APPENDIX 2 – Review Consultation Committee members
As part of the MBS Review process, the Department established a Review Consultation Committee (RCC). The RCC is a time-limited committee of nominated representatives to provide advice to the Department to inform the review process, such as the development of review reports, i.e. scope and protocol documents, clinical practice and policy issues.
Name
Representing
A/Prof Ken Sikaris
Royal College of Pathologists of Australasia
A/Prof Hans Schneider
Royal College of Pathologists of Australasia
Dr Zhong Lu
Royal College of Pathologists of Australasia
Dr Paul Glendenning
Royal College of Pathologists of Australasia
Dr Richard Whiting
Australian Medical Association
Dr Andrew Boyden
NPS Medicinewise
Dr Ie-Wen Sim
Endocrine Society of Australia
Dr Peter Harman
In-vitro Diagnostic (IVD) Australia
Dr Dan McLaughlin
Australian and New Zealand Association of Neurologists
Dr Walid Jammal
General Practitioner
MSAC Evaluation Sub-Committee (ESC) member
Chair and Secretariat
Department of Health
APPENDIX 3 – MBS information
The MBS item numbers for vitamin B12 testing in scope of this review include 66599 and 66602 (see Table A3.1). Both of the items relate to testing serum vitamin B12 or testing red cell (or serum) folate. Both of the items are subject to Rule 21 (i.e. no more than three of any combination of these tests are eligible for Medicare subsidy per patient per year).
Table A3.1: Description of folate testing funded under the MBS
Item number
MBS item number description
66599
Serum B12 or red cell folate and, if required, serum folate
(Item is subject to Rule 21)
Fee: $23.60 Benefit: 75% = $17.70 85% = $20.10
66602
Serum B12 and red cell folate and, if required, serum folate
(Item is subject to Rule 21)
Fee: $42.95 Benefit: 75% = $32.25 85% = $36.55
Both of the items are subject to Rule 21:
Serum B12 and red cell folate testing
21.(1) For items 66599 and 66602, a medicare benefit is not payable for more than 3 episodes of services described in item 66599 or 66602, or any combination of those items, in a 12 month period.
21.(2) A medicare benefit is not payable for a service described in item 66599 if the service was provided as part of the same patient episode as a service described in item 66602.
Source: Department of Human Services – Medicare Australia, accessed September 2013
Table A3.2 shows when the in-scope MBS item numbers were included on the MBS.
Table A3.2: Item number, descriptor and schedule fee start dates for MBS item numbers
MBS item number
Type of date
Date
66599
Item Start Date
01-Nov-1998
Current Descriptor Start Date
01-Mar-1999
Current Schedule fee start date
01-Jan-2013
66602
Item Start Date
01 Nov 1998
Current Descriptor Start Date
01 Mar 1999
Current Schedule fee start date
01-Jan-2013
Source: Department of Human Services – Medicare Australia, accessed September 2013