Medicare Benefits Schedule - Item 92442

Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:
(a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
(b) the patient has been referred by a referring practitioner; and
(c) during the attendance, the consultant paediatrician:
     (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 eating disorder treatment and management plan; and
(d) within 2 weeks after the attendance, the consultant paediatrician:
     (i) prepares a written diagnosis of the patient; and
     (ii) revises the eating disorder treatment and management; 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

Fee: $156.45 Benefit: 85% = $133.00

Extended Medicare Safety Net Cap: $469.35

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