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Results 261 to 270 of 286 matches

Category 1 - PROFESSIONAL ATTENDANCES

92721

92721 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
08-Oct-2021
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.



Fee: $80.10 Benefit: 100% = $80.10

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $240.30

Category 1 - PROFESSIONAL ATTENDANCES

92722

92722 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
08-Oct-2021
Schedule Fee Updated:
01-Mar-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)      implementing a management plan;

(d)      providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.



Fee: $38.00 Benefit: 100% = $38.00

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $114.00

Category 1 - PROFESSIONAL ATTENDANCES

92723

92723 - Additional Information

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

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items



Fee: $64.10 Benefit: 100% = $64.10

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $192.30

Category 1 - PROFESSIONAL ATTENDANCES

92724

92724 - Additional Information

Item Start Date:
01-Jul-2023
Description Updated:
08-Oct-2021
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.



Fee: $118.00 Benefit: 100% = $118.00

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $354.00

Category 1 - PROFESSIONAL ATTENDANCES

92725

92725 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
08-Oct-2021
Schedule Fee Updated:
01-Mar-2022

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.



Fee: $61.00 Benefit: 100% = $61.00

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $183.00

Category 1 - PROFESSIONAL ATTENDANCES

92726

92726 - Additional Information

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

Group
A40 - Telehealth and phone attendance services
Subgroup
39 - GP Sexual and Reproductive Health Consultation – Telehealth Service

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items



Fee: $94.40 Benefit: 100% = $94.40

(See para AN.40.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $283.20

Category 8 - MISCELLANEOUS SERVICES

93000

93000 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
11 - General allied health telehealth services

Telehealth attendance by an eligible allied health practitioner if:

(a) the service is provided to a person who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and

(c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and

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

(e) the service is of at least 20 minutes duration; and

(f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c):

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters;

to a maximum of 5 services (including any services to which this item, item 93013 or any item in Subgroup 1 of Group M3 of the Allied Health 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

93026

93026 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
13 - Pregnancy support counselling telehealth services

Non directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if:

(a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and

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

(d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(e) the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Allied Health Determination, item 4001 of the general medical services table and item 93029, 92136 and 92138 apply) for each pregnancy.

The service may be used to address any pregnancy related issues for which non directive counselling is appropriate



Fee: $80.50 Benefit: 85% = $68.45

(See para MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $241.50

Category 8 - MISCELLANEOUS SERVICES

93032

93032 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Mar-2023
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
15 - Complex neurodevelopmental disorder and disability telehealth services

Psychology health service provided by telehealth attendance to a patient aged under 25 years by an eligible psychologist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

Further information on the requirements for this item are available in the explanatory notes to this Category



Fee: $109.80 Benefit: 85% = $93.35

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

93033

93033 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Mar-2023
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
15 - Complex neurodevelopmental disorder and disability telehealth services

Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a patient aged under 25 years by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93032, 93040 or 93041 apply may be provided to the same patient on the same day

Further information on the requirements for this item are available in the explanatory notes to this Category



Fee: $96.80 Benefit: 85% = $82.30

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Results 261 to 270 of 286 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