A665

PDF page 298 / A170

CONSULTATIONS AND VISITS
      PAEDIATRICS (26)
                                  Prenatal consultation
                                   A prenatal consultation is the service rendered by a paediatrician upon request of a physician
                                   or nurse practitioner who considers a fetus of greater than 20 weeks gestation to be at risk or in
                                   jeopardy by reason of continuation of pregnancy in the presence of maternal and/or fetal
                                   distress.
                   [Commentary:
                   A prenatal consultation by a paediatrician does not preclude the paediatrician from claiming a
                   post-natal consultation on the infant.]
               A665 Prenatal consultation ..............................................................  105.50
               A565 Limited consultation ................................................................ 104.70
               A266 Repeat consultation ................................................................  104.70
               A263 Medical specific assessment ..................................................                                     95.75
               A264 Medical specific re-assessment..............................................                                       70.75
               A661 Complex medical specific re-assessment...............................                                              86.35
               A268 Enhanced 18 month well baby visit (see General Preamble
                      GP34) .................................................................................                          74.25
               A261 Level 1 - Paediatric assessment.............................................                                       24.85
               A262 Level 2 - Paediatric assessment.............................................                                       50.20
               E078                           - chronic disease assessment premium (see General
                                                Preamble GP25) ................................................ add 50%
               K045 Diabetes management by a specialist ....................................   80.25
                   [Commentary:
                   For K045 definition/required elements, payment rules, and record keeping requirements, see
                   Endocrinology and Metabolism section.]
                 Periodic health visit
               K267 - 2 - 11 years of age.............................................................. 48.05
               K269 - 12 - 17 years of age ...........................................................  89.15
                   Note:
                   1.For definitions and payment rules - see General Preamble GP21.
                   2.Diagnostic interview and/or counselling with child and/or parent - see listings in Family
                     Practice & Practice in General.
                 Paediatric Developmental Assessment Incentive (PDAI)
                   PDAI is the service rendered by a paediatrician most responsible for providing ongoing
                   management of a paediatric patient at developmental risk. The service is for ongoing
                   management using a developmental surveillance approach and documenting the indicators of
                   the child’s development three times in a 12 month period.
               K119 Paediatric developmental assessment incentive ....................          142.50
                   Payment rules:
                   1.K119 is limited to a maximum of one service per patient per 12 month period.
                                          2.K119 is limited to a maximum of six services per patient per lifetime.
                                          3.K119 is only eligible for payment for a service rendered to a person under six years of age.

PDF page 301 / A173

CONSULTATIONS AND VISITS
 PAEDIATRICS (26)
        EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
         Physician in hospital but not on duty in the Emergency Department when seeing patient(s) 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.
   C265 Consultation............................................................................  190.35
   C260 Special paediatric consultation - subject to the same conditions
           as A260 .............................................................................. 342.25
   C662 Extended special paediatric consultation - subject to the same
           conditions as A662 .............................................................       442.40
   C667 Neurodevelopmental consultation - subject to same conditions
           as A667 .............................................................................. 456.80
   C665 Prenatal consultation - subject to the same conditions as A665                            105.50
   C565 Limited consultation ................................................................     104.70
   C266 Repeat consultation ................................................................      104.70
   C263 Medical specific assessment ..................................................             95.75
   C264 Medical specific re-assessment..............................................               70.75
   C661 Complex medical specific re-assessment...............................                      86.35
     Subsequent visits
   C262 - per visit ...............................................................................   40.05
     Subsequent visits by the Most Responsible Physician (MRP)
      See General Preamble GP44 to GP45 for terms and conditions.
   C122 - day following the hospital admission assessment..............                               71.80
   C123 - second day following the hospital assessment ..................                             71.80
   C124 - day of discharge .................................................................          71.80
   C126 - day of discharge, medically complex patient (see A13 for
          terms and conditions) .........................................................             95.10
     Subsequent visits by the MRP following transfer from an Intensive Care Area
      See General Preamble GP46 for terms and conditions.
   C142 - first subsequent visit by the MRP following transfer from an
          Intensive Care Area............................................................ 71.80
   C143 - second subsequent visit by the MRP following transfer from
          an Intensive Care Area.......................................................   71.80
   C121 Additional visits due to intercurrent illness (see General
          Preamble GP43)..................................................... per visit               40.05
   C268 Concurrent care .......................................................... per visit          40.05
   C982 Palliative care (see General Preamble GP50)............ per visit                             40.05

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A

Master, record 270. Record Layout PDF, page 1.

A66520260401999999990000000000000000000000000010550000000000000000000000000

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.