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Category 8 - MISCELLANEOUS SERVICES

81320

81320 - 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

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: $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

81325

81325 - 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

Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker 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

81330

81330 - 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

Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist 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

81335

81335 - 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

Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist 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

81340

81340 - 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

Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist 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

81345

81345 - 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

Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor 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

81350

81350 - 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

Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath 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

81355

81355 - 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

Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist 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

81360

81360 - 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

Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist 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

93000

93000 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
11 - General allied health telehealth services

Telehealth attendance by an eligible allied health practitioner if:

(a) the service is provided to a person who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements 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

(b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and

(c) the person is referred to the eligible allied health practitioner 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 20 minutes duration; and

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

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters;

to a maximum of 5 services (including any services to which this item, item 93013 or any item in Subgroup 1 of Group M3 of the Allied Health 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

Results 21 to 30 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