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Medicare multiple procedure type code A

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term609514
Registration status:Help on this termCommonwealth Department of Health, Standard 14/10/2015
Definition:Help on this termA code set representing Medicare multiple procedure codes.

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.

Relational attributes

Data elements implementing this value domain:Help on this term

Service event—Medicare multiple procedure type, code A Commonwealth Department of Health, Standard 14/10/2015

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