Part Part 5 - Health Insurance (Allied Health Services) Determination 2009 - Services and fees — pervasive developmental disorder

Part 5 Services and fees — pervasive developmental disorder

| 82000 | Psychology health service provided to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child’s PDD treatment and management plan; and (b) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (c) the eligible psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of that service; and (d) the child is not an admitted patient of a hospital; and (e) the service is provided to the child individually and in person; and (f) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item or items 82005 and 82010 apply) This item is subject to sections 8 and 9 | 92.20 | | 82005 | Speech pathology health service provided to a child aged under 13 years by an eligible speech pathologist if: (a) the child was referred to the eligible speech pathologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner: or (ii) to contribute to the child’s PDD treatment and management plan; and (b) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (c) the eligible speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of that service; and (d) the child is not an admitted patient of a hospital; and (e) the service is provided to the child individually and in person; and (f) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item or items 82000 and 82010 apply) This item is subject to sections 8 and 9 | 81.25 | | 82010 | Occupational therapy health service provided to a child aged under 13 years by an eligible occupational therapist if: (a) the child was referred to the eligible occupational therapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner: or (ii) to contribute to the child’s PDD treatment and management plan; and (b) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (c) the eligible occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of that service; and (d) the child is not an admitted patient of a hospital; and (e) the service is provided to the child individually and in person; and (f) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item or items 82000 and 82005 apply) This item is subject to sections 8 and 9 | 81.25 | | 82015 | Psychology health service provided to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) by an eligible psychologist, if: (a) the child has been diagnosed with a PDD; and (b) the child, while aged under 13 years, received a PDD treatment and management plan; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD treatment and management plan; and (d) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (e) the eligible psychologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the child is not an admitted patient of a hospital; and (h) the service is provided to the child individually and in person; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item or items 82020 and 82025 apply) This item is subject to sections 8 and 9 | 92.20 | | 82020 | Speech pathology health service provided to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) by an eligible speech pathologist, if: (a) the child has been diagnosed with a PDD; and (b) the child, while aged under 13 years, received a PDD treatment and management plan; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD treatment and management plan; and (d) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (e) the eligible speech pathologist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the child is not an admitted patient of a hospital; and (h) the service is provided to the child individually and in person; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item or items 82015 and 82025 apply) This item is subject to sections 8 and 9 | 81.25 | | 82025 | Occupational therapy health service provided to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) by an eligible occupational therapist if: (a) the child has been diagnosed with a PDD; and (b) the child, while aged under 13 years, received a PDD treatment and management plan; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD treatment and management plan; and (d) the eligible practitioner is a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; and (e) the eligible occupational therapist attending the child is registered with Medicare Australia as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and | 81.25 | | | (g) the child is not an admitted patient of a hospital; and (h) the service is provided to the child individually and in person; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item or items 82015 and 82020 apply) This item is subject to sections 8 and 9 | |

Part 5Services and fees — pervasive developmental disorder

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