CHRONIC DISEASE MANAGEMENT

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE the development of TEAM CARE ARRANGEMENTS (TCAs) for a patient (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.

A rebate will not be paid within twelve months of a previous claim for item 723, or within three months of a claim for item 732 (for a review of TCAs), except where there are exceptional circumstances that require the coordination of new TCAs.

Fee: $105.90 Benefit: 75% = $79.45 100% = $105.90