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Related Items: 81105 81115 81125 93285

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• Next - Note MN.9.6

Dietetics health service provided to a patient by an eligible dietitian 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)

Extended Medicare Safety Net Cap: $212.85

• Previous - Item 10953
• Next - Item 10955

Dietetics health service provided to a person by an eligible dietitian for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:

(a)   the person has type 2 diabetes; and

(b)  the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and

(c)   the person is referred to an eligible dietitian 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; and

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

(e)   the service is of at least 45 minutes duration; and

(f)   after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination)

Fee: $91.05 Benefit: 85% = $77.40

(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $273.15

• Previous - Item 81115
• Next - Item 81125

Dietetics health service provided to a person by an eligible dietitian, as a group service for the management of type 2 diabetes if:

(a)   the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and

(b)  the service is provided to a person who is part of a group of between 2 and 12 patients; and

(c)   the service is provided in person; and

(d)  the service is of at least 60 minutes duration; and

(e)   after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner; and

(f)   an attendance record for the group is maintained by the eligible dietitian;

to a maximum of 8 group services in a calendar year (including services to which items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination apply)

Fee: $22.65 Benefit: 85% = $19.30

(See para MN.9.1, MN.9.3, MN.9.5, MN.9.6 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $67.95

• Previous - Item 81120
• Next - Item 81300

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: $70.95 Benefit: 85% = $60.35

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

Extended Medicare Safety Net Cap: $212.85

• Previous - Item 81315
• Next - Item 81325

Dietetics health service provided to an eligible patient by an eligible dietitian if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c)     the service is of at least 20 minutes in duration

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.1, MN.16.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $212.85

• Previous - Item 82332
• Next - Item 82352

Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is of at least 20 minutes in duration.    

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $212.85

• Previous - Item 93061
• Next - Item 93076

Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is of at least 20 minutes in duration.

Fee: $70.95 Benefit: 85% = $60.35

(See para MN.16.2, MN.16.4 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $212.85

• Previous - Item 93103
• Next - Item 93110

Telehealth attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:

(a) the person has type 2 diabetes; and

(b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP management plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and

(c) the person is referred to an eligible dietitian 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; and

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

(e) the service is of at least 45 minutes duration; and

(f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92386, or items 81100, 81110 and 81120 of the Allied Health  Determination apply)

Fee: $91.05 Benefit: 85% = $77.40

(See para MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $273.15

• Previous - Item 93203
• Next - Item 93285