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Category 1 - PROFESSIONAL ATTENDANCES
135 - Additional Information
Professional attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant paediatrician by a referring practitioner, for a patient aged under 25, if the consultant paediatrician:
(a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and
(b) develops a treatment and management plan, which must include:
(i) documentation of the confirmed diagnosis; and
(ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and
(iii) a risk assessment; and
(iv) treatment options (which may include biopsychosocial recommendations); and
(c) provides a copy of the treatment and management plan to:
(i) the referring practitioner; and
(ii) one or more allied health providers, if appropriate, for the treatment of the patient;
(other than attendance on a patient for whom payment has previously been made under this item or item 137, 139, 289, 92140, 92141, 92142 or 92434)
Applicable only once per lifetime
Fee: $305.15 Benefit: 75% = $228.90 85% = $259.40
(See para AN.0.24, AN.40.1 of explanatory notes to this Category)
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- 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