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Results 111 to 120 of 290 matches

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

82302

82302 - Additional Information

Item Start Date:
01-Mar-2022
Description Updated:
01-Mar-2023
Schedule Fee Updated:
01-Nov-2023

Group
M15 - Diagnostic Audiology Services

Audiology health service by telehealth for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:

(a)     the service is not performed for the purpose of a hearing screening; and

(b)    a service to which item 11302, 11342 or 11345 applies not been performed on the patient on the same day

Applicable up to a total of 4 services to which this item, item 82301 or item 82304 applies on the same day



Fee: $169.45 Benefit: 85% = $144.05

(See para MN.15.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 8 - MISCELLANEOUS SERVICES

82359

82359 - Additional Information

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

Group
M16 - Eating Disorders Services
Subgroup
2 - Eating disorder psychological treatment services provided by eligible clinical psychologists

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration



Fee: $40.90 Benefit: 85% = $34.80

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $122.70

Category 8 - MISCELLANEOUS SERVICES

82367

82367 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M16 - Eating Disorders Services
Subgroup
3 - Eating disorder psychological treatment services provided by eligible psychologists

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration



Fee: $28.00 Benefit: 85% = $23.80

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $84.00

Category 8 - MISCELLANEOUS SERVICES

82375

82375 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M16 - Eating Disorders Services
Subgroup
4 - Eating disorder psychological treatment services provided by eligible occupational therapists

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration



Fee: $24.55 Benefit: 85% = $20.90

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $73.65

Category 8 - MISCELLANEOUS SERVICES

82383

82383 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M16 - Eating Disorders Services
Subgroup
5 - Eating disorder psychological treatment services provided by eligible social workers

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible social worker if:

(a)     the service is recommended in the patient’s eating disorder treatment and management plan; and

(b)     the attendance is by video conference; and

(c)     the patient is located within a telehealth eligible area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e)     the service is at least 60 minutes in duration



Fee: $24.55 Benefit: 85% = $20.90

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $73.65

Category 8 - MISCELLANEOUS SERVICES

91166

91166 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
1 - Psychological therapies telehealth services

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the person is referred by:

(i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b) the service is provided to the person individually; and

(c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e)  the service is at least 30 minutes but less than 50 minutes duration

 



Fee: $109.80 Benefit: 85% = $93.35

(See para AN.0.30, AN.0.76 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

91167

91167 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
1 - Psychological therapies telehealth services

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or

(ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)  a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b) the service is provided to the person individually; and

(c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e) the service is at least 50 minutes duration

 

 



Fee: $161.20 Benefit: 85% = $137.05

(See para AN.0.30, AN.0.76 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $483.60

Category 8 - MISCELLANEOUS SERVICES

91168

91168 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
1 - Psychological therapies telehealth services

Telehealth attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if:

(a)    the service is part of the patient’s treatment;

(b)    the patient has been referred to the eligible clinical psychologist by a referring practitioner; and

(c)    the service lasts at least 30 minutes but less than 50 minutes



Fee: $109.80 Benefit: 85% = $93.35

(See para MN.6.8 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

91169

91169 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
2 - Psychologist focussed psychological strategies telehealth services

Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if:

(a)  the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b)  the service is provided to the person individually; and

(c)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d)  on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e)  the service is at least 20 minutes but less than 50 minutes duration

 

 



Fee: $77.85 Benefit: 85% = $66.20

(See para AN.0.30, AN.0.76, MN.7.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $233.55

Results 111 to 120 of 290 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