K269

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.

Master, record 3009. Record Layout PDF, page 1.

K26920260401999999990000000000000000000000000008915000000000000000000000000

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.