Medicare Benefits Schedule - Item 92163

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)     the patient has been referred by a referring practitioner; and

(b)    during the attendance, the consultant paediatrician undertakes an assessment that covers:

    (i)   a comprehensive history, including psychosocial history and medication review; and

    (ii)  comprehensive multi or detailed single organ system assessment; and

    (iii)  the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that involves:

          (A) an opinion on diagnosis and risk assessment; and

          (B) treatment options and decisions; and

          (C) medication recommendations; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

Fee: $294.85 Benefit: 85% = $250.65

Extended Medicare Safety Net Cap: $500.00

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