Medicare Benefits Schedule - Note AN.0.21

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.21

Minor Attendance by a Consultant Physician (Items 119, 120, 131)

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


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

119

119 - Additional Information

Item Start Date:
22-Dec-1987
Description Start Date:
22-Dec-1987
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $43.65 Benefit: 75% = $32.75 85% = $37.15

(See para AN.0.21, AN.0.70 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

120

120 - Additional Information

Item Start Date:
01-Nov-2017
Description Start Date:
01-Nov-2017
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a referring practitioner—an attendance after the first attendance in a single course of treatment, if:

(a) the attendance is a minor attendance; and

(b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and

(c) the consultant physician subsequently performs the operation on the patient, on the same day; and

(d) the operation is a service to which an item in Group T8 applies; and

(e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $300 or more

For any particular patient, once only on the same day

Fee: $43.65 Benefit: 75% = $32.75 85% = $37.15

(See para AN.0.21, AN.3.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

131

131 - Additional Information

Item Start Date:
22-Dec-1987
Description Start Date:
22-Dec-1987
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $80.95 Benefit: 75% = $60.75 85% = $68.85

(See para AN.0.21 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