Respiratory disease A570 - Complex respiratory assessment

General Info

Billing Amount: $89.85

Description

This service is an assessment for the ongoing management of the following conditions of the respiratory system where the complexity of the condition requires the continuing management by a respirology specialist (47): a. chronic respiratory failure (i.e. a symptomatic patient with a PaO2 <60mmHg and/or or a PaCO2 >50mmHg); b. bronchiectasis with frequent infections; c. cystic fibrosis; d. active pulmonary or extrapulmonary disease due to mycobacterial tuberculosis complex (latent tuberculosis infection is excluded); or e. active pulmonary or extrapulmonary non-tuberculous mycobacterial disease (airway or tissue colonization without disease is excluded).

Notes:

1. A570 must include the elements of a medical specific reassessment, or the amount payable will be adjusted to a lesser assessment fee.
2. A570 is limited to 6 per patient, per physician, per 12 month period. Services in excess of this limit will be adjusted to a lesser assessment fee.
3. E078 is not eligible for payment same patient same day as A570.

A570 is not intended for the evaluation and/or management of uncomplicated respiratory disorders. For example, the applicable assessment service from the general listings should be claimed for assessment of patients for routine follow-up of uncomplicated chronic obstructive pulmonary disease (e.g. emphysema, chronic bronchitis).