combined screening – nurse clinic pregnancy population biochemistry (MBS model. item 66750) Less than 100% in the higher-risk pregnancy model: some women may be eligible for NIPT due to other reasons, e.g. prior history of fetal trisomy First trimester Ultrasound Antenatal 100%: would continue 1 $60.00 EMSN cap $60.00 combined screening – operator clinic/imagine to be required to $32.95 nuchal translucency centre detect fetal (NT) scan deformities etc. (likely (MBS item 55700) to be lower in practice due to access issues) Resources provided to deliver proposed intervention NIPT Physician/ Antenatal 100% of eligible 1 TBD in SBA nurse clinic women (assuming full uptake) Genetic counselling Resources provided in association with proposed intervention – confirmatory testing for women testing positive for common trisomies Chorionic villus Obstetrician Hospital/clinic To be estimated from 1 (in practice, some $121.85 EMSN cap $121.85 sampling (CVS) (MBS positive result rate of women may require $65.90 item 16603) NIPT, i.e. 100% of repeat testing for Amniocentesis (MBS Obstetrician Hospital/clinic women determined by various reasons) $63.50 EMSN cap $63.50 NIPT to be at item 16600) $32.95 In practice, Consultation (MBS Obstetrician Hospital/clinic $85.55 EMSN cap $85.55 uptake will be item 104) $256.65 incomplete due to Karyotyping (MBS Obstetrician Hospital/clinic $394.55 $394.55 miscarriage risks item 73287) Resources provided to deliver comparator
combined screening – biochemistry (MBS item 66750) nurse clinic pregnancy population model. Less than 100% in the higher-risk pregnancy model: some women may be eligible for NIPT due to other reasons, e.g. prior history of fetal trisomy First trimester combined screening – nuchal translucency (NT) scan (MBS item 55700) Ultrasound operator Antenatal clinic/imagine centre 100%: would continue to be required to detect fetal deformities etc. (likely to be lower in practice due to access issues) 1 $60.00 EMSN cap $32.95 $60.00 Resources provided to deliver proposed intervention NIPT Physician/ nurse Antenatal clinic 100% of eligible women (assuming full uptake) 1 TBD in SBA Genetic counselling Resources provided in association with proposed intervention – confirmatory testing for women testing positive for common trisomies Chorionic villus sampling (CVS) (MBS item 16603) Obstetrician Hospital/clinic To be estimated from positive result rate of NIPT, i.e. 100% of women determined by NIPT to be at In practice, uptake will be incomplete due to miscarriage risks 1 (in practice, some women may require repeat testing for various reasons) $121.85 EMSN cap $65.90 $121.85 Amniocentesis (MBS item 16600) Obstetrician Hospital/clinic $63.50 EMSN cap $32.95 $63.50 Consultation (MBS item 104) Obstetrician Hospital/clinic $85.55 EMSN cap $256.65 $85.55 Karyotyping (MBS item 73287) Obstetrician Hospital/clinic $394.55 $394.55 Resources provided to deliver comparator
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