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Results 81 to 90 of 286 matches

Category 8 - MISCELLANEOUS SERVICES

80148

80148 - Additional Information

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

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)
Subgroup
1 - Focussed psychological strategies health services

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

(a)  the patient is referred by a referring practitioner; and

(b)  the attendance is by video conference; and

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

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

(e)  the service is at least 90 minutes duration



Fee: $33.40 Benefit: 85% = $28.40

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


Extended Medicare Safety Net Cap: $100.20

Category 8 - MISCELLANEOUS SERVICES

80153

80153 - Additional Information

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

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)
Subgroup
1 - Focussed psychological strategies health services

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

(a)  the patient is referred by a referring practitioner; and

(b)  the attendance is by video conference; and

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

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

(e)  the service is at least 120 minutes duration



Fee: $45.50 Benefit: 85% = $38.70

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


Extended Medicare Safety Net Cap: $136.50

Category 8 - MISCELLANEOUS SERVICES

80171

80171 - Additional Information

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

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)
Subgroup
1 - Focussed psychological strategies health services

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

(a)  the patient is referred by a referring practitioner; and

(b)  the attendance is by video conference; and

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

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

(e)  the service is at least 60 minutes duration



Fee: $24.55 Benefit: 85% = $20.90

(See para AN.0.76, MN.7.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $73.65

Category 8 - MISCELLANEOUS SERVICES

80173

80173 - Additional Information

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

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)
Subgroup
1 - Focussed psychological strategies health services

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

(a)  the patient is referred by a referring practitioner; and

(b)  the attendance is by video conference; and

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

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

(e)  the service is at least 90 minutes duration



Fee: $33.40 Benefit: 85% = $28.40

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


Extended Medicare Safety Net Cap: $100.20

Category 8 - MISCELLANEOUS SERVICES

80175

80175 - Additional Information

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

Group
M7 - Focussed Psychological Strategies (Allied Mental Health)
Subgroup
1 - Focussed psychological strategies health services

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

(a)  the patient is referred by a referring practitioner; and

(b)  the attendance is by video conference; and

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

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

(e)  the service is at least 120 minutes duration



Fee: $45.50 Benefit: 85% = $38.70

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


Extended Medicare Safety Net Cap: $136.50

Category 8 - MISCELLANEOUS SERVICES

81000

81000 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist if:

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

(c)   the eligible psychologist 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

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

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



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

81005

81005 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker if:

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

(c)   the eligible social worker 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

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

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



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

81010

81010 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse if:

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

(c)   the 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

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

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



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

81100

81100 - Additional Information

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

Group
M9 - Allied Health Group Services
Subgroup
1 - Diabetes education services

Diabetes education health service provided to a patient by an eligible diabetes educator for assessing the patient’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the patient for the group services if:

(a)   the patient has type 2 diabetes; and

(b)  the patient is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan 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

(c)   the patient is referred to an eligible diabetes educator 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 patient individually and in person; and

(e)   the service is of at least 45 minutes duration; and

(f)   after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination)



Fee: $87.95 Benefit: 85% = $74.80

(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $263.85

Category 8 - MISCELLANEOUS SERVICES

81105

81105 - Additional Information

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

Group
M9 - Allied Health Group Services
Subgroup
1 - Diabetes education services

Diabetes education health service provided to a patient by an eligible diabetes educator, as a group service for the management of type 2 diabetes if:

(a)   the patient has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and

(b)  the service is provided to a patient who is part of a group of between 2 and 12 patients; and

(c)   the service is provided in person; and

(d)  the service is of at least 60 minutes duration; and

(e)   after the last service in the group services program provided to the patient under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner; and

(f)   an attendance record for the group is maintained by the eligible diabetes educator;

to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination)



Fee: $21.90 Benefit: 85% = $18.65

(See para MN.9.1, MN.9.3, MN.9.5, MN.9.6 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $65.70

Results 81 to 90 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