Slipped upper femoral epiphysis - SUFE (POAC)

All Pinnacle practices in Waikato region can claim for this service. 

Children aged 8-16 years for suspicion of SUFE (unexplained hip, or knee pain, especially if the hip is internally rotated and flexed). These children require an X-ray AP Pelvis and lateral of the hip. A frog lateral is useful for comparison with the other side if the slip is subtle. 

• Suspected septic arthritis, osteomyelitis. The pre-hospital treatment that has been provided cannot be funded via POAC, as admission to hospital is inevitable. Refer acutely to ED/orthopaedics.
• Injury related X-Rays/ ultrasounds/consultations/procedures – these are funded by ACC.  

Exclusion criteria to access POAC funding should not preclude emergency treatment of any medical conditions. 

Once the episode of care is completed and the patient is no longer acutely unwell, they exit the POAC programme.  

Once the patient exits the POAC programme, the case requires a clinical outcome to be lodged. No payment can be made for any claims unless the outcome is completed.  

Where treatment in the community is no longer clinically appropriate, the patient may be admitted to hospital during a POAC plan of care. Please indicate this in the clinical outcome.  

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. If the claim is unable to be funded by POAC, the patient may be liable to the practice for the fees incurred. 

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

Prices listed below are GST inclusive.

GP/NP/CP follow up: $79 or RN follow up: $39 or

Rural GP/NP/CP follow up: $89 or RN follow up: $49 or

This funding is available to those practices that receive rural funding. 

Afterhours GP/NP/CP follow up: $99 or RN follow up $59

This funding can be claimed when care is provided after 5pm, on weekends or on public holidays.

A follow-up visit may be funded for management post CXR (based on treatment provided as evidenced in clinical notes).

 
Funded via third party providers
An AP Pelvis and lateral x-ray of the hip is funded under this service. A frog lateral is also funded if appropriate for comparison with the other side if the slip is subtle. 

Patients who are not acutely unwell and do not require a same day x-ray are not funded under POAC and should be referred to primary referred radiology.  
Radiology is only funded for same-day investigations (within a 24-hour period). 

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of POAC funding otherwise the referral may be declined.   

It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented, especially where the diagnosis is undetermined.  

It is important to state the time of consultations and interactions with the patient.  

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. 

The service is funded by Te Whatu Ora.