Results 1 to 10 of 20 matches
Category 8 - MISCELLANEOUS SERVICES
10990 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service;
other than a service associated with a service:
(e) to which another item in this Group applies; or
(f) that is a general practice support service; or
(g) that is a MyMedicare service
Fee: $8.40 Benefit: 85% = $7.15
(See para MN.1.1, MN.1.3 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10991 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 2 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $12.70 Benefit: 85% = $10.80
(See para MN.1.1, MN.1.4 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10992 - Additional Information
A medical service to which:
(a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or
(b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018);
if:
(c) the service is an unreferred service; and
(d) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and
(e) the person is not an admitted patient of a hospital; and
(f) the service is not provided in consulting rooms; and
(g) the service is provided in any of the following areas:
(i) a Modified Monash 2 area;
(ii) a Modified Monash 3 area;
(iii) a Modified Monash 4 area;
(iv) a Modified Monash 5 area;
(v) a Modified Monash 6 area;
(vi) a Modified Monash 7 area; and
(h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and
(i) the service is bulk‑billed in relation to the fees for:
(i) this item; and
(ii) the other item mentioned in paragraph (a) or (b) applying to the service
Fee: $12.70 Benefit: 85% = $10.80
(See para MN.1.1, MN.1.3 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75855 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in:
(i) a Modified Monash 3 area; or
(ii) a Modified Monash 4 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $13.45 Benefit: 85% = $11.45
(See para MN.1.1, MN.1.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75856 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 5 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $14.35 Benefit: 85% = $12.20
(See para MN.1.1, MN.1.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75857 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 6 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $15.10 Benefit: 85% = $12.85
(See para MN.1.1, MN.1.7 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75858 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 7 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $16.10 Benefit: 85% = $13.70
(See para MN.1.1, MN.1.8 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75870 - Additional Information
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies
Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.
Fee: $25.10 Benefit: 85% = $21.35
(See para MN.1.1, MN.1.3 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75871 - Additional Information
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies
Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.
Fee: $38.20 Benefit: 85% = $32.50
(See para MN.1.1, MN.1.4 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
75872 - Additional Information
Professional attendance (the attendance service) if:
(a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and
(b) the attendance service is an unreferred service; and
(c) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(d) the patient is not an admitted patient of a hospital; and
(e) the attendance service is not provided in consulting rooms; and
(f) the attendance service is provided in any of the following areas:
(i) a Modified Monash 2 area;
(ii) a Modified Monash 3 area;
(iii) a Modified Monash 4 area;
(iv) a Modified Monash 5 area;
(v) a Modified Monash 6 area;
(vi) a Modified Monash 7 area; and
(g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and
(h) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) an item mentioned in paragraph (a) that applies to the service
Fee: $38.20 Benefit: 85% = $32.50
(See para MN.1.1, MN.1.3 of explanatory notes to this Category)
Results 1 to 10 of 20 matches
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