IV adenosine in the management of SVT (POAC)

All Pinnacle practices in Waikato region can claim for this service, provided the treatment can be administered by appropriately trained GPs/NPs.  

• Patients with rapid palpitations and a systolic BP >100, where a performed ECG shows a regular narrow complex (QRS<= 120msec) tachycardia in whom vagal manoeuvres have been unsuccessful.
• Administration by appropriately trained GPs/NPs. 

• Any patient who is haemodynamically unstable, including the pre-hospital treatment that has been provided, as admission to hospital is inevitable.
• Any patient who has palpitations not caused by SVT. 
• Routine medication reviews in managing palpitations. 
• Patient who currently dos not have palpitations despite a history of palpitations.

Exclusion criteria to access POAC funding should not preclude emergency treatment of any medical conditions. 

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient. If the claim is unable to be funded by POAC, the patient may be liable to the practice for the fees incurred. 

Please make your claim via Primary Options, select IV Adenosine in the management of SVT and then attach the appropriate invoice(s).

Prices listed below are GST inclusive.

IV adenosine: $113.30 
This invoice is a package of care i.e. it includes an allocation for staff time as well as consumables, it cannot be claimed along with any other claims. 

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of POAC funding otherwise the referral may be declined.   
 
It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented, especially where the diagnosis is undetermined. It is important to state the time of consultations and interactions with the patient.  

The initial 15-minute GP/NP consultation incurs the usual consultation fee paid by the patient. All POAC services thereafter are provided at no cost to the patient.  

The service is funded by Te Whatu Ora.