Group M18: Allied Health and other primary health care telehealth services
80 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 91166Individual psychological therapy via video by a clinical psychologist (30–50 minutes), requiring referral, completion reports to the referring practitioner, and review before further treatment courses. | $119.45 | — | $101.55 (85%) |
| 91167Video-based psychological therapy by a clinical psychologist for an individual patient referred by a practitioner, with mandatory practitioner review between courses and written reports required; minimum 50 minutes per session. | $175.30 | — | $149.05 (85%) |
| 91168Video session with an eligible clinical psychologist involving someone other than the patient (e.g., family member) as part of the patient's treatment, requiring prior referral and lasting 30–50 minutes. | $119.45 | — | $101.55 (85%) |
| 91169Focused psychological strategies via video by a referred eligible psychologist, individual session, 20–50 minutes, with practitioner review and written report at course completion. | $84.65 | — | $72.00 (85%) |
| 91170Video consultation with a psychologist for focused psychological strategies (minimum 50 minutes), requiring referral, individual sessions, and a written report to the referring practitioner at course completion. | $119.45 | — | $101.55 (85%) |
| 91171Video psychological therapy session for a family member or carer lasting at least 50 minutes, as part of the referred patient's treatment plan. | $175.30 | — | $149.05 (85%) |
| 91172Focused psychological strategies via video by an occupational therapist for individual patients referred by a practitioner, 20–50 minutes, with practitioner review and written report at course completion. | $74.55 | — | $63.40 (85%) |
| 91173Occupational therapist-provided psychological strategies via video for an individual patient referred by a practitioner, at least 50 minutes, with practitioner review and written report at course completion. | $105.25 | — | $89.50 (85%) |
| 91174Psychologist video consultation with someone other than the patient (e.g. family member) as part of the patient's treatment plan, lasting 20–50 minutes, following GP or specialist referral. | $84.65 | — | $72.00 (85%) |
| 91175Video-based focused psychological strategies session delivered by an eligible social worker (20–50 minutes) for an individually referred patient, with completion reporting to the referring practitioner. | $74.55 | — | $63.40 (85%) |
| 91176Social worker providing focused psychological strategies via video to an individually referred patient; at least 50 minutes, with referrer review and written report required upon course completion. | $105.25 | — | $89.50 (85%) |
| 91177Psychologist provides focused psychological strategies via video to a family member or carer (not the patient) as part of the patient's treatment plan, following a referral, for a minimum 50-minute session. | $119.45 | — | $101.55 (85%) |
| 91178Nurse practitioner video consultation (6–20 minutes) including history, investigations, management plan, or preventive health care. | $32.65 | — | $27.80 (85%) |
| 91179Nurse practitioner video consultation of at least 20 minutes including history-taking, investigations, management planning, or preventive health care. | $61.80 | — | $52.55 (85%) |
| 91180Nurse practitioner video consultation of at least 40 minutes involving history-taking, investigations, management planning, or preventive health care. | $91.20 | — | $77.55 (85%) |
| 91181Individual psychological therapy by phone with a clinical psychologist (referral required); 30–50 minutes, with practitioner review and written report at course completion. | $119.45 | — | $101.55 (85%) |
| 91182Individual psychological therapy session delivered by phone by a clinical psychologist (minimum 50 minutes), requiring referral and post-treatment review by the referring practitioner plus written report from the psychologist. | $175.30 | — | $149.05 (85%) |
| 91183Phone-based psychological strategies session (20-50 mins) by a referred eligible psychologist, individually delivered, with referring practitioner review and written report at course completion. | $84.65 | — | $72.00 (85%) |
| 91184Phone-based focussed psychological strategies session (minimum 50 minutes) by a referred psychologist, with treatment reviewed and reported back to the referring practitioner upon course completion. | $119.45 | — | $101.55 (85%) |
| 91185Phone-based focused psychological strategies delivered by an eligible occupational therapist (20–50 minutes) for individually referred patients, with practitioner review and written report on completion of each treatment course. | $74.55 | — | $63.40 (85%) |
| 91186Phone-based focused psychological strategies session by an eligible occupational therapist for a referred patient, at least 50 minutes, with written report to referring practitioner at course completion. | $105.25 | — | $89.50 (85%) |
| 91187Phone-based focused psychological strategies provided by an eligible social worker for a referred patient, individually, lasting 20-50 minutes, with referrer review and written report on completion of treatment course. | $74.55 | — | $63.40 (85%) |
| 91188Phone-based psychological strategies provided by an eligible social worker for individually referred patients, requiring completion reports and practitioner review, minimum 50 minutes per session. | $105.25 | — | $89.50 (85%) |
| 91189Nurse practitioner phone consultation (6–20 minutes) including history-taking, investigation arrangement, management plan implementation, or preventive health care. | $32.65 | — | $27.80 (85%) |
| 91190Phone consultation with a nurse practitioner for at least 20 minutes involving history-taking, investigations, management planning, or preventive health care. | $61.80 | — | $52.55 (85%) |
| 91191Nurse practitioner phone consultation lasting at least 40 minutes for history-taking, investigations, management planning, or preventive health care. | $91.20 | — | $77.55 (85%) |
| 91192Nurse practitioner video consultation for straightforward, obvious problems requiring brief history-taking and limited management. | $14.95 | — | $12.75 (85%) |
| 91193Phone consultation with a participating nurse practitioner for a straightforward problem requiring brief history and limited management. | $14.95 | — | $12.75 (85%) |
| 91194Occupational therapist video consultation with a third party (not the patient) for psychological strategies as part of the patient's referred treatment, lasting 20–49 minutes. | $74.55 | — | $63.40 (85%) |
| 91195Occupational therapist provides video-based psychological strategies to a third party (not the patient) for at least 50 minutes as part of the patient's treatment plan, following referral by a doctor or eligible practitioner. | $105.25 | — | $89.50 (85%) |
| 91196Video-based psychological strategies session for a non-patient (e.g. family member) lasting 20-50 minutes, arranged by an eligible social worker as part of the patient's treatment plan following referral. | $74.55 | — | $63.40 (85%) |
| 91197Video consultation with a social worker for psychological strategies involving a support person (not the patient), as part of referred treatment, lasting at least 50 minutes. | $105.25 | — | $89.50 (85%) |
| 91198Phone consultation with a clinical psychologist involving someone other than the patient (e.g. family member) as part of referred treatment, lasting 30–50 minutes. | $119.45 | — | $101.55 (85%) |
| 91199Phone session with a clinical psychologist (50+ mins) involving someone other than the patient as part of their referred treatment plan. | $175.30 | — | $149.05 (85%) |
| 91200Phone attendance for a focussed psychological strategies session with an eligible psychologist for someone other than the patient (e.g. family member), lasting 20–50 minutes, as part of the patient's referred treatment plan. | $84.65 | — | $72.00 (85%) |
| 91201Telephone psychological strategies session of at least 50 minutes with a family member or carer (not the patient) by a referred eligible psychologist, as part of the patient's treatment plan. | $119.45 | — | $101.55 (85%) |
| 91202Occupational therapist phone consultation with a third party (not the patient) lasting 20–50 minutes as part of the patient's referred psychological strategies treatment plan. | $74.55 | — | $63.40 (85%) |
| 91203Phone consultation with an eligible occupational therapist providing focused psychological strategies to a support person (not the patient) as part of the patient's referred treatment plan, lasting at least 50 minutes. | $105.25 | — | $89.50 (85%) |
| 91204Phone-based psychological strategies session delivered by an eligible social worker to a third party (not the patient) as part of the patient's treatment plan, following referral, lasting 20-50 minutes. | $74.55 | — | $63.40 (85%) |
| 91205Phone consultation with a social worker lasting at least 50 minutes for a referred patient's treatment, provided to a person other than the patient. | $105.25 | — | $89.50 (85%) |
| 91206Video consultation with a participating nurse practitioner for at least 60 minutes covering history, examination, investigations, management planning, and/or preventive care for one or more health issues. | $137.85 | — | $117.20 (85%) |
| 93000Video consultation with an allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional for chronic condition management under a GP plan, individually provided for at least 20 minutes with written report to the… | $74.55 | — | $63.40 (85%) |
| 93013Phone consultation by allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional for chronic condition management under a GP plan, minimum 20 minutes, with written report to referral doctor, maximum 5 service… | $74.55 | — | $63.40 (85%) |
| 93026Non-directive pregnancy support counselling via video by a psychologist, social worker or mental health nurse for pregnant people or those pregnant in the last 12 months, referred by a GP, maximum 3 services per pregnancy, at least 30 minutes each. | $87.50 | — | $74.40 (85%) |
| 93029Non-directive counselling by phone for pregnant women or those within 12 months postpartum, referred by a GP, provided by a psychologist, social worker or mental health nurse; minimum 30 minutes, maximum 3 sessions per pregnancy. | $87.50 | — | $74.40 (85%) |
| 93032Video psychology service for patients under 25 with complex neurodevelopmental disorders or eligible disabilities, referred by a medical practitioner for diagnostic or treatment support; 50+ minutes individual session; up to 4 services daily. | $119.45 | — | $101.55 (85%) |
| 93033Video allied health service (audiology, dietetics, exercise physiology, occupational therapy, optometry, orthoptics, physiotherapy, or speech pathology) for patients under 25 with suspected or confirmed complex neurodevelopmental disorder or eligible… | $105.25 | — | $89.50 (85%) |
| 93035Video psychology service for under 25s with complex neurodevelopmental disorder or eligible disability, individually, minimum 30 minutes, with referral and treatment plan; maximum 4 services daily across specified items. | $119.45 | — | $101.55 (85%) |
| 93036Telehealth allied health service (audiology, dietetics, exercise physiology, occupational therapy, optometry, orthoptics, physiotherapy or speech pathology) for patients under 25 with complex neurodevelopmental disorders or eligible disabilities, req… | $105.25 | — | $89.50 (85%) |
| 93040Phone psychology service for under-25s with suspected or confirmed complex neurodevelopmental disorder or eligible disability, referred by a doctor or allied health practitioner, minimum 50 minutes, individual session, up to 4 per day. | $119.45 | — | $101.55 (85%) |
| 93041Phone-based allied health service (audiology, dietetics, exercise physiology, occupational therapy, optometry, orthoptics, physiotherapy, or speech pathology) for patients under 25 with suspected or confirmed complex neurodevelopmental disorders or e… | $105.25 | — | $89.50 (85%) |
| 93043Phone psychology service for under-25s with complex neurodevelopmental disorder or eligible disability: minimum 30 minutes, individual, referred by doctor with treatment plan, max 4 allied health services per day. | $119.45 | — | $101.55 (85%) |
| 93044Phone consultation (min 30 mins) with allied health professional for patients under 25 with complex neurodevelopmental disorder or eligible disability, requiring GP referral and treatment plan; max 4 services per day. | $105.25 | — | $89.50 (85%) |
| 93048Video attendance of at least 20 minutes by an eligible allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional for an Aboriginal or Torres Strait Islander person with chronic conditions and complex care ne… | $74.55 | — | $63.40 (85%) |
| 93061Phone attendance of at least 20 minutes by an eligible allied health or Aboriginal and Torres Strait Islander primary health care professional for an Aboriginal or Torres Strait Islander person with a chronic condition and complex care needs, referre… | $74.55 | — | $63.40 (85%) |
| 93074Video dietetics consultation for an eligible patient with an eating disorder, at least 20 minutes, provided individually by an eligible dietitian as part of their treatment plan. | $74.55 | — | $63.40 (85%) |
| 93076Clinical psychologist provides individual video-based eating disorder psychological treatment (30–50 minutes) when recommended in the patient's treatment plan. | $119.45 | — | $101.55 (85%) |
| 93079Video psychological treatment for eating disorders provided by a clinical psychologist to an individual patient, at least 50 minutes, when recommended in their treatment plan. | $175.30 | — | $149.05 (85%) |
| 93084Eating disorder psychological treatment via video by an eligible psychologist for at least 20 but less than 50 minutes, if recommended in the patient's treatment plan and provided individually. | $84.65 | — | $72.00 (85%) |
| 93087Psychologist-delivered eating disorder psychological treatment by video for at least 50 minutes, individually, as recommended in the patient's treatment plan. | $119.45 | — | $101.55 (85%) |
| 93092Eating disorder psychological treatment via video by an occupational therapist for an eligible patient, individually, 20–50 minutes, when recommended in the patient's treatment plan. | $74.55 | — | $63.40 (85%) |
| 93095Video-based psychological treatment for eating disorders by an occupational therapist, individually, for at least 50 minutes, when recommended in the patient's treatment plan. | $105.25 | — | $89.50 (85%) |
| 93100Social worker video consultation for eating disorder psychological treatment, at least 20 but under 50 minutes, for eligible patients with a recommended treatment plan. | $74.55 | — | $63.40 (85%) |
| 93103Social worker video-based psychological treatment for eating disorders, at least 50 minutes, delivered individually to eligible patients with a documented eating disorder treatment plan. | $105.25 | — | $89.50 (85%) |
| 93108Telehealth dietetics consultation for an eligible patient with an eating disorder as part of their treatment plan, minimum 20 minutes, provided individually by an eligible dietitian. | $74.55 | — | $63.40 (85%) |
| 93110Phone-based eating disorder psychological treatment by a clinical psychologist for 30–50 minutes, provided individually when recommended in the patient's treatment plan. | $119.45 | — | $101.55 (85%) |
| 93113Telehealth eating disorder psychological treatment provided by an eligible clinical psychologist for at least 50 minutes to an individual patient with a documented eating disorder treatment plan. | $175.30 | — | $149.05 (85%) |
| 93118Phone-based psychological treatment for eating disorders by an eligible psychologist, at least 20 but under 50 minutes, provided individually and recommended in the patient's treatment plan. | $84.65 | — | $72.00 (85%) |
| 93121Telehealth psychological treatment for eating disorders by a psychologist, provided individually for at least 50 minutes, when recommended in the patient's treatment plan. | $119.45 | — | $101.55 (85%) |
| 93126Phone-based eating disorder psychological treatment by an occupational therapist for eligible patients, lasting 20–50 minutes and recommended in their treatment plan. | $74.55 | — | $63.40 (85%) |
| 93129Phone-based eating disorder psychological treatment by an occupational therapist for an eligible patient, at least 50 minutes, provided individually and recommended in the patient's treatment plan. | $105.25 | — | $89.50 (85%) |
| 93134Telehealth eating disorder psychological treatment by an eligible social worker for at least 20 but less than 50 minutes, when recommended in the patient's treatment plan and provided individually. | $74.55 | — | $63.40 (85%) |
| 93137Phone-based psychological treatment for eating disorders provided by a social worker to an individual patient for at least 50 minutes, when included in the patient's treatment plan. | $105.25 | — | $89.50 (85%) |
| 93200Follow-up video consultation by practice nurse or Aboriginal health worker for an Indigenous person after a health check, provided on behalf of and under medical practitioner supervision. | $33.70 | — | $28.65 (85%) |
| 93201Practice nurse or Aboriginal health practitioner provides video consultation for chronic condition management under medical practitioner supervision, with current GP management plan or multidisciplinary care plan in place. | $17.00 | — | $14.45 (85%) |
| 93202Phone follow-up by practice nurse or Indigenous health practitioner for an Aboriginal or Torres Strait Islander person after a health check, provided under a doctor's supervision and based on identified health needs. | $33.70 | — | $28.65 (85%) |
| 93203Phone attendance by practice nurse or Aboriginal and Torres Strait Islander health practitioner for chronic condition management, under medical practitioner supervision, with current GP chronic condition management plan or equivalent care plan in pla… | $17.00 | — | $14.45 (85%) |
| 93284Telehealth dietitian assessment for type 2 diabetes patients to determine suitability for group management programs; requires GP chronic condition management plan, referral, minimum 45 minutes, and written report to GP; once per calendar year. | $95.65 | — | $81.35 (85%) |
| 93285Group dietetics video consultation (2–12 patients, 60+ minutes) for type 2 diabetes management, maximum 8 services per calendar year, with written report to GP after final service. | $23.80 | — | $20.25 (85%) |
| 93286Dietitian phone assessment for a person with type 2 diabetes to determine suitability for group management programs, requiring a current chronic condition management plan, medical practitioner referral, minimum 45 minutes, and written report to the d… | $95.65 | — | $81.35 (85%) |