New items for eating disorders


New items from 1 November 2019

From 1 November 2019, a new suite of 64 MBS items, including 11 items that can be claimed by GPs, will be introduced to support patients with anorexia nervosa and other eligible patients with eating disorders.

The listing of these new items is a result of recommendations in 2018 by the clinician-led MBS Review Taskforce and the Australian Government’s response to those recommendations.

Patients with an eating disorder treatment and management plan will be able to access up to 40 psychological treatment services in a 12 month period.

The new item structure includes:

  • four new items (90250–90253) for the preparation of eating disorder treatment and management plans by GPs
  • one new item (90264) for the review of eating disorder treatment and management plans by GPs
  • four new items (90271–90274) for the provision of psychological treatment services by GPs
  • two new items (90279–90280) for the provision of psychological treatment services by GPs if the attendance is by video conference.

Items 90252 and 90253 apply only if the medical practitioner providing the service has successfully completed mental health skills training accredited by the General Practice Mental Health Standards Collaboration.

For GPs to be eligible to claim items for the provision of psychological treatment services (90271– 90274; 90279–90280), they must be registered with Medicare as having satisfied the credentialling requirements for higher level mental health skills training. These requirements are the same as those for providing Focussed Psychological Strategies (items 2721, 2725, 2729, 2731).

Preparation of eating disorder treatment and management plans

Item number

Descriptor

Rebate

90250

Professional attendance by a general practitioner who has not undertaken mental health skills training (not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder

$72.85

90251

Professional attendance by a general practitioner who has not undertaken mental health skills training (not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder

$107.25

90252

Professional attendance by a general practitioner who has undertaken mental health skills training (not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder

$92.50

90253

Professional attendance by a general practitioner who has undertaken mental health skills training (not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder

$136.25


Review of eating disorder treatment and management plans

Item number

Descriptor

Rebate

90264

Professional attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

  1. the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
  2. modifications are made to the eating disorder treatment and management plan, recorded in writing, including:
    1. recommendations to continue with treatment options detailed in the plan; or
    2. recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and
  3. initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder

$72.85


Provision of eating disorder psychological treatment services

Item number

Descriptor

Rebate

90271

Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

$94.25

90272

Professional attendance at a place other than consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

The fee for item 90271 plus:

  • $26.35 (if not more than 6 patients – to be divided by the number of patients)
  • $2.05 (if more than 6 patients)

90273

Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

$134.85

90274

Professional attendance at a place other than consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan

The fee for item 90273 plus:

  • $26.35 (if not more than 6 patients – to be divided by the number of patients)
  • $2.05 (if more than 6 patients)

90279

Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if:

  1. the attendance is by video conference; and
  2. the patient is not an admitted patient; and
  3. the patient is located within a telehealth eligible area; and
  4. the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner

$94.25

90280

Professional attendance at consulting rooms by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan, if:

  1. the attendance is by video conference; and
  2. the patient is not an admitted patient; and
  3. the patient is located within a telehealth eligible area; and
  4. the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner

$134.85

For more information on these changes, visit MBS Online.

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