Medicare Benefits Schedule - Item 792

Search Results for Item 792

View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

792

792 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Group
A7 - Acupuncture and Non-Specialist Practitioner Items
Subgroup
11 - Prescribed medical practitioner pregnancy support counselling

Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, lasting at least 20 minutes, for the purpose of providing non-directive pregnancy support counselling to a person who:
(a) is currently pregnant; or
(b) has been pregnant in the 12 months preceding the provision of the first service to which this item, or item 4001, 81000, 81005, 81010, 92136, 92137, 92138, 92139, 93026 or 93029, applies in relation to that pregnancy

Fee: $67.45 Benefit: 100% = $67.45

(See para AN.7.1, AN.7.25 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $202.35


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.7.1

Prescribed Medical Practitioners

Last reviewed: 1 November 2023

A prescribed medical practitioner is a medical practitioner:

(a) who is not a general practitioner (see GN.4.13), specialist or consultant physician, and

(b) who:

a. is registered under section 3GA of the Act and is practising during the period, and in the location in respect of which the medical practitioner is registered, and insofar as the circumstances specified for paragraph 19AA(3)(b) of the Act apply; or

b. is covered by an exemption under subsection 19AB(3) of the Act; or

c. first became a medical practitioner before 1 November 1996.

Related Items: 179 181 185 187 189 191 203 206 214 215 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 235 236 237 238 239 240 243 244 245 249 272 276 277 279 281 282 283 285 286 287 301 303 733 737 741 745 761 763 766 769 772 776 788 789 792 2197 2198 2200 90092 90093 90095 90096 90098 90183 90188 90202 90212 90215

Category 1 - PROFESSIONAL ATTENDANCES

AN.7.25

Prescribed Medical Practitioner Non-Directive Pregnancy Support Counselling Service (Item 792)

Last reviewed: 1 November 2023

The Pregnancy Support Counselling initiative provides for Medicare benefits to be paid for non-directive pregnancy support counselling services provided to a person who is pregnant or who has been pregnant in the 12 months preceding the first service to which this item or items 4001, 81000, 81005 or 81010 applies in relation to that pregnancy, by an eligible prescribed medical practitioner (see note AN.7.1) or allied health professional on referral from a prescribed medical practitioner. 

There are five MBS items for the provision of non-directive pregnancy support counselling services:

  • Item 792 – services provided by an eligible prescribed medical practitioner;
  • Item 4001 - services provided by an eligible GP;
  • Item 81000 - services provided by an eligible psychologist;
  • Item 81005 - services provided by an eligible social worker; and
  • Item 81010 - services provided by an eligible mental health nurse.

This note relates to the provision of a non-directive pregnancy support counselling service by an eligible prescribed medical practitioner.

Non-directive counselling is a form of counselling based on the understanding that, in many situations, people can resolve their own problems without being provided with a solution by the counsellor.  The counsellor's role is to encourage the person to express their feelings but not suggest what decision the person should make.  By listening and reflecting back what the person reveals to them, the counsellor helps them to explore and understand their feelings. With this understanding, the person is able to make the decision which is best for them.

The service involves the prescribed medical practitioner undertaking a safe, confidential process that helps the patient explore concerns they have about a current pregnancy or a pregnancy that occurred in the preceding 12 months.  This includes providing, on request, unbiased, evidence-based information about all options and services available to the patient.

The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate.

Patient eligibility

Medicare rebates for non-directive pregnancy support counselling services provided using item 792 are available to a person who is pregnant or who has been pregnant in the 12 months preceding the first service to which this item or item 4001, 81000, 81005 or 81010 applies in relation to that pregnancy.

Partners of eligible patients may attend each or any counselling session, however, only one fee applies to each service provided.

Medicare benefits

Medicare benefits are payable for up to three non-directive pregnancy support counselling services per patient, per pregnancy, from any of the following items – 792, 4001, 81000, 81005 and 81010.

Where the patient is unsure of the number of Medicare rebated non-directive pregnancy support counselling services they have already accessed, the patient may check with Services Australia on 132 011.  Alternatively, the prescribed medical practitioner may check with Services Australia (although the patient must be present to give permission).

Item 10990 or item 10991 can also be claimed in conjunction with item 792 provided the conditions of the relevant item, 10990 or 10991, are satisfied.

Minimum Requirements

This service may only be provided by a prescribed medical practitioner who has completed appropriate non-directive pregnancy counselling training.

Related Items: 792


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