Results 1 to 10 of 23 matches
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Category 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Category 8 - MISCELLANEOUS SERVICES
Category 8 - MISCELLANEOUS SERVICES
Category 8 - MISCELLANEOUS SERVICES
10952 - Additional Information
Audiology health service provided to a patient by an eligible audiologist if:
(a) the service is provided to a patient who has:
(i) a chronic condition; and
(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
(b) 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; and
(c) the service is of at least 20 minutes duration;
to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year
Fee: $70.95 Benefit: 85% = $60.35
(See para MN.3.1 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
81310 - Additional Information
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: $70.95 Benefit: 85% = $60.35
(See para MN.11.1 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
82030 - Additional Information
Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years by an eligible audiologist, optometrist, orthoptist or physiotherapist if:
(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:
(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or
(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and
(b) the service is provided to the patient individually and in person; and
(c) the service is at least 50 minutes duration
Up to 4 services to which this item or any of items 82000, 82005, 82010, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day
Fee: $100.20 Benefit: 85% = $85.20
(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
82035 - Additional Information
Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist, if:
(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and
(b) the service is provided to the patient individually and in person; and
(c) the service is at least 30 minutes duration; and
(d) on the completion of the course of treatment, the eligible audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition
Up to 4 services to which this item or any of items 82015, 82020, 82025, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day
Fee: $100.20 Benefit: 85% = $85.20
(See para AN.0.25, MN.10.2, MN.10.3 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
82300 - Additional Information
Audiology health service, consisting of brain stem evoked response audiometry, performed on a patient by an eligible audiologist if:
(a) the service is not for the purposes of programming either an auditory implant or the sound processors of an auditory implant; and
(b) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and
(c) the service is not performed for the purpose of a hearing screening; and
(d) the service is performed on the patient individually and in person; and
(e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and
(f) a service to which item 11300 applies has not been performed on the patient on the same day
Fee: $175.40 Benefit: 85% = $149.10
(See para MN.15.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
82301 - Additional Information
Audiology health service, consisting of programming an auditory implant or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:
(a) the service is performed on the patient individually and in person; and
(b) a service to which item 11302, 11342 or 11345 applies has not been performed on the patient on the same day
Applicable up to a total of 4 services to which this item, item 82302 or item 82304 applies on the same day
Fee: $175.40 Benefit: 75% = $131.55 85% = $149.10
(See para MN.15.5 of explanatory notes to this Category)
Results 1 to 10 of 23 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