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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 MN.10.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

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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