Ratification Date: 09/12/2024

Next Review Date: 10/06/2028

Clinical Threshold Policies – Latest Updates

Referral Form: Carpal Tunnel – UPDATED

Policy and Referral Form: Trigger Finger – UPDATED

Policy and Referral Form: Knee Arthroscopy – UPDATED

Policy and Referral Form: Hallux Valgus (Bunions) – UPDATED

Referral Form: Facial Hair – UPDATED

Referral Form: Breast Surgery – UPDATED

Referral Form: Benign Skin Lesions – UPDATED

Referral Form: Scars and Keloids – UPDATED

Referral Form: Penile Circumcision – UPDATED

Referral Form: Aural Microsuction (for patients aged 10+ years) – NEW

Policy: Benign Skin Lesions – UPDATED

Policy: Scars and Keloids – UPDATED

Policy: Penile Circumcision – UPDATED

Referral form: Cataract Surgery – UPDATED

Referral Forms: UPDATED:

Policy: Eyelid Surgery – NEW

Policies pages retired after inclusion in the Eyelid Surgery page:

Policy: Haemorrhoids – UPDATED

Policy: Epiphora – UPDATED

Policy: Hernia – UPDATED

Policy: Vasectomy – UPDATED

Policy: Rhinophyma – UPDATED

(this policy replaces the following):