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Related Items: 81300 81305 81310 81315 81320 81325 81330 81335 81340 81345 81350 81355 81360 93048 93061

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Aboriginal and Torres Strait Islander health service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81125
• Next - Item 81305

Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81300
• Next - Item 81310

Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81305
• Next - Item 81315

Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81310
• Next - Item 81320

Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81315
• Next - Item 81325

Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81320
• Next - Item 81330

Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81325
• Next - Item 81335

Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81330
• Next - Item 81340

Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year

Fee: $68.55 Benefit: 85% = $58.30

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

Extended Medicare Safety Net Cap: $205.65

• Previous - Item 81335
• Next - Item 81345