Medicare Benefits Schedule - Item 10929

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View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

10929

10929 - Additional Information

Item Start Date:
01-Dec-1991
Description Updated:
01-Jan-2015
Schedule Fee Updated:
01-Nov-2023

Group
A10 - Optometrical Services
Subgroup
1 - General

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which:

(a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or

(b) old item 10900 applied

Payable once in a period of 36 months for

-  patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account

Note: Benefits may not be claimed under Item 10929 where the patient wants the contact lenses for appearance, sporting, work or psychological reasons - see paragraph O6 of explanatory notes to this category.

Fee: $230.30 Benefit: 85% = $195.80

(See para AN.0.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.2

Benefits For Services

All Australian residents and certain categories of visitors to Australia can claim Medicare benefits for services by optometrists. The Health Insurance Act 1973 contains legislation covering the major elements of the Medicare program. 

Responsibility for regulating the Medicare program lies with the Australian Government through the Department of Health and Aged Care. Services Australia is responsible for consideration of applications and for the day to day operation of Medicare and the payment of benefits. Contact details of the Department of Health and Aged Care and Services Australia are located at the end of these Notes.

Related Items: 10921 10922 10923 10924 10925 10926 10927 10928 10929


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change