Medicare Benefits Schedule - Note MN.15.3

A service specified in items 82309 to 82324 should be rendered:

(a) in conditions that allow the establishment of determinate thresholds, including better ear threshold in free field testing;

(b) in a sound attenuated environment with background noise conditions that comply with Australian Standard AS/NZS 1269.3-2005; and

(c) using calibrated equipment that complies with Australian Standard AS IEC 60645.1-22002, ASIEC60645.2-2002 and AS IEC 60645.3-2002.

Related Items: 82309 82312 82315 82318 82324

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Audiology health service, consisting of an air conduction audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11309 applies has not been performed on the patient on the same day

Fee: $23.15 Benefit: 85% = $19.70

(See para MN.15.3, MN.15.5 of explanatory notes to this Category)

Audiology health service, consisting of an air and bone conduction audiogram or air conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11312 applies has not been performed on the patient on the same day

Fee: $32.75 Benefit: 85% = $27.85

(See para MN.15.3, MN.15.5 of explanatory notes to this Category)

Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11315 applies has not been performed on the patient on the same day

Fee: $43.30 Benefit: 85% = $36.85

(See para MN.15.3, MN.15.5 of explanatory notes to this Category)

Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram with other cochlear tests performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11318 applies has not been performed on the patient on the same day

Fee: $53.50 Benefit: 85% = $45.50

(See para MN.15.3, MN.15.5 of explanatory notes to this Category)

Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11324 applies has not been performed on the patient on the same day

Fee: $17.60 Benefit: 85% = $15.00

(See para MN.15.3, MN.15.5 of explanatory notes to this Category)