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

From 1 January 2022, a number of the temporary COVID-19 telehealth items were permanently added to the MBS.

The intent of these ongoing telehealth items is to allow practitioners to provide MBS attendances remotely (by videoconference or telephone) where it is safe and clinically appropriate to do so in accordance with relevant professional standards.  

Providing telehealth services by videoconference is the preferred substitution for a face-to-face consultation. However, providers can provide a consultation via telephone where it is clinically relevant (and the service is covered by a relevant telephone item).

A list of the ongoing telehealth items and the equivalent face‑to‑face items can be found at Table 1.

Note: On 16 January 2022, the Australian Government announced that a range of temporary specialist telehealth that were due to cease on 31 December 2021, would be temporarily reinstated until 30 June 2022.  These items have now ceased.

 

Table 1 – Ongoing telehealth items and equivalent face to face services (out of hospital patients)

 Service 

Face-to-face items

Video items  Telephone items
Specialist Services      
Specialist. Initial attendance  104  91822  -
Specialist. Subsequent attendance 105  91823  91833
       
Consultant Physician Services       -
Consultant physician. Initial attendance  110  91824   -
Consultant physician. Subsequent attendance  116  91825 -
Consultant physician. Minor attendance  119  91826  91836
Consultant physician. Initial assessment, patient with at least 2 morbidities, prepare a treatment and management plan, at least 45 minutes  132  92422  -
Consultant physician, Subsequent assessment, patient with at least 2 morbidities, review a treatment and management plan, at least 20 minutes    133  92423  -
Specialist and Consultant Physician Services      
Specialist or consultant physician early intervention services for children with autism, pervasive developmental disorder or disability  137  92141  -
Geriatrician Services      
Geriatrician, prepare an assessment and management plan, patient at least 65 years, more than 60 minutes  141  92623  -
Geriatrician,  review a management plan, more than 30 minutes  143  92624
 
 -
Consultant Psychiatrist services      
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  -
Consultant psychiatrist, prepare a management plan, more than 45 minutes   291  92435  -
Consultant psychiatrist, review management plan, 30 to 45 minutes  293  92436  -
Consultant psychiatrist, attendance, new patient (or has not received attendance in preceding 24 mths), more than 45 minutes  296  92437  -
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  -
Consultant psychiatrist. Consultation, more than 75 minutes  308  91831  -
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  -
Consultant psychiatrist, group psychotherapy, at least
1 hour, involving family group of 3 patients, each referred to consultant psychiatrist
 344  92456  -
Consultant psychiatrist, group psychotherapy, at least
1 hour, involving family group of 2 patients, each referred to consultant psychiatrist
 346  92457  
Consultant psychiatrist, interview of a person other than patient, in the course of initial diagnostic evaluation of patient, 20 to 45 minutes  348 92458  -
Consultant psychiatrist, interview of a person other than patient, in the course of initial diagnostic evaluation of patient,  45 minutes or more  350  92459  -
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  -
Consultant psychiatrist, prepare an eating disorder treatment and management plan, more than 45 minutes  90260  92162  
Consultant psychiatrist, to review an eating disorder plan, more than 30 minutes  90266  92172  
Paediatrician Services (also refer to consultant physician services)      
Paediatrician early intervention services for children with autism, pervasive developmental disorder or disability  135  92140  
Paediatrician, prepare an eating disorder treatment and management plan, more than 45 minutes  90261  92163  
Paediatrician, to review an eating disorder plan, more than 20 minutes  90267  92173  
Public Health Physician Services      
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  -
Public health physician, level D attendance, at least 40 minutes  413  92516  -
Neurosurgery attendances      
Neurosurgeon, initial attendance  6007  92610  -
Neurosurgeon, minor attendance  6009  92611  92618
Neurosurgeon, subsequent attendance, 15 to 30 minutes  6011  92612  -
Neurosurgeon, subsequent attendance, 30 to 45 minutes  6013  92613  -
Neurosurgeon, subsequent attendance, more than 45 minutes  6015  92614  -
Anaesthetist attendance       
Anaesthetist, professional attendance, advanced or complex 17615 92701  -

Further information on the telehealth changes can be found at www.MBSonline.gov.au by searching under the  Facts Sheets tab – July 2022.

Eligible providers

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 video and telephone items.

Restrictions

All MBS telehealth and telephone attendance items are stand-alone items and are to be billed instead of a face‑to-face MBS item.

Billing Requirements

Bulk billing of specialist (and allied health) telehealth 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 MBS telehealth services can be found in the ‘Provider Frequently Asked Questions’ at MBSonline.gov.au.

Relevant definitions and requirements

Specialist telehealth services (91822, 91823 and 91833) can be billed by all specialities that can currently bill 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 and 91836) can be billed by all specialities that can currently bill 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 and 92423) can be billed by all physicians that can currently bill items 132 and 133 or equivalent MBS items. This also includes sexual health medicine, addiction medicine and paediatricians.

The specialist and consultant physician service for early intervention for children with pervasive developmental disorder (92141) can be billed by specialists and consultant physicians that are able to item 137.

Single course of treatment

The same conditions for a single course of treatment apply across all modalities (i.e. face‑to-face, video 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 item 104 has been billed), item 91823 (video) or 91833 (telephone) should be billed if the patient sees the specialist remotely for the same condition.

Anaesthetist services

The Anaesthetist telehealth service (92701) can be billed by practitioners that can currently bill item 17615.

Service limits

At present, the service limits that apply to standard psychiatry services do not currently apply to the video and telephone attendance items for psychiatry (except for item 92460). Patients who have received more than 50 attendances under existing items are eligible to receive services under the video and telephone psychiatry items as long as they meet the item descriptor requirements.

In addition, patients who have received more than 50 attendances under item 319 are eligible to receive services under the video and telephone psychiatry items as long as they meet the item descriptor requirements.

The Department of Health will work with the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the Medicare Review Advisory Committee (MRAC) to review the current service limits, and ensure a consistent approach across all of the psychiatry attendance items, including services provided by face‑to‑face, video and telephone.

Interview item (92460)

Item 92460 provides 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 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 once more in the calendar year if a patient has received three MBS services under items 352 or 92460 in the same calendar year.

Management Plan items (92435 and 92436)

The 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 items (291 and 293). Refer to MBS Explanatory Note AN.0.30 for further information.

Group psychotherapy items (92455, 92456 and 92457)

The MBS remote attendance group psychotherapy items have the same requirements as the existing face-to-face  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

The services can be provided by telehealth and 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 medical 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.

There are no longer geographic restrictions on the MBS video or 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.

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 91833 91836 92422 92423


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-2022

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: $283.20 Benefit: 75% = $212.40 85% = $240.75

(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-2022

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: $485.70 Benefit: 85% = $412.85

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 applies has not been provided

Fee: $303.65 Benefit: 85% = $258.15

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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, or item 297 or 299 or any of items 300 to 308, has applied in the preceding 24 months

Fee: $279.35 Benefit: 75% = $209.55 85% = $237.45

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $46.50 Benefit: 75% = $34.90 85% = $39.55

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $92.75 Benefit: 75% = $69.60 85% = $78.85

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $142.80 Benefit: 75% = $107.10 85% = $121.40

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $197.10 Benefit: 75% = $147.85 85% = $167.55

(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-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 item 296 or any of items 300 to 308 applies have not exceeded 50 attendances in a calendar year for the patient

Fee: $228.70 Benefit: 75% = $171.55 85% = $194.40

(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-2022

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: $52.90 Benefit: 75% = $39.70 85% = $45.00

(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-2022

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: $70.20 Benefit: 75% = $52.65 85% = $59.70

(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-2022

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: $103.85 Benefit: 75% = $77.90 85% = $88.30

(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-2022

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: $136.00 Benefit: 75% = $102.00 85% = $115.60

(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-2022

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: $187.75 Benefit: 75% = $140.85 85% = $159.60

(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-2022

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: $136.00 Benefit: 75% = $102.00 85% = $115.60

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

Category 1 - PROFESSIONAL ATTENDANCES

90260

90260 - Additional Information

Item Start Date:
01-Nov-2019
Description Updated:
01-Mar-2021
Schedule Fee Updated:
01-Jul-2022

Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if:

(a) the patient is referred; and

(b) the attendance lasts at least 45 minutes

Fee: $485.70 Benefit: 85% = $412.85

(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-Mar-2021
Schedule Fee Updated:
01-Jul-2022

Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if:

(a) the patient is referred; and

(b) the attendance lasts at least 45 minutes

Fee: $283.20 Benefit: 85% = $240.75

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

Category 1 - PROFESSIONAL ATTENDANCES

104

104 - Additional Information

Item Start Date:
01-Nov-1990
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2022

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: $91.80 Benefit: 75% = $68.85 85% = $78.05

(See para AN.0.7, 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-2022

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: $46.15 Benefit: 75% = $34.65 85% = $39.25

(See para AN.0.7, 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-2022

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: $485.70 Benefit: 75% = $364.30 85% = $412.85

(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-2022

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: $303.65 Benefit: 75% = $227.75 85% = $258.15

(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-2022

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: $161.90 Benefit: 75% = $121.45 85% = $137.65

(See para AN.0.7, 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-2022

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: $81.05 Benefit: 75% = $60.80 85% = $68.90

(See para AN.0.7, 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-2022

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: $46.15 Benefit: 75% = $34.65 85% = $39.25

(See para AN.0.7, 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-2022

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: $283.20 Benefit: 75% = $212.40 85% = $240.75

(See para AN.0.7, 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-2022

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: $141.80 Benefit: 75% = $106.35 85% = $120.55

(See para AN.0.7, AN.0.23, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91836

91836 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $46.15 Benefit: 85% = $39.25

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)


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-2022

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: $21.00 Benefit: 75% = $15.75 85% = $17.85

(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-2022

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: $45.85 Benefit: 75% = $34.40 85% = $39.00

(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-2022

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: $88.75 Benefit: 75% = $66.60 85% = $75.45

(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-2022

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: $130.65 Benefit: 75% = $98.00 85% = $111.10

(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-2022

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: $283.20 Benefit: 75% = $212.40 85% = $240.75

(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-2022

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: $283.20 Benefit: 75% = $212.40 85% = $240.75

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

Category 1 - PROFESSIONAL ATTENDANCES

91824

91824 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $161.90 Benefit: 85% = $137.65

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91825

91825 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $81.05 Benefit: 85% = $68.90

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91826

91826 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $46.15 Benefit: 85% = $39.25

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92422

92422 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 of the general medical services table or item 91824, 91825, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) this item, or item 132 of the general medical services table, has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician

Fee: $283.20 Benefit: 85% = $240.75

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

92423

92423 - Additional Information

Item Start Date:
06-Apr-2020
Description Updated:
01-Jan-2022
Schedule Fee Updated:
01-Jul-2022

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 of the general medical services table or 91824, 91825, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and

(d) item 132 of the general medical services table or item 92422 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 of the general medical services table or 92422; and

(f) this item, or item 133 of the general medical services table has not applied more than twice in any 12 month period

 

 

Fee: $141.80 Benefit: 85% = $120.55

(See para AN.0.7, 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-2022

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: $91.80 Benefit: 85% = $78.05

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91823

91823 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $46.15 Benefit: 85% = $39.25

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91833

91833 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
20-Apr-2020
Schedule Fee Updated:
01-Jul-2022

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: $46.15 Benefit: 85% = $39.25

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

6007

6007 - Additional Information

Item Start Date:
01-Nov-2006
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2022

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: $139.05 Benefit: 75% = $104.30 85% = $118.20

(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-2022

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: $46.15 Benefit: 75% = $34.65 85% = $39.25

(See para AN.0.64, AN.0.70, 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-2022

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: $91.80 Benefit: 75% = $68.85 85% = $78.05

(See para AN.0.64, AN.0.70, 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-2022

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: $127.15 Benefit: 75% = $95.40 85% = $108.10

(See para AN.0.64, AN.0.70, 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-2022

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: $161.90 Benefit: 75% = $121.45 85% = $137.65

(See para AN.0.64, AN.0.70, 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-Mar-2021
Schedule Fee Updated:
01-Jul-2022

Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if:

(a) the patient is referred; and

(b) the attendance lasts at least 30 minutes

Fee: $303.65 Benefit: 85% = $258.15

(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-Mar-2021
Schedule Fee Updated:
01-Jul-2022

Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if:

(a) the patient is referred; and

(b) the attendance lasts at least 20 minutes

Fee: $141.80 Benefit: 85% = $120.55

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


Legend

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