Medicare Benefits Schedule - Item 92166

Search Results for Item 92166

Category 1 - PROFESSIONAL ATTENDANCES

92166

92166 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2021

Group
A40 - Telehealth and phone attendance services
Subgroup
24 - COVID-19 Consultant Physician and Psychiatrist - Eating Disorder Treatment and Management Plan –Phone Service

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that:

          (A) covers the next 12 months; and

          (B) is appropriate to the patient’s diagnosis; and

          (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

          (D) addresses the patient’s diagnostic psychiatric issues; and

          (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $478.05 Benefit: 85% = $406.35

Extended Medicare Safety Net Cap: $500.00


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