Medicare Benefits Schedule - Note A47

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Category 1 - PROFESSIONAL ATTENDANCES

A47

Pain and Palliative Medicine (Items 2801 to 3093)

Attendance by a recognised specialist or consultant physician in the specialty of pain medicine (2801, 2806, 2814, 2824, 2832, 2840) and Case conference by a recognised specialist or consultant physician in the specialty of pain medicine (2946, 2949, 2954, 2958, 2972, 2974, 2978, 2984, 2988, 2992, 2996, 3000).

 

Items 2801, 2806, 2814, 2824, 2832, 2840, 2946, 2949, 2954, 2958, 2972, 2974, 2978, 2984, 2988, 2992, 2996, 3000, apply only to a service provided by a recognised specialist or consultant physician in the specialty of pain medicine, in relation to a pain patient referred from another practitioner (see Paragraph 6 of the General Explanatory notes).

 

The conditions that apply to the Case Conferences items (2946, 2949, 2954, 2958, 2972, 2974, 2978, 2984, 2988, 2992, 2996, 3000) are the same as those for the Case Conferences by consultant physicians (Items 820 to 838).  See explanatory note A.25 for details of these conditions.

 

Where the service provided to a referred patient is by a medical practitioner who is a recognised specialist or consultant physician in the specialty of pain medicine and that service is pain medicine, then the relevant items from the pain specialist group (2801, 2806, 2814, 2824, 2832, 2840, 2946, 2949, 2954, 2958, 2972, 2974, 2978, 2984, 2988, 2992, 2996, 3000) must be claimed. Services to patients who are not receiving pain medicine services should be claimed using the relevant attendance or case conferencing items.

 

Attendance by a recognised specialist or consultant physician in the specialty of palliative medicine (3005, 3010, 3014, 3018, 3023, 3028) and Case conference by a recognised specialist or consultant physician in the specialty of palliative medicine (3032, 3040, 3044, 3051, 3055, 3062, 3069, 3074, 3078, 3083, 3088, 3093).

 

Items 3005, 3010, 3014, 3018, 3023, 3028, 3032, 3040, 3044, 3051, 3055, 3062, 3069, 3074, 3078, 3083, 3088, 3093, apply only to a service provided by a recognised specialist or consultant physician in the specialty of palliative medicine, in relation to a palliative patient referred from another practitioner (see Paragraph 6 of the General Explanatory notes).

 

General Practitioners who are recognised specialist in the specialty of palliative medicine and are treating a referred palliative patient and claiming items 3005, 3010, 3014, 3018, 3023, 3028, 3032, 3040, 3044, 3051, 3055, 3062, 3069, 3074, 3078, 3083, 3088, 3093 cannot access the GP Management Plan items (721 and 732) or Team Care Arrangement items (723 and 732) for that patient. The referring practitioner is able to provide these services.

 

The conditions that apply to the Case Conferences items (3032, 3040, 3044, 3051, 3055, 3062, 3069, 3074, 3078, 3083, 3088, 3093) are the same as those for the Case Conferences by consultant physicians (Items 820 to 838).  See explanatory note A.25 for details of these conditions.

 

Where the service provided to a referred patient is by a medical practitioner who is a recognised specialist or consultant physician in the specialty of palliative medicine and that service is a palliative medicine service, then the relevant items from the palliative specialist group 3005, 3010, 3014, 3018, 3023, 3028, 3032, 3040, 3044, 3051, 3055, 3062, 3069, 3074, 3078, 3083, 3088, 3093) must be claimed. Services to patients who are not receiving palliative care services should be claimed using the relevant attendance or case conferencing items.

 

Related Items: 2801 2806 2814 2824 2832 2840 2946 2949 2954 2958 2972 2974 2978 2984 2988 2992 2996 3000 3005 3010 3014 3018 3023 3028 3032 3040 3044 3051 3055 3062 3069 3074 3078 3083 3088 3093


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

3005

3005 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-Nov-2011
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment

Fee: $150.90 Benefit: 75% = $113.20 85% = $128.30

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3010

3010 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 3014 applies) after the first in a single course of treatment

Fee: $75.50 Benefit: 75% = $56.65 85% = $64.20

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3014

3014 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment

Fee: $43.00 Benefit: 75% = $32.25 85% = $36.55

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3018

3018 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-Nov-2011
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment

Fee: $183.10 Benefit: 85% = $155.65

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3023

3023 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 3028 applies) after the first in a single course of treatment

Fee: $110.75 Benefit: 85% = $94.15

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3028

3028 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment

Fee: $79.75 Benefit: 85% = $67.80

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2801

2801 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-Nov-2011
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment

Fee: $150.90 Benefit: 75% = $113.20 85% = $128.30

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2806

2806 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 2814 applies) after the first in a single course of treatment

Fee: $75.50 Benefit: 75% = $56.65 85% = $64.20

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2814

2814 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment

Fee: $43.00 Benefit: 75% = $32.25 85% = $36.55

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2824

2824 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-initial attendance in a single course of treatment

Fee: $183.10 Benefit: 85% = $155.65

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2832

2832 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each attendance (other than a service to which item 2840 applies) after the first in a single course of treatment

Fee: $110.75 Benefit: 85% = $94.15

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2840

2840 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a referring practitioner-each minor attendance after the first attendance in a single course of treatment

Fee: $79.75 Benefit: 85% = $67.80

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3032

3032 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes

Fee: $139.10 Benefit: 75% = $104.35 85% = $118.25

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3040

3040 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes

Fee: $208.70 Benefit: 75% = $156.55 85% = $177.40

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3044

3044 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes

Fee: $278.15 Benefit: 75% = $208.65 85% = $236.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3051

3051 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes

Fee: $99.90 Benefit: 75% = $74.95 85% = $84.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3055

3055 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines

Fee: $159.30 Benefit: 75% = $119.50 85% = $135.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3062

3062 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes

Fee: $218.75 Benefit: 75% = $164.10 85% = $185.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3069

3069 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)

Fee: $139.10 Benefit: 75% = $104.35 85% = $118.25

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3074

3074 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)

Fee: $208.70 Benefit: 75% = $156.55 85% = $177.40

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3078

3078 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)

Fee: $278.15 Benefit: 75% = $208.65 85% = $236.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3083

3083 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)

Fee: $99.90 Benefit: 75% = $74.95 85% = $84.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3088

3088 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)

Fee: $159.30 Benefit: 75% = $119.50 85% = $135.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3093

3093 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)

Fee: $218.75 Benefit: 75% = $164.10 85% = $185.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2946

2946 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes

Fee: $139.10 Benefit: 75% = $104.35 85% = $118.25

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2949

2949 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes

Fee: $208.70 Benefit: 75% = $156.55 85% = $177.40

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2954

2954 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes

Fee: $278.15 Benefit: 75% = $208.65 85% = $236.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2958

2958 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes

Fee: $99.90 Benefit: 75% = $74.95 85% = $84.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2972

2972 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes

Fee: $159.30 Benefit: 75% = $119.50 85% = $135.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2974

2974 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes

Fee: $218.75 Benefit: 75% = $164.10 85% = $185.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2978

2978 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)

Fee: $139.10 Benefit: 75% = $104.35 85% = $118.25

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2984

2984 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)

Fee: $208.70 Benefit: 75% = $156.55 85% = $177.40

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2988

2988 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)

Fee: $278.15 Benefit: 75% = $208.65 85% = $236.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2992

2992 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)

Fee: $99.90 Benefit: 75% = $74.95 85% = $84.95

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2996

2996 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)

Fee: $159.30 Benefit: 75% = $119.50 85% = $135.45

(See para A47 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

3000

3000 - Additional Information

Item Start Date:
01-May-2006
Description Start Date:
01-May-2006
Schedule Fee Start Date:
01-Nov-2012

Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)

Fee: $218.75 Benefit: 75% = $164.10 85% = $185.95

(See para A47 of explanatory notes to this Category)


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