Abnormal uterine bleeding

All practices in the Te Tairawhiti region can claim for this service, provided they have suitably trained staff able to perform the required procedures. 

This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.

Patients referred to your practice from secondary care for management of abnormal uterine bleeding OR

Patients who present with abnormal uterine bleeding and would benefit from further investigation and/or treatment who are

• Māori OR

• Pacific OR

• Q4 and Q5 OR

• CSC holders 

• Patients not domiciled in the Te Whatu Ora Te Tairawhiti district.
• Patients not eligible to receive New Zealand publicly funded health services.

• The episode of care ends when the outcome and claim are submitted.
• Payment will be made once an outcome has been lodged for the case.

Please make your claim via Primary Options, select Abnormal Uterine Bleeding and then attach the appropriate invoice(s).

Prices listed below are all GST inclusive

Pipelle biopsy                                                                                                     $204.00

This invoice is a package of care, it includes an allocation for staff time as well as consumables and cannot be claimed on the same day as any other consultations

Pipelle biospy + Mirena insertion on the same day                                       $290.25

This invoice is a package of care, it includes an allocation for staff time as well as consumables and cannot be claimed on the same day as any other consultations

AUB Mirena insertion                                                                                          $172.50

This invoice is a package of care, it includes an allocation for staff time as well as consumables and cannot be claimed on the same day as any other consultations

AUB Follow up consultation ( one only)

GP/NP                                                                                                                    $79.00

or

RN                                                                                                                           $39.00

Please note that you cannot claim a follow up consultation for the same day you claim for a biopsy and/or Mirena insertion.

Iron infusions are funded via a separate claiming pathway.

A funded pelvic ultrasound can be requested under this pathway using your usual POAC process - please indicate on the referral that this is funded under the Abnormal Uterine Bleeding pathway.

This programme is also funded for patients not enrolled in your practice, who may be referred to you via another service/practice. In these cases, you can only invoice for this service and no other off set can be claimed.

Pipelle biopsy education:                                                                                        $500.00

One off payment for education attendance at Gisborne Hospital by any clinical member of staff. This is claimed via the Primary Options team- please email infoprimaryoptions@pinnacle.health.nz with the details of staff attending training.

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.

It has been recommended that in addition to a good assessment and history, the eligibility criteria are clearly stated in the clinical notes.

There is no charge to the patient for this service.

The service is funded by Te Whatu Ora.