Medicare Benefits Schedule - Note AN.7.3

Search Results for Note AN.7.3

View Related Items

Category 1 - PROFESSIONAL ATTENDANCES

AN.7.3

Medical Practitioner Prolonged Attendance in Treatment of a Critical Condition (Items 214 to 220)

 The conditions to be met before services covered by items 214-220 attract benefits are:‑

(i)     the patient must be in imminent danger of death;

(ii)    if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance; and

(iii)   if personal attendance on a single patient is provided by 1 or more medical practitioners concurrently, each practitioner may claim an attendance fee.

Note: Medicare benefits are not payable for the issue of a death certificate, although an attendance on a patient at which it is determined that life is extinct can be claimed under the appropriate attendance item. The outcome of the attendance may be that a death certificate is issued, however, Medicare benefits are only payable for the attendance component of the service.

Related Items: 214 215 218 219 220


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

214

214 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2022

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: $187.35 Benefit: 75% = $140.55 100% = $187.35

(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 Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2022

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: $312.25 Benefit: 75% = $234.20 100% = $312.25

(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 Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2022

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: $436.90 Benefit: 75% = $327.70 100% = $436.90

(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 Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2022

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: $562.05 Benefit: 75% = $421.55 100% = $562.05

(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 Updated:
01-Jul-2018
Schedule Fee Updated:
01-Jul-2022

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: $624.50 Benefit: 75% = $468.40 100% = $624.50

(See para AN.7.1, AN.7.3 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