Abnormal Uterine Bleeding (AUB) for Auckland Region
Ultrasound Access and Criteria
Criteria for AUB pelvic ultrasound- refer to HealthPathways (see Abnormal uterine bleeding (AUB) / indications for pelvic ultrasound in AUB link)
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 insertion: $176.83
No co-payment is to be charged to the patient.
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 on Abnormal Uterine Bleeding (AUB) and pipelle biopsy is available on Ko Awatea LEARN
In clinic pipelle biopsy training, alongside LARC training, is available in Counties Manukau. Contact Women’s Health Primary Care at: nor-womenshealthpc@tewhatuora.govt.nz for details or to arrange training.
Specialist Gynaecology Clinics offer training in pipelle sampling for IUC inserters. Please email: womenshealthpc@tewhatuora.govt.nz to arrange a clinic attendance.
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.