Medicare Benefits Schedule - Item 92443

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least two morbidities (which may include complex congenital, developmental and behavioural disorders) if:
(a) a review is undertaken that covers:
   (i) review of initial presenting problems and results of diagnostic investigations; and
   (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and
   (iii) comprehensive multi or detailed single organ system assessment; and
   (iv) review of original and differential diagnoses; and
(b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:
   (i) a revised opinion on the diagnosis and risk assessment; and
   (ii) treatment options and decisions; and
   (iii) revised medication recommendations; and
(c) an attendance on the patient to which item 110, 116 or 119 of the general medical services table or item 91824, 91825, 91826, 91836 or 92440 applies did not take place on the same day by the same consultant physician; and
(d) item 132 of the general medical services table or item 92422 applied to an attendance claimed in the preceding 12 months; and
(e) the attendance under this item is claimed by the same consultant physician who claimed item 132 of the general medical services table or item 92422; and
(f) this item, or item 133 of the general medical services table or item 92423 has not applied more than twice in any 12 month period

Fee: $156.45 Benefit: 85% = $133.00

Extended Medicare Safety Net Cap: $469.35

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