Medicare Benefits Schedule - Note PR.9.1

Item numbers 73839, 73840 and 73844 can only be performed in the following circumstances:

a) the service is rendered by or on behalf of a medical practitioner; 
b) the practitioner referred to in paragraph (a), or the organisation for which the practitioner works, is participating in the Quality Assurance in  Aboriginal Medical Services Program; and
c) the service is provided in accordance with that Program; and
d) the practitioner referred to in paragraph (a) has determined the service to be necessary for his or her patient.  

Related Items: 73839 73840 73844

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Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.

(Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category)

Fee: $16.80 Benefit: 75% = $12.60 85% = $14.30

(See para PR.9.1 of explanatory notes to this Category)

Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period.

(Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category)

Fee: $17.00 Benefit: 75% = $12.75 85% = $14.45

(See para PR.9.1 of explanatory notes to this Category)

Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.

Fee: $20.35 Benefit: 75% = $15.30 85% = $17.30

(See para PR.9.1 of explanatory notes to this Category)