1170 – Intensive Care Medicine consultation Items

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The Intensivist consultations range from routine services to more complex and prolonged services.

• Routine services include the insertion of lines and referral for specialised care, such as total parenteral nutrition.
• Complex services, such as those provided by METs, involve the evaluation of a patient including taking a detailed history, performing a physical examination, the organisation and review of investigations, exploring treatment options, discussion of care plans with the patient and family members, telephone conversations with other specialists, or discussion with a multi-disciplinary team.

Currently Intensivists use MBS Group A3 professional attendance items 104 and 105.

The proposed intervention would be used by Intensivists instead of items 104 and 105. The new items would also be restricted against MBS Sub-Group 10, Management and Procedures undertaken in an ICU, which include an initial assessment and development of a patient management plan. It is intended that an IC specialist cannot claim a time tiered consultation and an ICU management item within a 24 hour period. If a patient is subsequently admitted to ICU only the ICU items would be claimable. Currently there is no restriction between consultation items and ICU items.

• PASC meeting: 
  • 15 September 2011
  • 12 - 13 April 2012
• ESC meeting: 
  • 13 - 14 February 2014
• MSAC meeting: 
  • 3 - 4 April 2014