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ph: 09 535 7218

Abnormal Uterine and Post-Menopausal Bleeding Pathway

Management of Pathway of Care for: Abnormal Uterine Bleeding (AUB) in pre-menopausal women and post-menopausal women and Post-Menopausal Bleeding (PUB) 

Counties Manukau Health Residents

Investigations, treatment and claiming

ULTRASOUND:

Contact POAC to coordinate a community ultrasound for eligible patients and referrers.  Email referral@poac.co.nz or phone (09) 535 7218

CLAIMING:

Claiming is via the POAC system, refer to guide below

Auckland and Waitemata Residents

Investigations, treatment and claiming

ULTRASOUND:

Indication for ultrasound, ANY of the following:

  • BMI ≥ 30
  • > 3 months of intermenstrual bleeding
  • > 3 months of failed medical treatment
  • Suspected pelvic mass on clinical examination
  • Haemoglobin ≤ 90 g/dL

Refer DHB or ATD

CLAIMING:

Auckland and Waitemata DHB 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:

Pipelle biopsy:

Pipelle biopsy (device + procedure) $207.00

Mirena:

Mirena device (Pharmac funded): $0.00

Mirena dispensing fee: $5.75

Mirena insertion: $172.50

Ferinject Iron Infusion:

Ferinject medication (Pharmac funded): $0.00

Ferinject dispensing fee: $5.75

Ferinject iron infusion administration (per dose) $126.50

GP consultation fee where referred by another clinician): Normal clinic consult rate as determined by practice

 

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