Medicare Benefits Schedule - Note AN.0.13

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.13

Attendances at a Hospital (Items 4, 24, 37, 47, 58, 59, 60, 65)

These items refer to attendances on patients admitted to a hospital. Where medical practitioners have made arrangements with a local hospital to routinely use out-patient facilities to see their private patients, items for services provided in consulting rooms would apply.

Related Items: 4 24 37 47


Related Items


Level D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, including any of the following that are clinically relevant:

a)     taking an extensive patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

47

47 - Additional Information

Item Start Date:
01-Nov-1997
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 44, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 44 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13 of explanatory notes to this Category)


Level A

Professional attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management.

Category 1 - PROFESSIONAL ATTENDANCES

4

4 - Additional Information

Item Start Date:
01-Nov-1997
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 3, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13 of explanatory notes to this Category)


Level C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant:

a)     taking a detailed patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

37

37 - Additional Information

Item Start Date:
01-Nov-1997
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 36, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 36 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13 of explanatory notes to this Category)


Level B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

24

24 - Additional Information

Item Start Date:
01-Nov-1997
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014


Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant:

(a) taking a patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 23, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 23 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13 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