1.  The whole of this instrument

1 March 2024.

1

Aboriginal and Torres Strait Islander health service

A person is an allied health professional in relation to the provision of an Aboriginal and Torres Strait Islander health service in any State or Territory if the person is registered in the Aboriginal and Torres Strait Islander health practice profession under the applicable law in force in the State or Territory in which the service is provided and if the person is:

(1) An Aboriginal and/or Torres Strait Islander Health Practitioner is an Aboriginal and/or Torres Strait Islander person who has gained a qualification in Aboriginal and/or Torres Strait Islander Primary Health Care Practice and has successfully applied for and been registered with the Aboriginal and Torres Strait Islander Health Practice Board of Australia; or

(2)  An Aboriginal and/or Torres Strait Islander Health Worker is an Aboriginal and/or Torres Strait Islander person who has gained a Certificate III in Aboriginal and/or Torres Strait Islander Primary Health Care from the Health (HLT) training package.

2

Audiology health service

A person is an allied health professional in relation to the provision of an audiology health service if the person is:

 (a) a Full Member of Audiology Australia and is certified as an Audiology Australia Accredited Audiologist; or

 (b) a Full/Ordinary Member or a Fellow member of the Australian College of Audiology, with Hearing Rehabilitation Specialist and Diagnostic Rehabilitation Specialist competencies.

3

Chiropractic health service

A person is an allied health professional in relation to the provision of a chiropractic health service if the person is registered as a chiropractor with the Chiropractic Board of Australia.

4

Diabetes education health service

A person is an allied health professional in relation to the provision of a diabetes education health service if the person is credentialled by the Australian Diabetes Educators Association as a ‘Credentialled Diabetes Educator’.

5

Dietetics health service

A person is an allied health professional in relation to the provision of a dietetics health service if the person is accredited by Dietitians Australia as an ‘Accredited Practising Dietitian’.

6

Eating disorder psychological treatment service

A person is an allied health professional in relation to the provision of an eating disorder psychological treatment service if the person meets one of the following requirements:

(a)   the person holds general registration in the health profession of psychology with the Psychology Board of Australia;

(b)   the person holds registration in the health profession of occupational therapy with the Occupational Therapy Board of Australia;

(c)   the person is a Member of the Australian Association of Social Workers (AASW).

7

Exercise physiology health service

A person is an allied health professional in relation to the provision of an exercise physiology health service if the person is accredited by Exercise & Sports Science Australia as an ‘Accredited Exercise Physiologist’.

8

Focussed psychological strategies health service

A person is an allied health professional in relation to the provision of a focussed psychological strategies health service if the person meets one of the following requirements:

 (a) the person holds general registration in the health profession of psychology with the Psychology Board of Australia;

 (b) the person is a member of the Australian Association of Social Workers (AASW) and accredited by AASW as meeting the accreditation criteria set out in the document published by AASW titled ‘AASW Accredited Mental Health Social Worker Application Criteria’ as in force on 1 July 2022;

 (c)  the person:

 (i) holds registration in the health profession of occupational therapy with the Occupational Therapy Board of Australia; and

 (ii) is accredited by Occupational Therapy Australia as meeting the criteria for mental health endorsement as set out in the document published by Occupational Therapy Australia titled ‘Occupational Therapy Australia Mental Health Endorsement Criteria’ as in force on
1 March 2023.

Note: Allied health professionals in relation to the provision of a focussed psychological strategies health service are subject to the requirements of clause 2.3.1.

9

Mental health service

A person is an allied health professional in relation to the provision of a mental health service if the person meets one of the following requirements:

 (a) the person meets the requirements specified for an allied health professional in relation to the provision of an Aboriginal and Torres Strait Islander health service;

 (b) the person is a credentialed mental health nurse, as certified by the Australian College of Mental Health Nurses;

 (c) the person is an occupational therapist who is registered with the Occupational Therapy Board of Australia as a person who may provide that kind of service ;

 (d) the person holds general registration in the health profession of psychology with the Psychology Board of Australia;

 (e) the person is:

 (i) a Member of the Australian Association of Social Workers (AASW); and

 (ii) accredited by AASW as meeting the accreditation criteria set out in the document published by AASW titled ‘AASW Accredited Mental Health Social Worker Application Criteria’ as in force on 1 July 2022.

10

Non‑directive pregnancy support counselling health service

A person is an allied health professional in relation to the provision of a non‑directive pregnancy support counselling health service if the person meets one of the following requirements:

 (a) the person is certified by the Australian College of Mental Health Nurses:

 (i) as a credentialed mental health nurse; and

 (ii) as appropriately trained in non‑directive pregnancy counselling;

 (b) the person holds general registration in the health profession of psychology with the Psychology Board of Australia and is certified by the Australian Psychological Society as appropriately trained in non‑directive pregnancy counselling;

 (c) the person is:

 (i) a member of the Australian Association of Social Workers (AASW); and

 (ii) accredited by AASW as meeting the accreditation criteria set out in the document published by AASW titled ‘AASW Accredited Mental Health Social Worker Application Criteria’ as in force on 1 July 2022 or as an accredited social worker; and

 (iii) certified by AASW as appropriately trained in non‑directive pregnancy counselling.

11

Occupational therapy health service

A person is an allied health professional in relation to the provision of an occupational therapy health service if the person is an occupational therapist who is registered as a person who may provide that kind of service with the Occupational Therapy Board of Australia.

12

Optometry health service

A person is an allied health professional in relation to the provision of an optometry health service if the person is registered as a person who may provide that kind of service with the Optometry Board of Australia.

13

Orthoptic health service

A person is an allied health professional in relation to the provision of an orthoptic health service if the person is:

 (a) registered with the Australian Orthoptic Board and has a Certificate of Currency; and

 (b) a member of Orthoptics Australia.

14

Osteopathy health service

A person is an allied health professional in relation to the provision of an osteopathy health service if the person is registered as a person who may provide that kind of service with the Osteopathy Board of Australia.

15

Physiotherapy health service

A person is an allied health professional in relation to the provision of a physiotherapy health service if the person is registered as a person who may provide that kind of service with the Physiotherapy Board of Australia.

16

Podiatry health service

A person is an allied health professional in relation to the provision of a podiatry health service if the person is registered as a person who may provide that kind of service with the Podiatry Board of Australia.

17

Psychological therapy health service

A person is an allied health professional in relation to the provision of a psychological therapy health service if the person:

 (a) holds general registration in the health profession of psychology with the Psychology Board of Australia; and

 (b) is endorsed by the Psychology Board of Australia to practice in clinical psychology.   

18

Psychology health service

A person is an allied health professional in relation to the provision of a psychology health service if the person holds general registration in the health profession of psychology with the Psychology Board of Australia.

19

Speech pathology health service

A person is an allied health professional in relation to the provision of a speech pathology health service if the person is certified by Speech Pathology Australia as a Certified Practising Speech Pathologist.

Subgroup 1 – Chronic disease management services

10950

Aboriginal and Torres Strait Islander health service provided to a patient by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if:             

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10951

Diabetes education health service provided to a patient by an eligible diabetes educator if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

 (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c)  the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10952

Audiology health service provided to a patient by an eligible audiologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

 (b)  the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and             

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10953

Exercise physiology health service provided to a patient by an eligible exercise physiologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or items 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10954

Dietetics health service provided to a patient by an eligible dietitian if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b)  the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c)   the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10956

Mental health service provided to a patient by an eligible mental health worker if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

 (b)  the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and             

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10958

Occupational therapy health service provided to a patient by an eligible occupational therapist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10960

Physiotherapy health service provided to a patient by an eligible physiotherapist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b)  the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10962

Podiatry health service provided to a patient by an eligible podiatrist if:

(a)   the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b)   the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and             

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10964

Chiropractic health service provided to a patient by an eligible chiropractor if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and             

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10966

Osteopathy health service provided to a patient by an eligible osteopath if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b)  the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and             

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth or Telephone Determination applies) in a calendar year

68.55

10968

Psychology health service provided to a patient by an eligible psychologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

10970

Speech pathology health service provided to a patient by an eligible speech pathologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year

68.55

Subgroup 2 – Chronic disease management case conference services

10955

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)

53.75

10957

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)

92.20

10959

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)

153.45

Subgroup 1 – Psychological therapy health services

80000

Psychological therapy health service provided to a patient in consulting rooms by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 30 minutes but less than 50 minutes duration

109.80

80002

Psychological therapy health service provided in consulting rooms by an eligible clinical psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and

(c) the service lasts at least 30 minutes but less than 50 minutes

109.80

80005

Psychological therapy health service provided to a patient at a place other than consulting rooms by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 30 minutes but less than 50 minutes duration

137.25

80006

Psychological therapy health service provided at a place other than consulting rooms by an eligible clinical psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and

(c) the service lasts at least 30 minutes but less than 50 minutes

137.25

80010

Psychological therapy health service provided to a patient in consulting rooms by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

161.20

80012

Psychological therapy health service provided in consulting rooms by an eligible clinical psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and

(c) the service lasts at least 50 minutes

161.20

80015

Psychological therapy health service provided to a patient at a place other than consulting rooms by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

188.60

80016

Psychological therapy health service provided at a place other than consulting rooms by an eligible clinical psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment; 

(b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and

(c) the service lasts at least 50 minutes

188.60

80020

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 60 minutes duration

40.90

80021

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e) the service is at least 60 minutes duration

40.90

80022

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred for a course of treatment by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 90 minutes duration

55.75

80023

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e) the service is at least 90 minutes duration

55.75

80024

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred for a course of treatment by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 120 minutes duration

75.75

80025

Psychological therapy health service provided to a patient as part of a group of 4 to 10 patients by an eligible clinical psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

(e) the service is at least 120 minutes duration

75.75

Subgroup 1 – Focussed psychological strategies health services

80100

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

77.85

80102

Focussed psychological strategies health service provided in consulting rooms by an eligible psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible psychologist by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

77.85

80105

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

105.85

80106

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible psychologist by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

105.85

80110

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

109.80

80112

Focussed psychological strategies health service provided in consulting rooms by an eligible psychologist to a person other than the patient, if:

(a)     the service is part of the patient’s treatment;

(b)    the patient has been referred to the eligible psychologist by a referring practitioner; and

(c)     the service lasts at least 50 minutes

109.80

80115

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

137.90

80116

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible psychologist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible psychologist by a referring practitioner; and

(c) the service lasts at least 50 minutes

137.90

80120

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 60 minutes duration

28.00

80121

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

(e) the service is at least 60 minutes duration

28.00

80122

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 90 minutes duration

38.15

80123

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

(e) the service is at least 90 minutes duration

38.15

80125

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

68.55

80127

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 120 minutes duration

51.85

80128

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible psychologist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

(e) the service is at least 120 minutes duration

51.85

80129

Focussed psychological strategies health service provided in consulting rooms by an eligible occupational therapist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

68.55

80130

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

96.55

80131

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible occupational therapist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

96.55

80135

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

96.80

80137

Focussed psychological strategies health service provided in consulting rooms by an eligible occupational therapist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and

(c) the service lasts at least 50 minutes

96.80

80140

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

124.75

80141

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible occupational therapist to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible occupational therapist by a referring practitioner; and

(c) the service lasts at least 50 minutes

124.75

80145

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 60 minutes duration

24.55

80146

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

(e) the service is at least 60 minutes duration

24.55

80147

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 90 minutes duration

33.40

80148

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

(e) the service is at least 90 minutes duration

33.40

80150

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

68.55

80152

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 120 minutes duration

45.50

80153

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible occupational therapist if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

(e) the service is at least 120 minutes duration

45.50

80154

Focussed psychological strategies health service provided in consulting rooms by an eligible social worker to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible social worker by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

68.55

80155

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 20 minutes but less than 50 minutes duration

96.55

80156

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible social worker to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible social worker by a referring practitioner; and

(c) the service lasts at least 20 minutes but less than 50 minutes

96.55

80160

Focussed psychological strategies health service provided to a patient in consulting rooms by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and

(e) the service is at least 50 minutes duration

96.80

80162

Focussed psychological strategies health service provided in consulting rooms by an eligible social worker to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible social worker by a referring practitioner; and

(c) the service lasts at least 50 minutes

96.80

80165

Focussed psychological strategies health service provided to a patient at a place other than consulting rooms by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

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

(c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and             

(e)   the service is at least 50 minutes duration

124.75

80166

Focussed psychological strategies health service provided at a place other than consulting rooms by an eligible social worker to a person other than the patient, if:

(a) the service is part of the patient’s treatment;

(b) the patient has been referred to the eligible social worker by a referring practitioner; and

(c) the service lasts at least 50 minutes

124.75

80170

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 60 minutes duration

24.55

80171

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

(e) the service is at least 60 minutes duration

24.55

80172

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 90 minutes duration

33.40

80173

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

(e) the service is at least 90 minutes duration

33.40

80174

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

(b) the service is provided in person; and

(c) the service is at least 120 minutes duration

45.50

80175

Focussed psychological strategies health service provided to a patient as part of a group of 4 to 10 patients by an eligible social worker if:

(a) the patient is referred by a referring practitioner; and

(b) the attendance is by video conference; and

(c) the patient is located within a telehealth eligible area; and

(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

(e) the service is at least 120 minutes duration

45.50

Subgroup 2 – Psychological therapy health, focussed psychological strategies health and eating disorder case conference services

80176

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes

53.75

80177

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes

92.20

80178

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 40 minutes

153.45

81000

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

80.50

81005

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

80.50

81010

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

80.50

Subgroup 1 – Diabetes education services

81100

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 (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(c) the patient is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; 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 and Telephone Determination)

87.95

81105

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 and Telephone 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 and Telephone 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 and Telephone Determination)

21.90

Subgroup 2 – Exercise physiology services

81110

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 person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and

(c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; 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 and Telephone Determination)

87.95

81115

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 and Telephone 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 and Telephone 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 and Telephone Determination)

21.90

Subgroup 3 – Dietetics services

81120

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 person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and

(c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; 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 and Telephone Determination)

87.95

81125

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 and Telephone 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 and Telephone 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 and Telephone Determination apply)

21.90

Subgroup 1 – Complex neurodevelopmental disorder and disability

82000

Psychology health service provided to a patient aged under 25 years by an eligible psychologist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82005, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

109.80

82005

Speech pathology health service provided to a patient aged under 25 years by an eligible speech pathologist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

96.80

82010

Occupational therapy health service provided to a patient aged under 25 years by an eligible occupational therapist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82005, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

96.80

82015

Psychology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82020, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

109.80

82020

Speech pathology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible speech pathologist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82015, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

96.80

82025

Occupational therapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible occupational therapist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82015, 82020, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

96.80

82030

Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years by an eligible audiologist, optometrist, orthoptist or physiotherapist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82005, 82010, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

96.80

82035

Audiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist, if:

(a) the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c) the service is at least 30 minutes duration; and

(d) on the completion of the course of treatment, the eligible audiologist, optometrist, orthoptist or physiotherapist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82015, 82020, 82025, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

96.80

Subgroup 2 – Complex neurodevelopmental disorder and disability case conference services

82001

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)

53.75

82002

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)

92.20

82003

Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)

153.45

81300

Aboriginal and Torres Strait Islander health service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal 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 allied health services; or

(b) the patient has:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81305

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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81310

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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81315

Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81320

Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81325

Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81330

Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81335

Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81340

Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81345

Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81350

Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81355

Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

81360

Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist 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:

(i)   a chronic condition;

(ii)  complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan 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 and Telephone Determination applies) in a calendar year

68.55

82300

Audiology health service, consisting of brain stem evoked response audiometry, performed on a patient by an eligible audiologist if: 

(a) the service is not for the purposes of programming either an auditory implant or the sound processors of an auditory implant; and

(b) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(c) the service is not performed for the purpose of a hearing screening; and

(d) the service is performed on the patient individually and in person; and

(e) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(f) a service to which item 11300 applies has not been performed on the patient on the same day

169.45

82301

Audiology health service, consisting of programming an auditory implant or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:

(a) the service is performed on the patient individually and in person; and

(b) a service to which item 11302, 11342 or 11345 applies has not been performed on the patient on the same day

Applicable up to a total of 4 services to which this item, item 82302 or item 82304 applies on the same day

169.45

82306

Audiology health service, consisting of non‑determinate audiometry performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11306 applies has not been performed on the patient on the same day

19.25

82309

Audiology health service, consisting of an air conduction audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11309 applies has not been performed on the patient on the same day

23.15

82312

Audiology health service, consisting of an air and bone conduction audiogram or air conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11312 applies has not been performed on the patient on the same day

32.75

82315

Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11315 applies has not been performed on the patient on the same day

43.30

82318

Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram with other cochlear tests performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11318 applies has not been performed on the patient on the same day

53.50

82324

Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a patient by an eligible audiologist if:

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is not performed for the purpose of a hearing screening; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11324 applies has not been performed on the patient on the same day

17.60

82332

Audiology health service, consisting of an oto‑acoustic emission audiometry for the detection of outer hair cell functioning in the cochlea, performed by an eligible audiologist, when middle ear pathology has been excluded, if: 

(a) the service is performed pursuant to a written request made by a medical practitioner to assist in the diagnosis, treatment or management of ear disease or a related disorder in the patient; and

(b) the service is performed:

(i) on an infant or child who is at risk of permanent hearing impairment; or

(ii) on a patient who is at risk of oto‑toxicity due to medications or medical intervention; or

(iii) on a patient at risk of noise induced hearing loss; or

(iv) to assist in the diagnosis of auditory neuropathy; and

(c) the service is performed on the patient individually and in person; and

(d) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the medical practitioner who requested the service; and

(e) a service to which item 11332 applies has not been performed on the patient on the same day

51.60

Subgroup 1 – Eating disorder dietitian services

82350

Dietetics health service provided to an eligible patient by an eligible dietitian if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is of at least 20 minutes in duration    

68.55

Subgroup 2 – Eating disorder psychological treatment services provided by eligible clinical psychologists

82352

Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 30 minutes but less than 50 minutes in duration

109.80

82354

Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 30 minutes but less than 50 minutes in duration

137.25

82355

Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 50 minutes in duration

161.20

82357

Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and

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

(c) the service is at least 50 minutes in duration

188.60

82358

Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if:

(a) the service is recommended in the patient’s eating disorder treatment and management plan; and