Mbs reviews vitamin b12 testing report february 2014 table of contents section Page


APPENDIX 2 – Review Consultation Committee members



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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



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