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COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS

The minimum requirements of care to complete an annual Diabetes Cycle of Care for patients with established diabetes mellitus must be completed over a period of at least 11 months and up to 13 months, and must include:


-     Assess diabetes control by measuring HbA1c               At least once every  year

-     Ensure that a comprehensive eye examination is carried out*     At least once every two years

-     Measure weight and height and calculate BMI**               At least twice every cycle of care

-     Measure blood pressure                         At least twice every cycle of care

-     Examine feet***                              At least twice every cycle of care

-     Measure total cholesterol, triglycerides and HDL cholesterol     At least once every year

-     Test for microalbuminuria                         At least once  every year

-     Test for estimated Glomerular Filtration Rate (eGFR)                    At least once every year

-     Provide self-care education                         Patient education regarding diabetes management

-     Review diet                              Reinforce information about appropriate dietary                                                             choices

-     Review levels of physical activity                    Reinforce information about appropriate levels of                                                        physical activity

-     Check smoking status                         Encourage cessation of smoking (if relevant)

-     Review of medication                         Medication review


*     Not required if the patient is blind or does not have both eyes.

**     Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment.

    Subsequent visits: measure weight.

***     Not required if the patient does not have both feet.

LEVEL B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus.

Category 1 - PROFESSIONAL ATTENDANCES

2517

2517 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
2 - COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS
Subheading
1 - LEVEL B

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms.



Fee: $37.05 Benefit: 100% = $37.05

(See para A5, A43 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $111.15

Category 1 - PROFESSIONAL ATTENDANCES

2620

2620 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jul-2009
Schedule Fee Start Date:
01-Nov-2001

Group
A19 - OTHER NON-REFERRED ATTENDANCES ASSOCIATED WITH PIP INCENTIVE PAYMENTS TO WHICH NO OTHER ITEM APPLIES
Subgroup
2 - COMPLETION OF AN ANNUAL CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS

The minimum requirements of care to complete an annual Diabetes Cycle of Care for patients with established diabetes mellitus must be completed over a period of at least 11 months and up to 13 months, and must include:


-    Assess diabetes control by measuring HbA1c            At least once every  year

-    Ensure that a comprehensive eye examination is carried out*    At least once every two years

-    Measure weight and height and calculate BMI**            At least twice every cycle of care

-    Measure blood pressure                    At least twice every cycle of care

-    Examine feet***                        At least twice every cycle of care

-    Measure total cholesterol, triglycerides and HDL cholesterol    At least once every year

-    Test for microalbuminuria                    At least once every  year

-    Provide self-care education                    Patient education regarding diabetes management

-    Review diet                        Reinforce information about appropriate dietary                                     choices

-    Review levels of physical activity                Reinforce information about appropriate levels of                                 physical activity

-    Check smoking status                    Encourage cessation of smoking (if relevant)

-    Review of medication                    Medication review


*    Not required if the patient is blind or does not have both eyes.

**    Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment.

    Subsequent visits: measure weight.

***    Not required if the patient does not have both feet.


SURGERY CONSULTATIONS


(Professional attendance at consulting rooms)


STANDARD CONSULTATION of more than 5 minutes duration but not more than 25 minutes duration


AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus.



Fee: $21.00 Benefit: 100% = $21.00

(See para A43 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $63.00

Results 1 to 2 of 2 matches


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change