Document ID: chunk:federal_register_of_legislation:F2024C01105:schedule:3:p6
Version: federal_register_of_legislation:F2024C01105
Segment Type: schedule
Provision Reference: sch 3 (pt 6/8)
Character Range: 312228–315056

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 applies that is provided to another person as part of the patient's treatment.
    (3) A reviewing practitioner may recommend that additional services be provided under a plan only if:
        (a) the recommendation is made as part of a service to which an item in Subgroup 3 of Group A36 of the general medical services table or Subgroups 25 or 26 of Group A40 apply; and
        (b) the service is provided:
           (i) for the purposes of paragraph (2)(c)—after the patient has been provided with 10 services under the plan; and
           (ii) for the purposes of paragraph (2)(d)—after the patient has been provided with 20 services under the plan; and
           (iii) for the purposes of paragraph (2)(e)—after the patient has been provided with 30 services under the plan; and
        (c) the practitioner records the recommendation in the patient's records.
    (4) For any particular patient, items in Subgroups 19 and 21 of Group M18 do not apply to a service if the patient has had 20 eating disorder dietetic treatment services in a 12 month period commencing from the provision of an eating disorder treatment and management plan.
    (5) For the purposes of this clause, in counting the services providing treatments under a plan, only count the services to which any of the following apply:
       (a) items 283, 285, 286, 287, 309, 311, 313 and 315;
       (b) items 2721, 2723, 2725, 2727, 2739, 2741, 2743 and 2745;
       (c) items in Groups M6, M7 and M16 other than item 82350;
       (d) items 90271, 90272, 90273, 90274, 90275, 90276, 90277 and 90278;
       (e) items 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181 to 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, 91867, 92182, 92184, 92186, 92188, 92194, 92196, 92198, 92200, 93076, 93079, 93084. 93087, 93092, 93095, 93100, 93103, 93110, 93113, 93118, 93121, 93126, 93129, 93134 and 93137.

    (6) For any particular patient, items in Subgroups 19 to 22 of Group M18 do not apply unless the patient has been referred by:
       (a) a general practitioner or medical practitioner who issued the referral as part of a service to which an item in Subgroup 1 of Group 36 of the general medical services table or item 92146, 92147, 92148, 92149, 92150, 92151, 92152. 92153, 92154, 92155, 92156, 92157, 92158, 92159, 92160 or 92161 applies; or
       (b) a consultant physician in the specialty of psychiatry or paediatrics who