Blood Alcohol Content Reading

The TAC Medical Excess may apply to these services 

 

 

Policy

The TAC will pay for blood alcohol testing, in accordance with the TAC Fee Schedule, where it is obtained by, or on behalf of the treating doctor for the purposes of clinical management only (specimen 4).

Transport Accident Act 1986 reference: s.60

Background

Persons over the age of 15 years requiring examination or treatment as a consequence of an accident involving a motor vehicle, must allow a doctor to take a blood sample for analysis.

Three specimens are taken with an optional fourth taken in some cases.

Specimen 1: Patient sample Given to a patient with a storage instructions card for their own use if required. (For example, for insurance purposes).
Specimen 2: Police sample Collected by Victorian Police Traffic Alcohol Branch
Specimen 3: Screening sample Collected by Victorian Police Traffic Alcohol Branch
Specimen 4: Optional May be taken by the treating doctor for the purposes of clinical management. (For example, where a blood alcohol level affects the course of treatment).

A voluntary request for sampling (for whatever reason) must be referred to the Police Surgeon.

Guidelines

When will the TAC fund blood alcohol testing?

The TAC will pay for blood alcohol testing, in accordance with the TAC's schedule of fees, where it is requested by the treating doctor for the clinical management of a client's transport accident injuries (specimen 4) CMBS item number 66623.

Can I find out my blood alcohol test results from the TAC?

The TAC will not release information regarding a client's blood alcohol concentration (BAC) reading to any party, including the client.  Any requests for this information are to be directed to the Victorian Police Traffic Alcohol Branch.

In relation to blood alcohol testing what will the TAC not fund?

The TAC will not fund:

  • treatment or services for a person other than the injured client
  • a test of the patient sample (specimen 1)
  • the cost of mandatory testing of specimens 2 and 3 which are processed at cost to the Victorian Police Traffic Alcohol Branch
  • where there is no proper clinical justification for this service
  • treatment or services where the cost is included in the hospital bed fee.  Refer to Hospitals policies
  • treatment or services for a condition that existed before a transport accident or that is not a direct result of a transport accident
  • fees associated with non-attendance
  • the cost of telephone calls and telephone consultations between providers and clients, and between other providers, including hospitals
  • treatment or services subcontracted to a non-registered provider
  • treatment or services provided outside the Commonwealth of Australia
  • treatment or services provided more than 2 years prior to the request for funding except where the request for payment is made within 3 years of the transport accident. Refer to the Time Limit for the Application for Payment of Medical and Like Expenses policy.

Medical Services Reimbursement Rates

The TAC has adopted the Medicare Benefits Schedule (MBS) items, explanations, definitions, rules and conditions for services provided by medical practitioners.  When invoicing for medical services, medical practitioners are expected to adhere to the MBS rules unless otherwise specified by the TAC in the Reimbursement Rates for Medical Services booklet or its medical policies.

The Reimbursement Rates for Medical Services booklet below must be read in conjunction with:

Current Rates

Previous Rates

At the time of production this publication contained up to date information as released by Medicare Australia (Medicare).  The relevant publication will be updated to reflect any further changes that are implemented by Medicare each year.  Please check our website for the latest version.

If you have any questions about these publications or the reimbursement rates, please contact the TAC on 1300 654 329. Alternatively, e-mail info@tac.vic.gov.au.