Medicare Benefits Schedule - Item 92475

Phone attendance of more than 45 minutes in duration  by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) during the attendance, the consultant:

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

     (ii) carries out a mental state examination; and

     (iii) makes a psychiatric diagnosis; and

(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and

(d) within 2 weeks after the attendance, the consultant:

    (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

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