This service provides funding for excision of suspected skin cancers to an identified group of patients.
It provides safe and effective procedures for patients, closer to home, more quickly for the patient and at less cost for the system.
Practices who do not have the capacity or capability can refer directly to another local practice.
Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.
This is NOT a clinical guideline.
Any Pinnacle practice in Taupō/Tūrangi can offer and claim for this service.
Practices can also provide this service to patients enrolled in another practice who may be referred to you. In these cases, you can only invoice for this service and no other off set can be claimed.
The service can be provided by any suitable experienced clinician.
The service funds excision of lesions which previously would have been performed in secondary care.
Patients who are currently on the Te Whatu Ora Lakes waiting list who have been referred back to general practice. Pinnacle will provide each practice with a list of eligible patients.
Patients not identified to you by Pinnacle.
The claim covers the procedure and includes all consumables and follow ups as necessary. It is expected that follow up will be complete within six weeks.
Please note, that as you are required to include the histology and any complications with your claim, we ask that you submit your claim once the episode of care is complete.
The price listed below is GST inclusive.
Skin lesion excision: $503.47
These consultations cover all time and consumables and there can be no extra charge to the patient.
Please submit an electronic claim via indici in the usual way.
Please note that if a review of claiming indicates that a claim has been paid for a patient who was not eligible for this service then you will be required to repay the claim.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
You will also be asked to include the following with your claim:
No. A patient co-payment cannot be charged.
The service is funded by Te Whatu Ora - Lakes.
Sally Newell, Regional Support Manager - Clinical Contracts
sally.newell@pinnacle.health.nz
021 150 8788
For the months of July, August and September there will be no public dermatologist in Taranaki. This may cause longer than usual wait times. Please continue to refer via the usual pathways, with particular attention to using the High Suspicion of Cancer pathway for appropriate patients.
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