Medicare Benefits Schedule - Item 93513

Search Results for Item 93513

Category 8 - MISCELLANEOUS SERVICES

93513

93513 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
01-Jul-2021

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
1 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)

Speech pathology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible speech pathologist if all of the following apply:

(a) the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;

(b) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i)  a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475  applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(c) the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department;

(d) the service is provided to the person individually and in person; and

(e) the service is at least 30 minutes in duration; and

(f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner

not more than once in a calendar year

Fee: $97.15 Benefit: 85% = $82.60


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