| CONSULTATION TARIFF CODES 0190/0191/0192 – Out of Hospital | All Options | ||
|---|---|---|---|
| BENEFIT | PRACTICE TYPE | ICD 10 CODES | ICD 10 DESCRIPTION |
| GP Consultation (Only the nominated network GP is covered for Alliance Network, Double Network and Network Choice) | GP (14) | Z00.0 | General Examination |
| Z00.1 | Routine Child Health Examination | ||
| Z00.8 | Other General Examinations | ||
| Z01.3 | Examination of Blood Pressure | ||
| Z01.4 | Gynaecological examination (General)(Routine) | ||
| Z10.8 | Routine General Health Check-Up Of Other Defined Subpopulations | ||
| Z12.4 | Special screening examination For Neoplasm of Cervix | ||
| Z12.5 | Special screening examination For Neoplasm of Prostate | ||
| Z13.1 | Special Screening Examination For Diabetes Mellitus | ||
| Z13.6 | Special screening examination For Cardiovascular Disorders | ||
| Specialist Consultation (Nominated network GP is required for Alliance Network, Double Network and Network Choice) | Paediatrician (32) | Z00.0 | General Medical Examination |
| Z00.1 | Routine Child Health Examination | ||
| Z00.8 | Other General Examinations | ||
| Z10.8 | Routine General Health Check-Up Of Other Defined Subpopulations | ||
| Specialist Consultation (Nominated network GP referral is required for Alliance Network, Double Network and Network Choice) | Gynaecologist (16) Specialist Physician (18) Urologist (46) | Z00.0 | General Examination |
| Z00.8 | Other General Examinations | ||
| Z01.3 | Examination of Blood Pressure | ||
| Z01.4 | Gynaecological examination (General)(Routine) | ||
| Z10.8 | Routine General Health Check-Up Of Other Defined Subpopulations | ||
| Z12.4 | Special screening examination For Neoplasm of Cervix | ||
| Z12.5 | Special screening examination For Neoplasm of Prostate | ||
| Z13.1 | Special Screening Examination For Diabetes Mellitus | ||
| Z13.6 | Special screening examination For Cardiovascular Disorders | ||
| Alliance Plus, Alliance Network, Double Plus, Double Network, Vital Plus, Vital Network, Essential Plus, Essential Network | |||
|---|---|---|---|
| BENEFIT | PRACTICE TYPE | ICD 10 CODES | ICD 10 DESCRIPTION |
| Melanoma Screening | Dermatologist (12) | Z12.8 | Special screening examination for Neoplasm of other sites |
| Z12.9 | Special Screening Examination for Neoplasm, unspecified | ||
| D22.0 | Melanocytic naevi of lip | ||
| D22.1 | Melanocytic naevi of eyelid, including canthus | ||
| D22.2 | Melanocytic naevi of ear and external auricular canal | ||
| D22.3 | Melanocytic naevi of other and unspecified parts of face | ||
| D22.4 | Melanocytic naevi of scalp and neck | ||
| D22.5 | Melanocytic naevi of trunk | ||
| D22.6 | Melanocytic naevi of upper limb, including shoulder | ||
| D22.7 | Melanocytic naevi of lower limb, including hip | ||
| D22.9 | Melanocytic naevi, unspecified | ||