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Category 1 - PROFESSIONAL ATTENDANCES

Health Assessments

The category of people eligible for health assessments are :

a)     People aged 40 to 49 years (inclusive) with a high risk of developing type 2 diabetes as determined by the Australian     Type 2 Diabetes Risk Assessment Tool

b)     People between the age of 45 and 49 (inclusive) who are at risk of developing a chronic disease

c)     People aged 75 years and older

d)     Permanent residents of a Residential Aged Care Facility

e)     People who have an intellectual disability

f)     Humanitarian entrants who are resident in Australia with access to Medicare services, including Refugees and Special     Humanitarian Program and Protection Program entrants

g)     Former serving members of the Australian Defence Force including former members of permanent and reserve forces

Category 1 - PROFESSIONAL ATTENDANCES

699

699 - Additional Information

Item Start Date:
01-Apr-2019
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
A14 - Health Assessments
Subheading
1 - Health Assessments

Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and including:

  1. collection of relevant information, including taking a patient history; and

  2. a basic physical examination, which must include recording blood pressure and cholesterol; and

  3. initiating interventions and referrals as indicated; and

  4. implementing a management plan; and

  5. providing the patient with preventative health care advice and information.

 

 

 



Fee: $75.75 Benefit: 100% = $75.75


Extended Medicare Safety Net Cap: $227.25

Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

11607

11607 - Additional Information

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

Group
D1 - Miscellaneous Diagnostic Procedures And Investigations
Subgroup
5 - Vascular

Continuous ambulatory blood pressure recording for 24 hours or more for a patient if:

(a) the patient has a clinic blood pressure measurement (using a sphygmomanometer or a validated oscillometric blood pressure monitoring device) of either or both of the following measurements:

(i) systolic blood pressure greater than or equal to 140 mmHg and less than or equal to 180 mmHg;

(ii) diastolic blood pressure greater than or equal to 90 mmHg and less than or equal to 110 mmHg; and

(b) the patient has not commenced anti‑hypertensive therapy; and

(c) the recording includes the patient’s resting blood pressure; and

(d) the recording is conducted using microprocessor‑based analysis equipment; and

(e) the recording is interpreted by a medical practitioner and a report is prepared by the same medical practitioner; and

(f) a treatment plan is provided for the patient; and

(g) the service:

(i) is not provided in association with ambulatory electrocardiogram recording, and

(ii) is not associated with a service to which any of the following items apply:

(A) 177;

(B) 224 to 228;

(C) 229 to 244;

(D) 699;

(E) 701 to 707;

(F) 721 to 732;

(G) 735 to 758.

Applicable only once in any 12 month period

 



Fee: $107.20 Benefit: 75% = $80.40 85% = $91.15

(See para DN.1.35 of explanatory notes to this Category)

Results 1 to 3 of 3 matches


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