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Category 1 - PROFESSIONAL ATTENDANCES

110

110 - Additional Information

Item Start Date:
01-Mar-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment



Fee: $159.35 Benefit: 75% = $119.55 85% = $135.45

(See para AN.0.7, AN.40.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $478.05

Category 1 - PROFESSIONAL ATTENDANCES

111

111 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
A3 - Specialist Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if:

(a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and

(b) the specialist subsequently performs the operation on the patient, on the same day; and

(c) the operation is a service to which an item in Group T8 applies; and

(d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more

For any particular patient, once only on the same day



Fee: $45.40 Benefit: 75% = $34.05 85% = $38.60


Extended Medicare Safety Net Cap: $136.20

Category 1 - PROFESSIONAL ATTENDANCES

112

112 - Additional Information

Item Start Date:
01-Jul-2011
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2012

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty if:

(a) the attendance is by video conference; and

(b) the attendance is for a service:

   (i) provided with item 110 lasting more than 10 minutes; or

   (ii) provided with item 116, 119, 132 or 133; and

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

(d) the patient:

    (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 physician; or

    (ii) is a care recipient in a residential care service; or

    (iii) 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

Telehealth Item



50% of the fee for the associated item. Benefit: 85% of derived fee.
Ready Reckoner

(See para AN.0.68 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount

Category 1 - PROFESSIONAL ATTENDANCES

113

113 - Additional Information

Item Start Date:
01-Jan-2013
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A3 - Specialist Attendances To Which No Other Item Applies

Initial professional attendance of 10 minutes or less in duration on a patient by a specialist in the practice of the specialist's speciality if:

(a) the attendance is by video conference; and

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

(c) the patient:

      (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

      (ii) is a care recipient in a residential care service; or 

      (iii) 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; and

(d) no other initial consultation has taken place for a single course of treatment



Fee: $67.80 Benefit: 85% = $57.65

(See para AN.0.68 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $203.40

Category 1 - PROFESSIONAL ATTENDANCES

114

114 - Additional Information

Item Start Date:
01-Jan-2013
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Initial professional attendance of 10 minutes or less in duration on a patient by a consultant physician practising in the consultant physician's specialty if:

(a) the attendance is by video conference; and

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

(c) the patient:

     (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 physician; or

     (ii) is a care recipient in a residential care service; or

     (iii) 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; and

(d) no other initial consultation has taken place for a single course of treatment

 



Fee: $119.55 Benefit: 85% = $101.65

(See para AN.0.68 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $358.65

Category 1 - PROFESSIONAL ATTENDANCES

115

115 - Additional Information

Item Start Date:
01-Apr-2019
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
A3 - Specialist Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner’s specialty after referral of the patient to the attending practitioner by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if:

(a) the attending practitioner performs a scheduled operation on the patient on the same day; and

(b) the operation is a service to which an item in Group T8 applies; and

(c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more; and

(d) the attendance is unrelated to the scheduled operation; and

(e) it is considered a clinical risk to defer the attendance to a later day

For any particular patient, once only on the same day

 



Fee: $45.40 Benefit: 75% = $34.05 85% = $38.60

(See para AN.3.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $136.20

Category 1 - PROFESSIONAL ATTENDANCES

116

116 - Additional Information

Item Start Date:
01-Mar-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 119 applies) after the first in a single course of treatment



Fee: $79.75 Benefit: 75% = $59.85 85% = $67.80

(See para AN.0.7, AN.0.70, AN.40.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $239.25

Category 1 - PROFESSIONAL ATTENDANCES

117

117 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if:

(a) the attendance is not a minor attendance; and

(b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and

(c) the consultant physician subsequently performs the operation on the patient, on the same day; and

(d) the operation is a service to which an item in Group T8 applies; and

(e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more

For any particular patient, once only on the same day



Fee: $79.75 Benefit: 75% = $59.85 85% = $67.80


Extended Medicare Safety Net Cap: $239.25

Category 1 - PROFESSIONAL ATTENDANCES

119

119 - Additional Information

Item Start Date:
22-Dec-1987
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment



Fee: $45.40 Benefit: 75% = $34.05 85% = $38.60

(See para AN.0.7, AN.0.21, AN.0.70, AN.40.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $136.20

Category 1 - PROFESSIONAL ATTENDANCES

120

120 - Additional Information

Item Start Date:
01-Nov-2017
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Jul-2021

Group
A4 - Consultant Physician Attendances To Which No Other Item Applies

Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if:

(a) the attendance is a minor attendance; and

(b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and

(c) the consultant physician subsequently performs the operation on the patient, on the same day; and

(d) the operation is a service to which an item in Group T8 applies; and

(e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more

For any particular patient, once only on the same day



Fee: $45.40 Benefit: 75% = $34.05 85% = $38.60

(See para AN.0.21 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $136.20

Results 1 to 10 of 13 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