Medicare Benefits Schedule - Item 92444

Phone attendance lasting more than 30 minutes, but not more than 45 minutes, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if:
(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or 92435; and
(b) the attendance follows referral of the patient to the consultant, by the medical practitioner or participating nurse practitioner managing the patient, for review of the management plan and the associated comprehensive diagnostic assessment; and
(c) during the attendance, the consultant:
   (i) if it is clinically appropriate to do so—uses an appropriate outcome tool; and
   (ii) carries out a mental state examination; and
   (iii) reviews the comprehensive diagnostic assessment and undertakes additional assessment as required; and
   (iv) reviews the management plan; and
(d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes:
   (i) a revised comprehensive diagnostic assessment of the patient; and
   (ii) a revised management plan including updated recommendations to the referring practitioner to manage the patient's ongoing care in a biopsychosocial model; and
(e) if clinically appropriate, the consultant explains the diagnostic assessment and the management plan, and gives a copy, to:
   (i) the patient; and
   (ii) the patient's carer (if any), if the patient agrees; and
(f) in the preceding 12 months, a service to which item 291 of the general medical services table or item 92435 applies has been provided; and
(g) in the preceding 12 months, a service to which this item or item 293 of the general medical services table or item 92436 applies has not been provided

Fee: $335.05 Benefit: 85% = $284.80

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 92443
• Next - Item 92445