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Results 271 to 280 of 286 matches

Category 8 - MISCELLANEOUS SERVICES

93035

93035 - 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 for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93036, 93043 or 93044 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.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

93036

93036 - 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 for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible speech pathologist, occupational therapist, audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82015, 82020, 82025, 82035, 93035, 93043 or 93044 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.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Category 8 - MISCELLANEOUS SERVICES

93048

93048 - 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
17 - Telehealth attendance to person of Aboriginal and Torres Strait Islander descent

Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or

(b) the patient 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

(iii) 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 person is referred to the eligible allied health practitioner by a medical practitioner using a referral form 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 (b):

(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 the 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 10 services (including any services to which this item or 93000, 93013 or 93061 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health Determination applies) in a calendar year



Fee: $68.55 Benefit: 75% = $51.45 85% = $58.30

(See para MN.11.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

93074

93074 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
19 - Eating disorder dietetics telehealth services

Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is of at least 20 minutes in duration.    

 

 

 

 



Fee: $68.55 Benefit: 85% = $58.30

(See para MN.16.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

93076

93076 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 30 minutes but less than 50 minutes in duration.

 

 

 

 



Fee: $109.80 Benefit: 85% = $93.35


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

93079

93079 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 50 minutes in duration.

 

 

 

 



Fee: $161.20 Benefit: 85% = $137.05

(See para MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $483.60

Category 8 - MISCELLANEOUS SERVICES

93084

93084 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 20 minutes but less than 50 minutes in duration.

 

 



Fee: $77.85 Benefit: 85% = $66.20

(See para MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $233.55

Category 8 - MISCELLANEOUS SERVICES

93087

93087 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 50 minutes in duration.

 

 

 



Fee: $109.80 Benefit: 85% = $93.35

(See para MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $329.40

Category 8 - MISCELLANEOUS SERVICES

93092

93092 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 20 minutes but less than 50 minutes in duration.

 



Fee: $68.55 Benefit: 85% = $58.30

(See para MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $205.65

Category 8 - MISCELLANEOUS SERVICES

93095

93095 - Additional Information

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

Group
M18 - Allied health telehealth and phone services
Subgroup
20 - Eating disorder psychological treatment services telehealth services

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 50 minutes in duration.

 



Fee: $96.80 Benefit: 85% = $82.30

(See para MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $290.40

Results 271 to 280 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