ACC : codes & costs
Medical Practitioners' costs effective 1 April 2006
Medical Practitioners Cost
- CON - GP consultation >= 6 years - 32.80
- CON6 - GP consultation < 6 years - 35.88
Burns and Abrasion
- MB1 Treatment of burn <4cm2 33.48
- MB2 Treatment of burn at a single site >4cm2 65.92
- MB3 Treatment of significant abrasions <4cm2 at a single site 33.49
- MB4 Treatment of significant abrasions >4cm2 at a single site 65.92
- MB5 Significant burns or abrasions (not including fractures) at multiple sites (>4cm2); necessary wound cleaning, preparation, and dressing 96.04
Fracture
- MF1 Fractured finger or toe (proximal, middle or distal phalanx); closed reduction and immobilisation. 38.79
- MF2 Fractured finger or toe (proximal, middle or distal phalanx); requiring local anaesthetic 53.63
- MF3 Fractured metatarsal: closed reduction (not requiring cast); closed reduction, immobilisation by strapping 38.79
- MF4 Fractured metacarpal(s) hand: with or without local anaesthetic; immobilisation by strapping 53.63
- MF5 Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction 120.80
- MF6 Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation 172.53
- MF7 Fractured calcaneum or talus: treatment by cast immobilisation 172.53
- MF8 Fractured clavicle 72.51
- MF9 Fractured distal radius and ulna; cast immobilisation not requiring reduction 120.80
- MF10 Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia 144.44
- MF11 Fractured shaft radius and ulna: treatment by cast immobilisation 120.80
- MF12 Fractured distal humerus (supracondylar or condylar): by cast immobilisation 120.80
- MF13 Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab 73.26
- MF14 Fractured shaft tibia and/or fi bula: treatment by cast immobilisation with reduction 172.53
- MF15 Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction 172.53
- MF16 Fractured fibula (without tibial fracture); immobilisation with soft tissue strapping 73.26
Miscellaneous
- MM1 Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) 30.21
- MM2 Insertion of IV line for administration of IV medications or electrolytes or transfusion (if provided under local or national guideline approved by ACC) 60.42
- MM3 Nail, simple removal of 24.19
- MM4 Nail, removal of or wedge resection – requiring the use of digital anaesthesia 100.68
- MM5 Removal of embedded or impacted foreign body from cornea or conjunctiva (with use of topical anaesthetic); or from auditory canal or nasal passages; or from skin or subcutaneous tissue with incision; or from rectum or vagina 32.54
- MM6 Pinch skin graft 75.53
- MM7 Dental anaesthetic 28.21
- MM8 Epistaxis: arrest during episode by nasal cavity packing with or without cautery 44.61
Open Wound
- MW1 Closure of open wounds less than 2cm – any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing 35.58
- MW2 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane 2cm to 7cm long: any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing 67.88
- MW3 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane >7cm long: any necessary care and treatment including cleaning and debriding, exploration, administration of anaesthetic, and dressing 89.82
- MW4 Amputation of digit – including use of anaesthetic, debridement of bone and soft tissue, closure of wound 100.68
Soft Tissue Injury
- MT1 Simple soft tissue injuries; management of simple sprain of wrist/ankle/ knee/elbow/or other soft tissue injury requiring crepe bandage or similar immobilisation not requiring formal strapping 15.79
- MT2 Soft tissue injury (other than splinting of dislocated or fractured digit), unless speciied elsewhere; application of plaster or padded splint or specifi c strapping within agreed guidelines (includes splinting of Achilles tendon injury and serious ankle sprains) 73.26
- MT3 Aspiration of inflamed joint, tendon, bursa or other subcutaneous tissue or space; (with or without injection) 35.55
- MT4 Extensor tendon, primary repair 181.21
- MT5 Ruptured Tendo Achilles: management by plaster immobilisation 177.64
