2.1.1 Limitation on individual items for2.1.1 Limitation on individual items for psychological therapy and focussed psychological strategies services

2.1.1 Limitation on individual items for psychological therapy and focussed psychological strategies services

(1) This clause applies to items 80000, 80002, 80005, 80006, 80010, 80012, 80015, 80016, 80100, 80102, 80105, 80106, 80110, 80112, 80115, 80116, 80125, 80129, 80130, 80131, 80135, 80137, 80140, 80141, 80150, 80154, 80155, 80156, 80160, 80162, 80165 and 80166. (2) For any particular patient, an item mentioned in subclause (1) applies in a calendar year only if the service described in the item is one of the first 10 relevant services provided to the patient, or to a person other than the patient as part of the patient’s treatment, in the calendar year. (3) In this clause, relevant service means a service to which any of items 283, 285, 286, 287, 309, 311, 313, 315, 2721 to 2727, 2739, 2741, 2743 or 2745 of the general medical services table, or items 80000 to 80016, 80100 to 80116, 80125 to 80141, or 80150 to 80166, or items 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181, 91182, 91183, 91184, 91185, 91186, 91187, 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 of the Telehealth Attendance Determination apply. (4) In addition to the restrictions in subclause (2) of this clause, item 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162 or 80166 applies to a service provided to a person other than the patient only if: (a) the referring practitioner or the eligible practitioner providing the service determines it is clinically appropriate to provide services to a person other than the patient, and makes a written record of this determination in the patient’s records; and (b) the eligible practitioner providing the service to a person other than the patient: (i) explains the service to the patient; and (ii) obtains the patient’s consent for the service to be provided to the other person as part of the patient’s treatment; and (iii) makes a written record of the consent; and (c) the service is provided as part of the patient’s treatment; and (d) the patient is not in attendance during the provision of the service; and (e) in the calendar year, no more than one other service to which any of items 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 apply has already been provided to or in relation to the patient. Note: The patient’s consent may be withdrawn at any time.