18Claiming limitation for allied health group service items for care recipients in residential aged care facilities

18 Claiming limitation for allied health group service items for care recipients in residential aged care facilities

Maximum of 1 group assessment service item

(1) For any particular person, an item in subgroup 1 of Group M31 or 81100, 81110, 81120 is not applicable more than 1 time in a calendar year (in total for all items).

Maximum of 8 group therapy items

(2) For any particular person, an item in subgroup 2 of Group M31 or 81105, 81115, 81125 is not applicable more than 8 times in a calendar year (in total for all items).

Maximum of 2 additional physical group therapy items

(3) For any particular person, an item in subgroup 3 of Group M31 is not applicable more than 2 times in a calendar year.

Note : Items in 81100, 81105, 81110, 81115, 81120 and 81125 are prescribed in the Health Insurance (Allied Health Services) Determination 2014.

<table cellspacing="0" cellpadding="0" style="width:473.2pt; margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td colspan="2" style="width:327.75pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Group M31 – Allied health group services in RACF</span></p></td><td style="width:123.85pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold"></span></p></td></tr><tr><td style="width:52.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Item</span></p></td><td style="width:264.55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Service</span></p></td><td style="width:123.85pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:10.55pt"><span style="font-weight:bold">Fee($)</span></p></td></tr><tr><td colspan="3" style="width:462.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Subgroup 1—Assessment for allied health group services in RACF</span></p></td></tr></thead></table>

<table cellspacing="0" cellpadding="0" style="width:470.6pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td style="width:75.3pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93606</span></p></td><td style="width:289.75pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p><span>Diabetes education health service provided to a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> by an eligible diabetes educator</span><span style="font-style:italic"> </span><span>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:</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt"><span>(a)</span><span> </span><span></span><span>the </span><span>person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs</span><span>; and</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt; line-height:12pt"><span>(b)</span><span> </span><span></span><span>the </span><span>service is provided to a person whose type 2 diabetes is being managed under:</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(c)</span><span> </span><span></span><span>the person 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</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span></span><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(e)</span><span> </span><span></span><span>the service is of at least 45 minutes duration; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible diabetes educator gives a written report to the referring medical practitioner</span></p></td><td style="width:73.45pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>97.15</span></p></td></tr><tr style="height:60.75pt"><td style="width:75.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93607</span></p></td><td style="width:289.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p><span>Exercise physiology health service provided to a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> 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:</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt"><span>(a)</span><span> </span><span></span><span>the </span><span>person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs</span><span>; and</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt; line-height:12pt"><span>(b)</span><span> </span><span></span><span>the </span><span>service is provided to a person whose type 2 diabetes is being managed under:</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(c)</span><span> </span><span></span><span>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</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(e)</span><span> </span><span></span><span>the service is of at least 45 minutes duration; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner</span></p></td><td style="width:73.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>97.15</span></p></td></tr><tr style="height:60.75pt"><td style="width:75.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93608</span></p></td><td style="width:289.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p><span>Dietetics health service provided to a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> 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:</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt"><span>(a)</span><span> </span><span></span><span>the </span><span>person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs</span><span>; and</span></p><p style="margin-left:22.65pt; text-indent:-21.25pt; line-height:12pt"><span>(b)</span><span> </span><span></span><span>the </span><span>service is provided to a person whose type 2 diabetes is being managed under:</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(c)</span><span> </span><span></span><span>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</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span></span><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(e)</span><span> </span><span></span><span>the service is of at least 45 minutes duration; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible dietitian gives a written report to the referring medical practitioner</span></p></td><td style="width:73.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>97.15</span></p></td></tr><tr style="height:60.75pt"><td colspan="3" style="width:459.9pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><table cellspacing="0" cellpadding="0" style="width:104.4%; margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td style="width:100%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Subgroup 2—Allied health group services in RACF</span></p></td></tr></thead></table><table cellspacing="0" cellpadding="0" style="width:459.9pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td style="width:74.95pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93613</span></p></td><td style="width:301.7pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">Diabetes education health service provided to</span><span> a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> by an eligible diabetes educator </span><span style="font-family:'Helvetica Neue', sans-serif">as a group service for the management of type 2 diabetes if:</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(a)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the </span><span style="font-family:'Helvetica Neue', sans-serif">person has been assessed as suitable for a type 2 diabetes group service under assessment item</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif">81100, 81110, 81120,</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif">93284, 93286, 93606, 93607 or 93608</span><span style="font-family:'Helvetica Neue', sans-serif">; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(b)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is provided to a person who is part of a group of between 2 and 12 patients; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(c)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is provided in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(d)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is of at least 60 minutes duration; and</span></p><p style="margin-top:3pt; margin-left:31.6pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span style="font-family:'Helvetica Neue', sans-serif">(e)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, </span><span>93613, 93614, 93615</span><span style="font-family:'Helvetica Neue', sans-serif"> the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner</span></p></td><td style="width:51.15pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>20.70</span></p></td></tr></tbody></table><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"></p></td></tr><tr style="height:60.75pt"><td style="width:75.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93614</span></p></td><td style="width:289.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">Exercise physiology health service provided to</span><span> a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> by an eligible exercise physiologist </span><span style="font-family:'Helvetica Neue', sans-serif">as a group service for the management of type 2 diabetes if:</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(a)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the </span><span style="font-family:'Helvetica Neue', sans-serif">person has been assessed as suitable for a type 2 diabetes group service under assessment item</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif">81100, 81110, 81120,</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif">93284, 93286, 93606, 93607 or 93608</span><span style="font-family:'Helvetica Neue', sans-serif">; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(b)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is provided to a person who is part of a group of between 2 and 12 patients; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(c)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is provided in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(d)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">the service is of at least 60 minutes duration; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span style="font-family:'Helvetica Neue', sans-serif">(e)</span><span style="font-family:'Helvetica Neue', sans-serif"> </span><span style="font-family:'Helvetica Neue', sans-serif"></span><span style="font-family:'Helvetica Neue', sans-serif">after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, </span><span>93613, 93614, 93615</span><span style="font-family:'Helvetica Neue', sans-serif"> the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner</span></p></td><td style="width:73.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>20.70</span></p></td></tr><tr style="height:60.75pt"><td style="width:75.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93615</span></p></td><td style="width:289.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Dietetics health service provided to a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> by an eligible dietitian as a group service for the management of type 2 diabetes if:</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(a)</span><span> </span><span></span><span>the </span><span>person has been assessed as suitable for a type 2 diabetes group service under assessment item</span><span> </span><span>81100, 81110, 81120,</span><span> </span><span>93284, 93286, 93606, 93607 or 93608</span><span>; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(b)</span><span> </span><span></span><span>the service is provided to a person who is part of a group of between 2 and 12 patients; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(c)</span><span> </span><span></span><span>the service is provided in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(d)</span><span> </span><span></span><span>the service is of at least 60 minutes duration; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(e)</span><span> </span><span></span><span>after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner</span></p></td><td style="width:73.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>20.70</span></p></td></tr><tr style="height:107.6pt"><td colspan="3" style="width:459.9pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><table cellspacing="0" cellpadding="0" style="width:104.4%; margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td style="width:100%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Subgroup 3—Physical group therapy items in RACF</span></p></td></tr></thead></table><table cellspacing="0" cellpadding="0" style="width:459.9pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td style="width:74.95pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93620</span></p></td><td style="width:301.7pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Additional exercise physiology health service provided to a </span><span>care recipient in a residential aged care facility with </span><span>type 2 diabetes</span><span>, at a residential aged care facility,</span><span> by an eligible exercise physiologist as a group service for the management of type 2 diabetes if:</span></p><p style="margin-left:27.8pt; text-indent:-20.15pt"><span style="font-size:12pt">(a)</span><span style="width:6.83pt; text-indent:0pt; display:inline-block"> </span><span>the </span><span>person has been assessed as suitable for a type 2 diabetes group service under assessment item</span><span> </span><span>81100, 81110, 81120,</span><span> </span><span>93284, 93286, 93606, 93607 or 93608</span><span>; and</span></p><p style="margin-left:27.9pt; text-indent:-20.25pt"><span style="font-size:12pt">(b)</span><span style="width:6.26pt; text-indent:0pt; display:inline-block"> </span><span>the person has received 8 services, to which an item in subgroup 2 of Group M31 or 81105, 81115,</span><span> </span><span>81125 applied (in total for all items), in that calendar year.</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(c)</span><span> </span><span></span><span>the service is provided to a person who is part of a group of between 2 and 12 patients; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(d)</span><span> </span><span></span><span>the service is provided in person; and</span></p><p style="margin-left:28.9pt; text-indent:-21.25pt; line-height:normal"><span>(e)</span><span> </span><span></span><span>the service is of at least 60 minutes duration; and</span></p><p style="margin-top:3pt; margin-left:31.6pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the last service to which this item applies was provided to a person in a calendar year, the eligible exercise physiologist gives a written report to the referring medical practitioner</span></p></td><td style="width:51.15pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>20.70</span></p></td></tr></tbody></table><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"></p></td></tr></tbody></table>