Medicare Benefits Schedule - Item 131

Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment

Fee: $89.15 Benefit: 75% = $66.90 85% = $75.80

(See para AN.0.21 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $267.45

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A minor consultation is regarded as being a consultation in which the assessment of the patient does not require the physical examination of the patient and does not involve a substantial alteration to the patient's treatment. Examples of consultations which could be regarded as being 'minor consultations' are listed below (this is by no means an exhaustive list) :‑

-                  hospital visits where a physical examination does not result, or where only a limited examination is performed;

-                  hospital visits where a significant alteration to the therapy or overall management plan does not ensue;

-                  brief consultations or hospital visits not involving subsequent discussions regarding patient's progress with a specialist colleague or the referring practitioner.

Related Items: 119 120 131