Results 1 to 7 of 7 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: $8.10 Benefit: 85% = $6.90
(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: $12.25 Benefit: 85% = $10.45
(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: $12.25 Benefit: 85% = $10.45
(See para MN.1.1, MN.1.3 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
64990 - Additional Information
A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in respect of the fees for:
(i) this item; and
(ii) the other item in this table applying to the service
Fee: $7.60 Benefit: 85% = $6.50
(See para IN.0.19, IN.0.20 of explanatory notes to this Category)
Category 5 - DIAGNOSTIC IMAGING SERVICES
64991 - Additional Information
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in respect of the fees for:
(i) this item; and
(ii) the other item in this table applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 2 area
Fee: $11.50 Benefit: 85% = $9.80
(See para IN.0.19, IN.0.20 of explanatory notes to this Category)
Category 6 - PATHOLOGY SERVICES
74990 - Additional Information
A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in respect of the fees for:
(i) this item; and
(ii) the other item in this table applying to the service
Fee: $7.60 Benefit: 85% = $6.50
(See para PN.0.24, PN.0.33 of explanatory notes to this Category)
Category 6 - PATHOLOGY SERVICES
74991 - Additional Information
A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in respect of the fees for:
(i) this item; and
(ii) the other item in this table applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 2 area.
Fee: $11.50 Benefit: 85% = $9.80
(See para PN.0.24, PN.0.33 of explanatory notes to this Category)
Results 1 to 7 of 7 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