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January 2012

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January 2012

Revised provider percentile charts
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IVF/GIFT program

General information

The MBS item codes and descriptions for IVF/GIFT treatments covered by the Pharmaceutical Benefits Scheme (PBS) are explained in the following table.

Item Service
13200 Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle — initial cycle in a single calendar year
13201 Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle — each cycle after the first in a single calendar year
13202 Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203, 13206 or 13218 applies, being services rendered during 1 treatment cycle
13203 Ovulation monitoring services for artificial insemination, including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service to which item 13200, 13201, 13202, 13206, 13212, 13215 or 13218
applies

Lodgement

IVF/GIFT clinics approved by Medicare Australia can forward the completed 'IVF/GIFT summary of order' form, completed corrifollitropin alfa application forms and patient forms to:

Medicare Australia
IVF/GIFT processing section
Reply Paid 9826
Hobart TAS 7001

(No stamp required if posted in Australia)

For more information call 1800 700 270* and select option 1, between Monday to Friday 8.00am to 5.00pm EST.

Forms

Lodge the completed IVF/GIFT summary of order form when submitting patient orders under the IVF/GIFT arrangements.

To order the patient form 'IVF/GIFT arrangements' (form 4049 - the patient form) or for more information on the IVF/GIFT arrangements call 1800 700 270* and select option 1, between Monday to Friday 8.00am to 5.00pm EST.

This form must be completed for patients who are being treated with corrifollitropin alfa.  Details of up to three patients may be provided on the same form.

*Call charges apply from mobile or pay phones only.

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Last updated: 30 November, 2011