As an obstetrician/gynaecologist do I have to personally provide all elements of item 16590 at a single appointment?

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I'm an obstetrician/gyanaecologist and want to know if I have to personally do all elements of item 16590? And does it all have to happen on one day - at one appointment?

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As an obstetrician/gynaecologist do I have to personally provide all elements of item 16590 at a single appointment?