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Category 8 - MISCELLANEOUS SERVICES

82000

82000 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Psychology health service provided to a patient aged under 25 years by an eligible psychologist 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 82005, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day



Fee: $109.80 Benefit: 85% = $93.35

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

82001

82001 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
2 - Complex neurodevelopmental disorder and disability case conference services

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)



Fee: $53.75 Benefit: 85% = $45.70

(See para MN.10.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $161.25

Category 8 - MISCELLANEOUS SERVICES

82002

82002 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
2 - Complex neurodevelopmental disorder and disability case conference services

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)



Fee: $92.20 Benefit: 85% = $78.40

(See para MN.10.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $276.60

Category 8 - MISCELLANEOUS SERVICES

82003

82003 - Additional Information

Item Start Date:
01-Nov-2021
Description Updated:
01-Nov-2021
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
2 - Complex neurodevelopmental disorder and disability case conference services

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)



Fee: $153.45 Benefit: 85% = $130.45

(See para MN.10.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $460.35

Category 8 - MISCELLANEOUS SERVICES

82005

82005 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Speech pathology health service provided to a patient aged under 25 years by an eligible speech pathologist 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, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day



Fee: $96.80 Benefit: 85% = $82.30

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Category 8 - MISCELLANEOUS SERVICES

82010

82010 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Occupational therapy health service provided to a patient aged under 25 years by an eligible occupational therapist 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, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day



Fee: $96.80 Benefit: 85% = $82.30

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Category 8 - MISCELLANEOUS SERVICES

82015

82015 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Psychology 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 psychologist, 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 psychologist 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 82020, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day



Fee: $109.80 Benefit: 85% = $93.35

(See para AN.0.25, MN.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

82020

82020 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Speech pathology 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 speech pathologist, 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 speech pathologist 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, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day



Fee: $96.80 Benefit: 85% = $82.30

(See para AN.0.25, MN.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Category 8 - MISCELLANEOUS SERVICES

82025

82025 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Occupational therapy 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 occupational therapist, 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 occupational therapist 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, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day



Fee: $96.80 Benefit: 85% = $82.30

(See para AN.0.25, MN.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Results 1 to 9 of 9 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