Medicare Benefits Schedule - Note AN.0.45

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A health assessment for an Aboriginal and Torres Strait Islander adult (aged between 15 years and 54 years)

An Aboriginal and Torres Strait Islander adult health assessment must include:

  1. a personal attendance by a general practitioner;
  2. taking the patient's medical history, including the following:
    1. current health problems and risk factors;
    2. relevant family medical history;
    3. medication usage (including medication obtained without prescription or from other doctors);
    4. immunisation status, by reference to the appropriate current age and sex immunisation schedule;
    5. sexual and reproductive health;
    6. physical activity, nutrition and alcohol, tobacco or other substance use;
    7. hearing loss;
    8. mood(including incidence of depression and risk of self-harm); and
    9. family relationships and whether the patient is a carer, or is cared for by another person;
    10. vision
  3. examination of the patient, including the following:
    1. measurement of the patient's blood pressure, pulse rate and rhythm;
    2. measurement of height and weight to calculate body mass index and, if indicated, measurement of waist circumference for central obesity;
    3. oral examination (including gums and dentition);
    4. ear and hearing examination (including otoscopy and, if indicated, a whisper test); and
    5. urinalysis (by dipstick) for proteinurea;
    6. eye examination; and
  4. undertaking or arranging any required investigation, considering the need for the following tests, in particular, (in accordance with national or regional guidelines or specific regional needs):
    1. fasting blood sugar and lipids (by laboratory based test on venous sample) or, if necessary, random blood glucose levels;
    2. cervical screening;
    3. examination for sexually transmitted infection (by urine or endocervical swab for chlamydia and gonorrhoea, especially for those aged from 15 to 35years); and
    4. mammography, if eligible (by scheduling appointments with visiting services or facilitating direct referral).
  5. assessing the patient using the information gained in the adult health assessment; and
  6. making or arranging any necessary interventions and referrals, and documenting a simple strategy for the good health of the patient.

An Aboriginal and Torres Strait Islander Older Person's health assessment must also include:

  1. keeping a record of the health assessment; and
  2. offering the patient a written report on the health assessment, with recommendations on matters covered by the health assessment;

Related Items: 715

Related Items

Aboriginal And Torres Strait Islander Peoples Health Assessment

Details of the requirements for the Aboriginal and Torres Strait Islander Peoples Health Assessment,

The Aboriginal and Torres Strait Islander Peoples Health Assessment is available to:

a)     Children between ages of 0 and 14 years,

b)     Adults between the ages of 15 and 54 years,

c)     Older people over the age of 55 years.



715 - Additional Information

Item Start Date:
Description Updated:
Schedule Fee Updated:

Professional attendance by a general practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period

Fee: $224.40 Benefit: 100% = $224.40

(See para AN.0.43, AN.0.44, AN.0.45, AN.0.46 of explanatory notes to this Category)


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