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Results 1 to 10 of 11 matches

Category 8 - MISCELLANEOUS SERVICES

Pregnancy Support Counselling - Eligible Services - (Items 81000, 81005, 81010, 93026 and 93029)

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

Category 8 - MISCELLANEOUS SERVICES

81000

81000 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible psychologist does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



Fee: $80.50 Benefit: 85% = $68.45

(See para MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $241.50

Category 8 - MISCELLANEOUS SERVICES

81005

81005 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible social worker does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



Fee: $80.50 Benefit: 85% = $68.45

(See para MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $241.50

Category 8 - MISCELLANEOUS SERVICES

81010

81010 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Nov-2023

Group
M8 - Pregnancy Support Counselling

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth and Telephone Determination apply) for each pregnancy



Fee: $80.50 Benefit: 85% = $68.45

(See para MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $241.50

Category 1 - PROFESSIONAL ATTENDANCES

92136

92136 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
15 - GP Pregnancy Support Counselling – Telehealth Service

Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service 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 items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy



Fee: $84.30 Benefit: 100% = $84.30


Extended Medicare Safety Net Cap: $252.90

Category 1 - PROFESSIONAL ATTENDANCES

92137

92137 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
15 - GP Pregnancy Support Counselling – Telehealth Service

Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service 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 items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy



Fee: $67.45 Benefit: 100% = $67.45


Extended Medicare Safety Net Cap: $202.35

Category 1 - PROFESSIONAL ATTENDANCES

92138

92138 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
16 - GP Pregnancy Support Counselling – Phone Service

Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service 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 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy



Fee: $84.30 Benefit: 100% = $84.30


Extended Medicare Safety Net Cap: $252.90

Category 1 - PROFESSIONAL ATTENDANCES

92139

92139 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Group
A40 - Telehealth and phone attendance services
Subgroup
16 - GP Pregnancy Support Counselling – Phone Service

Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service 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 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy



Fee: $67.45 Benefit: 100% = $67.45


Extended Medicare Safety Net Cap: $202.35

Category 8 - MISCELLANEOUS SERVICES

93026

93026 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Nov-2023

Group
M18 - Allied health telehealth and phone services
Subgroup
13 - Pregnancy support counselling telehealth services

Non directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if:

(a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and

(c) the service is provided to the person individually; and

(d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(e) the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005, 81010 in the Allied Health Determination, item 4001 of the general medical services table and item 93029, 92136 and 92138 apply) for each pregnancy.

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



Fee: $80.50 Benefit: 85% = $68.45

(See para MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $241.50

Results 1 to 10 of 11 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