View Associated Notes
Category 1 - PROFESSIONAL ATTENDANCES
92210 - Additional Information
Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:
(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and
(b) the patient’s medical condition requires urgent assessment.
Fee: $161.75 Benefit: 100% = $161.75
(See para AN.1.1 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
Patients Usual Medical Practitioner
It is a legislative requirement that GPs and other medical practitioners working in general practice must only perform a telehealth or telephone service where they have an established clinical relationship with the patient.
An established clinical relationship is defined as:
· the medical practitioner who performs the service has provided a face-to-face service to the patient in the last 12 months; or
· the medical practitioner who performs the service is located at a medical practice, and the patient has a face-to-face service arranged by that practice in the last 12 months. This can be a service performed by another doctor located at the practice, or a service performed by another health professional located at the practice (such as a practice nurse or Aboriginal and Torres Strait Islander health worker); or
· the medical practitioner who performs the service is a participant in the Approved Medical Deputising Service (AMDS) program, and the Approved Medical Deputising Service provider (AMDS provider) that employs the medical practitioner has a formal agreement with a medical practice that has provided at least one face-to-face service to the patient in the last 12 months.
This requirement does not apply to a person who is under the age of 12 months, a person who is experiencing homelessness, a person who has tested positive for COVID-19, or person who is experiencing acute respiratory symptoms and who meets the PBS criteria for COVID-19 antiviral therapy (until 31 March 2023), or people living in a natural disaster affected area, a person receiving an urgent after-hours service (in unsociable hours), or a person who receives the service from a medical practitioner located at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service.
person who is experiencing homelessness means when a person does not have suitable accommodation alternatives they are considered homeless if their current living arrangement:
(a) is in a dwelling that is inadequate; or
(b) has no tenure, or if their initial tenure is short and not extendable; or
(c) does not allow them to have control of, and access to space for social relations.
person who has tested positive for COVID-19 means a patient who has received a positive COVID-19 test result within the last 7 days, confirmed by either:
(a) Laboratory testing (PCR); or
(b) A COVID-19 rapid antigen self test (RAT) which has been approved for supply in Australia by the Therapeutic Goods Administration.
person who meets the PBS criteria for COVID-19 antiviral therapy means a person who is:
(a) 70 years of age or older;
(b) 50 years of age or older with at least two additional risk factors;
(c) of First Nations descent, who is 30 years of age or older and with at least one additional risk factor; or
(d) 18 years of age or older and who is moderately to severely immunocompromised
people living in a natural disaster affected area is defined as a State or Territory local government area which is currently declared as a natural disaster area by a State or Territory Government until that declaration is deemed to have expired.
- 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