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Results 41 to 50 of 239 matches

Category 8 - MISCELLANEOUS SERVICES

80151

80151 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Sep-2018
Schedule Fee Updated:
01-Jul-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if:

  • the attendance is by video conference; and
  • the patient is not an admitted patient; and
  • the patient is located within a telehealth eligible area; and
  • the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker.

Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply).

Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.



Fee: $65.85 Benefit: 85% = $56.00

(See para MN.7.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $197.55

Category 8 - MISCELLANEOUS SERVICES

80153

80153 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a)  the person is referred by:

         (i)   a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or

        (ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

       (iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b)  the attendance is by video conference; and

(c)  the patient is not an admitted patient; and

(d)  the patient is located within a telehealth eligible area; and

(e)  the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

(f)  the service is at least 120 minutes duration

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



Fee: $43.70 Benefit: 85% = $37.15

(See para MN.7.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $131.10

Category 8 - MISCELLANEOUS SERVICES

80161

80161 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Sep-2018
Schedule Fee Updated:
01-Jul-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if:

  • the attendance is by video conference; and
  • the patient is not an admitted patient; and
  • the patient is located within a telehealth eligible area; and
  • the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker.

Focussed psychological strategies delivered by video conference are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply).

Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.



Fee: $92.95 Benefit: 85% = $79.05

(See para MN.7.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $278.85

Category 8 - MISCELLANEOUS SERVICES

80171

80171 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Jul-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if:

(a)  the person is referred by:

         (i)   a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or

        (ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

       (iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b)  the attendance is by video conference; and

(c)  the patient is not an admitted patient; and

(d)  the patient is located within a telehealth eligible area; and

(e)  the patient is, at the time of the attendance, at least 15 kilometres by road from the eligible social worker; and

(f)  the service is at least 60 minutes duration

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



Fee: $23.60 Benefit: 85% = $20.10

(See para MN.7.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $70.80

Category 8 - MISCELLANEOUS SERVICES

80173

80173 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if:

(a)  the person is referred by:

         (i)   a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or

        (ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

       (iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b)  the attendance is by video conference; and

(c)  the patient is not an admitted patient; and

(d)  the patient is located within a telehealth eligible area; and

(e)  the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

(f)  the service is at least 90 minutes duration

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



Fee: $32.10 Benefit: 85% = $27.30

(See para MN.7.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $96.30

Category 8 - MISCELLANEOUS SERVICES

80175

80175 - Additional Information

Item Start Date:
01-Nov-2022
Description Updated:
01-Nov-2022
Schedule Fee Updated:
01-Nov-2022

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)

Focussed psychological strategies health service provided to a person as part of a group of 4 to 10 patients by an eligible social worker if:

(a)  the person is referred by:

         (i)   a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a psychiatrist assessment and management plan; or

        (ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

       (iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b)  the attendance is by video conference; and

(c)  the patient is not an admitted patient; and

(d)  the patient is located within a telehealth eligible area; and

(e)  the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

(f)  the service is at least 120 minutes duration

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



Fee: $43.70 Benefit: 85% = $37.15

(See para MN.7.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $131.10

Category 8 - MISCELLANEOUS SERVICES

82302

82302 - Additional Information

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

Group
M15 - Diagnostic Audiology Services

Audiology health service by telehealth for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:

(a)    the service is not performed for the purpose of a hearing screening; and

(b)    a service to which item 11300, 11342 or 11345 applies has not been performed on the person on the same day.

Applicable up to a total of 4 services to which this item or item 82300 or 82304 apply on the same day



Fee: $162.75 Benefit: 85% = $138.35

(See para MN.15.1, MN.15.5 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $488.25

Category 8 - MISCELLANEOUS SERVICES

82351

82351 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2022

Group
M16 - Eating Disorders Services
Subgroup
1 - Eating disorders dietitian health services

Dietetics health service provided to an eligible patient by an eligible dietitian if:

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

(b)     the person is not an admitted patient of a hospital; and

(c)     the attendance is by video conference; and

(d)     the patient is located within a telehealth eligible area; and

(e)     the patient is, at the time of the attendance, at least 15 kilometres by road from the dietitian; and

(f)      the service is of at least 20 minutes duration



Fee: $65.85 Benefit: 85% = $56.00

(See para MN.16.1, MN.16.2, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $197.55

Category 8 - MISCELLANEOUS SERVICES

82353

82353 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2022

Group
M16 - Eating Disorders Services
Subgroup
2 - Eating disorder psychological treatment services provided by eligible clinical psychologists

Eating disorder psychological treatment service provided 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 person is not an admitted patient of a hospital; and

(c)     the attendance is by video conference; and

(d)     the patient is located within a telehealth eligible area; and

(e)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

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



Fee: $105.45 Benefit: 85% = $89.65

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $316.35

Category 8 - MISCELLANEOUS SERVICES

82356

82356 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2022

Group
M16 - Eating Disorders Services
Subgroup
2 - Eating disorder psychological treatment services provided by eligible clinical psychologists

Eating disorder psychological treatment service provided 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 person is not an admitted patient of a hospital; and

(c)     attendance is by video conference; and

(d)     the patient is located within a telehealth eligible area; and

(e)     the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

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



Fee: $154.85 Benefit: 85% = $131.65

(See para MN.16.1, MN.16.3, MN.16.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $464.55

Results 41 to 50 of 239 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