Community Nursing Care For Continence Aid

When to use this code

Use this code for community nursing care provided by a registered nurse or enrolled nurse. This covers clinical support tasks like wound care, medication management, catheter care, PEG feeding, and health monitoring. These services require clinical qualifications and are different from standard personal care support.

Common billing scenarios

• A registered nurse visits a participant for wound care, spending 1 hour on assessment and treatment. The provider claims 1 hour at the quoted rate.
• A nurse conducts a medication review and health check, taking 45 minutes. The provider rounds to the nearest billing increment as per the service agreement.

Provider notes

• Non-face-to-face delivery is allowed for this code. This means you can bill for activities like report writing, care coordination calls, or progress notes, provided your service agreement with the participant covers these activities. Keep clear records of what non-face-to-face work was done and how long it took.
• Provider travel can be claimed under this code. You can bill for reasonable travel time to reach the participant, but only for the portion of travel that exceeds normal commuting. Travel costs should be shared proportionally if you are seeing multiple participants in one trip.
• Short notice cancellation fees apply. If a participant cancels with less than 7 clear days notice (or 2 clear business days for some supports), you can charge up to 90% of the agreed fee. You must document the cancellation and have the cancellation policy in your service agreement.
• Capacity Building funding is time-limited and goal-oriented. Document how the support contributes to the participant’s plan goals, as this will be reviewed at plan reassessment. Unlike Core funding, Capacity Building budgets are usually not flexible across categories.
• Nursing services must be delivered by a registered nurse (RN) or enrolled nurse (EN) working within their scope of practice. Keep clinical records that meet AHPRA standards and ensure your professional registration is current.