Medicare Benefits Schedule - Item 93044

Search Results for Item 93044

Category 8 - MISCELLANEOUS SERVICES

93044

93044 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
M18 - Allied health telehealth services
Subgroup
16 - Autism, pervasive developmental disorder and disability phone services

Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if:

(a) the child has been diagnosed with a PDD or an eligible disability; and

(b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and

(c) the child was referred by an eligible practitioner for services consistent with the child’s PDD or disability treatment and management plan; and

(d) the eligible practitioner is:

(i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics;

(ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and

(e) the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and

(f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and

(g) the service is provided to the child individually; and

(i) the service is at least 30 minutes duration;

to a maximum of 20 services (including services to which this item, items 93035, 93036 and 93043 or items 82015, 82025 and 82035 in the Allied Health Determination apply).

Fee: $92.95 Benefit: 85% = $79.05

Extended Medicare Safety Net Cap: $278.85


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