Sentrix Digital riskatlas.com.au Compass

← Medical schemes & PMBs

Diagnosis Treatment Pairs (DTPs)

266 PMB conditions linking diagnosis to mandated treatment — from CMS Annexure A / coded list.

← All categories · MENTAL ILLNESS

CodeDiagnosisTreatment
182T Abuse or dependence on Psychoactive substance, including alcohol Hospital-based management up to 3 weeks/year
184T Brief reactive psychosis Hospital-based management up to 3 weeks/year
901T Acute stress disorder accompanied by recent significant trauma, including physical or sexual abuse Hospital admission for psychotherapy / counselling up to 3 days, or up to 12 outpatient psychotherapy / counselling contacts
902T Major affective disorders, including unipolar and bipolar depression Hospital-based management up to 3 weeks/year (including inpatient electro-convulsive therapy and inpatient psychotherapy) or outpatient psychotherapy of up to 15 contacts
903T Attempted suicide, irrespective of cause Hospital-based management up to 3 days or up to 6 outpatient contacts
907T Schizophrenic and paranoid delusional disorders Hospital-based management up to 3 weeks/year
908T Anorexia Nervosa and Bulimia Nervosa Hospital-based management up to 3 weeks/year or minimum of 15 outpatient contacts per year
909T Treatable dementia Admission for initial diagnosis; management of acute psychotic symptoms - up to 1 week
910T Delirium: Amphetamine, Cocaine, or other psychoactive substance Hospital-based management up to 3 days

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