CHRONIC DISEASE MANAGEMENT

CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) TO A MULTIDISCIPLINARY CARE PLAN prepared by another provider OR TO A REVIEW OF A MULTIDISCIPLINARY CARE PLAN prepared by another provider (not being a service associated with a service to which items 735 to 758 apply).

This CDM service is for a patient who:
(a)    has at least one medical condition that:
i.   has been (or is likely to be) present for at least six months; or
ii. is terminal; and
(b)    requires ongoing care from at least three collaborating health or care providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner; and
(c)    is not a care recipient in a residential aged care facility.

A rebate will not be paid within twelve months of a claim by the same practitioner for item 721 or 723, within three months of a claim for item 729 or within three months of a claim for item 731 or 732, except where there are exceptional circumstances that require a new contribution to the multidisciplinary care plan.

Fee: $65.20 Benefit: 100% = $65.20