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What is a Heart Health Check?

An outline of the assessment and an implementation flowchart

A Heart Health Check (MBS item number 699 and 177) is the patient-friendly term for a comprehensive CVD risk assessment and ongoing management plan for people who do not have CVD.

Eligibility

  • Adults not already known to have CVD aged 45 and over
  • Aboriginal and/or Torres Strait Islander Peoples not already known to have CVD aged 30 and over

Consultation time

  • At least 20 minutes

Risk assessment

  • Blood pressure
  • Smoking status
  • Cholesterol
  • Diabetes status
  • Chronic kidney disease (CKD)
  • Family history of CVD
  • Alcohol intake
  • Absolute CVD risk must be calculated and recorded using the online calculator at cvdcheck.org.au OR via calculators built in to practice software

Interventions

  • Discuss risk and options for management with patient
  • Provide lifestyle advice to address modifiable risk factors
  • Recommend interventions and referrals to support lifestyle changes
  • Initiate blood pressure and lipid lowering medicines for high-risk patients where appropriate
  • Implement a plan for ongoing management and assessment of CVD risk

Follow-up

  • Implement reminder system to recall patients where clinically necessary

How often can this be claimed?

  • Once per patient in a 12-month period. Cannot be claimed with other health assessments e.g. items 701, 703, 705, 707 & 715
  • Item 699 or 177 can be co-claimed with other items to enhance patient management. Here are some examples of how you can co-claim.
    • Bulk-billing: Like other health assessments, 699 or 177 can be co-claimed with item 10990 or 10991, where eligible.
    • Chronic disease management (CDM): For Heart Health Check patients who have a chronic disease and require a CDM plan, 699 or 177 may be claimed in conjunction with the suite of CDM items available where eligible.

Schedule fee (as of August 2020)

  • 699: Fee = $75.75. Benefit = 100% rebate
  • 177: Fee = $60.60. Benefit = 100% rebate
Visit mbsonline.gov.au for full details on the Heart Health Check item descriptions, explanatory notes and schedule fees.

How to implement Heart Health Checks in your practice

Download a PDF summary of the above content

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