Medicare Benefits Schedule - Item 92476

Phone attendance of more than 30 minutes but not more than 45 minutes in duration  by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and

(b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and

(c) 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

    (iv) reviews the management plan; and

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

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

    (ii) revises the management plan; and

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

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

         (A) the patient; and

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

Fee: $298.85 Benefit: 85% = $254.05

Extended Medicare Safety Net Cap: $500.00

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