Results 11 to 20 of 29 matches
Category 8 - MISCELLANEOUS SERVICES
Assessment to assist with Diagnostic Formulation and Contribution to a Treatment and Management Plan by Eligible Allied Health Practitioner(s) for Complex Neurodevelopmental Disorder (such as Autism Spectrum Disorder) or Eligible Disability Services
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
Category 3 - THERAPEUTIC PROCEDURES
Category 1 - PROFESSIONAL ATTENDANCES
104 - Additional Information
Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist's specialty after referral of the patient to the specialist-each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies
Fee: $95.60 Benefit: 75% = $71.70 85% = $81.30
(See para AN.0.7, AN.0.25, AN.0.76, AN.2.1, AN.40.1, TN.1.4 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
106 - Additional Information
Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology and following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (other than a service to which any of items 104, 109 and 10801 to 10816 applies)
Fee: $79.30 Benefit: 75% = $59.50 85% = $67.45
Category 1 - PROFESSIONAL ATTENDANCES
109 - Additional Information
Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on:
(a) a patient aged 9 years or younger; or
(b) a patient aged 14 years or younger with developmental delay;
(other than a service to which any of items 104, 106 and 10801 to 10816 applies)
Fee: $215.40 Benefit: 75% = $161.55 85% = $183.10
(See para AN.0.76 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
141 - Additional Information
Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if:
(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and
(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and
(c) during the attendance:
(i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and
(ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and
(iii) a detailed management plan is prepared (the management plan) setting out:
(A) the prioritised list of health problems and care needs; and
(B) short and longer term management goals; and
(C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and
(iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and
(v) the management plan is communicated in writing to the referring practitioner; and
(d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and
(e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months
Fee: $505.70 Benefit: 75% = $379.30 85% = $429.85
(See para AN.0.26, AN.40.1 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
143 - Additional Information
Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if:
(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and
(b) during the attendance:
(i) the patient's health status is reassessed; and
(ii) a management plan prepared under item 141 or 145 is reviewed and revised; and
(iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and
(c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies was not provided to the patient on the same day by the same practitioner; and
(d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and
(e) an attendance to which this item or item 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review
Fee: $316.15 Benefit: 75% = $237.15 85% = $268.75
(See para AN.0.26, AN.40.1 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
145 - Additional Information
Professional attendance of more than 60 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if:
(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and
(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and
(c) during the attendance:
(i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and
(ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and
(iii) a detailed management plan is prepared (the management plan) setting out:
(A) the prioritised list of health problems and care needs; and
(B) short and longer term management goals; and
(C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and
(iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and
(v) the management plan is communicated in writing to the referring practitioner; and
(d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and
(e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months
Fee: $613.15 Benefit: 85% = $521.20
(See para AN.0.26 of explanatory notes to this Category)
Results 11 to 20 of 29 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