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Results 151 to 160 of 233 matches

Category 1 - PROFESSIONAL ATTENDANCES

92423

92423 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
5 - Consultant physician telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) 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 consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

     (i) a revised opinion on the 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 110, 116, 119 of the general medical services table or 91824, 91825, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) item 132 of the general medical services table or item 92422 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same consultant physician who claimed item 132 of the general medical services table or 92422; and

(f) this item, or item 133 of the general medical services table has not applied more than twice in any 12 month period

 

 



Fee: $141.80 Benefit: 85% = $120.55

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $425.40

Category 1 - PROFESSIONAL ATTENDANCES

92434

92434 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan which must include the following:

    (i) an assessment and diagnosis of the patient’s condition;

    (ii) a risk assessment;

    (iii) treatment options and decisions;

    (iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner;

(d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;

(other than attendance on a patient for whom payment has previously been made under this item, or item 135, 137, 139, 289 of the general medical services table, or item 92140, 92141, 92142 or 92145)



Fee: $283.20 Benefit: 85% = $240.75


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

92435

92435 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) during the attendance, the consultant:

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

     (ii) carries out a mental state examination; and

     (iii) makes a psychiatric diagnosis; and

(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and

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

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

     (ii) prepares a written management plan for the patient that:

         (A) covers the next 12 months; and

         (B) is appropriate to the patient’s diagnosis; and

         (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

         (D) addresses the patient’s diagnostic psychiatric issues; and

         (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

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

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

          (A) the patient; and

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

(e) in the preceding 12 months, a service to which this item or item 291 of the general medical services table applies has not been provided

 



Fee: $485.70 Benefit: 85% = $412.85


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

92436

92436 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or 92435; and

(b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and

(c) during the attendance, the consultant:

     (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 management plan; and

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

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

     (ii) revises the management plan; 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; and

(e) in the preceding 12 months, a service to which item 291 of the general medical services table or 92435 applies has been provided; and

(f) in the preceding 12 months, a service to which this item, or item 293 of the general medical services table applies has not been provided



Fee: $303.65 Benefit: 85% = $258.15


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

92437

92437 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner:

(a) if the patient:

    (i) is a new patient for this consultant physician; or

    (ii) has not received an attendance from this consultant physician in the preceding 24 months; and

(b) the patient has not received an attendance under this item, or item 91827 to 91831, 91837 to 91839, 92455 to 92457, or item 296, 297, 299 or 300 to 346 of the general medical services table, in the preceding 24 months

 

 

 



Fee: $279.35 Benefit: 85% = $237.45


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

92455

92455 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient



Fee: $52.90 Benefit: 85% = $45.00


Extended Medicare Safety Net Cap: $158.70

Category 1 - PROFESSIONAL ATTENDANCES

92456

92456 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient



Fee: $70.20 Benefit: 85% = $59.70


Extended Medicare Safety Net Cap: $210.60

Category 1 - PROFESSIONAL ATTENDANCES

92457

92457 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient



Fee: $103.85 Benefit: 85% = $88.30


Extended Medicare Safety Net Cap: $311.55

Category 1 - PROFESSIONAL ATTENDANCES

92458

92458 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient.

 

 


.



Fee: $136.00 Benefit: 85% = $115.60


Extended Medicare Safety Net Cap: $408.00

Category 1 - PROFESSIONAL ATTENDANCES

92459

92459 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient.

 

 

 



Fee: $187.75 Benefit: 85% = $159.60


Extended Medicare Safety Net Cap: $500.00

Results 151 to 160 of 233 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