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Results 11 to 20 of 33 matches

Category 8 - MISCELLANEOUS SERVICES

10960

10960 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Physiotherapy health service provided to a patient by an eligible physiotherapist 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

10962

10962 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Podiatry health service provided to a patient by an eligible podiatrist 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

10964

10964 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Chiropractic health service provided to a patient by an eligible chiropractor 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

10966

10966 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Osteopathy health service provided to a patient by an eligible osteopath 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

10968

10968 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Psychology health service provided to a patient by an eligible psychologist 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

10970

10970 - Additional Information

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

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Speech pathology health service provided to a patient by an eligible speech pathologist 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: $68.55 Benefit: 85% = $58.30

(See para MN.3.1, MN.3.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

81300

81300 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M11 - Allied health services for Aboriginal and Torres Strait Islander people

Aboriginal and Torres Strait Islander health service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner 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: $68.55 Benefit: 85% = $58.30

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


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

81305

81305 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M11 - Allied health services for Aboriginal and Torres Strait Islander people

Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator 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: $68.55 Benefit: 85% = $58.30

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


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

81310

81310 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M11 - Allied health services for Aboriginal and Torres Strait Islander people

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: $68.55 Benefit: 85% = $58.30

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


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

81315

81315 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M11 - Allied health services for Aboriginal and Torres Strait Islander people

Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist 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: $68.55 Benefit: 85% = $58.30

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


Extended Medicare Safety Net Cap: $205.65

Results 11 to 20 of 33 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