Information about key claiming requirements for the diagnostic audiology items available on the Medicare Benefits Schedule.
Make sure you read the relevant Medicare Benefits Schedule (MBS) item descriptors and explanatory notes at MBS Online .
Diagnostic audiology items 82300-82332 let eligible audiologists perform diagnostic tests if they have a written request from:
- an ear, nose and throat (ENT) specialist, or
- an otolaryngology head and neck surgery specialist
For some services, audiologists can perform the services with a written request from:
- a neurologist
- a neurology specialist, or
- a consultant physician
These services assist ENT specialists and neurologists diagnose, treat or manage ear diseases or related disorders. They supplement the existing otolaryngology MBS items 11300-11339, excluding item 11304, for services delivered by, or on behalf of, medical practitioners.
Requesting arrangements for diagnostic audiology items
Medicare benefits are only payable for items:
- 82300 and 82306, if a written request is made by an eligible specialist in otolaryngology head and neck surgery
- 82309 to 82332, if a written request is made by
- an eligible specialist in otolaryngology head and neck surgery, or
- an eligible neurology specialist or consultant physician in neurology
The request must contain:
- the date
- the name and practice address or provider number of the eligible specialist or consultant physician requesting the service
- a description of the service that shows how it relates to a particular item
The request doesn't need to specify the item number.
Claiming requirements for diagnostic audiology items
An eligible audiologist must perform all services individually and in person.
These services aren't available for patients admitted in a hospital or for hearing screenings.
Audiologists can't claim items 82300-82332 without a written request.
Written requests for diagnostic audiology services
Audiologists should contact the requesting practitioner for further information if:
- the written request is incomplete
- the audiologist needs to clarify details of the written request, or
- the audiologist thinks the patient may need additional tests
If required, an additional request must be issued.
A request may be for more than 1 diagnostic audiology service as part of a single audiological assessment. Audiologists need a new request for each new audiological assessment. It’s up to the ENT specialist or neurologist to decide whether to write a new request.
Audiologists should keep the written request for 2 years from the date they performed the service.
Reporting diagnostic audiology service results
After providing a diagnostic audiology service, an audiologist must give the requesting ENT specialist or neurologist:
- a copy of the results of the service, and
- written comments on the results
Audiologists should give the results to the ENT specialist or neurologist within 7 days of performing the service.
Eligibility requirements for audiologists
To be eligible to claim these items, audiologists must register with us and be either:
- a Full Member of Audiology Australia who holds a Certificate of Clinical Practice, or
- an Ordinary Member - Audiologist or Fellow Audiologist of the Australian College of Audiology
Audiologists who have a provider number to perform services under items 10952, 81310, 82030 or 82035 don't need to register to perform services under the diagnostic audiology item numbers.
Other item numbers for audiologists
As long as they have an appropriate referral, audiologists can also provide other audiology services. The table below shows the other audiology service item numbers and which patients are eligible.
|Item number||Eligible patients|
|10952||People with a chronic or terminal medical condition and complex care needs|
|81310||Aboriginal or Torres Strait Islander Australians who have had a health assessment|
|82030||Children with autism, pervasive development disorder or an eligible disability for assessment services|
|82035||Children with autism, pervasive development disorder or an eligible disability for treatment services|
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