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Service event—Medicare multiple procedure type, code A

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termMultiple procedure rule
METEOR identifier:Help on this term609552
Registration status:Help on this term
  • Commonwealth Department of Health, Standard 14/10/2015
Definition:Help on this termThe multiple operation rule or multiple anaesthetic rule applied when calculating benefits for the service which has been provided by the same practitioner to the same patient on the same date of service, as represented by a code.

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termA
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
AMOP Rule A
BMOP Rule B
CMOP Rule C

Collection and usage attributes

Guide for use:Help on this term

CODE A   MOP Rule A

The high fee item of which MOP Rule A is applied.

CODE B   MOP Rule B

The secondary fee item of which MOP Rule B is applied.

CODE C   MOP Rule C

The lower fee item of which MOP Rule C is applied.

The fees for two or more operations, listed in Group T8 (other than Subgroup 12 of that Group), performed on a patient on the one occasion (except as provided in paragraph T8.2.3) are calculated by the following rule:

  • 100% for the item with the greatest Schedule fee
    • plus 50% for the item with the next greatest Schedule fee
    • plus 25% for each other item.
See note T.8.2 of the Medicare Benefits Schedule for further information.
Collection methods:Help on this termIn use from 1 November 2002.

Data element attributes

Source and reference attributes

Submitting organisation:Help on this termDepartment of Health

Relational attributes

Implementation in Data Set Specifications:Help on this term
All attributes +

Medicare Benefits Schedule (MBS) state/territory data extract 2013-14Commonwealth Department of Health, Standard 14/10/2015

DSS specific attributes +

Implementation start date: 01/07/2013

Implementation end date: 30/06/2014

DSS specific information:

Variable name = MULTPROC


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