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Results 1 to 6 of 6 matches

Category 8 - MISCELLANEOUS SERVICES

82000

82000 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

PSYCHOLOGY

Psychology health service provided to a child, aged under 13 years, by an eligible psychologist where:


(a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child;

or

(b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder

     (PDD) or disability treatment plan, developed by the practitioner; and

(c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and

(d) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and

(e) the child is not an admitted patient of a hospital; and

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

(g) the service lasts at least 50 minutes in duration.


These items are limited to a maximum of four services per patient, consisting of any combination of the following items

─ 82000, 82005, 82010 and 82030



Fee: $99.75 Benefit: 85% = $84.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $299.25

Category 8 - MISCELLANEOUS SERVICES

82005

82005 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

SPEECH PATHOLOGY

Speech pathology health service provided to a child, aged under 13 years, by an eligible speech pathologist where:


(a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child;

or

(b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder

     (PDD) or disability treatment plan, developed by the practitioner; and

(c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner: and

(d) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and

(e) the child is not an admitted patient of a hospital; and

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

(g) the service lasts at least 50 minutes in duration.


These items are limited to a maximum of four services per patient, consisting of any combination of the following items

─ 82000, 82005, 82010 and 82030



Fee: $87.95 Benefit: 85% = $74.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

Category 8 - MISCELLANEOUS SERVICES

82010

82010 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

OCCUPATIONAL THERAPY

Occupational therapy health service provided to a child, aged under 13 years, by an eligible occupational therapist where:


(a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child;

or

(b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder

(PDD) or disability treatment plan, developed by the practitioner; and

(c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and

(d) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and

(e) the child is not an admitted patient of a hospital; and

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

(g) the service lasts at least 50 minutes in duration.


These items are limited to a maximum of four services per patient, consisting of any combination of the following items

─ 82000, 82005, 82010 and 82030



Fee: $87.95 Benefit: 85% = $74.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

Category 8 - MISCELLANEOUS SERVICES

82015

82015 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

PSYCHOLOGY

Psychology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible psychologist where:


(a) the child has been diagnosed with PDD or an eligible disability; and

(b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and

(c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and

(d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and

(e) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and

(f) the child is not an admitted patient of a hospital; and

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

(h) the service lasts at least 30 minutes in duration.


These items are limited to a maximum of 20 services per patient, consisting of any combination of items

─ 82015, 82020, 82025 and 82035



Fee: $99.75 Benefit: 85% = $84.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $299.25

Category 8 - MISCELLANEOUS SERVICES

82020

82020 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

SPEECH PATHOLOGY

Speech pathology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible speech pathologist where:


(a) the child has been diagnosed with PDD or an eligible disability; and

(b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and

(c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and

(d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and

(e) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and

(f) the child is not an admitted patient of a hospital; and

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

(h) the service lasts at least 30 minutes in duration.


These items are limited to a maximum of 20 services per patient, consisting of any combination of items

─ 82015, 82020, 82025 and 82035



Fee: $87.95 Benefit: 85% = $74.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

Category 8 - MISCELLANEOUS SERVICES

82025

82025 - Additional Information

Item Start Date:
01-Jul-2008
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Nov-2012

Group
M10 - AUTISM, PERVASIVE DEVELOPMENTAL DISORDER AND DISABILITY SERVICES

OCCUPATIONAL THERAPY

Occupational therapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible occupational therapist where:


(a) the child has been diagnosed with PDD or an eligible disability; and

(b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and

(c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and

(d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and

(e) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements

     for provision of these services; and

(f) the child is not an admitted patient of a hospital; and

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

(h) the service lasts at least 30 minutes in duration.


These items are limited to a maximum of 20 services per patient, consisting of any combination of items

─ 82015, 82020, 82025 and 82035



Fee: $87.95 Benefit: 85% = $74.80

(See para M10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

Results 1 to 6 of 6 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