Abnormal Uterine Bleeding (AUB) for Auckland Region
Ultrasound Access and Criteria
Criteria for AUB pelvic ultrasound:
Confirmed indication for ultrasound with abnormal uterine bleeding, PLUS
Any one of the following
BMI ≥ 30, or
> 3 months of intermenstrual bleeding, or
> 3 months of failed medical treatment, or
Suspected pelvic mass on clinical examination, or
Haemoglobin ≤ 90 g/dL (also consider IV iron)
How to refer for pelvic ultrasound:
Counties Manukau:
POAC will coordinate and fund a community ultrasound for eligible patients who reside in Counties Manukau.
Submit referral here or create a POAC referral via PMS and email radiology request to referral@poac.co.nz
POAC coordinator will schedule non-urgent scan appointment and inform patient/referrer (usually within approximately 2 weeks)
Auckland:
Submit hospital outpatient radiology eReferral, OR
Requested via Access to Diagnostics (ATD) for community scan (patient can self-book)
Not under POAC
Waitemata:
Submit hospital outpatient radiology eReferral
Not under POAC
Claiming
Funding is available to claim under POAC for eligible patients. Submit claim to POAC via PMS using diagnosis code "Abnormal Uterine Bleeding".
The following can be claimed by clinicians who are following the AUB or PMB HealthPathway and are competent in providing the service within their scope of practice. No formal accreditation is required.
Pipelle biopsy (device + procedure) $212.20
Mirena dispensing fee: $5.00
Mirena insertion: $176.83
Administration fee NOT claimable
Refer also Ferinject Iron Infusion for HMB - www.poac.co.nz/ferinject
Training for primary care providers
Training for primary care providers is available, including:
Theory:
A one hour online training module for Abnormal uterine bleeding and pipelle biopsy is available. Go to: https://www.goodfellowunit.org/group/186
In clinic training for pipelle biopsy is also available. Please contact Pooja Prasad (Pooja.Prasad@waitematadhb.govt.nz) for more information and to arrange in clinic training.
In clinic:
Please note that competency within scope of practice is the responsibility of the clinical practitioner. Self-assessment of competency is accepted. Training resources (above) are available to support familiarisation with the pathway, the procedure and in clinic training as required to achieve competency.