Medicare Benefits Schedule - Item 172

Search Results for Item 172

View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

172

172 - Additional Information

Item Start Date:
01-Aug-1987
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2019

Group
A6 - Group Therapy

Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of his or her specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each Group of 4 or more patients

Fee: $153.10 Benefit: 75% = $114.85 100% = $153.10

(See para AN.0.5, AN.0.28 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $459.30


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.5

Services not Attracting Medicare Benefits

Telephone consultations, letters of advice by medical practitioners, the issue of repeat prescriptions when the patient is not in attendance, post mortem examinations, the issue of death certificates, cremation certificates, counselling of relatives (Note ‑ items 348, 350 and 352 are not counselling services), group attendances (other than group attendances covered by items 170, 171, 172, 342, 344 and 346) such as group counselling, health education, weight reduction or fitness classes do not qualify for benefit. 

Although Medicare benefits are not payable for the issue of a death certificate, an attendance on a patient at which it is determined that life is extinct can be claimed under the appropriate attendance item. The outcome of the attendance may be that a death certificate is issued, however, Medicare benefits are only payable for the attendance component of the service.

Related Items: 170 171 172 342 344 346 348 350 352

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.28

Family Group Therapy (Items 170, 171, 172)

These items refer to family group therapy supervised by general practitioner, specialist or consultant physician (other than consultant psychiatrists). To be used, these items require that a formal intervention with a specific therapeutic outcome, such as improved family function and/or communication, is undertaken. Other types of group attendances do not attract benefits. It should be noted that only one fee applies in respect of each group of patients.

Related Items: 170 171 172


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