57Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19

57 Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19

(1) An item in Subgroup 3 of Group A18 or Subgroup 3 of Group A19 does not apply to a service that:

(a) is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies; and

(b) is not clinically indicated.

(2) For an item in Subgroup 3 of Group A18 or Subgroup 3 of Group A19, a professional attendance completes the minimum requirements of the Asthma 3+ Visit Plan if the attendance completes a series of attendances that involve:

(a) documented diagnosis and documented assessment of severity; and

(b) at least 3 asthma‑related consultations (at least 2 of which are consultations that have been planned at any of the earlier asthma‑related consultations), over a period of not less than 4 weeks and not more than 4 months, that involve the following, for a patient with moderate to severe asthma:

(i) a review of the patient’s use of asthma‑related medication;

(ii) either:

(A) provision to the patient of a written asthma action plan; or

(B) if the patient is unable to use a written asthma action plan — discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient’s medical records;

(iii) provision to the patient of self-management education regarding asthma;

(iv) a review of the patient’s asthma action plan.