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Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if:

(a) an assessment is undertaken that covers:

     (i) a comprehensive history, including psychosocial history and medication review; and

     (ii) a comprehensive multi or detailed single organ system assessment; and

     (iii) the formulation of differential diagnoses; and

(b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner:

     (i) an opinion on diagnosis and risk assessment;

     (ii) treatment options and decisions;

     (iii) medication recommendations; and

(c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and

(d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same addiction medicine specialist

Fee: $294.85 Benefit: 75% = $221.15 85% = $250.65

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 6019
• Next - Item 6024

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if:

(a) a review is undertaken that covers:

    (i) review of initial presenting problems and results of diagnostic investigations; and

    (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

    (iii) comprehensive multi or detailed single organ system assessment; and

    (iv) review of original and differential diagnoses; and

(b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

     (i) a revised opinion on diagnosis and risk assessment; and

     (ii) treatment options and decisions; and

     (iii) revised medication recommendations; and

(c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and

(d) item 6023 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 6023 or by a locum tenens; and

(f) this item has not applied more than twice in any 12 month period

Fee: $147.65 Benefit: 75% = $110.75 85% = $125.55

Extended Medicare Safety Net Cap: $442.95

• Previous - Item 6023
• Next - Item 6028

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team

Fee: $47.70 Benefit: 75% = $35.80 85% = $40.55

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $143.10

• Previous - Item 6028
• Next - Item 6031

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

Fee: $84.35 Benefit: 75% = $63.30 85% = $71.70

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $253.05

• Previous - Item 6029
• Next - Item 6032

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

Fee: $126.60 Benefit: 75% = $94.95 85% = $107.65

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $379.80

• Previous - Item 6031
• Next - Item 6034

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team

Fee: $168.60 Benefit: 75% = $126.45 85% = $143.35

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 6032
• Next - Item 6035

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team

Fee: $38.15 Benefit: 75% = $28.65 85% = $32.45

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $114.45

• Previous - Item 6034
• Next - Item 6037

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

Fee: $67.50 Benefit: 75% = $50.65 85% = $57.40

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $202.50

• Previous - Item 6035
• Next - Item 6038

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

Fee: $101.25 Benefit: 75% = $75.95 85% = $86.10

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $303.75

• Previous - Item 6037
• Next - Item 6042

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team

Fee: $134.85 Benefit: 75% = $101.15 85% = $114.65

(See para AN.0.51 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $404.55

• Previous - Item 6038
• Next - Item 6051