✨ Health Service Payment Rules




1082

NEW ZEALAND GAZETTE, No. 41

13 APRIL 2007

a radiologist or an obstetrician with a Diploma of Diagnostic Ultrasound (or equivalent as determined by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists) in a timely manner.

Defined in this notice: claim, family planning practitioner, general practitioner, maternity provider, midwife, obstetrician, radiologist

DC11 Payment rules: ultrasound scan

(1) This fee may be claimed only if an appropriate referral has been received in accordance with clause DC4(a).

(2) A code corresponding to the relevant indication in subclause (3) must be stated on both the referral form and on the claim.

(3) The following list identifies the approved clinical indications for ultrasound in pregnancy. The listed conditions are mandatory indications and must be included on the referral form:

Code Clinical indication Comment
TA Threatened abortion Scan at time of bleeding. Serial scans may be necessary if bleeding persists.
EP Suspected ectopic pregnancy e.g. Previous tubal surgery, PID or ectopic. Suggestive symptoms (e.g. abdominal pain).
PM Pelvic mass in pregnancy Any palpable abnormality in early pregnancy.
UD Uterus not equal to dates If discrepancy > 4 weeks, or discrepancy in amniotic fluid.
BA Prior to booking CVS or amniocentesis or Nuchal Translucency When unsure dates.
CT Consideration of termination
NT Dating and early evaluation for chromosomal abnormality Nuchal translucency assessment at 11-13+6 weeks, assessment for gestational age, diagnosis of multiple pregnancy.
NF Early evaluation for chromosomal abnormality follow up In cases where the first scan was technically unsuccessful.
AN Anatomy Scan to confirm dates, assess foetal anatomy and placental position. Performed at 18-20 weeks ideally.
AF Anatomy follow up In cases where the first scan was technically unsuccessful.
GR Suspected growth abnormality (IUGR or macrosomia) Clinical suspicion of abnormal growth of foetus (IUGR or macrosomia) or abnormal volume of amniotic fluid.


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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2007, No 41


Gazette.govt.nz PDF NZ Gazette 2007, No 41





✨ LLM interpretation of page content

πŸ₯ Service specification: ultrasound scan (continued from previous page)

πŸ₯ Health & Social Welfare
Ultrasound scan, Payment rules, Clinical indications, Pregnancy

πŸ₯ Payment rules: ultrasound scan

πŸ₯ Health & Social Welfare
Ultrasound scan, Payment rules, Clinical indications, Pregnancy, Referral, Claim