Extra cost for adapted or adapting clothing and/or footwear for disability need

When to use this code

Use this code for consumable items related to the participant’s disability needs. Consumables are items that get used up or need regular replacement, such as continence products, wound care supplies, or low-cost assistive items. These items must be directly related to the participant’s disability and not things that everyone would typically purchase.

Common billing scenarios

• A participant orders a monthly supply of continence products through their provider. The provider claims the cost of supplies each month under this code.
• A participant purchases low-cost AT items (e.g. non-slip mats, adapted utensils) from an approved supplier. The supplier claims the cost per item under the consumables code.

Provider notes

• Core supports are the most commonly claimed category. Make sure your service agreements clearly state the code, rate, and cancellation terms. This reduces disputes at claiming time.
• When billing under this code, make sure the support delivered matches the description in the NDIS Support Catalogue. Mismatched codes are a common audit finding. Keep records of the date, time, duration, and nature of each support session.