HICAPS Item number guides

012

Periodic oral examination

PERIODIC EXAM

022

Intraoral periapical or bitewing radiograph – per exposure

INTRAORAL EXPSR

114

Removal of calculus – first appointment

REM CALCULUS 1

121

Topical application of remineralisation and/or cariostatic agent, one treatment

TOPICAL AGENT

161

Fissure and/or tooth surface sealing – per tooth

FISSURE SEALING

213

Treatment of acute periodontal infection – per appointment

ACUTE PERIODONT

222

Periodontal debridement - per tooth 

PERIODONTAL

311

Removal of tooth or part(s) thereof

REM PERM TOOTH

411

Direct pulp capping

PULP CAPPING

415

Complete chemo-mechanical preparation of root canal – one canal

ROOTCANALPREPN

416

Complete chemo-mechanical preparation of root canal – each additional canal

ROOTCANAL ADDTL

417

Root canal obturation – one canal

ROOT OBTURATION

418

Root canal obturation – each additional canal

OBTURATION ADDL

419

Extirpation of pulp or debridement of root canal(s) – emergency or palliative

EXTIRP PULP ROOT

455

Additional visit for irrigation and/or dressing of the root canal system – per tooth

IRRIGATE CANAL

511

Metallic restoration – one surface – direct

METAL RESTOR 1

512

Metallic restoration – two surfaces – direct

METAL RESTOR 2

513

Metallic restoration – three surfaces – direct

METAL RESTOR 3

514

Metallic restoration – four surfaces – direct

METAL RESTOR 4

515

Metallic restoration – five surfaces – direct

METAL RESTOR 5

521

Adhesive restoration – one surface – anterior tooth – direct

ADH REST 1 ANT

522

Adhesive restoration – two surfaces – anterior tooth – direct

ADH REST 2 ANT

531

Adhesive restoration – one surface – posterior tooth – direct

ADHREST1POST

532

Adhesive restoration – two surfaces – posterior tooth – direct

ADHREST2POST

572

Provisional (intermediate/temporary restoration) – per tooth

TEMP RESTORTN

575

Pin retention – per pin

PIN RENTENTION

577

Cusp capping – per cusp

CUSP CAPPING

965

Occlusal splint

OCCLUSAL SPLINT

500

Individual initial consultation

INDIVIDUAL INITIAL

600

Review individual consultation

INDIVIDUAL REVIEW

700

Group consultation

GROUP CONS

800

Home/Out of rooms consultation

OUT OF ROOMS

102

Initial session – once only per course of treatment > 45 min

INDIVIDUAL INITIAL

202

Standard consultation 30 – 60 minutes

STANDARD CONS

302

Extended consultation > 60 minutes

EXTENDED CONS

402

Standard consultation requiring travel

TRAVEL CONS

502

Group session 60 minutes (maximum of 8 people)

GROUP SESSION

2

Urgent after-hours surgery consultation

URGENT/AH CONS

3

Level ‘A’ short surgery consultation

BRIEF CONSULT

23

Level ‘B’ standard surgery consultation (<20 minutes)

STANDARD CONS

36

Level ‘C’ long surgery consultation (>20 minutes)

LONG CONSULT

44

Level ‘D’ comprehensive surgery consultation (>40 minutes)

PROLONGED CONS

52

Brief surgery consultation

BRIEF CONSULT

53

Standard surgery consultation

STANDARD CONS

54

Long surgery consultation

LONG CONSULT

57

Prolonged surgery consultation

PROLONGED CONS

104

Initial specialist consult

INT SPEC CONS

105

Subsequent specialist consult

SUB SPEC CONS

110

Initial physician consult

INT PHYS CONS

116

Subsequent physician consult

SUB PHYS CONS

585

Professional attendance by a general practitioner on one patient on one occasion – each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

588

Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion — each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

591

Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion – each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

594

Professional attendance by a medical practitioner – each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient

AH CONSULT ADDP

599

Professional attendance by a general practitioner on not more than 1 patient on 1 occasion – between 11pm – 7pm

AH CONSULT

600

Professional attendance by a medical practitioner on not more than one patient on one occasion - between 11pm – 7pm

AH CONSULT

701

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes

HLTH ASSESS SRT

703

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes

HLTH ASSESS MED

705

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes

HLTH ASSESS EXT

707

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes)

HLTH ASSESS EXT

721

GP chronic disease plan

GP CD PLAN

723

Chronic disease plan

CD PLAN

732

Review of chronic disease plan

CD PLAN REVIEW

2501

Short consult with cervical smear test

CONS\SMEAR TEST

2504

Attendance with cervical smear - diabetes

EXT/SMEAR TEST

2507

Long consult with cervical smear test

LONG\SMEAR TEST

2700

GP mental health plan (<20mins)

GP MH PLAN

2701

GP mental health plan (>40mins)

GP MH PLAN LONG

2712

Review of GP mental health plan

MH PLAN REVIEW

2713

GP mental health attendance

GP MH CONSULT

2715

Mental health plan (<20mins)

MH PLAN

2717

Mental health plan (<40mins)

MH PLAN LONG

2725

Focused psychological strategies, extended attendance

FPS EXT ATTEND

5000

Level 'A' professional attendance

AH CONSULT

5020

Professional attendance by a general practitioner on not more than one patient on one occasion (<20 minutes)

BRIEF CONSULT

5040

Professional attendance by a general practitioner on not more than one patient on one occasion (>20 minutes)

LONG CONSULT

5060

Professional attendance by a general practitioner on not more than one patient on one occasion (<40 minutes)

PROLONGED CONS

5203

Standard consultation of more than 5 minutes duration but not more than 25 minutes duration

AH CONSULT

5207

Long consultation of more than 25 minutes duration but not more than 45 minutes duration

AH LONG CONSULT

10990

Additional bulk billing payment for general medical services – concession

CC BULK BILL

10991

Additional bulk billing payment for general medical services – rural

R/R BULK BILL

11506

Measurement of respiratory function

MEASURE RESP FC

11700

ECG tracing and report

ECG & REPORT

14203

Hormone or living tissue implantation, by direct implantation involving incision and suture

INCISION IMPLANT

14206

Implantation by cannula

CANNULA IMPLANT

16500

Antenatal attendance

A/NATAL CONSULT

16590

Planning and management of a pregnancy

P&M PREGNANCY

16591

Planning and management of a pregnancy

P&M PREGNANCY

30003

Localised burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation

DRESSING OF BURNS

30023

Wound of soft tissue, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed

REPAIR OF WOUND

30026

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, small, superficial (Aneas)

REPAIR OF WOUND

30029

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, small, deep tissue (Anaes)

REPAIR OF WOUND

30032

Skin and subcutaneous tissue or mucous membrane, repair of wound – on face or neck, small, superficial (Anaes)

REPAIR OF WOUND

30035

Skin and subcutaneous tissue or mucous membrane, repair of wound – on face or neck, small, deep tissue (Anaes)

REPAIR OF WOUND

30038

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, large, superficial

REPAIR OF WOUND

30045

Skin and subcutaneous tissue or mucous membrane, repair of wound on face or neck, large, superficial

REPAIR OF WOUND

30061

Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes)

FOREIGN BDY REM

30062

Etonogestrel subcutaneous implant, removal of, as an independent procedure

REMOVE IMPLANT

30064

Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure

REMOVE FB

30071

Diagnostic biopsy of skin as an independent procedure

BIOPSY SKIN

30186

Palmar or plantar warts (less than 10), definitive removal of, excluding ablative methods alone, not being a service to which item 30185 or 30187 applies

REMOVE WARTS

30219

Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital - incision with drainage of (excluding aftercare)

ABCESS INCISION

47915

Ingrown toe nail, wedge resection

INGROWN TOE NAIL

47916

Ingrown toe nail, partial

INGROWN TOE NAIL

72205

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes

HEALTH ASSESS SHORT

72215

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes

HEALTH ASSESS MEDIUM

72225

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes

HEALTH ASSESS LONG

72235

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes)

HEALTH ASSESS EXT

73804

Simple pathology test

PATH TEST

73805

Basic urine test

URINE TEST

73806

Pregnancy test

PREGNANCY TEST

73828

Semen examination for presence of spermatozoa by a participating nurse practitioner

SEMEN EXAM

73829

Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner – 1 test

BLOOD TEST

73830

2 tests described in item 73829 by a participating nurse practitioner

BLOOD TEST 2

73831

3 or more tests described in item 73829 by a participating nurse practitioner

BLOOD TEST 3

73832

Microscopy of urine, whether stained or not, or catalase test by a participating nurse practitioner

URINE MICRO

73833

Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner

PREGNANCY TEST

73834

Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner

NON-URINE MICRO

73835

Microscopy of gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner

FILM MICRO

73836

Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner

CHEMICAL TESTS

73837

Microscopy for fungi in skin, hair or nails by a participating nurse practitioner – 1 or more sites

FUNGI MICRO

82200

Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management

SHORT ATTEND

82205

Professional attendance for a patient presenting with clinical signs and symptoms with an easily identifiable underlying cause following a short consultation lasting less than 20 minutes duration

<20 MIN ATTEND

82210

Professional attendance by a participating nurse practitioner lasting at least 20 minutes

>20 MIN ATTEND

82215

Professional attendance by a participating nurse practitioner lasting at least 40 minutes

>40 MIN ATTEND

105

Consultation over 30 minutes

CONS OVER 30 MINS

205

Consultation up to 30 minutes

CONS TO 30 MINS

105

Initial consultation

INITIAL CONS

205

Standard consultation

STANDARD CONS

100

Initial individual assessment/treatment

INITIAL CONSULT

200

Individual assessment/treatment – subsequent to initial

CONSULTATION

250

Individual assessment/treatment – long consultation

>30M SUBSQ INDV

300

Group assessment/treatment

GROUP ASSESSMENT

110

Spectacle frames

SPECTACL FRAMES

120

Replacement part/repair to frame

REPL/REP FRAMES

211

Single vision stock lens (single)

SV STOCK LENS 1

212

Single vision stock lens (pair)

SV STOCK LENS 2

222

Single vision specially worked lens (pair)

SV SPECWK LENS 2

225

Single vision stock glasses (complete)

SV STOCK GLASSES

228

Single vision specially worked glasses (complete)

SV WORKED GLASSES

311

Bifocal lens (single)

BIFOCAL LENS 1

312

Bifocal lens (pair)

BIFOCAL LENS 2

315

Bifocal glasses (complete)

BIFOCAL GLASSES

411

Trifocal lens (single)

TRIFOCAL LENS 1

412

Trifocal lens (pair)

TRIFOCAL LENS 2

415

Trifocal glasses (complete)

TRIFOCAL GLASSES

511

Progressive lens (single)

PROGRESS LENS 1

512

Progressive lens (pair)

PROGRESS LENS 2

515

Progressive glasses (complete)

PROGRESS GLASSES

611

High index material (single)

HIGHINDEX MATL1

612

High index material (pair)

HIGHINDEX MATL2

621

Aspheric design (single)

ASPHERIC DESGN1

622

Aspheric design (pair)

ASPHERIC DESGN2

631

Lens tinting (single)

LENS TINTING 1

632

Lens tinting (pair)

LENS TINTING 2

643

Photochromatic coating (single)

PHOTOCROMATIC1

644

Photochromatic coating (pair)

PHOTOCROMATIC2

651

Hard coating (single

HARD COATING 1

652

Hard coating (pair)

HARD COATING 2

661

Multi/anti-reflective coating (single)

MULTICOATING 1

662

Multi/anti-reflective coating (pair)

MULTICOATING 2

671

UV coating (single)

UV COATING 1

672

UV coating (pair)

UV COATING 2

710

Low vision aids

LOW VISION AIDS

811

RGP contact lens (spherical) (single)

RGP SPHERIC 1

812

RGP contact lens (spherical) (pair)

RGP SPHERIC 2

821

RGP contact lens (toric) (single)

RGP TORIC 1

822

RGP contact lens (toric) (pair)

RGP TORIC 2

831

Conventional soft contact lens (spherical) (single)

CONV SPHERIC 1

832

Conventional soft contact lens (spherical) (pair)

CONV SPHERIC 2

841

Conventional soft contact lens (toric) (single)

CONV TORIC 1

842

Conventional soft contact lens (toric) (pair)

CONV TORIC 2

851

Disposable contact lens supply (spherical) 3 months or less (single)

DISPOSBL SPHERIC1

852

Disposable contact lens supply (spherical) 3 months or less (pair)

DISPOSBL SPHER2

853

Disposable contact lens supply (toric) 3 months or less (single)

DISPOSBL TORIC1

854

Disposable contact lens supply (toric) 3 months or less (pair)

DISPOSBL TORIC2

861

Bifocal contact lens (single) (non-disposable)

BIFOCL CONTACT1

862

Bifocal contact lens (pair) (non-disposable)

BIFOCL CONTACT2

863

Disposable contact lens supply (multifocal) 3 months or less (single)

DISPOSBL MULTI1

864

Disposable contact lens supply (multifocal) 3 months or less (pair

DIPOSBL MULTI2

871

Other contact lens (single)

OTHER CONTACT 1

872

Other contact lens (pair)

OTHER CONTACT 2

873

Orthokeratology contact lens (single)

ORTHOK CONTACT1

874

Orthokeratology contact lens (pair)

ORTHOK CONTACT2

1801

Consultation/treatment and supportive therapy

CONSULT/TREATMT

1802

Consultation/treatment and additional supportive therapy

STD CONSULT

1803

Consultation/treatment and extended supportive therapy

LONG CONSULT

1804

Initial consultation examination treatment

INITIAL CONSULT

500

Assessment consultation

ASSMENT CONSULT

505

Subsequent consultation

SUB CONSULT

506

Long subsequent consult (2 areas)

LONG CONS 2A

520

Assessment consultation

ASSMENT CONS HOS

525

Subsequent consultation

SUB CONSULT HOS

526

Long subsequent consult (2 areas)

LONG CONS 2A

530

Assessment consultation

ASSMENT CONS HOM

535

Subsequent consultation

SUB CONSULT HOM

536

Long subsequent consult (2 areas)

LONG CONS 2A

560

Group consultation

GROUP CONS

561

Class consultation

CLASS CONS

570

Lymphoedema

LYMPHOEDEMA

582

Neurological rehabilitation

NEURO REHAB

591

Custom made orthosis (upper limb) consultation

CUSTOM ORTHO/UL

592

Custom made orthosis (lower limb) consultation

CUSTOM ORTHO/LL

593

Pelvic floor physiotherapy

PELVIC FLR PHYS

595

Antenatal exercise class consultation

ANTENATAL CLASS

596

Postnatal exercise class consultation

POSTNATAL CLASS

002

INTERMEDIATE

004

COMPREHENSIVE

005

COMP DIABETES

010

BRIEF SERVICE

012

INTERMEDIATE

014

COMPREHENSIVE

015

ACUTE SERVICE

016

MANAGEMENT SERV

Item number

Full description

Abbreviated description

Initial Patient

023

Consultations are provided to a patient who is new/non-active to the clinician/care plan.

INTERMEDIATE SERVICES

024

COMPREHENSIVE SERVICES

025

Consultation and assessment of lower limb-related complications of Diabetes.

COMPREHENSIVE SERVICES

031

Consultations are provided to a patient that is already known to the clinician/has an existing care plan with records on file

BRIEF SERVICE

033

INTERMEDIATE SERVICES

034

COMPREHENSIVE SERVICE

035

Acute episode of lower limb injury related to complications from Diabetes. Initial 6 weeks upon diagnosis with reassessment following this period if necessary.

ACUTE SERVICE

036

Management of lower limb-related complications from Diabetes.

MANAGEMENT SERVICE

Travel: Can be used when travelling for a non-clinic based episode of care.

550

Travel time from the practitioner’s prior consultation to the client’s residence and from the client’s residence to the practitioner’s next appointment (rate per 15 minutes)

Hospitals: Consultations that are provided to patients in a hospital. These items are used to identify the additional cost of transporting the podiatrist, all necessary equipment, and the preparation for medical intervention. These items should not be used to describe the provision of services that are already funded by the facility.

Initial Patient

551

Consultations are provided to a patient who is new/non-active to the clinician/care plan.

INTERMEDIATE SERVICE

Active Patient

552

Consultations are provided to a patient who is new/non-active to the clinician/care plan.

INTERMEDIATE SERVICE

Vascular Studies

101

Photoplethysmography (PPG) is a method used to monitor the pulse in the most distal part of the foot, typically on the hallux (or lesser toes). It involves measuring the distal segmental systolic pressure using sphygmomanometry. This systolic pressure, when combined with a brachial pressure, allows for the calculation of a Toe/Brachial Index (TBI). The TBI is a reliable and objective measurement for assessing ischemia in the foot. This procedure also includes the measurement of the Ankle Brachial Index (ABI).

PLETHYSMOGRAPHY

104

Peripheral Flow Study (including Doppler) – arterial and venous.

PERIPHERAL FLOW

Biomechanical Examination (Pair) and/or Assessment

(Itemised Examination of the patient’s lower limb. The item numbers F111 – F117 represent the separate elements of this examination).

111

Muscle Testing. Measuring muscle strength & tone

MUSCLE TEST

114

Range of motion study. Anomalies to be recorded

MOTION STUDY

115

Digital gait analysis

COMP GAIT ANLYS

117

Visual gait appraisal. Anomalies to be recorded

GAIT APPRAISE

118

Biomechanical Assessment (includes F111, F114, and either F115 or F117). A complete assessment of the patient’s muscle tone and range of motion of the joints of the lower limb and foot, combined with a digital or visual gait appraisal. Anomalies to be recorded.

BIOMECH ASSESS

Item number

Full description

Abbreviated description

142

Neuromuscular re-education

145

Non-invasive rehabilitative functional therapy (e.g. Stretching, Strengthening, Electrophysical therapy, massage, padding and or taping, hot/cold therapy).

147

Manipulation / Mobilisation – treatment involving the use of manual joint manipulation, mobilisation and trigger point therapy.

MANIP/MOBLISTN

Item number

Full description

Abbreviated description

Impressions and Models

301

Negative model of the foot, or part thereof, can be obtained through a number of techniques, such as impression foam and plaster. To be used as an independent procedure for the prescribing of an orthosis or prosthesis.

NEGIMPRS ORTHIC

302

Positive model of the foot or part thereof and including modifications for the prescribing of an orthosis or prosthesis (this may also include 3D imaging or digital scans depending on software).

POSIMPRS ORTHIC

304

Negative impression of the foot and up to the lower 1/3 of the lower leg, obtained through a number of techniques, such as impression foam and plaster. To be used as an independent procedure for the prescribing of an orthosis or prosthesis.

NEGIMPRSLWR1/3

305

Positive model fabrication of the foot and up to the lower 1/3 of the lower leg (e.g. plaster cast, wax) and including modifications for the prescribing of an orthosis or prosthesis (this may also include 3D imaging or digital scans depending on software).

POSIMPRS LWR1/3

Custom Made / Cast Orthosis

201

Ankle-Foot Orthosis (AFO). A brace worn on the lower leg and foot to support the ankle and hold the foot and ankle in the desired position.

ANKL/FT ORTHIC

211

Orthodigital traction device. A device manufactured with the purpose of mobilising a toe and/or toe joints for the correction of hallux valgus, hammer toes, underlapping or overlapping toes. Can be made from a variety of materials. Custom made.

ORTHIC TRACTN

221

Custom-made Functional Orthosis (Single). A functional foot orthosis that is custom-made from an impression of the patient’s foot (can

be obtained by plaster or foam impression or 3D imaging) with reference to biomechanical measurements, with intrinsic or extrinsic modifications. Can be made from a variety of materials.

CUSTOM ORTHIC

223

Custom made orthotic (single). Made and fitted in the same day using technology such as a 3D printer. A functional foot orthosis that is custom-made from an impression of the patient’s foot (obtained by plaster or foam impression, 3D imaging or digital scan) with reference to biomechanical measurements, with intrinsic or extrinsic modifications. Made using technology such as a 3D printer.

CUSTOM NEW TECH

227

Heel stabiliser

HEEL STABILSER

261

Cushioning Orthosis – Simple (single). Flexible device, made from cushioning material such as rubber or other similar composite material, the design of which is based upon measurements of the patient foot and / or shoe. Aim is to provide cushioning and padding underfoot and shock absorption during gait.

CUSHION ORTHIC

263

Pressure Relief Orthosis – Complex (single). Device made from material such as rubber or other similar composite materials, the design of which is based upon either measurements of the patient’s foot and/or their shoes, or from a reproduced mould of the patient’s foot.

PRESSURE ORTHIC

265

Moulded Orthosis (single). A device made from heat sensitive thermoplastic, forming the orthosis shell. The aim of this orthosis is to provide correction, cushioning, padding and / or redistribution of load away from areas of increased pressure and / or shock absorption in gait.

MOULDCST ORTHIC

269

Heel lift made of thermoplastic or similar material

HEEL LIFT

271

Interior shoe modification (e.g. tri-planar wedge, met bars, met domes, toe-filler, felt heel lifts, valgus pads).

SHOE PADDING

341

Protective device (e.g. Otoform toe splint, latex bunion shield, interdigital wedge)

PROTECT DEVICE

344

Minimally invasive nail correction (e.g. nail brace).

NAILBRACE CUST

Prefabricated & modified Orthoses

229

Heel stabiliser

PREFABHEEL STBL

240

Pre-moulded or Preformed (off the shelf) Orthosis. An orthosis selected from a range of prefabricated devices with varied design features (including different materials and construction specifications) depending on the supplier or manufacturer. Requires modification.

PREMOULD ORTHIC

241

Pre-moulded or Preformed (off the shelf) Orthosis. An orthosis selected from a range of prefabricated devices with varied design features (including different materials and construction specifications) depending on the supplier or manufacturer. Requires no modification.

PREMOULD ORTHIC

Orthosis Modifications and Repairs

351

Digital or partial foot prosthesis

PROSTHESIS

381

Orthosis cover – plain (single)

ORTHICCOVER PLN

383

Orthosis cover – with soft tissue supplement (single)

ORTHICCOVER SUP

385

Orthosis Post, extrinsic – forefoot or rearfoot (single)

ORTHIC POST

Prosthetic Devices

008

Footwear assessment. Includes assessment and completion of treatment plan.

284

Infant foot deformity – correction shoe

CRRCT SHOE INF

311

Immobilisation splint, thermoplastic, plaster, or other; below knee

SPLNT BLOW KNEE

312

Immobilisation splint, thermoplastic, plaster, or other; ankle/foot

SPLNT ANKLE/FT

315

Immobilisation splint, thermoplastic, plaster, or other; above knee

SPLNT ABVE KNEE

Footwear

605

Custom Footwear

618

Depth Width Footwear, non-custom

Item number

Full description

Abbreviated description

119

Surgical assessment

SURGERY ASSESS

421

Incision and drainage of infected or non-infected lesion

INCISN/DRAINAGE

438

Debridement of post-operative wound

DEBRIDE

440

Avulsion of toenail

TOENAIL AVULSN

445

Excision, benign lesion

LESION EXCISN

474

Excision nail and/or nail matrix. Partial, for permanent removal.

475

Excision nail and/or nail matrix. Complete, for permanent removal.

476

Excision or plastic correction of peri-ungual tissue.

492

Linear repair.

541

Electrocautery, chemocautery or cryocautery of benign or quiescent lesion or verrucae, with or without curettage

LESION CAUTERY

546

Nail root and matrix resection with matrix sterilisation (single edge)

NAIL RESECT EDG

547

Nail root and matrix resection with matrix sterilisation (total nail)

NAIL RESECT TTL

548

Nail and root matrix resection with matrix sterilisation – each additional edge.

561

Incision of soft tissue abscess (superficial).

Item number

Full description

Abbreviated description

Other Procedures

401

Collection and handling of specimen for transfer to a laboratory

HANDLE SPECIMEN

411

Medical/Surgical supplies (e.g. dressings, list drugs)

SUPPLIES

412

Written podiatric report

WRITTEN REPORT

985

Unlisted podiatry service or procedure

UNLISTED SRVCE

Item number

Full description

Abbreviated description

HICAPS Hints

• If the card does not have the patient IDs listed, start with 01.
• Terminal rolls can be ordered via your terminal (see HICAPS Terminal User Guide)
• Descriptions relating to the Transaction Response Codes are listed in the HICAPS Terminal User Guide.

105

Consultation over 30 minutes

CONS OVER 30 MINS

205

Consultation up to 30 minutes

CONS TO 30 MINS

105

Initial consultation

INITIAL CONS

205

Consultation up to 30 minutes

STANDARD CONS

310

Initial individual consultation/assessment up to 45 minutes

INITIAL TO 45 MINS

320

Initial individual consultation/assessment 46 – 90 minutes

INITIAL 46 – 90 MINS

330

Initial individual consultation/assessment over 90 minutes

INITIAL OVER 90 MINS

340

Subsequent individual consultation/ assessment/treatment up to 45 minutes

SUBS TO 45 MINS

350

Subsequent individual consultation/ assessment/treatment 46 – 90 minutes

SUBS 46 – 90 MINS

360

Subsequent individual consultation/ assessment/treatment over 90 minutes

SUBS OVER 90 MINS

370

Group treatment up to 45 minutes

GROUP TO 45 MINS

380

Group treatment 46 - 90 minutes

GROUP 46 – 90 MINS

390

Group treatment over 90 minutes

GROUP OVER 90 MINS

901

Left Ear Hearing Aid Device

L/H HEARING AID

902

Right Ear Hearing Aid Device

R/H HEARING AID

903

Repair of Hearing Aid Device

REPAIR HEAR AID

904

Audiology Consultation

AUDIO CONSULT

905

Pair of Hearing Aid Devices

PAIR HEARING

500

Counselling Individual Consultation

INDIVIDUAL CONSULT

600

Counselling Couple or Family Consultation

FAMILY CONSULT

800

Counselling Individual Telehealth Consultation

INDIVIDUAL CONSULT T/H

900

Counselling Couple or Family Telehealth Consultation

FAMILY CONSULT T/H

100

Individual Assessment

INDIVIDUAL ASSESS

200

Individual Treatment/Management

INDIVIDUAL TRMT

50

Adjustment

60

Affect

10953

Exercise physiology service provided to a person by an eligible exercise physiologist

STANDARD CONS

81110

Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of assessing a person’s suitability for group services for the management of type 2 diabetes – 45 min duration

DIABETES 45 MIN

81115

Exercise physiology health service provided to a person by an eligible exercise physiologist, as a group service for the management of type 2 diabetes – 60 min duration

GRP CONS <61 MIN

10958

Occupational therapy health service provided to a person by an eligible occupational therapist

STANDARD CONS

80125

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes

CONS 21-50 MINS

80130

Professional attendance at a place other than consulting rooms as per requirements outlined for item 80125.

EXTERNAL VISIT

80135

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes

CONSULT > 50MIN

80140

Professional attendance at a place other than consulting rooms as per requirements outlined for 80135.

EXTERNAL VISIT

80145

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes

CONSULT <61MIN

Osteopathy health service provided to a person by an eligible osteopath – 20-minute duration.

1096

Physiotherapy health service provided to a person by an eligible physiotherapist – 20-minute duration.

CONSULT 20 MINS

Podiatry health service provided to a person by an eligible podiatrist – 20-min duration

CONSULT 20 MINS

10968

Psychology health service provided to a person by an eligible psychologist.

80000

Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes.

80005

Professional attendance at a place other than consulting rooms as per requirements for item 80000.

80010

Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes.

80015

Professional attendance at a place other than consulting rooms as per requirements for item 80010.

80020

Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes.

80100

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes.

80105

Professional attendance at a place other than consulting rooms as per requirements for item 80100.

80110

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes.

80115

Professional attendance at a place other than consulting rooms as per requirements for item 80110.

80120

Group Service-Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration.

CONSULT 20 MINS