Medicare Benefits Schedule - Item 6019

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment:

(a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or

(b) that follows an initial assessment under item 6023 in a single course of treatment; or

(c) that follows a review under item 6024 in a single course of treatment

Fee: $81.05 Benefit: 75% = $60.80 85% = $68.90

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

Extended Medicare Safety Net Cap: $243.15

• Previous - Item 6018
• Next - Item 6023

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 $317.15 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