Medicare Benefits Schedule - Note AN.40.5

The video and phone items for the provision of services related to blood borne viruses, sexual or reproductive health provides for Medicare benefits to be paid for these health care services without the requirement for the patient to have an established clinical relationship with the physician. This does not exclude practitioners who have an established clinical relationship with the patient from using these items.

These items are intended to support patient access to medical services where there may be barriers due to privacy or limited service provision, and are not intended to replace routine services that a patient’s usual practitioner might provide.

The practitioner must keep adequate and contemporary notes to support the service provided.

There are 24 MBS items for the provision of video or phone services related to blood borne viruses, sexual or reproductive health.

Video consultation

Item 92715 – services provided by a General Practitioner (level A)

Item 92716 – services provided by an Other Medical Practitioner - urban

Item 92717 – services provided by an Other Medical Practitioner – rural

Item 92718 – services provided by a General Practitioner (level B)

Item 92719 – services provided by an Other Medical Practitioner - urban

Item 92720 – services provided by an Other Medical Practitioner – rural

Item 92721 – services provided by a General Practitioner (level C)

Item 92722 – services provided by an Other Medical Practitioner - urban

Item 92723 – services provided by an Other Medical Practitioner – rural

Item 92724 – services provided by a General Practitioner (level D)

Item 92725 – services provided by an Other Medical Practitioner – urban

Item 92726 – services provided by an Other Medical Practitioner – rural

Phone consultation

Item 92731 – services provided by a General Practitioner (level A)

Item 92732 – services provided by an Other Medical Practitioner - urban

Item 92733 – services provided by an Other Medical Practitioner – rural

Item 92734 – services provided by a General Practitioner (level B)

Item 92735 – services provided by an Other Medical Practitioner - urban

Item 92736 – services provided by an Other Medical Practitioner – rural

Item 92737 – services provided by a General Practitioner (level C)

Item 92738 – services provided by an Other Medical Practitioner - urban

Item 92739 – services provided by an Other Medical Practitioner – rural

Item 92740– services provided by a General Practitioner (level D)

Item 92741– services provided by an Other Medical Practitioner – urban

Item 92742 – services provided by an Other Medical Practitioner - rural

To be eligible for use of this item, practitioners must be located at a medical practice or have a formal agreement with a medical practice that provides onsite face to face services to patients.

Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Related Items: 92715 92716 92717 92718 92719 92720 92721 92722 92723 92724 92725 92726 92731 92732 92733 92734 92735 92736 92737 92738 92739 92740 92741 92742

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Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $11.00 Benefit: 100% = $11.00

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $15.15 Benefit: 100% = $15.15

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $21.00 Benefit: 100% = $21.00

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $33.10 Benefit: 100% = $33.10

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $38.00 Benefit: 100% = $38.00

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $61.00 Benefit: 100% = $61.00

(See para AN.40.5 of explanatory notes to this Category)

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $94.40 Benefit: 100% = $94.40

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $11.00 Benefit: 100% = $11.00

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $15.15 Benefit: 100% = $15.15

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $21.00 Benefit: 100% = $21.00

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $33.10 Benefit: 100% = $33.10

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $38.00 Benefit: 100% = $38.00

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.

Fee: $61.00 Benefit: 100% = $61.00

(See para AN.40.5 of explanatory notes to this Category)

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes 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

Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items

Fee: $94.40 Benefit: 100% = $94.40

(See para AN.40.5 of explanatory notes to this Category)