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Related Items: 82000 82005 82010 82015 82020 82025 82030 82035

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• Next - Note MN.11.1

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: $102.85 Benefit: 85% = $87.45

(See para MN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $308.55

• Previous - Item 81360
• Next - Item 82005

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: $90.70 Benefit: 85% = $77.10

(See para MN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $272.10

• Previous - Item 82000
• Next - Item 82010

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: $90.70 Benefit: 85% = $77.10

(See para MN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $272.10

• Previous - Item 82005
• Next - Item 82015

AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY

Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 13 years, by an eligible audiologist, optometrist, orthoptist or physiotherapist 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 audiologist, optometrist, orthoptist or physiotherapist 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: $90.70 Benefit: 85% = $77.10

(See para MN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $272.10

• Previous - Item 82025
• Next - Item 82035

Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if:

(a) the child was referred to the eligible psychologist by an eligible practitioner:

     (i)   to assist with the diagnosis of the child by the practitioner; or

     (ii)   to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and

(b) the eligible practitioner is:

      (i)    for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or

      (ii)   for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and

(c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and

(d) the service is provided to the child individually; and

(e) the service is at least 50 minutes duration;

to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply)

Up to 4 services may be provided to the same child on the same day

 

 

 

Fee: $102.85 Benefit: 85% = $87.45

Extended Medicare Safety Net Cap: $308.55

• Previous - Item 93029
• Next - Item 93033

Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if:

(a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner:

     (i)   to assist with the diagnosis of the child by the practitioner; or

     (ii)   to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and

(b) the eligible practitioner is:

       (i)       for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or

       (ii)      for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and

(c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and

(d) the service is provided to the child individually; and

(e) the service is at least 50 minutes duration;

to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply)

Up to 4 services may be provided to the same child on the same day

 

 

 

 

Fee: $90.70 Benefit: 85% = $77.10

Extended Medicare Safety Net Cap: $272.10

• Previous - Item 93032
• Next - Item 93035

Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if:

(a) the child was referred to the eligible psychologist by an eligible practitioner:

     (i) to assist with the diagnosis of the child by the practitioner; or

     (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and

(b) the eligible practitioner is:

     (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or

     (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and

(c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and

(d) the service is provided to the child individually; and

(e) the service is at least 50 minutes duration;

to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply)

Up to 4 services may be provided to the same child on the same day

 

 

 

 

Fee: $102.85 Benefit: 85% = $87.45

Extended Medicare Safety Net Cap: $308.55

• Previous - Item 93036
• Next - Item 93041

Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if:

(a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner:

     (i) to assist with the diagnosis of the child by the practitioner; or

     (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and

(b) the eligible practitioner is:

     (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or

     (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and

(c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and

(d) the service is provided to the child individually; and

(e) the service is at least 50 minutes duration;

to a maximum of 4 services (including services to which this item, items 93932, 93033 and 93040 or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply)

Up to 4 services may be provided to the same child on the same day

 

 

 

 

 

Fee: $90.70 Benefit: 85% = $77.10

Extended Medicare Safety Net Cap: $272.10

• Previous - Item 93040
• Next - Item 93043