Medicare Benefits Schedule - Item 93553

Physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply:

(a) the service is provided to a person whose need for allied health treatment services has been identified by:

  (i) a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or

  (ii) a shared care plan; or

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

(c) the person is referred to the eligible physiotherapist by a 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 physiotherapist gives a written report to the referring medical practitioner

not more than once in a calendar year

Fee: $97.15 Benefit: 85% = $82.60

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