A215

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Limited consultation for acute pain management
     A limited consultation for acute pain management is a consultation which takes place when a
     physician is requested by another physician to see a hospital in-patient because of the
     complexity or severity of the acute pain condition.
 A215 Limited consultation for acute pain management in association
          with special visit to hospital in-patient ................................ 69.75
     Payment rules:
     1.The routine pre-anaesthetic evaluation of the patient required by Reg 965 of the Public
       Hospitals Act does not constitute a consultation, regardless of where and when this
       evaluation is performed.
       2.For A210 the start and stop time of the service must be recorded in the patient’s permanent
         medical record
       3.A215 is not eligible for payment:
          a.with P014C - introduction of catheter for labour analgesia, including the first dose of
            medication with or without any combined spinal-epidural injection(s);
          b.for management of routine post-operative pain; or
          c.for referrals from another anaesthesiologist.
       [Commentary:
       1.The general anaesthesia service includes a pre-anaesthetic evaluation, with specific
         elements as for assessments (see GP15) which does not constitute a consultation
       2.P014C - is an anaesthesia service, therefore the pre-anaesthetic evaluation is included in the
         service and is not payable as a limited consultation for acute pain management or as any
         other consultation or assessment.]

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Urgent or emergency requests may be initiated verbally but must subsequently be requested in
       writing. The written request must be retained on the patient’s permanent medical record. The
       MAMRAA must include the common and specific elements of a general or specific assessment
       and the physician must submit his/her findings, opinions and recommendations verbally to the
       midwife or aboriginal midwife and in writing to both the midwife or aboriginal midwife and the
       patient’s primary care physician or nurse practitioner, if applicable. Maximum one MAMRAA
       per patient per anaesthesiologist per pregnancy.
   A816 Midwife or Aboriginal Midwife-Requested Anaesthesia
             Assessment (MAMRAA).....................................................  106.80
       Claims submission instructions:
       When providing this service to a hospital in-patient in association with a special visit premium,
       submit claim using A215 and the appropriate special visit premium beginning with a "C" prefix.

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A013 Specific assessment ...............................................................           64.65
   A014 Partial assessment .................................................................          31.45
        Emergency or Out-Patient Department (OPD)
         Physician in hospital but not on duty in the emergency department when seeing patients in the
         emergency or OPD - use General Listings.
     Non-Emergency Hospital In-Patient Services
      See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
      patients, use General Listings and Premiums when applicable - see General Preamble GP65
      to GP78.
   C015 Consultation - subject to the same conditions as A015 ..........                          109.70
   C016 Repeat consultation ................................................................       52.15
   C210 Special anaesthetic consultation – subject to same conditions
           as A210 .............................................................................. 163.20
   C215 Limited consultation for acute pain management - subject to
           the same conditions as A215 .............................................               69.75
   C013 Specific assessment ...............................................................           64.65
   C014 Specific re-assessment...........................................................             28.00
   C816 Midwife or Aboriginal Midwife-Requested Anaesthesiologist
          Assessment (MAMRAA) - subject to the same conditions as
          A816 ...................................................................................   106.80

Master, record 117. Record Layout PDF, page 1.

A21520260401999999990000000000000000000000000006975000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.