What item numbers are included in Total CDM Billings?

What item numbers are included in the Total CDM billings metric?

The Total CDM billings metric focuses primarily on the GP-driven item numbers in terms of calculating the portion of billings derived from Chronic Disease Management services.

The item numbers included in this list come from schedules A15, A17, and A40 of the Medicare Benefits Schedule.

A40 was created during the Covid-19 pandemic and includes the Telehealth and Telephone consult item numbers.

The CDM item numbers included for this metric are as follows:

ITEM	Item Description	Group	ITEM	Item Description	Group
721	GPMP	A15	229	GPMP	A7
723	TCA	A15	230	TCA	A7
729	Contribution to plan	A15	231	Contribution to plan	A7
731	RACF plan	A15	232	RACF plan	A7
732	Review	A15	233	Review	A7
92024	Video GPMP	A40	92055	Video GPMP	A40
92025	Video TCA	A40	92056	Video TCA	A40
92026	Video Contribution	A40	92057	Video Contribution	A40
92027	Video RACF	A40	92058	Video RACF	A40
92028	Video Review	A40	92059	Video Review	A40
92068	Phone GPMP	A40	92099	Phone GPMP	A40
92069	Phone TCA	A40	92100	Phone TCA	A40
92070	Phone Contribution	A40	92101	Phone Contribution	A40
92071	Phone RACF plan	A40	92102	Phone RACF plan	A40
92072	Phone Review	A40	92103	Phone Review	A40

There is also the option to include Health Assessment items numbers and/or Nurse items. The default option on the page is to only include CDM Items, but if you want to include the other options you can select them from the drop-down filter list.

The Health Assessment item numbers included for this metric are as follows.

ITEM	Item Description	Group	ITEM	Item Description	Group
701	Brief Health Assessment	A14	224	Brief Health Assessment	A7
703	Standard Health Assessment	A14	225	Standard Health Assessment	A7
705	Long Health Assessment	A14	226	Long Health Assessment	A7
707	Prolonged Health Assessment	A14	227	Prolonged Health Assessment	A7
715	ATSI Health Assessment	A14	228	ATSI Health Assessment	A7
699	Heart Health Assessment	A14	177	Heart Health Assessment	A7
92004	Video ATSI Health Assessment	A40	92011	Video ATSI Health Assessment	A40
92016	Telephone ATSI Health Assessment	A40	92023	Telephone ATSI Health Assessment	A40

The Nurse item numbers included for this metric are as follows.

ITEM	Item Description	Group		ITEM	Item Description	Group
10997	Service provided to a person with a chronic disease by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner	M12		10987	Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment	M12