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Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

Fee: $316.15 Benefit: 85% = $268.75

Extended Medicare Safety Net Cap: $500.00

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• Next - Item 92173

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a)  the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant paediatrician:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant paediatrician:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees

Fee: $147.65 Benefit: 85% = $125.55

Extended Medicare Safety Net Cap: $442.95

• Previous - Item 92172
• Next - Item 92176

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

(a)     the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)    modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

      (i)      recommendations to continue with treatment options detailed in the plan; or

      (ii)    recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

(d)    the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

      (i) a copy of the plan; and

      (ii) suitable education about the eating disorder.

Fee: $63.15 Benefit: 100% = $63.15

Extended Medicare Safety Net Cap: $189.45

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• Next - Item 92182

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Fee: $102.10 Benefit: 100% = $102.10

Extended Medicare Safety Net Cap: $306.30

• Previous - Item 92177
• Next - Item 92184

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Fee: $146.10 Benefit: 100% = $146.10

Extended Medicare Safety Net Cap: $438.30

• Previous - Item 92182
• Next - Item 92186

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

Fee: $81.70 Benefit: 100% = $81.70

Extended Medicare Safety Net Cap: $245.10

• Previous - Item 92184
• Next - Item 92188

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

Fee: $116.90 Benefit: 100% = $116.90

Extended Medicare Safety Net Cap: $350.70

• Previous - Item 92186
• Next - Item 92194

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

Fee: $81.70 Benefit: 100% = $81.70

Extended Medicare Safety Net Cap: $245.10

• Previous - Item 92196
• Next - Item 92200

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Fee: $116.90 Benefit: 100% = $116.90

Extended Medicare Safety Net Cap: $350.70

• Previous - Item 92198
• Next - Item 92210

Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

Fee: $168.40 Benefit: 100% = $168.40

(See para AN.1.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

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• Next - Item 92211