Medicare Benefits Schedule - Item 386

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View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

386

386 - Additional Information

Item Start Date:
01-Jul-1998
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A12 - Consultant Occupational Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment

Fee: $45.40 Benefit: 75% = $34.05 85% = $38.60

(See para AN.0.33, AN.0.70 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $136.20


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.33

Consultant Occupational Physician Attendances (Items 385 to 388)

Attendances by consultant occupational physicians will attract Medicare benefits only where the attendance relates to one or more of the following:

(i) evaluation and assessment of a patient's rehabilitation requirements where the patient presents with an accepted medical condition(s) which may be affected by the consultant occupational physician's working environment or employability; or

(ii) management of accepted medical condition(s) which may affect a patient's capacity for continued employment or return to employment following a non-compensable accident, injury or ill-health; or

(iii) evaluation and opinion and/or management of a patient's medical condition(s) where causation may be related to acute or chronic exposures from scientifically accepted environmental hazards or toxins.

Related Items: 385 386 387 388

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.70

Limitation of items—certain attendances by specialists and consultant physicians

Medicare benefits are not payable for items 105, 116, 119, 386, 2806, 2814, 3010, 3014, 6009, 6011, 6013, 6015, 6019, 6052 and 16404 when claimed in association with an item in group T8 with a schedule fee of $312.15 or more.

The restriction applies when the procedure is performed by the same practitioner, on the same patient, on the same day.

Related Items: 105 116 119 386 2806 2814 3010 3014 6009 6011 6013 6015 6019 6052 16404


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