Medicare Benefits Schedule - Item 92475

Search Results for Item 92475

Category 1 - PROFESSIONAL ATTENDANCES

92475

92475 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2021

Group
A40 - Telehealth and phone attendance services
Subgroup
9 - Consultant psychiatrist phone services

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


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