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Results 71 to 80 of 120 matches

Category 8 - MISCELLANEOUS SERVICES

81010

81010 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2025

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 Attendance Determination apply) for each pregnancy



Fee: $85.30 Benefit: 85% = $72.55

(See para AN.15.6, MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $255.90

Category 8 - MISCELLANEOUS SERVICES

81100

81100 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
1 - Diabetes education services

Diabetes education health service provided to a patient by an eligible diabetes educator for assessing the patient’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the patient for the group services if:

(a) the patient has type 2 diabetes; and

(b) the patient is being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible diabetes educator by the medical practitioner; and

(d) the service is provided to the patient individually and in person; and

(e) the service is of at least 45 minutes duration; and

(f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth Attendance Determination)



Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $279.75

Category 8 - MISCELLANEOUS SERVICES

81105

81105 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
1 - Diabetes education services

Diabetes education health service provided to a patient by an eligible diabetes educator, as a group service for the management of type 2 diabetes if:

(a)   the patient has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth Attendance Determination; and

(b)  the service is provided to a patient who is part of a group of between 2 and 12 patients; and

(c)   the service is provided in person; and

(d)  the service is of at least 60 minutes duration; and

(e)   after the last service in the group services program provided to the patient under item 81105, 81115 or 81125 or item 93285 of the Telehealth Attendance Determination, the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner; and

(f)   an attendance record for the group is maintained by the eligible diabetes educator;

to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth Attendance Determination)



Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $69.60

Category 8 - MISCELLANEOUS SERVICES

81110

81110 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
2 - Exercise physiology services

Exercise physiology health service provided to a person by an eligible exercise physiologist for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:

(a) the person has type 2 diabetes; and

(b) the patient is being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible exercise physiologist by the medical practitioner; and

(d) the service is provided to the person individually and in person; and

(e) the service is of at least 45 minutes duration; and

(f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth Attendance Determination)



Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $279.75

Category 8 - MISCELLANEOUS SERVICES

81115

81115 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
2 - Exercise physiology services

Exercise physiology health service provided to a person by an eligible exercise physiologist, as a group service for the management of type 2 diabetes if:

(a)   the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth Attendance Determination; and

(b)  the service is provided to a person who is part of a group of between 2 and 12 patients; and

(c)   the service is provided in person; and

(d)  the service is of at least 60 minutes duration; and

(e)   after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth Attendance Determination, the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner; and

(f)   an attendance record for the group is maintained by the eligible exercise physiologist;

to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth Attendance Determination)



Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $69.60

Category 8 - MISCELLANEOUS SERVICES

81120

81120 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
3 - Dietetics services

Dietetics health service provided to a person by an eligible dietitian for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:

(a) the person has type 2 diabetes; and

(b) the patient is being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible dietitian by the medical practitioner; and

(d) the service is provided to the person individually and in person; and

(e) the service is of at least 45 minutes duration; and

(f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c);

payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth Attendance Determination)



Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $279.75

Category 8 - MISCELLANEOUS SERVICES

81125

81125 - Additional Information

Item Start Date:
01-May-2007
Description Updated:
01-Mar-2025
Schedule Fee Updated:
01-Jul-2025

Group
M9 - Allied Health Group Services
Subgroup
3 - Dietetics services

Dietetics health service provided to a person by an eligible dietitian, as a group service for the management of type 2 diabetes if:

(a)   the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth Attendance Determination; and

(b)  the service is provided to a person who is part of a group of between 2 and 12 patients; and

(c)   the service is provided in person; and

(d)  the service is of at least 60 minutes duration; and

(e)   after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth Determination, the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner; and

(f)   an attendance record for the group is maintained by the eligible dietitian;

to a maximum of 8 group services in a calendar year (including services to which items 81105, 81115 and 81125 or item 93285 of the Telehealth Attendance Determination apply)



Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $69.60

Category 8 - MISCELLANEOUS SERVICES

81300

81300 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Nov-2025
Schedule Fee Updated:
01-Jul-2025

Group
M11 - Health services for Aboriginal and Torres Strait Islander people

Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up Aboriginal and Torres Strait Islander health and wellbeing services; or

(b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year



Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $217.95

Category 8 - MISCELLANEOUS SERVICES

81305

81305 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
M11 - Health services for Aboriginal and Torres Strait Islander people

Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year



Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $217.95

Category 8 - MISCELLANEOUS SERVICES

81310

81310 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Jul-2025
Schedule Fee Updated:
01-Jul-2025

Group
M11 - Health services for Aboriginal and Torres Strait Islander people

Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year



Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $217.95

Results 71 to 80 of 120 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