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Results 61 to 70 of 290 matches

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 2 - DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

11342

11342 - Additional Information

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

Group
D1 - Miscellaneous Diagnostic Procedures And Investigations
Subgroup
3 - Otolaryngology

Programming by telehealth of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which items 82301, 82302 or 82304 applies has not been performed on the patient on the same day

Applicable up to a total of 4 services to which this item, item 11302 or item 11345 applies on the same day



Fee: $169.45 Benefit: 85% = $144.05

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

54001

54001 - Additional Information

Item Start Date:
22-May-2020
Description Updated:
22-May-2020
Schedule Fee Updated:
01-Nov-2023

Group
O1 - Consultations
Subgroup
1 - Dental practitioner telehealth services

Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner



Fee: $94.10 Benefit: 85% = $80.00


Extended Medicare Safety Net Cap: $282.30

Category 4 - ORAL AND MAXILLOFACIAL SERVICES

54002

54002 - Additional Information

Item Start Date:
22-May-2020
Description Updated:
22-May-2020
Schedule Fee Updated:
01-Nov-2023

Group
O1 - Consultations
Subgroup
1 - Dental practitioner telehealth services

Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner



Fee: $47.35 Benefit: 85% = $40.25


Extended Medicare Safety Net Cap: $142.05

Category 8 - MISCELLANEOUS SERVICES

75870

75870 - Additional Information

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

Group
M1 - Management Of Bulk-Billed Services
Subgroup
2 - General support service

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies


Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.



Fee: $24.25 Benefit: 85% = $20.65

(See para MN.1.1, MN.1.3 of explanatory notes to this Category)

Category 8 - MISCELLANEOUS SERVICES

75871

75871 - Additional Information

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

Group
M1 - Management Of Bulk-Billed Services
Subgroup
2 - General support service

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies


Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.



Fee: $36.90 Benefit: 85% = $31.40

(See para MN.1.1, MN.1.4 of explanatory notes to this Category)

Category 8 - MISCELLANEOUS SERVICES

75873

75873 - Additional Information

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

Group
M1 - Management Of Bulk-Billed Services
Subgroup
2 - General support service

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in:
(i) a Modified Monash 3 area; or
(ii) a Modified Monash 4 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies


Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.



Fee: $39.20 Benefit: 85% = $33.35

(See para MN.1.1, MN.1.5 of explanatory notes to this Category)

Category 8 - MISCELLANEOUS SERVICES

75874

75874 - Additional Information

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

Group
M1 - Management Of Bulk-Billed Services
Subgroup
2 - General support service

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;
other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies


Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.



Fee: $41.65 Benefit: 85% = $35.45

(See para MN.1.1, MN.1.6 of explanatory notes to this Category)

Category 8 - MISCELLANEOUS SERVICES

75875

75875 - Additional Information

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

Group
M1 - Management Of Bulk-Billed Services
Subgroup
2 - General support service

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies


Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.



Fee: $43.95 Benefit: 85% = $37.40

(See para MN.1.1, MN.1.7 of explanatory notes to this Category)

Results 61 to 70 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