long, mins $ Health Assessment - Prolonged, > 60 mins $ ATSI Health Assessment $ CARE PLANS 721 GP Management Plan (bill months unless changed circumstances) $ Team Care Arrangement (as above) $ Review of GPMP or TCA (can be billed singly or together) $ Service (eg: PN) when patient has a care plan - max five per year $12.00 GP MENTAL HEALTH CARE PLAN & CONSULT 2712 Review of Mental Health Plan $ Mental Health Consult, > 20 mins $ GP Mental Health Treatment Plan, > 20 mins $ GP Mental Health Treatment Plan, > 40 mins $ SIP for DIABETES and ASTHMA Level B DIABETES , ASTHMA $37.05 Level C DIABETES , ASTHMA $71.70 Level D DIABETES , ASTHMA $ CASE CONFERENCE 731 Contribution to/reviwe of multid plan for resident in RACF $ Organise and coordinate a GP case conference, mins $ Organise and coordinate a GP case conference, mins $ Organise and coordinate a GP case conference, >40 mins $ Participate in a GP case conference, mins $ Participate in a GP case conference, mins $ Participate in a GP case conference, >40 mins $ MEDICATION REVIEWS 900 Domiciliary Medication Management Review (DMMR) $ Residential Medication Management Review (RMMR) $106.00

2 NURSING HOME VISITS (RACF) 20/1 Nursing home visit - brief A + $46.70/1 35/1 Nursing home visit - standard B + $46.70/1 43/1 Nursing home visit - long C + $46.70/1 51/1 Nursing home visit - prolonged D + $46.70/1 NB : Notate as appropriate item number for visit, then no. of patients seen eg: 35/1, 35/2, 43/3 WOMENS HEALTH & ANTENATAL Implanon (also covers Zoladex) insertion (hormone implant) $ Implanon removal (subcut FB) $ Overdue > 4yrs Pap smear (level B) $ Overdue > 4yrs Pap smear (level C) $ Urine beta-hcg pregnancy test $ IUD insertion $ Antenatal attendance $ TMC or Hyperemesis Gravidarum requiring admission, per attendance $ Pre-eclampsia, eclampsia or APH attendance in hospital, per attendance $ Antenatal CTG, high risk pregnancy, not in labour $ Management of vaginal delivery $ Management of labour, incomplete (care transferred to another) $ Management of labour by any means inc LSCS, inc. up to five days aftercare $ MINOR PROCEDURES ECG tracing and report $ Spirometry pre- and post-bronchodilator $ Dopplers - Ankle-Brachial Pressure Indices $ Arterial Blood Gas $ Lumbar Puncture $ Cardioversion $ Blood transfusion $ Therapeutic venesection (for HH, PCV) $ IDC insertion $ Suprapubic bladder aspiration $ Penile injection for impotence eg: caverjet $ Diagnostic pleural tap $ Therapeutic +/- diagnostic pleural tap $ Aspiration of haematoma $ I&D of small haematoma or abscess (out-patient), no after care $ I&D of small haematoma or abscess (in-patient), no after care $ Excision perianal skin tags, not in OT $ I&D Perianal thrombosis $45.10

3 MINOR PROCEDURES (continued) Localised burn dressing $ Extensive burn dressing $ Superficial FB removal inc cornea, sclera $ FB subcutaneous (Implanon out) $ Deep FB (muscle, bone, tendon) $ Skin or mucous membrane biopsy $ Palmar or plantar warts, removal < 10 $ removal of solar keratosis, ablative > 10 $ Urinary catheter $ FB, removal of from EAR $ FB, removal of from NOSE $ Epistaxis management, cautery or packing $ Cryotherapy to nose in arrest of nasal haemorrhage $ Posterior epistaxis management inc pack $ Corneal FB embedded (rust ring, sub- or intra-epithelial) $ Removal of digital nail (finger or thumb) $ Removal of digital nail (toe) $ Wedge resection IGTN with excision of nail bed $ Partial resection IGTN (destruction of matrix, no removal nail bed) $ Urine beta-hcg pregnancy test $10.15 HOME VISITS 4 Home visit - brief, < 6 mins A + $ Home visit - standard, <20 mins B + $ Home visit - long, mins C + $ Home visit - prolonged, >40 mins D + $23.95 URGENT AFTER HOURS CONSULTS, first patient only (unless called back) 597 Weekdays , , Sat 07-08, , Sun/PH $ Any day, between $ STD (non-urgent) CONSULTS on Sun/PH, Sat <0800/>1300, Weekday <0800 or > Level A anytime on Sun/PH, Sat <0800 or >1300, <0800/>2000 weekdays $ Level B anytime on Sun/PH, Sat <0800 or >1300, <0800/>2000 weekdays $ Level C anytime on Sun/PH, Sat <0800 or >1200, <0800/>2000 weekdays $ Level D anytime on Sun/PH, Sat <0800 or >1300, <0800/>2000 weekdays $ HOSPITAL IN-PATIENT CONSULTS 4/1 Hospital visit - brief, < 6 mins (2 patients 4/2, 3 patients 4/3 etc) A + $ /1 Hospital visit - standard, <20 mins (2 patients 24/2, 3 patients 24/3 etc) B + $ /1 Hospital visit - long, mins (2 patients 37/2, 3 patients 37/3 etc) C + $ /1 Hospital visit - prolonged, >40 mins (2 patients 47/2, 3 patients 47/3 etc) D + $23.95

4 LIFE or DEATH CONSULTS SA50 Life or Death, < 1 hour (payable by Country Health SA) SA Critical condition, prolonged attendance 1-2 hours $ Critical condition, prolonged attendance 2-3 hours $ Critical condition, prolonged attendance 3-4 hours $ Critical condition, prolonged attendance 4-5 hours $ Critical condition, prolonged attendance >5 hours $ NB : CHSA will now only pay life or death consults in 15 blocks, if charged as FFS EMERGENCY PROCEDURES IN RESUS Cardioversion $ Blood transfusion $ Central line $ Arterial Blood Gas $ Arterial line $ ECG tracing and report, dots placed by doctor (CHSALHN-specific rule) $ ECG tracing and report, dots placed by nurse (CHSALHN specific rule) $ IDC insertion $27.60 SAIVT IV access (this is a CHSALHN specific code) SAIVT RSI outside of ICU for future ICU management (eg: as part of retrieval) $ FRACTURE MANAGEMENT Distal phalanx/thumb, closed reduction $ Middle phalanx finger/thumb, closed reduction $ Proximal phalanx finger/thumb, closed reduction $ Metacarpal, cast immobilisation $ Carpal bone, cast immobilisation $ Scaphoid bone, cast immobilisation $ Distal radius/ulna, cast immobilisation $ Distal radius/ulna, closed reduction $ Colles/Smiths/Bartons, cast immobilisation $ Colles/Smiths/Bartons, closed reduction $ Radius/ulna shaft, cast immobilisation $ Humerus, proximal $ Humerus, shaft $ Clavicle $ Ribs $ Femur $ Tibia shaft, cast immobilisation $ Fibula $ Ankle joint $324.80

5 DISLOCATIONS (treatment by closed reduction) Dislocation of mandible, closed reduction $ Clavicle $ Dislocation of interphalangeal joint $ Elbow $ Shoulder $ Hip $ Patella $ Toe $ Ankle $ RADIOLOGY Chest $ Abdominal $ Hand-Wrist-Foream-Elbow-Humerus $ Any two of above $ Foot-Ankle-Leg-Knee-Femur $ Hip $ Shoulder or Scapula $ Clavicle $32.50 SUTURING OF WOUNDS Wound, traumatic, deep or extensively contaminated, debrided under anaes $ Suture < 7cm, Not face, Superficial $ Suture < 7cm, Not face, Deep $ Suture < 7cm, Face, Superficial $ Suture < 7cm, Face, Deep $ Suture > 7cm, Not face, Superficial $ Suture > 7cm, Not face, Deep $ Suture > 7cm, Face, Superficial $ Suture > 7cm, Face, Deep $ Suture eyelid, nose, ear (full thickness) $ Removal of ganglion $ FOREIGN BODY REMOVAL Wound, traumatic, deep or extensively contaminated, debrided under anaes $ Superficial FB removal inc cornea, sclera $ Subcutaneous FB $ Deep FB (muscle, bone, tendon) $ FB, removal of from EAR $ FB, removal of from NOSE $ Corneal FB embedded (rust ring, sub- or intra-epithelial) $72.15

6 LUMPS and BUMPS REMOVAL OF TUMOUR-CYST-SCAR Tumour, Cyst, Ulcer removal (no histology) $ Histology < 10mm $ Histology 11-20mm $ Histology > 20mm $ Histology from nose/eyelid/lip/ear/digit/genitalia $ Histology from face, neck (anterior to SCM) or lower leg < 10mm $ Histology from face, neck (anterior to SCM) or lower leg > 10mm $ REMOVAL OF BCC-SCC-KERATOCANTHOMA Histology from nose/eyelid/lip/ear/digit/genitalia < 10mm $ Histology from nose/eyelid/lip/ear/digit/genitalia > 10mm $ Histology from face, neck (anterior to SCM) or lower leg < 10mm $ Histology from face, neck (anterior to SCM) or lower leg > 10mm $ Histology from face, neck (anterior to SCM) or lower leg > 20mm $ Histology other areas < 10mm $ Histology other areas 11-20mm $ Histology other areas > 20mm $ REMOVAL OF MELANOMA or other LOCALLY AGGRESSIVE TUMOUR Histology from nose/eyelid/lip/ear/digit/genitalia < 10mm $ Histology from nose/eyelid/lip/ear/digit/genitalia > 10mm $ Histology from face, neck (anterior to SCM) or lower leg < 10mm $ Histology from face, neck (anterior to SCM) or lower leg > 10mm $ Histology from face, neck (anterior to SCM) or lower leg > 20mm $ Histology other areas < 10mm $ Histology other areas 11-20mm $ Histology other areas > 20mm $ REMOVAL OF GANGLION or LIPOMA Removal of ganglion $ Lipoma > 50mm $ FOREIGN BODY REMOVAL Wound, traumatic, deep or extensively contaminated, debrided under anaes $ Superficial FB removal inc cornea, sclera $ Subcutaneous FB $ Deep FB (muscle, bone, tendon) $ FB, removal of from EAR $ FB, removal of from NOSE $ Corneal FB embedded (rust ring, sub- or intra-epithelial) $72.15

7 PRE-ANAESTHETIC CONSULTATIONS ANAESTHESIA & SURGERY PA < 15 mins $ PA mins $ PA > 30 mins $ TESTS ECG $ CXR $ Arterial line for BP measures $ Central line $ Arterial line for serial ABG measures $ Airway access outside of ICU for subsequent ventilation $ Anaesthesia fee comprises INITIATION - TIME - AGE & ASA MODIFIERS MODIFIERS - ASA status, AGE, TIME & URGENCY ASA 3 $ ASA 4 $ ASA 5 $ Patient < 12 months or Patient > 70 years $ Urgent anaesthesia where risk to life or limb $ Emergency anaesthesia AH 8pm-8am weekday, anytime weekend/phs add 50% of fee TIME RANGE < 15 mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ mins $ after three hours, I would encourage the surgeon to abandon procedure or place the BIS monitor on yourself to check for brain activity mins $118.80

8 REGIONAL ANAESTHESIA Brachial plexus block $ Intercostal block $ Multiple intercostal blocks $ Ilioinguinal block $ Femoral nerve block $ Ankle block $62.50 OBSTETRICS Initiation of anaesthesia for LSCS $ Initiation of anaesthesia for ops on labia/vagina/cervix/endometrial areas $ Initiation of anaesthesia vaginal repair/urinary incontinence procedures $ Initiation of anaesthesia for vaginal hysterectomy $ Initiation of anaesthesia for vaginal delivery $ Initiation of anaesthesia for hysteroscopy $ Initiation of anaesthesia for (hysteroscopy+) endometrial ablation $ Initiation of anaesthesia for inverted uterus $ Initiation of anaesthesia for RPOC $79.20 ENT Initiation of anaesthesia procedures skin/subcut tissues/mus/vessels head $ Initiation of anaesthesia for procedures on external-middle-inner ear $ Initiation of anaesthesia on nose/sinuses $ Initiation of anaesthesia procedures skin/subcut tissue neck $99.00 ABDOMINAL SURGERY & ENDOSCOPY / COLONOSCOPY Initiation of anaesthesia procedures skin/subcut tissue upper abdomen $ Initiation of anaesthesia for upper GI procedures (ENDOSCOPY etc) $ Initiation of anaesthesia for hernia repair, upper abdomen $ Initiation of anaesthesia incisional hernia/wound dehiscence upper abdo $ Initiation of anaesthesia for laparoscopic procedures upper abdo $ Initiation of anaesthesia for laparoscopic procedures lower abdo $ Initiation of anaesthesia for lower GI procedures (COLONOSCOPY etc) $ Initiation of anaesthesia for hernia repair, lower abdomen $ Initiation of anaesthesia incisional hernia/wound dehiscence lower abdo $ Initiation of anaesthesia for anorectal procedures $79.20 UROLOGY Initiation of anaesthesia for ops perineum inc male genital biopsy/circ $ Initiation of anaesthesia for transurethral procedures eg CYSTOSCOPY $ Initiation of anaesthesia for transurethral resection/diathermy bladder $ Initiation of anaesthesia for TURP $ Initiation of anaesthesia for ops male genitalia (hydrocoele, vasectomy etc) $79.20

9 ORTHOPAEDICS & VASCULAR Initiation of anaesthesia for procedures involving veins of upper leg $ Initiation of anaesthesia for procedures nerve/tendon/muscle/bursae knee $ Initiation of anaesthesia for arthroscopy of knee $ Initiation of anaesthesia for open procedure tibia/fibula/patella inc bursae $ Initiation of anaesthesia for procedures skin/subcut tissue lower limb $ Initiation of anaesthesia for procedures nerve/tendon/muscle lower limb $ Initiation of anaesthesia for closed procedures lower limb/ankle/foot $ Initiation of anaesthesia for procedures on bone of lower limb inc amputate $ Initiation of anaesthesia radical resection bone lower leg/ankle/foot $ Initiation of anaesthesia for procedures on skin/subcut in shoulder/axilla $ Initiation of anaesthesia procedures nerve/tendon/muscle shoulder/axilla $ Initiation of anaesthesia for closed procedures upper arm/elbow in OT $ Initiation of anaesthesia for open procedures upper arm/albow $ Initiation of anaesthesia on skin/subcut tissue of upper limb $ Initiation of anaesthesia procedures nerve/tendon/muscle upper limb $ Initiation of anaesthesia closed op on bones forearm/wrist/hand in OT $ Initiation of anaesthesia for open procedures on forearm/wrist/hand $ Initiation for procedures on arteries upper limb $ DENTAL SURGERY Initiation of anaesthesia for intraoral procedures $ Initiation of anaesthesia for dental extraction $ Initiation of anaesthesia for restorative dental work $ NOTES

Release Notes and Installation Instructions. Medtech32. ACC Subsidy Updates

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