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December 2009

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Final Administrative Position Statements (APS)

All Final APS shall be reviewed at least every 12 months (from the date of release) by Medicare Australia. In certain circumstances such as legislative changes and amendments, or adjusted business processes, APS will be reviewed prior to the review date and will be archived.

Reference number APS Question Final APS Date of effect
FPM12/08 Is malformation, disease or trauma of the breast required to be present in both breasts or just one breast to enable Medicare benefits for a bilateral mammaplasty under MBS Item 45528?

If it is clinically relevant to do bilateral augmentation mammaplasty, Medicare benefits will be payable under Item 45528 if there is malformation (excluding hypomastia), disease or trauma of one or both breasts.

Note: Claims for benefits for Item 45528 should be lodged with the MCRP Officer.

Address:

The MCRP Officer
PO Box 1001
Tuggeranong ACT 2901

Background information on FPM12/08 [PDF, 25Kb]PDF reader required

Background information on FPM12/08 [RTF, 270Kb]

27/11/2009
FPM09/08 Is a benefit payable under Medicare for pachymetry?

Medicare benefits are not payable for a pachymetry service. Pachymetry is not listed as an eligible service in the Health Insurance (General Medical Services Table) Regulations 2008. Pachymetry, of itself, would not constitute a professional attendance (because it is a measurement only) and would not meet the requirement for Item 10900.

Payment for a service that is not eligible for benefits under Medicare is a private matter between the practitioner and the patient. An optometrist is therefore able to charge a private fee for a pachymetry service without breaching the Common Form of Undertaking for Optometrists.

Background information on FPM09/08 [PDF, 19Kb]PDF reader required

Background information on FPM09/08 [RTF, 470Kb]

27/11/2009
FPM08/08 What are the practitioner supervision requirements for Psoralen Ultraviolet Light A therapy (PUVA) and Ultraviolet Light B phototherapy (UVB) treatments (MBS items 14050 and 14053)?

MBS items 14050 and 14053 (Psoralen Ultraviolet Light A therapy (PUVA) and Ultraviolet Light B phototherapy (UVB) items) must be performed in accordance with accepted medical practice, under the supervision of the rendering medical practitioner.

Medicare Australia considers that the supervision requirements for MBS items 14050 and 14053 will be met if the supervising practitioner is available for consultation at the time a service is provided to a patient. The supervising practitioner may not necessarily be on site, but must always be in Australia and contactable during the service.


Background information on FPM08/08 [PDF, 28Kb]PDF reader required

Background information on FPM08/08 [RTF, 494Kb]

27/11/2009
FPM05/08 Are benefits payable for subsequent consultations rendered on the same day as a radiotherapy planning item (MBS items 15500–15562) during a course of treatment?

A benefit is payable for a subsequent consultation rendered on the same day as a radiotherapy planning item (MBS items 15500–15562) during a course of treatment.

Background information on FPM05/08 [PDF, 47Kb]PDF reader required

Background information on FPM05/08 [RTF, 312Kb]

16/04/2009
FPM07/08 Can Item 11222/11225 be claimed where patients are monitored for ocular disease or disease of the visual pathways irrespective of suspected drug toxicity, glaucoma or a neurological disease?

Benefits under items 11222/11225 are payable for full quantitative computerised perimetry, bilateral/unilateral, where patients are monitored for ocular disease or disease of the visual pathways and where more than 2 services are required in a 12 month period. Items 11222/11225 do not necessarily require the presence of systemic drug toxicity, glaucoma or neurological disease for benefits to be payable.

Background information on FPM07/08 [PDF, 40Kb]PDF reader required

Background information on FPM07/08 [RTF, 501Kb]

31/03/2009
FPM03/08 Can MBS Item 10997 be billed on the same day as MBS item 721, 723, 725, 727, 729 or 731?

Medicare benefits are payable for an MBS Item 10997 service rendered on the same day as an item 721, 723, 725, 727, 729 or 731 service if the person has a GP Management Plan (GPMP), Team Care Arrangements (TCA) or Multidisciplinary Care Plan (MCP) in place.

Background information on FPM03/08 [PDF, 42Kb]PDF reader required

Background information on FPM03/08 [RTF, 285Kb]

31/03/2009
FPM02/08 In relation to MBS items 19, 33, 40, 50, 87, 89, 90 and 91 what is considered to be the meaning of ‘one occasion’?

In regard to MBS items 19, 33, 40, 50, 87, 89, 90 and 91, Medicare Australia considers that an occasion is either of the following:

  • A continuous period of employment within a 24 hour period (a shift) where a medical practitioner (general practitioner or other medical practitioner) is employed or contracted to provide services to private patients in a private hospital.
  • A period during which a medical practitioner (general practitioner or other medical practitioner) renders a professional attendance to each of one or more private patients at a hospital, and in order to provide that service or services the medical practitioner has travelled to the hospital from a distant location, such as a surgery or place of residence.

Background information on FPM02/08 [PDF, 31Kb]PDF reader required

Background information on FPM02/08 [RTF, 275Kb]

17/02/2009

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Last updated: 27 November, 2009