Medicare Benefits Schedule - Item 92172

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist 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 psychiatrist:

    (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 psychiatrist:

    (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: $327.20 Benefit: 85% = $278.15

Extended Medicare Safety Net Cap: $500.00

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