Medicare Benefits Schedule - Note AN.0.53

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.53

Taking a Cervical Screen from a Person who is Unscreened or Significantly Under-screened - (Items 2497 - 2509 and 2598 - 2616)

The item numbers 2497, 2501, 2503, 2504, 2506, 2507, 2509, 2598, 2600, 2603, 2606, 2610, 2613 and 2616 should be used in place of the usual attendance item where as part of a consultation, a sample for cervical screening is collected from a person between the ages of 24 years and 9 months and 74 years inclusive who has not had a cervical smear in the last four years. Cervical Screening in accordance with the National Cervical Screening Policy at P.16.11.

Self collection of a sample for screening is only available for women between the ages of 30 and 74 years of age who are overdue for screening by two or more years (i.e. being 4 years since their last Pap test).  Self collection should only be offered to an eligible person who refuses to have a sample collected by their requesting practitioner.

When providing this service, the doctor must satisfy themselves that the person has not had a cervical screening test in the last four years by:

(a) asking the person if they can remember having a cervical screening test in the last four years;

(b) checking their own practice's medical records; and

(c) checking the National Cancer Screening Register.

A person from the following groups are more likely than the general population to be unscreened or significantly underscreened - low socioeconomic status, culturally and linguistically diverse backgrounds, Indigenous communities, rural and remote areas and older people.

Vault smears are not eligible for items 2497 - 2509 and 2598 - 2616.

In addition to attracting a Medicare rebate, the use of these items will initiate a Cervical Screening SIP through the PIP.

A PIP Cervical Screening SIP is available for taking a cervical screen from a person who has not been screened in the last for four years.  The SIP will be paid to the medical practitioner who provided the service if the service was provided in a general practice participating in the PIP Cervical Screening Incentive. A further PIP Cervical Screening Incentive payment is paid to practices which reach target levels of cervical screening for their patients aged 24 years and 9 months of age to 74 years inclusive. More detailed information on the PIP Cervical Screening Incentive is available from the Department of Human Services PIP enquiry line on 1800 222 032 or from the Department of Human Services website.

Related Items: 2497 2501 2503 2504 2506 2507 2509 2598 2600 2603 2606 2610 2613 2616


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

2598

2598 - Additional Information

Item Start Date:
01-May-2005
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-May-2005

Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner who practices in general practice (other than a general practitioner) at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $11.00 Benefit: 100% = $11.00

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2600

2600 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

Professional attendance at consulting rooms of more than 5, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $21.00 Benefit: 100% = $21.00

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2603

2603 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

 

Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $38.00 Benefit: 100% = $38.00

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2606

2606 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $61.00 Benefit: 100% = $61.00

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2610

2610 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $0.70 per patient
Ready Reckoner

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2613

2613 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $0.70 per patient
Ready Reckoner

(See para AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2616

2616 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Nov-2001

 

Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $0.70 per patient
Ready Reckoner

(See para AN.0.53 of explanatory notes to this Category)


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


and at which a cervical screening test is taken from a person at least 24 years and 9 months of age but is less than 75 years of age, who has not had a cervical screening test in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2507

2507 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $105.55 Benefit: 100% = $105.55

(See para AN.0.9, AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2509

2509 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at a place other than consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

The fee for item 2507, 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 2507 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.53 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:

f)     taking a detailed patient history;

g)     performing a clinical examination;

h)     arranging any necessary investigation;

i)     implementing a management plan;

j)     providing appropriate preventive health care;

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


and at which a cervical screening test is taken from a person at least 24 years and 9 months of age but is less than 75 years of age, who has not had a cervical screening test in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2504

2504 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

Fee: $71.70 Benefit: 100% = $71.70

(See para AN.0.9, AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2506

2506 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at a place other than consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years

The fee for item 2504, 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 2504 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.53 of explanatory notes to this Category)


Level A

Professional attendance involving taking a short patient history and, if required, limited examination and management


and at which a cervical screening test is taken from a person at least 24 years and 9 months of age but is less than 75 years of age, who has not had a cervical screening test in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2497

2497 - Additional Information

Item Start Date:
01-May-2005
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

 

Professional attendance at consulting rooms by a general practitioner:

(a) involving taking a short patient history and, if required, limited examination and management; and

(b) at which a specimen for a cervical screening service is collected from the patient;

if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.

Fee: $16.95 Benefit: 100% = $16.95

(See para AN.0.9, AN.0.53 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


and at which a cervical screening test is taken from a person at least 24 years and 9 months of age but is less than 75 years of age, who has not had a cervical screening test in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2501

2501 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.

Fee: $37.05 Benefit: 100% = $37.05

(See para AN.0.9, AN.0.53 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2503

2503 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Dec-2017
Schedule Fee Start Date:
01-Jul-2014

Professional attendance by a general practitioner at a place other than consulting rooms, 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, and at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.

The fee for item 2501, 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 2501 plus $2.00 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.53 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