Medicare Benefits Schedule - Note AN.40.1

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Category 1 - PROFESSIONAL ATTENDANCES

AN.40.1

COVID-19 Specialist and Consultant Physician MBS Telehealth and Telephone attendance items

COVID-19 MBS telehealth and telephone attendance items by specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist (ceases on 30 September 2020 unless revoked earlier).

The intent of these temporary items is to allow practitioners to provide certain MBS attendances remotely (by videoconference or telephone), in response to the COVID-19 pandemic. This can only be done where it is safe, in accordance with relevant professional standards and clinically appropriate to do so.  

COVID-19 MBS telehealth services by videoconference is the preferred substitution for a face-to-face consultation. However, providers will also be able to offer audio-only services via telephone if video is not available, for which there are separate items.

COVID-19 – TEMPORARY MBS TELEHEALTH ITEMS

SPECIALIST, CONSULTANT PHYSICIAN, PSYCHIATRIST, PAEDIATRICIAN, GERIATRICIAN, PUBLIC HEALTH PHYSICIAN, NEUROSURGEON AND ANAESTHETIST ATTENDANCES

As of 20 April 2020 bulk billing of specialist services is at the discretion of the provider, so long as informed financial consent is obtained prior to the provision of the service.

 Service 
Existing Items face to face

Telehealth items  -video-conference 

Telephone items for when video-conferencing is not available

Specialist Services (from 13 March 2020)      
Specialist. Initial attendance  104  91822  91832
Specialist. Subsequent attendance  105  91823  91833
Consultant Physician Services (from 13 March 2020)      
Consultant physician. Initial attendance  110  91824   91834
Consultant physician. Subsequent attendance  116  91825  91835
Consultant physician. Minor attendance  119  91826  91836
(from 6 April 2020)      
Consultant physician. Initial assessment, patient with at least 2 morbidities, prepare a treatment and management plan, at least 45 minutes  132  92422  92431
Consultant physician, Subsequent assessment, patient with at least 2 morbidities, review a treatment and management plan, at least 20 minutes    133  92423  92432
Specialist and Consultant Physician Services (from
30 March 2020)
     
Specialist or consultant physician early intervention services for children with autism, pervasive developmental disorder or disability  137  92141  92144
Geriatrician Services (from 6 April 2020)      
Geriatrician, prepare an assessment and management plan, patient at least 65 years, more than 60 minutes  141  92623  92628
Geriatrician,  review a management plan, more than 30 minutes  143  92624  92629
Consultant Psychiatrist services      
(from 6 April 2020)      
Consultant psychiatrist, prepare a treatment and management plan, patient under 13 years with autism or another pervasive developmental disorder, at least 45 minutes  289  92434  92474
Consultant psychiatrist, prepare a management plan, more than 45 minutes   291 92435 92475
Consultant psychiatrist, review management plan, 30 to 45 minutes 293 92436 92476
Consultant psychiatrist, attendance, new patient (or has not received attendance in preceding 24 mths), more than 45 minutes 296 92437 92477
(from 13 March 2020)      
Consultant psychiatrist. Consultation, not more than 15 minutes 300 91827 91837
Consultant psychiatrist. Consultation, 15 to 30 minutes 302 91828 91838
Consultant psychiatrist. Consultation, 30 to 45 minutes 304 91829 91839
Consultant psychiatrist. Consultation, 45 to 75 minutes 306 91830 91840
Consultant psychiatrist. Consultation, more than 75 minutes 308 91831 91841
(from 20 April 2020)      
Consultant psychiatrist, group psychotherapy, at least
1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients, each referred to consultant psychiatrist
342 92455 92495
Consultant psychiatrist, group psychotherapy, at least
1 hour, involving family group of 3 patients, each referred to consultant psychiatrist
344 92456 92496
Consultant psychiatrist, group psychotherapy, at least
1 hour, involving family group of 2 patients, each referred to consultant psychiatrist
346 92457 92497
Consultant psychiatrist, interview of a person other than patient, in the course of initial diagnostic evaluation of patient, 20 to 45 minutes 348 92458 92498
(from 6 April 2020)      
Consultant psychiatrist, interview of a person other than patient, in the course of initial diagnostic evaluation of patient,  45 minutes or more 350 92459 92499
Consultant psychiatrist, interview of a person other than patient, in the course of continuing management of patient, not less than 20 minutes, not exceeding 4 attendances per calendar year   352 92460 92500
(from 30 March 2020)      
Consultant psychiatrist, prepare an eating disorder treatment and management plan, more than 45 minutes 90260 92162 92166
Consultant psychiatrist, to review an eating disorder plan, more than 30 minutes 90266 92172 92178
Paediatrician Services (also refer to consultant physician services) (from 30 March 2020)      
Paediatrician early intervention services for children with autism, pervasive developmental disorder or disability 135 92140 92143
Paediatrician, prepare an eating disorder treatment and management plan, more than 45 minutes 90261 92163 92167
Paediatrician, to review an eating disorder plan, more than 20 minutes 90267 92173 92179
Public Health Physician Services (from 20 April 2020)      
Public health physician, level A attendance  410 92513 92521
Public health physician, level B attendance, less than 20 minutes 411 92514 92522
Public health physician, level C attendance, at least 20 minutes 412 92515 92523
Public health physician, level D attendance, at least 40 minutes 413 92516 92524
Neurosurgery attendances (from 20 April 2020)      
Neurosurgeon, initial attendance 6007 92610 92617
Neurosurgeon, minor attendance 6009 92611 92618
Neurosurgeon, subsequent attendance, 15 to 30 minutes 6011 92612 92619
Neurosurgeon, subsequent attendance, 30 to 45 minutes 6013 92613 92620
Neurosurgeon, subsequent attendance, more than 45 minutes 6015 92614 92621
Anaesthetist attendance (from 22 May 2020)      
Anaesthetist, professional attendance, advanced or complex 17615 92701 92712

 

Further information related to COVID-19 telehealth and telephone services rendered by specialists, consultant physicians, consultant psychiatrists, paediatricians, geriatricians and anaesthetists can be found in the Temporary Telehealth Bulk-Billed Items for COVID-19 fact sheets and frequently asked questions.

All MBS items for referred attendances require a valid referral.  However, if the specialist, consultant physician, consultant psychiatrist, paediatrician or geriatrician has previously seen the patient under a referral that is still valid, there is no need to obtain a specific referral for the purposes of claiming the COVID-19 telehealth and telephone items.

Restrictions (for specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist)

  • Telephone attendance items only apply if the practitioner or the patient do not have the capacity to undertake the attendance by telehealth (videoconference).
  • The new temporary remote attendance items are to be billed instead of the usual face to face MBS items.
  • Services do not apply to admitted patients.

Billing Requirements (for specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist)

As of 20 April 2020, bulk billing of COVID-19 specialist (and allied health) services is at the discretion of the provider, so long as informed financial consent is obtained prior to the provision of the service.

Further information on the assignment of benefit for bulk billed temporary COVID-19 MBS telehealth services can be found in the ‘Provider Frequently Asked Questions’ at MBSonline.gov.au.

Relevant definitions and requirements (for specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist)

For the purposes of these items, an admitted patient means a patient who is receiving a service that is provided:

  1. as part of an episode of hospital treatment; or
  2. as part of an episode of hospital substitute treatment in respect of which the person to whom the treatment is provided choses to receive a benefit from a private health insurer.

Note: “hospital treatment” and “hospital-substitute treatment” have the meaning given by subsection 3(1) of the Health Insurance Act 1973.

Specialist and Consultant Physician services

Eligible providers

Specialist telehealth services (91822, 91823, 91832, and 91833) can be billed by all specialities that can currently bill MBS items 104 and 105 or equivalent MBS items. This also includes sports and exercise medicine and occupational and environmental health medicine specialists.

Consultant physician telehealth services (91824, 91825, 91826, 91834, 91835 and 91836) can be billed by all specialities that can currently bill MBS items 110, 116 and 119 or equivalent MBS items. This also includes pain and palliative medicine, sexual health medicine and addiction medicine.

Consultant physician telehealth services to prepare and review a management plan (92422, 92423, 92431 and 92432) can be billed by all physicians that can currently bill MBS items 132 and 133 or equivalent MBS items. This also includes sexual health medicine, addiction medicine and paediatricians.

Specialists and consultant physician services for early intervention for children with pervasive developmental disorder (92141 and 92144), can be billed by specialists and consultant physicians that are able to MBS item 137.

Single course of treatment

The same conditions for a single course of treatment apply across all modalities (ie  face to face, telehealth or telephone). Once an initial consultation is billed, all subsequent services related to the same condition are considered to be part of a single course of treatment. For example, if a patient has seen a specialist in a face to face consultation (where MBS item 104 has been billed), MBS items 91823 (telehealth) or 91833 (telephone) should be billed if the patient sees the specialist remotely for the same condition.

Anaesthetist services

The Anaesthetist telehealth services (92701, 92712) can be billed by practitioners that can currently bill MBS item 17615.

Consultant Psychiatrist services

Videoconference services are the preferred approach for substituting a face-to-face consultation. However, in response to the COVID-19 pandemic, providers will also be able to offer audio-only services via telephone if video is not available. There are separate items available for audio-only services.

Single course of treatment

The same conditions for a single course of treatment apply across all modalities (ie face to face, telehealth or telephone). Once an initial consultation has been billed, all subsequent services related to the same condition are considered as part of the same single course of treatment. For example if a patient has seen a psychiatrist in a face to face consultation (where MBS item 296 has been billed) then MBS item 91827-91831 (telehealth) or 91837 – 91841 (telephone) should be billed if the patient sees the psychiatrist remotely for the same condition.

Service limits

The service limits that apply to standard psychiatry services generally do not currently apply to the COVID-19 remote attendance items for psychiatry (except for items 92460 and 92500). Patients who have received more than 50 attendances under existing items are eligible to receive services under the telehealth and telephone psychiatry items, provided they meet the item descriptor requirements.

In addition, patients who have received more than 50 attendances under MBS item 319 are eligible to receive services under the COVID-19 telehealth and telephone psychiatry items, provided they meet the item descriptor requirements.

Interview items (92460 and 92500)

These items provide for an interview with a person other than the patient. A maximum of 4 services in a calendar year can be billed under item 92460 or 92500, or the equivalent face to face item (item 352), in the continuing management of a patient. That is, a consultant psychiatrist can bill for a service under item 92460 or 92500 once more in the calendar year if a patient has received three MBS services under any of items 352, 92460 or 92500 in the same calendar year.

Management Plan items (92435, 92436, 92475, and 92476)

The new MBS remote attendance preparation and review of GP management plan items have the same diagnosis, assessment and record-keeping requirements as the existing face-to-face MBS items (291 and 293). Please refer to MBS Explanatory Note AN.0.30 for further information.

Group psychotherapy items (92455, 92456, 92457, 92495, 92496 and 92497)

The new MBS remote attendance group psychotherapy items have the same requirements as the existing face-to-face MBS items (342, 344 and 346). It is the responsibility of the practitioner rendering the service to maintain privacy and confidentiality for all participants throughout the service.  Practitioners should refer to the relevant professional practice standards and guidelines for technology-based consultations.

Technical Requirements (for specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist)

The services can be provided by telehealth, or in circumstances when video conferencing is unavailable, by phone. It is the responsibility of the practitioner rendering the service to maintain privacy and confidentiality for all participants throughout the service. 

Telehealth attendance means a professional attendance by video conference where the general practitioner:

  1. has the capacity to provide the full service through this means safely and in accordance with relevant professional standards; and
  2. is satisfied that it is clinically appropriate to provide the service to the patient; and
  3. maintains a visual and audio link with the patient; and
  4. is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.

Note –only the time where a visual and audio link is maintained between the patient and the provider can be counted in meeting the relevant item descriptor.

No specific equipment is required to provide Medicare-compliant telehealth services. Practitioners must ensure that their chosen telecommunications solution meets their clinical requirements and satisfies privacy laws. Information on how to select a web conferencing solution is available on the Australian Cyber Security Centre website.

Phone attendance means a professional attendance by telephone where the health practitioner:

  1. has the capacity to provide the full service through this means safely and in accordance with professional standards; and
  2. is satisfied that it is clinically appropriate to provide the service to the patient; and
  3. maintains an audio link with the patient.

Note: A phone attendance can only be performed in instances where the attendance could not be performed by telehealth (i.e. videoconference).

There are no geographic restrictions on the COVID-19 telehealth and telephone services provided by specialists, consultant physicians, consultant psychiatrists, paediatricians, geriatricians and anaesthetists.

Recording Clinical Notes (for specialist, consultant physician, consultant psychiatrist, neurosurgery, public health medicine, geriatrician, paediatrician and anaesthetist)

In relation to the time taken in recording appropriate details of the service, only clinical details recorded at the time of the attendance count towards the time of consultation.  It does not include information added later, such as reports of investigations, or when either the visual or audio link between the patient and the practitioner is lost. 

Clinicians should record the date, time and duration of the consultation, and retain these records.

Creating and Updating a My Health Record

The time spent by a medical practitioner on the following activities may be counted towards the total consultation time:

  • Reviewing a patient's clinical history, in the patient's file and/or the My Health Record, and preparing or updating a Shared Health Summary where it involves the exercise of clinical judgement about what aspects of the clinical history are relevant to inform ongoing management of the patient's care by other providers; or
  • Preparing an Event Summary for the episode of care.

Preparing or updating a Shared Health Summary and preparing an Event Summary are clinically relevant activities.  When either of these activities are undertaken with any form of patient history taking and/or the other clinically relevant activities that can form part of a consultation, the item that can be billed is the one with the time period that matches the total consultation time. 

MBS rebates are not available for creating or updating a Shared Health Summary as a standalone service. 

 

 

Related Items: 104 105 110 116 119 132 133 135 137 141 143 289 291 293 296 300 302 304 306 308 342 344 346 348 350 352 410 411 412 413 6007 6009 6011 6013 6015 90260 90261 90266 90267 91822 91823 91824 91825 91826 91827 91828 91829 91830 91831 91832 91833 91834 91835 91836 91837 91838 91839 91840 91841 92140 92141 92143 92144 92162 92163 92166 92167 92172 92173 92178 92179 92422 92423 92431 92432 92434 92435 92436 92437 92455 92456 92457 92458 92459 92460 92474 92475 92476 92477 92495 92496 92497 92498 92499 92500 92513 92514 92515 92516 92521 92522 92523 92524 92610 92611 92612 92613 92614 92617 92618 92619 92620 92621 92623 92624 92628 92629 92701 92712


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

289

289 - Additional Information

Item Start Date:
01-Jul-2008
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant psychiatrist does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan which must include the following:

(i) an assessment and diagnosis of the patient's condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary-medication recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner;

(d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;

(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 139)

Fee: $276.25 Benefit: 75% = $207.20 85% = $234.85

(See para AN.0.24, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

291

291 - Additional Information

Item Start Date:
01-May-2005
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if:

(a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner; and

(b) during the attendance, the consultant:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and

(d) within 2 weeks after the attendance, the consultant:

(i) prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that:

(A) covers the next 12 months; and

(B) is appropriate to the patient's diagnosis; and

(C) comprehensively evaluates the patient's biological, psychological and social issues; and

(D) addresses the patient's diagnostic psychiatric issues; and

(E) makes management recommendations addressing the patient's biological, psychological and social issues; and

(iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

(iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient's carer (if any), if the patient agrees

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.0.30, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

293

293 - Additional Information

Item Start Date:
01-May-2005
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if:

(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and

(b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and

(c) during the attendance, the consultant:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(iv) reviews the management plan; and

(d) within 2 weeks after the attendance, the consultant:

(i) prepares a written diagnosis of the patient; and

(ii) revises the management plan; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) the patient's carer (if any), if the patient agrees; and

(e) in the preceding 12 months, a service to which item 291 applies has been provided; and

(f) in the preceding 12 months, a service to which this item or item 293 applies has not been provided

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.0.30, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

296

296 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient:

(a) is a new patient for this consultant psychiatrist; or

(b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months;

other than attendance on a patient in relation to whom this item, item 297 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months

Fee: $272.50 Benefit: 75% = $204.40 85% = $231.65

(See para AN.0.30, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

300

300 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $45.35 Benefit: 75% = $34.05 85% = $38.55

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

302

302 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $90.50 Benefit: 75% = $67.90 85% = $76.95

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

304

304 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $139.30 Benefit: 75% = $104.50 85% = $118.45

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

306

306 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $192.25 Benefit: 75% = $144.20 85% = $163.45

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

308

308 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $223.10 Benefit: 75% = $167.35 85% = $189.65

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

342

342 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient

Fee: $51.60 Benefit: 75% = $38.70 85% = $43.90

(See para AN.0.5, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

344

344 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient

Fee: $68.50 Benefit: 75% = $51.40 85% = $58.25

(See para AN.0.5, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

346

346 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient

Fee: $101.30 Benefit: 75% = $76.00 85% = $86.15

(See para AN.0.5, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

348

348 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient

Fee: $132.65 Benefit: 75% = $99.50 85% = $112.80

(See para AN.0.5, AN.0.32, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

350

350 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient

Fee: $183.15 Benefit: 75% = $137.40 85% = $155.70

(See para AN.0.5, AN.0.32, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

352

352 - Additional Information

Item Start Date:
01-Nov-1996
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item applies have not exceeded 4 in a calendar year for the patient

Fee: $132.65 Benefit: 75% = $99.50 85% = $112.80

(See para AN.0.5, AN.0.32, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92140

92140 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medical recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient.

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92141

92141 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician  following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

104

104 - Additional Information

Item Start Date:
01-Nov-1990
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist's specialty after referral of the patient to the specialist-each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies

Fee: $89.55 Benefit: 75% = $67.20 85% = $76.15

(See para AN.2.1, AN.40.1, TN.1.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

105

105 - Additional Information

Item Start Date:
01-Nov-1990
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item 16404 applies

Fee: $45.00 Benefit: 75% = $33.75 85% = $38.25

(See para AN.0.70, AN.2.1, AN.40.1, TN.1.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

141

141 - Additional Information

Item Start Date:
01-Nov-2007
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if:

(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and

(c) during the attendance:

     (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and

     (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and

     (iii) a detailed management plan is prepared (the management plan) setting out:

          (A) the prioritised list of health problems and care needs; and

          (B) short and longer term management goals; and

          (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and

    (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and

    (v) the management plan is communicated in writing to the referring practitioner; and

(d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and

(e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months

Fee: $473.80 Benefit: 75% = $355.35 85% = $402.75

(See para AN.0.26, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

143

143 - Additional Information

Item Start Date:
01-Nov-2007
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if:

(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and

(b) during the attendance:

     (i) the patient's health status is reassessed; and

     (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and

     (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and

(c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies was not provided to the patient on the same day by the same practitioner; and

(d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and

(e) an attendance to which this item or item 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review

Fee: $296.20 Benefit: 75% = $222.15 85% = $251.80

(See para AN.0.26, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

110

110 - Additional Information

Item Start Date:
01-Mar-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment

Fee: $157.95 Benefit: 75% = $118.50 85% = $134.30

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

116

116 - Additional Information

Item Start Date:
01-Mar-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 119 applies) after the first in a single course of treatment

Fee: $79.05 Benefit: 75% = $59.30 85% = $67.20

(See para AN.0.70, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

119

119 - Additional Information

Item Start Date:
22-Dec-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

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

Fee: $45.00 Benefit: 75% = $33.75 85% = $38.25

(See para AN.0.21, AN.0.70, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

132

132 - Additional Information

Item Start Date:
01-Nov-2007
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if:

(a) an assessment is undertaken that covers:

      (i) a comprehensive history, including psychosocial history and medication review; and

      (ii) comprehensive multi or detailed single organ system assessment; and

      (iii) the formulation of differential diagnoses; and

(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves:

      (i) an opinion on diagnosis and risk assessment; and

      (ii) treatment options and decisions; and

      (iii) medication recommendations; and

(c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and

(d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician

Fee: $276.25 Benefit: 75% = $207.20 85% = $234.85

(See para AN.0.23, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

133

133 - Additional Information

Item Start Date:
01-Nov-2007
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if:

(a) a review is undertaken that covers:

      (i) review of initial presenting problems and results of diagnostic investigations; and

      (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

      (iii) comprehensive multi or detailed single organ system assessment; and

      (iv) review of original and differential diagnoses; and

(b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

     (i) a revised opinion on the diagnosis and risk assessment; and

     (ii) treatment options and decisions; and

     (iii) revised medication recommendations; and

(c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and

(d) item 132 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same consultant physician who claimed item 132 or a locum tenens; and

(f) this item has not applied more than twice in any 12 month period

Fee: $138.30 Benefit: 75% = $103.75 85% = $117.60

(See para AN.0.23, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91822

91822 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

 

 


 

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91823

91823 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance is after the first attendance as part of a single course of treatment.

 

 

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92166

92166 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that:

          (A) covers the next 12 months; and

          (B) is appropriate to the patient’s diagnosis; and

          (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

          (D) addresses the patient’s diagnostic psychiatric issues; and

          (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92167

92167 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)     the patient has been referred by a referring practitioner; and

(b)    during the attendance, the consultant paediatrician undertakes an assessment that covers:

    (i)   a comprehensive history, including psychosocial history and medication review; and

    (ii)  comprehensive multi or detailed single organ system assessment; and

    (iii)  the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that involves:

          (A) an opinion on diagnosis and risk assessment; and

          (B) treatment options and decisions; and

          (C) medication recommendations; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92513

92513 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.

Fee: $20.45 Benefit: 85% = $17.40

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92514

92514 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant:

(a) taking a patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation

Fee: $44.75 Benefit: 85% = $38.05

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92515

92515 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation.

Fee: $86.55 Benefit: 85% = $73.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92516

92516 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation.

Fee: $127.45 Benefit: 85% = $108.35

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020


Public Health Physician Attendances - At Consulting Rooms

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine

Category 1 - PROFESSIONAL ATTENDANCES

410

410 - Additional Information

Item Start Date:
01-Nov-1999
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Jul-2020

LEVEL A

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine 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.

Fee: $20.45 Benefit: 75% = $15.35 85% = $17.40

(See para AN.0.50, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

411

411 - Additional Information

Item Start Date:
01-Nov-1999
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Jul-2020

LEVEL B

Professional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms 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.

Fee: $44.75 Benefit: 75% = $33.60 85% = $38.05

(See para AN.0.50, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

412

412 - Additional Information

Item Start Date:
01-Nov-1999
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Jul-2020

LEVEL C

Professional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms 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.

Fee: $86.55 Benefit: 75% = $64.95 85% = $73.60

(See para AN.0.50, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

413

413 - Additional Information

Item Start Date:
01-Nov-1999
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Jul-2020

LEVEL D

Professional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms 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.

Fee: $127.45 Benefit: 75% = $95.60 85% = $108.35

(See para AN.0.50, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

135

135 - Additional Information

Item Start Date:
01-Jul-2008
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

     (i) an assessment and diagnosis of the patient's condition;

     (ii) a risk assessment;

     (iii) treatment options and decisions;

     (iv) if necessary-medical recommendations;

(c) provides a copy of the treatment and management plan to:

     (i) the referring practitioner; and

     (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289)

Fee: $276.25 Benefit: 75% = $207.20 85% = $234.85

(See para AN.0.24, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

137

137 - Additional Information

Item Start Date:
01-Jul-2011
Description Updated:
01-Nov-2011
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 45 minutes duration, at consulting rooms or hospital, by a specialist or consultant physician, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with an eligible disability, who has been referred to the specialist or consultant physician by a referring practitioner, if the specialist or consultant physician does the following:

(a)    undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more     allied health providers where appropriate)

(b)    develops a treatment and management plan which must include the following:

    (i)    the outcomes of the assessment;

    (ii)    the diagnosis or diagnoses;

    (iii)    opinion on risk assessment;

    (iv)    treatment options and decisions;

    (v)    appropriate medication recommendations, where necessary.

(c)    provides a copy of the treatment and management plan to the:

    (i)    referring practitioner; and

    (ii)    relevant allied health providers (where appropriate).

Not being an attendance on a child in respect of whom payment has previously been made under this item or items 135, 139 or 289.

Fee: $276.25 Benefit: 75% = $207.20 85% = $234.85

(See para AN.0.25, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92162

92162 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that:

          (A) covers the next 12 months; and

          (B) is appropriate to the patient’s diagnosis; and

          (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

          (D) addresses the patient’s diagnostic psychiatric issues; and

          (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92163

92163 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)     the patient has been referred by a referring practitioner; and

(b)    during the attendance, the consultant paediatrician undertakes an assessment that covers:

    (i)   a comprehensive history, including psychosocial history and medication review; and

    (ii)  comprehensive multi or detailed single organ system assessment; and

    (iii)  the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

    (i)  prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that involves:

          (A) an opinion on diagnosis and risk assessment; and

          (B) treatment options and decisions; and

          (C) medication recommendations; and

    (iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92172

92172 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92173

92173 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a)  the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant paediatrician:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $138.30 Benefit: 85% = $117.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92623

92623 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:

(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and

(c) during the attendance:

    (i) all relevant aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and

    (ii) the patient’s various health problems and care needs are identified and prioritised (the formulation); and

    (iii) a detailed management plan is prepared (the management plan) setting out:

        (A) the prioritised list of health problems and care needs; and

        (B) short and longer term management goals; and

        (C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and

    (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and

    (v) the management plan is communicated in writing to the referring practitioner; and

(d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and

(e) an attendance to which this item or item 92628 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months.

 

 

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92624

92624 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if:

(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and

(b) during the attendance:

     (i) the patient’s health status is reassessed; and

     (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and

     (iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and

(c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and

(d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and

(e) an attendance to which this item or item 92629 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review.

 

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91824

91824 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

 

 

Fee: $157.95 Benefit: 85% = $134.30

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91825

91825 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance is not a minor attendance after the first as part of a single course of treatment.

 

 

Fee: $79.05 Benefit: 85% = $67.20

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91826

91826 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance is a minor attendance after the first as part of a single course of treatment.

 

 

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92422

92422 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if:

(a) an assessment is undertaken that covers:

     (i) a comprehensive history, including psychosocial history and medication review; and

     (ii) comprehensive multi or detailed single organ system assessment; and

     (iii) the formulation of differential diagnoses; and

(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves:

    (i) an opinion on diagnosis and risk assessment; and

    (ii) treatment options and decisions; and

    (iii) medication recommendations; and

(c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) this item or item 132 or 92431 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician.

 

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92423

92423 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if:

(a) a review is undertaken that covers:

    (i) review of initial presenting problems and results of diagnostic investigations; and

    (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

    (iii) comprehensive multi or detailed single organ system assessment; and

    (iv) review of original and differential diagnoses; and

(b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

     (i) a revised opinion on the diagnosis and risk assessment; and

     (ii) treatment options and decisions; and

     (iii) revised medication recommendations; and

(c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and

(f) this item or item 133 or 92432 has not applied more than twice in any 12 month period.

 

 

 

Fee: $138.30 Benefit: 85% = $117.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91827

91827 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was not more than 15 minutes duration.

 

 

Fee: $45.35 Benefit: 85% = $38.55

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91828

91828 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 15 minutes, but not more than 30 minutes in duration.

 

Fee: $90.50 Benefit: 85% = $76.95

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91829

91829 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 30 minutes, but not more than 45 minutes in duration.

 

 

Fee: $139.30 Benefit: 85% = $118.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91830

91830 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 45 minutes, but not more than 75 minutes in duration.

 

 

Fee: $192.25 Benefit: 85% = $163.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91831

91831 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 75 minutes in duration.

 

Fee: $223.10 Benefit: 85% = $189.65

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92434

92434 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan which must include the following:

    (i) an assessment and diagnosis of the patient’s condition;

    (ii) a risk assessment;

    (iii) treatment options and decisions;

    (iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner;

(d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;

(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 9214, 92144, 92142, 92145 or 92474).

 

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92435

92435 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) during the attendance, the consultant:

     (i) uses an outcome tool (if clinically appropriate); and

     (ii) carries out a mental state examination; and

     (iii) makes a psychiatric diagnosis; and

(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and

(d) within 2 weeks after the attendance, the consultant:

     (i) prepares a written diagnosis of the patient; and

     (ii) prepares a written management plan for the patient that:

         (A) covers the next 12 months; and

         (B) is appropriate to the patient’s diagnosis; and

         (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

         (D) addresses the patient’s diagnostic psychiatric issues; and

         (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

     (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

     (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees; and

(e) in the preceding 12 months, a service to which this item or item 291 or 92475 applies has not been provided.

 

 

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92436

92436 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and

(b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and

(c) during the attendance, the consultant:

     (i) uses an outcome tool (if clinically appropriate); and

     (ii) carries out a mental state examination; and

     (iii) makes a psychiatric diagnosis; and

     (iv) reviews the management plan; and

(d) within 2 weeks after the attendance, the consultant:

     (i) prepares a written diagnosis of the patient; and

     (ii) revises the management plan; and

     (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

     (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees; and

(e) in the preceding 12 months, a service to which item 291, 92435, 92475 applies has been provided; and

(f) in the preceding 12 months, a service to which this item or item 293 or 92476 applies has not been provided

 

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92437

92437 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner:

(a) if the patient:

    (i) is a new patient for this consultant physician; or

    (ii) has not received an attendance from this consultant physician in the preceding 24 months; and

(b) the patient has not received an attendance under this item, item 296, 297, 299 or 92477, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831, 91837 to 91841, 92455 to 93457 or 92495 to 92497 in the preceding 24 months.

 

 

 

Fee: $272.50 Benefit: 85% = $231.65

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92455

92455 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $51.60 Benefit: 85% = $43.90

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92456

92456 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $68.50 Benefit: 85% = $58.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92457

92457 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $101.30 Benefit: 85% = $86.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92458

92458 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient.

 

 


.

Fee: $132.65 Benefit: 85% = $112.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92459

92459 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient.

 

 

 

Fee: $183.15 Benefit: 85% = $155.70

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92460

92460 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient—if that attendance and another attendance to which this item or item 352 or 92500 applies have not exceeded 4 in a calendar year for the patient.

 

 

Fee: $132.65 Benefit: 85% = $112.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92143

92143 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medical recommendations;

(c) provides a copy of the treatment and management plan to:

(i) the referring practitioner; and

(ii) one or more allied health providers, if appropriate, for the treatment of the patient.

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92144

92144 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92178

92178 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant psychiatrist:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92179

92179 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a)  the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)     during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a:

    (i)        review of initial presenting problems and results of diagnostic investigations; and

    (ii)      review of responses to treatment and medication plans initiated at time of initial consultation; and

    (iii)    comprehensive multi or detailed single organ system assessment; and

    (iv)     review of original and differential diagnoses; and

(d)  within 2 weeks after the attendance, the consultant paediatrician:

    (i)  prepares a written diagnosis of the patient; and

    (ii)  revises the eating disorder treatment and management; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

          (A) the patient; and

          (B) the patient’s carer (if any), if the patient agrees.

 

 

Fee: $138.30 Benefit: 85% = $117.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92610

92610 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment).

Fee: $135.65 Benefit: 85% = $115.35

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92611

92611 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment.

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92612

92612 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration.

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92613

92613 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration.

Fee: $124.05 Benefit: 85% = $105.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92614

92614 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration.

Fee: $157.95 Benefit: 85% = $134.30

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

90260

90260 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that:

(A) covers the next 12 months; and

(B) is appropriate to the patient’s diagnosis; and

(C) comprehensively evaluates the patient’s biological, psychological and social issues; and

(D) addresses the patient’s diagnostic psychiatric issues; and

(E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

(iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.36.1, AN.36.2, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90261

90261 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)     the patient has been referred by a referring practitioner; and

(b)     during the attendance, the consultant paediatrician undertakes an assessment that covers:

(i)    a comprehensive history, including psychosocial history and medication review; and

(ii)   comprehensive multi or detailed single organ system assessment; and

(iii)    the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that involves:

(A) an opinion on diagnosis and risk assessment; and

(B) treatment options and decisions; and

(C) medication recommendations; and

(iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.36.1, AN.36.2, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90266

90266 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 30 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a) the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b) the patient has been referred by a referring practitioner; and

(c) during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii)  revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to::

(A) the patient; and

(B) is the patient’s carer (if any), if the patient agrees.

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.36.1, AN.36.3, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90267

90267 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance of at least 20 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a) the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b) the patient has been referred by a referring practitioner; and

(c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a:

(i) review of initial presenting problems and results of diagnostic investigations; and

(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

(iii) comprehensive multi or detailed single organ system assessment; and

(iv) review of original and differential diagnoses; and

(d) within 2 weeks after the attendance, the consultant paediatrician:

(i) prepares a written diagnosis of the patient; and

(ii) revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) is the patient’s carer (if any), if the patient agrees.

Fee: $138.30 Benefit: 85% = $117.60

(See para AN.36.1, AN.36.3, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92628

92628 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:

(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and

(c) during the attendance:

    (i) all relevant aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and

   (ii) the patient’s various health problems and care needs are identified and prioritised (the formulation); and

   (iii) a detailed management plan is prepared (the management plan) setting out:

        (A) the prioritised list of health problems and care needs; and

        (B) short and longer term management goals; and

        (C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and

   (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and

   (v) the management plan is communicated in writing to the referring practitioner; and

(d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and

(e) an attendance to which this item or item 92623 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months.

 

 

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92629

92629 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if:

(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and

(b) during the attendance:

     (i) the patient’s health status is reassessed; and

     (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and

     (iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and

(c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and

(d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and

(e) an attendance to which this item or item 92624 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review.

 

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

6007

6007 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital

Fee: $135.65 Benefit: 75% = $101.75 85% = $115.35

(See para AN.0.64, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

6009

6009 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital

Fee: $45.00 Benefit: 75% = $33.75 85% = $38.25

(See para AN.0.64, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

6011

6011 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital

Fee: $89.55 Benefit: 75% = $67.20 85% = $76.15

(See para AN.0.64, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

6013

6013 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital

Fee: $124.05 Benefit: 75% = $93.05 85% = $105.45

(See para AN.0.64, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

6015

6015 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2020

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital

Fee: $157.95 Benefit: 75% = $118.50 85% = $134.30

(See para AN.0.64, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91832

91832 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

 

 

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91833

91833 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance is after the first attendance as part of a single course of treatment.

 

 

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91834

91834 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

 

 

Fee: $157.95 Benefit: 85% = $134.30

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91835

91835 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

Where the attendance is not a minor attendance after the first as part of a single course of treatment.

 

 

Fee: $79.05 Benefit: 85% = $67.20

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91836

91836 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

Where the attendance is a minor attendance after the first as part of a single course of treatment.

 

 

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92431

92431 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if:

(a) an assessment is undertaken that covers:

    (i) a comprehensive history, including psychosocial history and medication review; and

    (ii) comprehensive multi or detailed single organ system assessment; and

    (iii) the formulation of differential diagnoses; and

(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves:

    (i) an opinion on diagnosis and risk assessment; and

    (ii) treatment options and decisions; and

    (iii) medication recommendations; and

(c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) this item or item 132 or 92422 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician.

 

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92432

92432 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if:

(a) a review is undertaken that covers:

    (i) review of initial presenting problems and results of diagnostic investigations; and

    (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

    (iii) comprehensive multi or detailed single organ system assessment; and

    (iv) review of original and differential diagnoses; and

(b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

     (i) a revised opinion on the diagnosis and risk assessment; and

     (ii) treatment options and decisions; and

     (iii) revised medication recommendations; and

(c) an attendance on the patient to which item 110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) item 132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same consultant physician who claimed item 132, 92422 or 92431; and

(f) this item or item 133 or 92423 has not applied more than twice in any 12 month period.

 

 

 

Fee: $138.30 Benefit: 85% = $117.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91837

91837 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was not more than 15 minutes duration.

 

Fee: $45.35 Benefit: 85% = $38.55

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91838

91838 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 15 minutes, but not more than 30 minutes in duration.

 

Fee: $90.50 Benefit: 85% = $76.95

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91839

91839 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 30 minutes, but not more than 45 minutes in duration.

 

 

Fee: $139.30 Benefit: 85% = $118.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91840

91840 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 45 minutes, but not more than 75 minutes in duration.

 

 

Fee: $192.25 Benefit: 85% = $163.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

91841

91841 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for a person by a consultant psychiatrist; if:

(a)     the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and

(b)     the attendance was at least 75 minutes in duration.

 

 

Fee: $223.10 Benefit: 85% = $189.65

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92474

92474 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of at least 45 minutes in duration , by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan which must include the following:

     (i) an assessment and diagnosis of the patient’s condition;

     (ii) a risk assessment;

     (iii) treatment options and decisions;

     (iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner;

(d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;

(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92143, 92141, 92144, 92142, 92145 or 92434).

 

 

Fee: $276.25 Benefit: 85% = $234.85

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92475

92475 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of more than 45 minutes in duration  by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and

(b) during the attendance, the consultant:

     (i) uses an outcome tool (if clinically appropriate); and

     (ii) carries out a mental state examination; and

     (iii) makes a psychiatric diagnosis; and

(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and

(d) within 2 weeks after the attendance, the consultant:

    (i) prepares a written diagnosis of the patient; and

    (ii) prepares a written management plan for the patient that:

        (A) covers the next 12 months; and

        (B) is appropriate to the patient’s diagnosis; and

        (C) comprehensively evaluates the patient’s biological, psychological and social issues; and

        (D) addresses the patient’s diagnostic psychiatric issues; and

        (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

    (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

    (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to:

         (A) the patient; and

         (B) the patient’s carer (if any), if the patient agrees; and

(e) in the preceding 12 months, a service to which this item or item 291 or 92435 applies has not been provided.

 

 

 

 

Fee: $473.80 Benefit: 85% = $402.75

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92476

92476 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of more than 30 minutes but not more than 45 minutes in duration  by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:

(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and

(b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and

(c) during the attendance, the consultant:

    (i) uses an outcome tool (if clinically appropriate); and

    (ii) carries out a mental state examination; and

    (iii) makes a psychiatric diagnosis; and

    (iv) reviews the management plan; and

(d) within 2 weeks after the attendance, the consultant:

    (i) prepares a written diagnosis of the patient; and

    (ii) revises the management plan; and

    (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

    (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

         (A) the patient; and

         (B) the patient’s carer (if any), if the patient agrees; and

(e) in the preceding 12 months, a service to which item 291, 92435 or 92475 applies has been provided; and

(f) in the preceding 12 months, a service to which this item or item 293 or 92436 applies has not been provided.

 

 

Fee: $296.20 Benefit: 85% = $251.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92477

92477 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner:

(a) if the patient:

    (i) is a new patient for this consultant physician; or

    (ii) has not received an attendance from this consultant physician in the preceding 24 months; and

(b) the patient has not received an attendance under this item, item 296, 297, 299 or 92437, or any of items 300 to 346, 353 to 358, 361 to 370, 91827 to 91831 or 91837 to 91841, in the preceding 24 months.

 

 

 

Fee: $272.50 Benefit: 85% = $231.65

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92495

92495 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $51.60 Benefit: 85% = $43.90

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92496

92496 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $68.50 Benefit: 85% = $58.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92497

92497 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted):

(a) of not less than 1 hour in duration; and

(b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and

(c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner;

—each patient

Fee: $101.30 Benefit: 85% = $86.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92498

92498 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient.

 

 

 

Fee: $132.65 Benefit: 85% = $112.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92499

92499 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient.

 

 

Fee: $183.15 Benefit: 85% = $155.70

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92500

92500 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient—if that attendance and another attendance to which this item or item 352 or 92460 applies have not exceeded 4 in a calendar year for the patient.

 

 

 

Fee: $132.65 Benefit: 85% = $112.80

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92521

92521 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.

Fee: $20.45 Benefit: 85% = $17.40

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92522

92522 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant:

(a) taking a patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation.

Fee: $44.75 Benefit: 85% = $38.05

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92523

92523 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation.

Fee: $86.55 Benefit: 85% = $73.60

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92524

92524 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation.

Fee: $127.45 Benefit: 85% = $108.35

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92617

92617 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment).

Fee: $135.65 Benefit: 85% = $115.35

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92618

92618 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment.

Fee: $45.00 Benefit: 85% = $38.25

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92619

92619 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration.

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92620

92620 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration.

Fee: $124.05 Benefit: 85% = $105.45

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92621

92621 - Additional Information

Item Start Date:
20-Apr-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration.

Fee: $157.95 Benefit: 85% = $134.30

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92701

92701 - Additional Information

Item Start Date:
22-May-2020
Description Updated:
22-May-2020
Schedule Fee Updated:
01-Jul-2020

Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply)

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020

Category 1 - PROFESSIONAL ATTENDANCES

92712

92712 - Additional Information

Item Start Date:
22-May-2020
Description Updated:
22-May-2020
Schedule Fee Updated:
01-Jul-2020

Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply)

Fee: $89.55 Benefit: 85% = $76.15

(See para AN.40.1 of explanatory notes to this Category)

Item will expire on 30-Sep-2020


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