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Results 1 to 10 of 17 matches

Category 1 - PROFESSIONAL ATTENDANCES

91868

91868 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of not more than 15 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91869, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient

 



Fee: $24.95 Benefit: 85% = $21.25


Extended Medicare Safety Net Cap: $74.85

Category 1 - PROFESSIONAL ATTENDANCES

91869

91869 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 15 minutes but not more than 30 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient



Fee: $50.10 Benefit: 85% = $42.60


Extended Medicare Safety Net Cap: $150.30

Category 1 - PROFESSIONAL ATTENDANCES

91870

91870 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 30 minutes but not more than 45 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient

 



Fee: $77.15 Benefit: 85% = $65.60


Extended Medicare Safety Net Cap: $231.45

Category 1 - PROFESSIONAL ATTENDANCES

91871

91871 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes but not more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient

 



Fee: $106.30 Benefit: 85% = $90.40


Extended Medicare Safety Net Cap: $318.90

Category 1 - PROFESSIONAL ATTENDANCES

91872

91872 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91873, or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient

 



Fee: $123.25 Benefit: 85% = $104.80


Extended Medicare Safety Net Cap: $369.75

Category 1 - PROFESSIONAL ATTENDANCES

91873

91873 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the psychiatrist by a referring practitioner, where the formulation of the patient’s clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment, if that attendance and another attendance to which any of items 296, 297, 299 or any of items 300, 302, 304, 306, 308, 319, 92437, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91872 or 91879 to 91881 applies has not exceeded 160 attendances in a calendar year for the patient

 



Fee: $212.40 Benefit: 85% = $180.55

(See para AN.0.31 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Category 1 - PROFESSIONAL ATTENDANCES

91874

91874 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance involving an interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner for the purposes of:

(a)    initial diagnostic evaluation; or

(b)    continuing management of the patient;

if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91875, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient

 



Fee: $50.10 Benefit: 75% = $37.60 85% = $42.60

(See para AN.0.32 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $150.30

Category 1 - PROFESSIONAL ATTENDANCES

91875

91875 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance involving an interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of:

(a)    initial diagnostic evaluation; or

(b)   continuing management of the patient;

if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient



Fee: $100.00 Benefit: 75% = $75.00 85% = $85.00

(See para AN.0.32 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $300.00

Category 1 - PROFESSIONAL ATTENDANCES

91876

91876 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance involving an interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of:

(a)    initial diagnostic evaluation; or

(b)    continuing management of the patient;

if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient



Fee: $153.90 Benefit: 75% = $115.45 85% = $130.85

(See para AN.0.32 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $461.70

Category 1 - PROFESSIONAL ATTENDANCES

91877

91877 - Additional Information

Item Start Date:
01-Mar-2024
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
A40 - Telehealth and phone attendance services
Subgroup
6 - Consultant psychiatrist telehealth services

Telehealth attendance involving an interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner for the purposes of:

(a)    initial diagnostic evaluation; or

(b)    continuing management of the patient;

 if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91876 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient



Fee: $212.40 Benefit: 75% = $159.30 85% = $180.55

(See para AN.0.32 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $500.00

Results 1 to 10 of 17 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