Results 1 to 2 of 2 matches
Category 1 - PROFESSIONAL ATTENDANCES
132 - Additional Information
Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if:
(a) an assessment is undertaken that covers:
(i) a comprehensive history, including psychosocial history and medication review; and
(ii) comprehensive multi or detailed single organ system assessment; and
(iii) the formulation of differential diagnoses; and
(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves:
(i) an opinion on diagnosis and risk assessment; and
(ii) treatment options and decisions; and
(iii) medication recommendations; and
(c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and
(d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician
Fee: $305.15 Benefit: 75% = $228.90 85% = $259.40
(See para AN.0.7, AN.0.23, AN.40.1 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
133 - Additional Information
Professional 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 2 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 applies did not take place on the same day by the same consultant physician; and
(d) item 132 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 or a locum tenens; and
(f) this item has not applied more than twice in any 12 month period
Fee: $152.80 Benefit: 75% = $114.60 85% = $129.90
(See para AN.0.7, AN.0.23, AN.40.1 of explanatory notes to this Category)
Results 1 to 2 of 2 matches
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