Sch 4A– Audiometry programming services

Schedule 4A – Audiometry programming services

Division 4A.1 — Services and Fees — audiometry programming telehealth services

Division 4A.1– Services and Fees – audiometry programming telehealth services

4A.1.1 Meaning of terms in Schedule 4A

(3) For items 11342 and 11345, rendering health practitioner includes a medical practitioner or a person on their behalf.

4A.1.2 Effect of election to claim private health insurance for an audiology health service

(1) Items 82302 and 82304 apply only if a private health insurance benefit has not been claimed for the service.

<table cellspacing="0" cellpadding="0" style="width:96.38%; border-collapse:collapse"><tbody><tr style="height:13.85pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Group D1—Miscellaneous diagnostic procedures and investigations</span></p></td></tr><tr style="height:13.85pt"><td style="width:13.14%; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 1</span></p><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Item</span></p></td><td style="width:73.7%; border-bottom:1.5pt solid #000000; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 2</span></p><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Description</span></p></td><td style="width:13.16%; border-bottom:1.5pt solid #000000; vertical-align:top; background-color:#ffffff"><p style="text-align:right; line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 3</span></p><p style="text-align:right; line-height:normal; font-size:10pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr style="height:13.85pt"><td colspan="3" style="border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Subgroup 3—Otolaryngology</span></p></td></tr><tr style="height:64.2pt"><td style="width:13.14%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">11342</span></p></td><td style="width:73.7%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Programming by video attendance of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which items</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82301, 82302 or 82304 applies has not been performed on the patient on the same day</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Applicable up to a total of 4 services to which this item, item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">11302 or item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">11345 applies on the same day</span></p></td><td style="width:13.16%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">160.20</span></p></td></tr><tr style="height:64.2pt"><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">11345</span></p></td><td style="width:73.7%; border-top:0.75pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Programming by phone attendance of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which items</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82301, 82302 or 82304 applies has not been performed on the patient on the same day</span></p><p style="margin-bottom:3pt; line-height:normal; font-size:10pt"><span>Applicable up to a total of 4 services to which this item, item</span><span> </span><span>11302 or item</span><span> </span><span>11342 applies on the same day</span></p></td><td style="width:13.16%; border-top:0.75pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">160.20</span></p></td></tr></tbody></table> ``` <table cellspacing="0" cellpadding="0" style="width:96.74%; border-collapse:collapse"><tbody><tr style="height:12.35pt"><td colspan="4" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Group M15 – Diagnostic audiology services</span></p></td></tr><tr style="height:12.35pt"><td colspan="2" style="border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 1</span></p><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:72.94%; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 2</span></p><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Description</span></p></td><td style="width:13.72%; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="text-align:right; line-height:normal; font-size:10pt"><span style="font-weight:bold">Column 3</span></p><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="width:11.92%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><a id="_Hlk94699627"><span style="font-size:10pt">82302</span></a></p></td><td colspan="2" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Audiology health service by video attendance for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:</span></p><p style="margin-left:36pt; margin-bottom:3pt; text-indent:-18pt"><span style="font-size:10pt">(a)</span><span style="width:6.9pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">the service is not performed for the purpose of a hearing screening; and</span></p><p style="margin-left:36pt; margin-bottom:3pt; text-indent:-18pt"><span style="font-size:10pt">(b)</span><span style="width:6.34pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">a service to which item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">11302, 11342 or 11345 applies not been performed on the patient on the same day</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Applicable up to a total of 4 services to which this item, item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82301 or item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82304 applies on the same day</span></p></td><td style="width:13.72%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt; background-color:#ffffff">160.20</span></p></td></tr><tr style="height:125.7pt"><td style="width:11.92%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">82304</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Audiology health service by phone attendance for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:</span></p><p style="margin-left:36pt; margin-bottom:3pt; text-indent:-18pt"><span style="font-size:10pt">(a)</span><span style="width:6.9pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">the service is not performed for the purpose of a hearing screening; and</span></p><p style="margin-left:36pt; margin-bottom:3pt; text-indent:-18pt"><span style="font-size:10pt">(b)</span><span style="width:6.34pt; text-indent:0pt; font-size:10pt; display:inline-block"> </span><span style="font-size:10pt">a service to which item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">11302, 11342 or 11345 applies not been performed on the patient on the same day</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Applicable up to a total of 4 services to which this item, item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82301 or item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">82302 applies on the same day</span></p></td><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">160.20</span></p></td></tr><tr style="height:0pt"><td style="width:49.2pt"></td><td style="width:5.85pt"></td><td style="width:300.9pt"></td><td style="width:56.6pt"></td></tr></tbody></table> ```