Group A31: Addiction Medicine
13 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 6018Addiction medicine specialist's first comprehensive assessment of a referred patient for substance use disorder or addiction treatment. | $183.35 | $137.55 | $155.85 (85%) |
| 6019Addiction medicine specialist assessment following referral, either before/after comprehensive assessment, or following initial assessment or review within a single treatment course. | $91.70 | $68.80 | $77.95 (85%) |
| 6023Initial assessment by addiction medicine specialist (minimum 45 minutes) for a patient with 2+ morbidities, including comprehensive history, physical assessment, differential diagnoses, and complex management plan provided to referring practitioner;… | $320.55 | $240.45 | $272.50 (85%) |
| 6024Addiction medicine specialist review (20+ minutes) of a patient with 2+ morbidities, assessing initial problems, treatment responses, diagnoses, and providing updated management plan to referring doctor; limited to 2 per 12 months, following initial… | $160.50 | $120.40 | $136.45 (85%) |
| 6028Group therapy session of at least 1 hour for addiction treatment, supervised by an addiction medicine specialist, for 2–9 unrelated patients or a family group, each referred by a practitioner. | $59.85 | $44.90 | $50.90 (85%) |
| 6029Addiction medicine specialist participating in a multidisciplinary case conference (at least 3 providers from different disciplines) lasting less than 15 minutes to organise and coordinate community care. | $51.85 | $38.90 | $44.10 (85%) |
| 6031Addiction medicine specialist attending a multidisciplinary case conference (at least 2 other formal care providers present) for 15–29 minutes to organise and coordinate community care. | $91.70 | $68.80 | $77.95 (85%) |
| 6032Addiction medicine specialist attends a multidisciplinary case conference (at least 2 other formal care providers present) for 30–45 minutes to organise and coordinate community care coordination. | $137.70 | $103.30 | $117.05 (85%) |
| 6034Addiction medicine specialist organises and coordinates a multidisciplinary case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines. | $183.35 | $137.55 | $155.85 (85%) |
| 6035Addiction medicine specialist attending a community multidisciplinary case conference for less than 15 minutes as part of a team with at least 2 other formal care providers from different disciplines. | $41.50 | $31.15 | $35.30 (85%) |
| 6037Addiction medicine specialist participation in a multidisciplinary community case conference with at least 2 other formal care providers from different disciplines for 15–29 minutes. | $73.40 | $55.05 | $62.40 (85%) |
| 6038Addiction medicine specialist attends a multidisciplinary case conference with at least 2 other formal care providers from different disciplines for 30–45 minutes to discuss client care. | $110.10 | $82.60 | $93.60 (85%) |
| 6042Addiction medicine specialist participation in a multidisciplinary case conference (45+ minutes) with at least 2 other formal care providers of different disciplines to discuss community cases. | $146.60 | $109.95 | $124.65 (85%) |