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Category 8 - MISCELLANEOUS SERVICES

93518

93518 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
2 - Physical therapy items (included in the tally of 5)

Additional exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply:

(a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year;

(b) the person’s chronic or complex care needs are assessed as requiring additional exercise physiology therapy services in a calendar year;

(c) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(d) the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department;

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

(f) the service is at least 20 minutes in duration; and

(g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner

  (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 last service under the referral—in relation to that service; or

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



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93519

93519 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
2 - Physical therapy items (included in the tally of 5)

Additional occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply:

(a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year;

(b) the person’s chronic or complex care needs are assessed as requiring additional occupational therapy services in a calendar year;

(c) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475  applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(d) the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department;

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

(f) the service is at least 20 minutes in duration; and

(g) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner

  (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 last service under the referral—in relation to that service; or

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



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93520

93520 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
2 - Physical therapy items (included in the tally of 5)

Additional physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply:

(a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year;

(b) the person’s chronic or complex care needs are assessed as requiring additional physiotherapy services in a calendar year;

(c) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(d) the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department;

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

(f) the service is at least 20 minutes in duration; and

(g) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner

  (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 last service under the referral—in relation to that service; or

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



Fee: $64.20 Benefit: 85% = $54.60

Results 1 to 3 of 3 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