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September 2010

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PBS Reason Codes Claims processing

New Closing the Gap (CTG) PBS Copayment Measure reason codes

From 1 July 2010 Medicare Australia is introducing three new reason codes for CTG items - 599, 604 and 612. The new reason codes will differentiate between PBS/RPBS prescriptions and CTG prescriptions (including CTG under copayment prescriptions) being claimed.

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Last updated: 29 June, 2010