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 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
Te Toka Tumai Auckland and Waitematā 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
For Te Toka Tumai Auckland – Refer to ATD
For Waitemata – Refer to Local hospital radiology
CLAIMING:
Te Toka Tumai Auckland and Waitematā Districts 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 practoce. No formal accreditation is required.
Pipelle biopsy:
Pipelle biopsy (device + procedure) $207.00
Administration fee NOT claimable
Mirena:
Mirena device (Pharmac funded): $0.00
Mirena dispensing fee: $5.00
Mirena insertion: $172.50
Administration fee NOT claimable
Ferinject Iron Infusion:
Ferinject medication (Pharmac funded): $0.00
Ferinject dispensing fee: $5.00
Ferinject iron infusion administration (per dose) $110.00
GP consultation fee (where referred by another clinician): Normal clinic consult rate as determined by practice
Administration fee NOT claimable
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.