Medicare Benefits Schedule - Note MN.15.3

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Category 8 - MISCELLANEOUS SERVICES

MN.15.3

Conditions for Audiology Services - (Items 82309 to 82318)

A service specified in Items 82309 to 82318 shall be taken to be a service for the purposes of payment of benefits if, and only if, it is rendered:

(a)        in conditions that allow the establishment of determinate thresholds;

(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 82327


Related Items

Category 8 - MISCELLANEOUS SERVICES

82309

82309 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an AIR CONDUCTION AUDIOGRAM performed on a person by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i)  a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11309 applies has not been performed on the person on the same day.

Fee: $21.90 Benefit: 85% = $18.65

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

Category 8 - MISCELLANEOUS SERVICES

82312

82312 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an AIR AND BONE CONDUCTION AUDIOGRAM OR AIR CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i)  a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11312 applies has not been performed on the person on the same day.

Fee: $30.95 Benefit: 85% = $26.35

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

Category 8 - MISCELLANEOUS SERVICES

82315

82315 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by an eligible practitioner  to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i)  a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11315 applies has not been performed on the person on the same day.

Fee: $40.95 Benefit: 85% = $34.85

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

Category 8 - MISCELLANEOUS SERVICES

82318

82318 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM WITH OTHER COCHLEAR TESTS performed on a person by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i)  a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11318 applies has not been performed on the person on the same day.

Fee: $50.60 Benefit: 85% = $43.05

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

Category 8 - MISCELLANEOUS SERVICES

82324

82324 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (not being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if:

(a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i) a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11324 applies has not been performed on the person on the same day.

Fee: $27.35 Benefit: 85% = $23.25

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

Category 8 - MISCELLANEOUS SERVICES

82327

82327 - Additional Information

Item Start Date:
01-Nov-2012
Description Updated:
01-Nov-2012
Schedule Fee Updated:
01-Jul-2021

Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if:

(a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and

(b) the eligible practitioner is:

    (i)  a specialist in the specialty of otolaryngology head and neck surgery; or

    (ii) a specialist or consultant physician in the specialty of neurology; and

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

(d) the person is not an admitted patient of a hospital; and

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

(f) 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 eligible practitioner who requested the service; and

(g) a service to which item 11327 applies has not been performed on the person on the same day.

Fee: $16.45 Benefit: 85% = $14.00

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


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