Medicare Benefits Schedule - Item 160

Search Results for Item 160

View Associated Notes

Prolonged Professional Attendance

Professional attendance (not being a service to which another item in this Category applies) on a patient in imminent danger of death. The time period relates to the total time spent with a single patient, even if the time spent by the practitioner is not continuous. Attendance on one patient at risk of imminent death may be provided by one or more general practitioners, specialists or consultant physicians on the one occasion.

Category 1 - PROFESSIONAL ATTENDANCES

160

160 - Additional Information

Item Start Date:
01-Mar-1987
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2014

Group
A5 - Prolonged Attendances To Which No Other Item Applies
Subheading
1 - Prolonged Professional Attendance

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $221.50 Benefit: 75% = $166.15 100% = $221.50

(See para AN.0.27 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.27

Prolonged Attendance in Treatment of a Critical Condition (Items 160 164)

The conditions to be met before services covered by items 160‑164 attract benefits are:‑

(i)               the patient must be in imminent danger of death;

(ii)              if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance; and

(iii)             if personal attendance on a single patient is provided by 1 or more general practitioners, specialists or consultant physicians concurrently, each general practitioner, specialist or consultant physician may claim an attendance fee. 

Related Items: 160 161 162 163 164


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change