Medicare Benefits Schedule - Item 536

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View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

536

536 - Additional Information

Item Start Date:
01-Nov-2002
Description Start Date:
01-Nov-2002
Schedule Fee Start Date:
01-Jul-2019

Group
A21 - Medical Practitioner (Emergency Physician) Attendances To Which No Other Item Applies
Subgroup
2 - Prolonged Professional Attendances To Which No Other Group Applies

Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine-attendance for a total period (whether or not continuous) of at least 5 hours (before the patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem

Fee: $937.50 Benefit: 75% = $703.15 85% = $854.10

(See para AN.0.61 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.61

Prolonged Attendance by an Emergency Physician in Treatment of a Critical Condition - (Items 519 to 536)

The conditions to be met before services covered by items 519 to 536 attract benefits are:

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

(ii) the times relate to the total time spent with a single patient, even if the time spent by the physician is not continuous.

Related Items: 519 520 530 532 534 536


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