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LEVEL B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


and at which a cervical smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a cervical smear in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2501

2501 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
2 - LEVEL B

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms



Fee: $37.05 Benefit: 100% = $37.05

(See para A5, A42 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $111.15

Category 1 - PROFESSIONAL ATTENDANCES

2503

2503 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
2 - LEVEL B

CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS


Professional attendance at a place other than consulting rooms.



The fee for item 2501, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2501 plus $2.00 per patient.
Ready Reckoner

(See para A5, A42 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

LEVEL C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant:

f)     taking a detailed patient history;

g)     performing a clinical examination;

h)     arranging any necessary investigation;

i)     implementing a management plan;

j)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


and at which a cervical smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a cervical smear in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2504

2504 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
3 - LEVEL C

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms.



Fee: $71.70 Benefit: 100% = $71.70

(See para A5, A42 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $215.10

Category 1 - PROFESSIONAL ATTENDANCES

2506

2506 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
3 - LEVEL C

CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS

Professional attendance at a place other than consulting rooms.



The fee for item 2504, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2504 plus $2.00 per patient.
Ready Reckoner

(See para A5, A42 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

LEVEL D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, including any of the following that are clinically relevant:

a)     taking an extensive patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


and at which a cervical smear is taken from a person at least 20 years old and not older than 69 years old, who has not had a cervical smear in the last 4 years.

Category 1 - PROFESSIONAL ATTENDANCES

2507

2507 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
4 - LEVEL D

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms



Fee: $105.55 Benefit: 100% = $105.55

(See para A5, A42 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $316.65

Category 1 - PROFESSIONAL ATTENDANCES

2509

2509 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
1 - TAKING OF A CERVICAL SMEAR FROM AN UNSCREENED OR SIGNIFICANTLY UNDERSCREENED PERSON
Subheading
4 - LEVEL D

CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS


Professional attendance at a place other than consulting rooms.



The fee for item 2507, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2507 plus $2.00 per patient.
Ready Reckoner

(See para A5, A42 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

COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS

The minimum requirements of care to complete an annual Diabetes Cycle of Care for patients with established diabetes mellitus must be completed over a period of at least 11 months and up to 13 months, and must include:


-     Assess diabetes control by measuring HbA1c               At least once every  year

-     Ensure that a comprehensive eye examination is carried out*     At least once every two years

-     Measure weight and height and calculate BMI**               At least twice every cycle of care

-     Measure blood pressure                         At least twice every cycle of care

-     Examine feet***                              At least twice every cycle of care

-     Measure total cholesterol, triglycerides and HDL cholesterol     At least once every year

-     Test for microalbuminuria                         At least once  every year

-     Test for estimated Glomerular Filtration Rate (eGFR)                    At least once every year

-     Provide self-care education                         Patient education regarding diabetes management

-     Review diet                              Reinforce information about appropriate dietary                                                             choices

-     Review levels of physical activity                    Reinforce information about appropriate levels of                                                        physical activity

-     Check smoking status                         Encourage cessation of smoking (if relevant)

-     Review of medication                         Medication review


*     Not required if the patient is blind or does not have both eyes.

**     Initial visit: measure height and weight and calculate BMI as part of the initial patient assessment.

    Subsequent visits: measure weight.

***     Not required if the patient does not have both feet.

LEVEL B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus.

Category 1 - PROFESSIONAL ATTENDANCES

2517

2517 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
2 - COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS
Subheading
1 - LEVEL B

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms.



Fee: $37.05 Benefit: 100% = $37.05

(See para A5, A43 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $111.15

Category 1 - PROFESSIONAL ATTENDANCES

2518

2518 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
2 - COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS
Subheading
1 - LEVEL B

CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS

Professional attendance at a place other than consulting rooms.



The fee for item 2517, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2517 plus $2.00 per patient.
Ready Reckoner

(See para A5, A43 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

LEVEL C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant:

a)     taking a detailed patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

in relation to 1 or more health-related issues, with appropriate documentation


AND which completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus.

Category 1 - PROFESSIONAL ATTENDANCES

2521

2521 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-May-2010
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
2 - COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS
Subheading
2 - LEVEL C

CONSULTATION AT CONSULTING ROOMS

Professional attendance at consulting rooms.



Fee: $71.70 Benefit: 100% = $71.70

(See para A5, A43 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $215.10

Category 1 - PROFESSIONAL ATTENDANCES

2522

2522 - Additional Information

Item Start Date:
01-Nov-2001
Description Start Date:
01-Jan-2013
Schedule Fee Start Date:
01-Jul-2014

Group
A18 - GENERAL PRACTITIONER ATTENDANCE ASSOCIATED WITH PIP INCENTIVE PAYMENTS
Subgroup
2 - COMPLETION OF A CYCLE OF CARE FOR PATIENTS WITH ESTABLISHED DIABETES MELLITUS
Subheading
2 - LEVEL C

CONSULTATION AT A PLACE OTHER THAN CONSULTING ROOMS

Professional attendance at a place other than consulting rooms.



The fee for item 2521, plus $25.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for 2521 plus $2.00 per patient.
Ready Reckoner

(See para A5, A43 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

Results 1 to 10 of 18 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