Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_133:p1
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 133 (pt 1/2)
Character Range: 85096–89408

133                                                                                               Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) lasting at least 20 minutes after the initial attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if:                                             139.55
                                                                                                  (a) a review is undertaken that covers:
                                                                                                  (i) review of initial presenting problems and results of diagnostic investigations; and
                                                                                                  (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and
                                                                                                  (iii) comprehensive multi or detailed single organ system assessment; and
                                                                                                  (iv) review of original and differential diagnoses; and
                                                                                                  (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:
                                                                                                  (i) a revised opinion on the diagnosis and risk assessment; and
                                                                                                  (ii) treatment options and decisions; and
                                                                                                  (iii) revised medication recommendations; and
                                                                                                  (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and
                                                                                                  (d) item 132 applied to an attendance claimed in the preceding 12 months; and
                                                                                                  (e) the attendance under this item is claimed by the same consultant physician who claimed item 132 or a locum tenens; and
                                                                                                  (f) this item has not applied more than twice in any 12 month period

Division 2.6—Group A29: Attendance services for complex neurodevelopmental disorder or disability

2.6.1  Meaning of eligible disability
  In this Schedule:
eligible disability means any of the following:
 (a) sight impairment that results in vision of less than or equal to 6/18 vision or equivalent field loss in the better eye, with correction;
 (b) hearing impairment that results in:
 (i) a hearing loss of 40 decibels or greater in the better ear, across 4 frequencies; or
 (ii) permanent conductive hearing loss and auditory neuropathy;
 (c) deafblindness;
 (d) cerebral palsy;
 (e) Down syndrome;
 (f) Fragile X syndrome;
 (g) Prader‑Willi syndrome;
 (h) Williams syndrome;
 (i) Angelman syndrome;
 (j) Kabuki syndrome;
 (k) Smith‑Magenis syndrome;
 (l) CHARGE syndrome;
 (m) Cri du Chat syndrome;
 (n) Cornelia de Lange syndrome;
 (o) microcephaly, if a child has:
 (i) a head circumference less than the third percentile for age and sex; and
 (ii) a functional level at or below 2 standard deviations below the mean for age on a standard development test or an IQ score of less than 70 on a standardised test of intelligence;
 (p) Rett's disorder;
 (q) fetal alcohol spectrum disorder;
 (r) Lesch‑Nyhan syndrome;
 (s) 22q deletion syndrome.

2.6.2  Meaning of risk assessment
  In items 135, 137 and 139:
risk assessment means an assessment of:
 (a) the risk to the patient of a contributing co‑morbidity; and
 (b) environmental, physical, social