Medicare Benefits Schedule - Note AN.7.1

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Category 1 - PROFESSIONAL ATTENDANCES

AN.7.1

Attendances by Medical Practitioners

Items 179-181, 185-187, 189-197, 203-206, 215-287, 371, 372, 733-789, 792, 812-892, 899-906, 90092-93, 90095-96, 90183, 90188, 90202, and 90212 relate to attendances rendered by a medical practitioner who is not a general practitioner, specialist or consultant physician, and who:


(a) is registered under section 3GA of the Act, to the extent that the person is practising during the period in respect of which, and in the location in respect of which, he or she is registered, and insofar as the circumstances specified for paragraph 19AA(3)(b) of the Act apply; or


(b) is covered by an exemption under subsection 19AB(3) of the Act; or


(c) first became a medical practitioner before 1 November 1996. 

Related Items: 179 181 185 187 189 191 203 206 214 215 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 235 236 237 238 239 240 243 244 245 249 251 252 253 254 255 256 257 259 260 261 262 263 264 265 266 268 269 270 271 272 276 277 279 281 282 283 285 286 287 371 372 733 737 741 745 761 763 766 769 772 776 788 789 792 812 827 829 867 868 869 873 876 881 885 891 892 899 901 905 906 90092 90093 90095 90096 90183 90188 90202 90212


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

221

221 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 2 patients

Fee: $94.05 Benefit: 75% = $70.55 100% = $94.05

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

222

222 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 3 patients

Fee: $99.10 Benefit: 75% = $74.35 100% = $99.10

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

223

223 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients

Fee: $120.55 Benefit: 75% = $90.45 100% = $120.55

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

245

245 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Participation by a medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical practitioner, with the patient’s consent:

(a) assesses the patient as:

(i) having a chronic medical condition or a complex medication regimen; and

(ii) not having their therapeutic goals met; and

(b) following that assessment:

(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and

(ii) provides relevant clinical information required for the DMMR; and

(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and

(d) develops a written medication management plan following discussion with the patient; and

(e) provides the written medication management plan to a community pharmacy chosen by the patient

For any particular patient—this item or item 900 is applicable not more than once in each 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR

Fee: $123.85 Benefit: 100% = $123.85

(See para AN.7.1, AN.7.18 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

249

249 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Participation by a medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR

Fee: $84.80 Benefit: 100% = $84.80

(See para AN.7.1, AN.7.18 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

272

272 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient

Fee: $57.35 Benefit: 75% = $43.05 100% = $57.35

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

276

276 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient

Fee: $84.45 Benefit: 75% = $63.35 100% = $84.45

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

277

277 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan

Fee: $57.35 Benefit: 75% = $43.05 100% = $57.35

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

279

279 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation

Fee: $57.35 Benefit: 75% = $43.05 100% = $57.35

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

281

281 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient

Fee: $72.85 Benefit: 75% = $54.65 100% = $72.85

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

282

282 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient

Fee: $107.30 Benefit: 75% = $80.50 100% = $107.30

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

283

283 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes

Fee: $74.20 Benefit: 100% = $74.20

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

285

285 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes

The fee for item 283, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 283 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

286

286 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes

Fee: $106.20 Benefit: 100% = $106.20

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

287

287 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes

The fee for item 286, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 286 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

371

371 - Additional Information

Item Start Date:
01-Nov-2018
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes if:

(a)     the attendance is by video conference; and

(b)     the patient is not an admitted patient; and

(c)     the patient is located within a telehealth area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner.

Fee: $74.20 Benefit: 100% = $74.20

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

372

372 - Additional Information

Item Start Date:
01-Nov-2018
Description Start Date:
01-Nov-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes if:

(a)     the attendance is by video conference; and

(b)     the patient is not an admitted patient; and

(c)     the patient is located within a telehealth area; and

(d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner.

Fee: $106.20 Benefit: 100% = $106.20

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

214

214 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $177.20 Benefit: 75% = $132.90 100% = $177.20

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

215

215 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $295.30 Benefit: 75% = $221.50 100% = $295.30

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

218

218 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $413.30 Benefit: 75% = $310.00 100% = $413.30

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

219

219 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $531.65 Benefit: 75% = $398.75 100% = $531.65

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

220

220 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $590.70 Benefit: 75% = $443.05 100% = $590.70

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

733

733 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance

Fee: $23.20 Benefit: 100% = $23.20

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

737

737 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance

Fee: $39.20 Benefit: 100% = $39.20

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

741

741 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance

Fee: $67.15 Benefit: 100% = $67.15

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

745

745 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance

Fee: $94.20 Benefit: 100% = $94.20

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

761

761 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 733, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

763

763 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 737, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

766

766 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 741, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

769

769 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 745, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

772

772 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of not more than 5 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 733, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

776

776 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 737, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

788

788 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 741, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

789

789 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 45 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 745, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.24 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

229

229 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply)

Fee: $115.40 Benefit: 75% = $86.55 100% = $115.40

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

230

230 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply)

Fee: $91.45 Benefit: 75% = $68.60 100% = $91.45

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

231

231 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Contribution by a medical practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply)

Fee: $56.30 Benefit: 75% = $42.25 100% = $56.30

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

232

232 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Contribution by a medical practitioner, to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider

(other than a service associated with a service to which items 735 to 758 and items 235 to 240 apply)

Fee: $56.30 Benefit: 75% = $42.25 100% = $56.30

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

233

233 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 or item 229 applies; or

(b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723 or item 230 applies

Fee: $57.65 Benefit: 75% = $43.25 100% = $57.65

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

235

235 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $56.50 Benefit: 75% = $42.40 100% = $56.50

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

236

236 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $96.75 Benefit: 75% = $72.60 100% = $96.75

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

237

237 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $161.30 Benefit: 75% = $121.00 100% = $161.30

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

238

238 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $41.50 Benefit: 75% = $31.15 100% = $41.50

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

239

239 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $71.20 Benefit: 75% = $53.40 100% = $71.20

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

240

240 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 or items 229 to 233 apply)

Fee: $118.55 Benefit: 75% = $88.95 100% = $118.55

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

243

243 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers

Fee: $65.20 Benefit: 75% = $48.90 100% = $65.20

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

244

244 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Attendance by a medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers

Fee: $30.35 Benefit: 75% = $22.80 100% = $30.35

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

251

251 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $13.55 Benefit: 100% = $13.55

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

252

252 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $29.65 Benefit: 100% = $29.65

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

253

253 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

The fee for item 252, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 252 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

254

254 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $57.35 Benefit: 100% = $57.35

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

255

255 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

The fee for item 254, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 254 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

256

256 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

Fee: $84.45 Benefit: 100% = $84.45

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

257

257 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

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

The fee for item 256, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 256 plus $1.60 per patient
Ready Reckoner

(See para AN.7.1, AN.7.19 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

259

259 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus

Fee: $29.65 Benefit: 100% = $29.65

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

260

260 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus

The fee for item 259, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 259 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

261

261 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the requirements for a cycle of care of a patient with established diabetes mellitus

Fee: $57.35 Benefit: 100% = $57.35

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

262

262 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus

The fee for item 261, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 261 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

263

263 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus

Fee: $84.45 Benefit: 100% = $84.45

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

264

264 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus

The fee for item 263, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 263 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.20 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

265

265 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

Fee: $29.65 Benefit: 100% = $29.65

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

266

266 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

The fee for item 265, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 265 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

268

268 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

Fee: $57.35 Benefit: 100% = $57.35

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

269

269 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

The fee for item 268, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 268 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

270

270 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

Fee: $84.45 Benefit: 100% = $84.45

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

271

271 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care

The fee for item 270, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 270 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.21 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

224

224 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:

(a) collection of relevant information, including taking a patient history; and

(b) a basic physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing the patient with preventive health care advice and information

Fee: $47.50 Benefit: 100% = $47.50

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

225

225 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:

(a) detailed information collection, including taking a patient history; and

(b) an extensive physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing a preventive health care strategy for the patient

Fee: $110.30 Benefit: 100% = $110.30

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

226

226 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient’s medical condition and physical function; and

(c) initiating interventions and referrals as indicated; and

(d) providing a basic preventive health care management plan for the patient

Fee: $152.25 Benefit: 100% = $152.25

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

227

227 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and

(c) initiating interventions or referrals as indicated; and

(d) providing a comprehensive preventive health care management plan for the patient

Fee: $215.05 Benefit: 100% = $215.05

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

228

228 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance by a medical practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—this item or item 715 not more than once in a 9 month period
 

Fee: $169.80 Benefit: 100% = $169.80

(See para AN.7.1, AN.7.13, AN.7.14, AN.7.15, AN.7.16 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

179

179 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area.

Fee: $13.75 Benefit: 100% = $13.75

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

181

181 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area

The fee for item 179, plus $21.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $1.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

185

185 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area

Fee: $30.10 Benefit: 100% = $30.10

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

187

187 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area

The fee for item 185, plus $21.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $1.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

189

189 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area

Fee: $58.25 Benefit: 100% = $58.25

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

191

191 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area

The fee for item 189, plus $21.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $1.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

203

203 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area

Fee: $85.70 Benefit: 100% = $85.70

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

206

206 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Nov-2018

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area

The fee for item 203, plus $21.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $1.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

812

812 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) either:

(i) is located both:

(A) within a telehealth eligible area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or

(ii) is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service:

            for which a direction made under subsection 19(2) of the Act applies

Fee: $18.30 Benefit: 100% = $18.30

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

827

827 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) is not a care recipient in a residential care service; and

(d) is located both:

(i) within a telehealth eligible area; and

(ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a);

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 812, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

829

829 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is a care recipient in a residential care service; and

(c) is not a resident of a self‑contained unit;

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 812, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

867

867 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) either:

(i) is located both:

(A) within a telehealth eligible area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or

(ii) is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service;

            for which a direction made under subsection 19(2) of the Act applies

Fee: $39.95 Benefit: 100% = $39.95

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

868

868 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) is not a care recipient in a residential care service; and

(d) is located both:

(i) within a telehealth eligible area; and

(ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a);

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 867, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 867 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

869

869 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is a care recipient in a residential care service; and

(c) is not a resident of a self‑contained unit;

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 867, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 867 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

873

873 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) either:

(i) is located both:

(A) within a telehealth eligible area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or

(ii) is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service:

            for which a direction made under subsection 19(2) of the Act applies

Fee: $77.50 Benefit: 100% = $77.50

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

876

876 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) is not a care recipient in a residential care service; and

(d) is located both:

(i) within a telehealth eligible area; and

(ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a);

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 873, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 873 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

881

881 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is a care recipient in a residential care service; and

(c) is not a resident of a self‑contained unit;

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 873, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 873 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

885

885 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) either:

(i) is located both:

(A) within a telehealth eligible area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or

(ii) is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service;

            for which a direction made under subsection 19(2) of the Act applies

Fee: $114.00 Benefit: 100% = $114.00

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

891

891 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is not an admitted patient; and

(c) is not a care recipient in a residential care service; and

(d) is located both:

(i) within a telehealth eligible area; and

(ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph (a);

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 885, plus $20.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 885 plus $1.60 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

892

892 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who:

(a) is participating in a video conferencing consultation with a specialist or consultant physician; and

(b) is a care recipient in a residential care service; and

(c) is not a resident of a self‑contained unit;

for an attendance on one or more patients at one place on one occasion—each patient

The fee for item 885, plus $37.35 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 885 plus $2.65 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.26 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

899

899 - Additional Information

Item Start Date:
02-Mar-2019
Description Start Date:
02-Mar-2019
Schedule Fee Start Date:
02-Mar-2019

Professional attendance at consulting rooms by a medical practitioner, lasting not more than 5 minutes in duration, if:

  1. the attendance is by video conference; and
  2. the patient is located within a flood affected eligible area.

Fee: $16.15 Benefit: 85% = $13.75

(See para AN.7.1, AN.7.28 of explanatory notes to this Category)

Item will expire on 30-Jun-2019

Category 1 - PROFESSIONAL ATTENDANCES

901

901 - Additional Information

Item Start Date:
02-Mar-2019
Description Start Date:
02-Mar-2019
Schedule Fee Start Date:
02-Mar-2019

Professional attendance at consulting rooms by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, if:

  1. the attendance is by video conference; and
  2. the patient is located within a flood affected eligible area.

Fee: $35.40 Benefit: 85% = $30.10

(See para AN.7.1, AN.7.28 of explanatory notes to this Category)

Item will expire on 30-Jun-2019

Category 1 - PROFESSIONAL ATTENDANCES

905

905 - Additional Information

Item Start Date:
02-Mar-2019
Description Start Date:
02-Mar-2019
Schedule Fee Start Date:
02-Mar-2019

Professional attendance at consulting rooms by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, if:

  1. the attendance is by video conference; and
  2. the patient is located within a flood affected eligible area.

Fee: $68.50 Benefit: 85% = $58.25

(See para AN.7.1, AN.7.28 of explanatory notes to this Category)

Item will expire on 30-Jun-2019

Category 1 - PROFESSIONAL ATTENDANCES

906

906 - Additional Information

Item Start Date:
02-Mar-2019
Description Start Date:
02-Mar-2019
Schedule Fee Start Date:
02-Mar-2019

Professional attendance at consulting rooms by a medical practitioner, lasting more than 45 minutes, if:

  1. the attendance is by video conference; and
  2. the patient is located within a flood affected eligible area.

Fee: $100.80 Benefit: 85% = $85.70

(See para AN.7.1, AN.7.28 of explanatory notes to this Category)

Item will expire on 30-Jun-2019

Category 1 - PROFESSIONAL ATTENDANCES

90092

90092 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a general practitioner to whom clause 2.3.1 applies.

Fee: $8.50 Benefit: 100% = $8.50

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90093

90093 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a general practitioner to whom clause 2.3.1 applies.

Fee: $16.00 Benefit: 100% = $16.00

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90095

90095 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a general practitioner to whom clause 2.3.1 applies.

Fee: $35.50 Benefit: 100% = $35.50

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90096

90096 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a general practitioner to whom clause 2.3.1 applies.

Fee: $57.50 Benefit: 100% = $57.50

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

792

792 - Additional Information

Item Start Date:
01-Jul-2018
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2018

Professional attendance of at least 20 minutes in duration at consulting rooms by a medical practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 4001, 81000, 81005 or 81010 applies in relation to that pregnancy

Fee: $61.30 Benefit: 100% = $61.30

(See para AN.7.1, AN.7.25 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90183

90183 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by medical practitioner in an eligible area.

Fee: $13.75 Benefit: 100% = $13.75

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90188

90188 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.

Fee: $30.10 Benefit: 100% = $30.10

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90202

90202 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.

Fee: $58.25 Benefit: 100% = $58.25

(See para AN.7.1, AN.35.2 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90212

90212 - Additional Information

Item Start Date:
01-Mar-2019
Description Start Date:
01-Mar-2019
Schedule Fee Start Date:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.

Fee: $85.70 Benefit: 100% = $85.70

(See para AN.7.1, AN.35.2 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