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Related Items: 81300 81305 81310 81315 81320 81325 81330 81335 81340 81345 81350 81355 81360

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ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if:

(a)    either:

1.       a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2.       the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b):

                  (i) if the service is the only service under the referral - in relation to that service; or

                  (ii) if the service is the first or the last service under the referral - in relation to the service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

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DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if:

(a)    either:

1.       a medical practitioner has identified a need for follow-up allied health services; or
2.       the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b):

                  (i) if the service is the only service under the referral - in relation to that service; or

                  (ii) if the service is the first or the last service under the referral - in relation to the service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                 practitioner would reasonably be expected to be informed of - in relation to those matters;

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

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AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if:

(a)    either:

1. a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2. the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b):

    (i) if the service is the only service under the referral - in relation to that service; or

    (ii) if the service is the first or the last service under the referral - in relation to the service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical        practitioner would reasonably be expected to be informed of - in relation to those matters;

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81305
• Next - Item 81315

EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if:

(a)    either:

1. a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2. the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b):

    (i) if the service is the only service under the referral - in relation to that service; or

    (ii) if the service is the first or the last service under the referral - in relation to the service; or

    (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters;

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81310
• Next - Item 81320

DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if:

(a)    either:

1. a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2. the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b):

                  (i) if the service is the only service under the referral - in relation to that service; or

                  (ii) if the service is the first or the last service under the referral - in relation to the service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81315
• Next - Item 81325

MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if:

(a)   either:

1. a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2. the person's shared care plan identifies the need for follow-up allied health services; and

 (b)    the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b):

    (i) if the service is the only service under the referral - in relation to that service; or

    (ii) if the service is the first or the last service under the referral - in relation to the service; or

      (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81320
• Next - Item 81330

OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if

(a)    either:

1.       a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2.       the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b):

    (i) if the service is the only service under the referral - in relation to that service; or

    (ii) if the service is the first or the last service under the referral - in relation to the service; or

    (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 75% = $48.15 100% = $64.20

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81325
• Next - Item 81335

PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if:

(a)    either:

1.      a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2.      the person's shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b):

        (i) if the service is the only service under the referral - in relation to that service; or

        (ii) if the service is the first or the last service under the referral - in relation to the service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                   practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

• Previous - Item 81330
• Next - Item 81340

PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if:

(a)    either:

1.      a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or
2.      the person’s shared care plan identifies the need for follow-up allied health services; and

(b)    the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and

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

(d)    the service is provided to the person individually and in person; and

(e)    the service is of at least 20 minutes duration; and

(f)    after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b):

        (i) if the service is the only service under the referral - in relation to that service; or

        (ii) if the service is the first or the last service under the referral - in relation to the service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical                 practitioner would reasonably be expected to be informed of - in relation to those matters

- to a maximum of  five services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year

Fee: $64.20 Benefit: 85% = $54.60

(See para MN.11.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.60

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