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Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient

Fee: $102.70 Benefit: 75% = $77.05 85% = $87.30

(See para AN.0.25, AN.0.31, AN.0.32, AN.0.76 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $308.10

• Previous - Item 315
• Next - Item 318

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839 and 92437 applies exceed 50 attendances in a calendar year for the patient

Fee: $119.10 Benefit: 75% = $89.35 85% = $101.25

(See para AN.0.25, AN.0.31, AN.0.32, AN.0.76 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $357.30

• Previous - Item 316
• Next - Item 319

Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes at consulting rooms, if:

(a) the formulation of the patient’s clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment; and

(b) that attendance and another attendance to which any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91873 and 92437 applies have not exceeded 160 attendances in a calendar year for the patient

Fee: $205.20 Benefit: 75% = $153.90 85% = $174.45

(See para AN.0.25, AN.0.31, AN.0.32, AN.0.76 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 318
• Next - Item 320

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was not more than 15 minutes in duration;

if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91828 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $48.40 Benefit: 85% = $41.15

(See para AN.0.30, AN.0.31, AN.0.75 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $145.20

• Previous - Item 91826
• Next - Item 91828

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 15 minutes, but not more than 30 minutes in duration;

if that attendance and another attendance to which item 296, 297, 299, or any of items 300, 302, 304, 306 to 308, 91827, 91829 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $96.60 Benefit: 85% = $82.15

Extended Medicare Safety Net Cap: $289.80

• Previous - Item 91827
• Next - Item 91829

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 30 minutes, but not more than 45 minutes in duration;

if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827, 91828, 91830, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $148.70 Benefit: 85% = $126.40

Extended Medicare Safety Net Cap: $446.10

• Previous - Item 91828
• Next - Item 91830

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 45 minutes, but not more than 75 minutes in duration;

if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91829, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $205.20 Benefit: 85% = $174.45

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 91829
• Next - Item 91831

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 75 minutes in duration;

if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91830, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year.

Fee: $238.15 Benefit: 85% = $202.45

(See para AN.0.25, AN.0.30, AN.0.31, AN.0.75 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 91830
• Next - Item 91833

Phone attendance for a person by a consultant psychiatrist; if:

(a)   the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)   the attendance was not more than 15 minutes duration;

Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91838, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $48.40 Benefit: 85% = $41.15

(See para AN.0.30, AN.0.31, AN.0.75 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $145.20

• Previous - Item 91836
• Next - Item 91838

 Phone attendance for a person by a consultant psychiatrist; if:

(a)   the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and

(b)   the attendance was at least 15 minutes, but not more than 30 minutes in duration;

Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91837, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year

Fee: $96.60 Benefit: 85% = $82.15

Extended Medicare Safety Net Cap: $289.80

• Previous - Item 91837
• Next - Item 91839