63Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19

63 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 Cycle of Care if the attendance completes a series of attendances that involve: (a) documented diagnosis and documented assessment of level of asthma control and severity of asthma; and (b) at least 2 asthma‑related consultations within 12 months (at least 1 of which (the review consultation) is a consultation that was planned at a previous consultation and includes the review mentioned in subparagraph (iv)) that involve the following for a patient with moderate to severe asthma: (i) a review of the patient’s use of and access to asthma related medication and devices; (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 of asthma self‑management education to the patient; (iv) at the review consultation: (A) a review of the patient’s written or documented asthma action plan; and (B) if necessary, adjustment of that plan.