Medicare Item Codes - Psychology Services

Medicare Item Codes: General Psychologist

IN CONSULTING ROOMS

ITEM CODE DESCRIPTION REBATE 01/11/23

80100 Psychology for a person with Chronic Condition and $58.30

Complex care needs that are being managed by

a Medical Practitioner

80100 Focused Psychological Strategies $66.20

80102 Focused Psychological Strategies to a person $66.20

other than the patient

80102 Focused Psychological Strategies to a person $66.20

other than the patient

80105 Focused Psychological Strategies outside of $90.00

consulting rooms

80106 Focused Psychological Strategies outside of $90.00

consulting rooms to a person other than the patient

80110 Focused Psychological Strategies $93.35

80112 Focused Psychological Strategies to a person $93.35

other than the patient

80115 Focused Psychological Strategies outside of $117.25

consulting rooms

80116 Focused Psychological Strategies outside of $117.25

consulting rooms to a person other than the

patient

80120 Group Focused Psychological Strategies $23.80

per participant

80122 Group Focused Psychological Strategies $32.45

per participant

80127 Group Focused Psychological Strategies $44.10

per participant

81000 Non-directive Pregnancy Support $68.45

Counselling Services

81355 Aboriginal and Torre Strait - Follow up $58.30

Allied health services

82000 Psychology Health Service to a patient aged under 25 $93.35

years to assist with the diagnostic formulation of a

suspected Neurodevelopmental Disorder or Eligible

Disability or contribute to the patient’s treatment and

management plan by the referring practitioner where

a Complex Neurodevelopmental disorder

(such as Autism Spectrum Disorder) or

eligible disability is confirmed.*

82015 Psychology Health Service to a patient aged under $93.35

25 years for the treatment of a diagnosed Complex

Neurodevelopmental Disorder (such as Autism

Spectrum Disorder) or eligible disability.*

82360 Eating Disorder Psychological Treatment Services $66.20

82362 Eating Disorder Psychological Treatment Services $90.00

outside of consulting rooms

82363 Eating Disorder Psychological Treatment Services $93.35

82365 Eating Disorder Psychological Treatment Services $117.25

outside of consulting rooms

82366 Eating Disorder Psychological Treatment Services $23.80

per participant

*Up to four (4) services may be provided to the same patient on the same day.

VIDEO CONSULTATIONS

ITEM CODE DESCRIPTION REBATE 01/11/23

80121 Group Focused Psychological strategies per $23.80

participant (rural and remote clients)

80123 Group Focused Psychological strategies per $32.45

participant (rural and remote clients)

80128 Group Focused Psychological strategies per $44.10

participant (rural and remote clients)

82367 Eating Disorder Group Psychological Treatment $23.80

Services per participant (rural and remote clients)

91169 Focused Psychological Strategies $66.20

91170 Focused Psychological Strategies $93.35

91174 Focused Psychological Strategies to a person $66.20

other than the patient

91177 Focused Psychological Strategies to a person $93.35

other than the patient

93000 Chronic Disease Management $58.30

93026 Pregnancy Support Counselling $68.45

93032 Psychology health service to a patient aged $93.35

under 25 years to assist with the diagnostic

formulation of a suspected neurodevelopmental

disorder or eligible disability or contribute to the patient’s

treatment and management plan by the referring

practitioner where a complex neurodevelopmental

disorder (such as autism spectrum disorder)

or eligible disability is confirmed.*

93035 Psychology health service to a patient aged under $93.35

25 years for the treatment of a diagnosed complex

neurodevelopmental disorder (such as autism

spectrum disorder) or eligible disability.*

93048 Aboriginal and Torre Strait - Follow up allied $58.30

health services

*Up to four (4) services may be provided to the same patient on the same day.

TELEPHONE CONSULTATIONS

ITEM CODE DESCRIPTION REBATE 01/11/23

91183 Focused Psychological Strategies $66.20

91184 Focused Psychological Strategies $93.35

91200 Focused Psychological Strategies to a $66.20

person other than the patient

91201 Focused Psychological Strategies to a $93.35

person other than the patient

93013 Chronic Disease Management $58.30

93029 Pregnancy Support Counselling $68.45

93040 Psychology Health Service to a patient aged $93.35

under 25 years to assist with the diagnostic

formulation of a suspected neurodevelopmental

disorder or eligible disability or contribute to the

patient’s treatment and management plan by the

referring practitioner where a complex

neurodevelopmental disorder (such as autism

spectrum disorder) or eligible disability is confirmed.*

93043 Psychology Health Service to a patient aged under $93.35

25 years for the treatment of a diagnosed complex

neurodevelopmental disorder (such as autism

spectrum disorder) or eligible disability.*

93061 Follow-up allied health services (Aboriginal $68.10

and Torre Strait Islander clients)

*Up to four (4) services may be provided to the same patient on the same day.

Medicare Item Codes: Clinical Psychologist

IN CONSULTING ROOMS

ITEM CODE DESCRIPTION REBATE 01/11/23

80000 Psychological Therapy Services $93.35

80002 Psychological Therapy to a person other than the patient $93.35

80005 Psychological Therapy outside of consulting rooms $116.70

80006 Psychological Therapy outside of consulting rooms $116.70

to a person other than the patient

80010 Psychological Therapy Services $137.05

80012 Psychological therapy to a person other $137.05

than the patient

80015 Psychological Therapy outside of consulting rooms $160.35

80016 Psychological Therapy outside of consulting rooms $160.35

to a person other than the patient

80020 Group Psychological Therapy Services per $34.80

participant

80022 Group Psychological Therapy Services $47.40

per participant

80024 Group Psychological Therapy Services per $64..40

participant

82352 Eating Disorder Psychological Treatment $93.35

Services

82354 Eating Disorder Psychological Treatment $116.70

Services outside of consulting rooms

82355 Eating Disorder Psychological Treatment $137.05

Services

82357 Eating Disorder Psychological Treatment $160.35

Services outside of consulting rooms

82358 Group Psychological Therapy Services per participant $34.80

TELEPHONE CONSULTATIONS

ITEM CODE DESCRIPTION REBATE 01/11/23

91181 Psychological Therapy Services $93.65

91182 Psychological Therapy Services $137.05

91198 Psychological Therapy to a person $93.65

other than the patient

91199 Psychological Therapy to a person $137.05

other than the patient

VIDEO CONSULTATIONS

ITEM CODE DESCRIPTION REBATE 01/11/23

80021 Group Psychological Therapy Services per $34.80

participant (rural and remote clients)

80023 Group Psychological Therapy Services per $47.40

participant (rural and remote clients)

80025 Group Psychological Therapy Services per $64.40

participant (rural and remote clients)

82359 Eating Disorder Group Psychological Treatment $34.80

Services per participant (rural and remote clients)

91166 Psychological Therapy Services $93.35

91167 Psychological Therapy Services $137.05

91168 Psychological Therapy to a person other $93.35

than the patient

91171 Psychological Therapy to a person other $137.05

than the patient

Medicare Item Codes: SOCIAL WORKER

FACE TO FACE

ITEM CODE DESCRIPTION REBATE 01/11/23

80150 More than 20 minutes, but not more than 50 minutes $56.00

80155 More than 20 minutes, but not more than 50 minutes $78.00

80160 More than 50 minutes $79.05

80165 More than 50 minutes (at place other $101.90

than consulting rooms)

VIDEO OR TELEPHONE CONSULTATIONS

ITEM CODE DESCRIPTION REBATE 01/11/23

91175 Telehealth - at least 20 minutes but less $56.00

than 50 minutes

91176 Telehealth - at least 50 minutes $79.05

91187 Telephone - at least 20 minutes but less $56.00

than 50 minutes (for when video

conferencing is not available)

91188 More than 50 minutes (at place other $79.05

than consulting rooms)

OTHERS

ITEM CODE DESCRIPTION REBATE 01/11/23

80176 Mental Health Case Conference attendance as $45.70

a multidisciplinary case conference team

member (15-20min)

80177 Mental Health Case Conference attendance as $78.40

a multidisciplinary case conference team

member (20-40min)

80178 Mental Health Case Conference attendance as $130.45

a multidisciplinary case conference team

member (40+min)