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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.

Category 1 - PROFESSIONAL ATTENDANCES

23

23 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Jul-2022

Group
A1 - General Practitioner Attendances To Which No Other Item Applies
Subheading
2 - Level B

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and 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;

for one or more health-related issues, with appropriate documentation-each attendance



Fee: $39.75 Benefit: 100% = $39.75

(See para AN.0.9 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $119.25

Category 3 - THERAPEUTIC PROCEDURES

16522

16522 - Additional Information

Item Start Date:
01-Nov-1998
Description Updated:
01-Nov-2017
Schedule Fee Updated:
01-Jul-2022

Group
T4 - Obstetrics

Management of labour and birth, or birth alone, (including caesarean section), on or after 23 weeks gestation, if in the course of antenatal supervision or intrapartum management one or more of the following conditions is present, including postnatal care for 7 days:

(a) fetal loss;

(b) multiple pregnancy;

(c) antepartum haemorrhage that is:

(i) of greater than 200 ml; or

(ii) associated with disseminated intravascular coagulation;

(d) placenta praevia on ultrasound in the third trimester with the placenta within 2 cm of the internal cervical os;

(e) baby with a birth weight less than or equal to 2,500 g;

(f) trial of vaginal birth in a patient with uterine scar where there has been a planned vaginal birth after caesarean section;

(g) trial of vaginal breech birth where there has been a planned vaginal breech birth;

(h) prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress as evidenced by cervical dilatation at less than 1 cm/hr in the active phase of labour (after 3 cm cervical dilatation and effacement until full dilatation of the cervix);

(i) acute fetal compromise evidenced by:

(i) scalp pH less than 7.15; or

(ii) scalp lactate greater than 4.0;

(j) acute fetal compromise evidenced by at least one of the following significant cardiotocograph abnormalities:

(i) prolonged bradycardia (less than 100 bpm for more than 2 minutes);

(ii) absent baseline variability (less than 3 bpm);

(iii) sinusoidal pattern;

(iv) complicated variable decelerations with reduced (3 to 5 bpm) or absent baseline variability;

(v) late decelerations;

(k) pregnancy induced hypertension of at least 140/90 mm Hg associated with:

(i) at least 2+ proteinuria on urinalysis; or

(ii) protein-creatinine ratio greater than 30 mg/mmol; or

(iii) platelet count less than 150 x 109/L; or

(iv) uric acid greater than 0.36 mmol/L;

(l) gestational diabetes mellitus requiring at least daily blood glucose monitoring;

(m) mental health disorder (whether arising prior to pregnancy, during pregnancy or postpartum) that is demonstrated by:

(i) the patient requiring hospitalisation; or

(ii) the patient receiving ongoing care by a psychologist or psychiatrist to treat the symptoms of a mental health disorder; or

(iii) the patient having a GP mental health treatment plan; or

(iv) the patient having a management plan prepared in accordance with item 291;

(n) disclosure or evidence of domestic violence;

(o) any of the following conditions either diagnosed pre-pregnancy or evident at the first antenatal visit before 20 weeks gestation:

(i) pre-existing hypertension requiring antihypertensive medication prior to pregnancy;

(ii) cardiac disease (co-managed with a specialist physician and with echocardiographic evidence of myocardial dysfunction);

(iii) previous renal or liver transplant;

(iv) renal dialysis;

(v) chronic liver disease with documented oesophageal varices;

(vi) renal insufficiency in early pregnancy (serum creatinine greater than 110 mmol/L);

(vii) neurological disorder that confines the patient to a wheelchair throughout pregnancy;

(viii) maternal height of less than 148 cm;

(ix) a body mass index greater than or equal to 40;

(x) pre-existing diabetes mellitus on medication prior to pregnancy;

(xi) thyrotoxicosis requiring medication;

(xii) previous thrombosis or thromboembolism requiring anticoagulant therapy through pregnancy and the early puerperium;

(xiii) thrombocytopenia with platelet count of less than 100,000 prior to 20 weeks gestation;

(xiv) HIV, hepatitis B or hepatitis C carrier status positive;

(xv) red cell or platelet iso-immunisation;

(xvi) cancer with metastatic disease;

(xvii) illicit drug misuse during pregnancy


(Anaes.)

Fee: $1,722.50 Benefit: 75% = $1,291.90

(See para TN.4.7 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24130

24130 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

22:51 HOURS TO 23:00 HOURS



(134 basic units)

Fee: $2,807.30 Benefit: 75% = $2,105.50 85% = $2,386.25

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24131

24131 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:01 HOURS TO 23:10 HOURS



(135 basic units)

Fee: $2,828.25 Benefit: 75% = $2,121.20 85% = $2,404.05

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24132

24132 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:11 HOURS TO 23:20 HOURS



(136 basic units)

Fee: $2,849.20 Benefit: 75% = $2,136.90 85% = $2,421.85

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24133

24133 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:21 HOURS TO 23:30 HOURS



(137 basic units)

Fee: $2,870.15 Benefit: 75% = $2,152.65 85% = $2,439.65

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24134

24134 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:31 HOURS TO 23:40 HOURS



(138 basic units)

Fee: $2,891.10 Benefit: 75% = $2,168.35 85% = $2,457.45

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24135

24135 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:41 HOURS TO 23:50 HOURS



(139 basic units)

Fee: $2,912.05 Benefit: 75% = $2,184.05 85% = $2,475.25

(See para TN.10.3 of explanatory notes to this Category)

Category 3 - THERAPEUTIC PROCEDURES

24136

24136 - Additional Information

Item Start Date:
01-Nov-2001
Description Updated:
01-May-2001
Schedule Fee Updated:
01-Jul-2022

Group
T10 - Relative Value Guide For Anaesthesia - Medicare Benefits Are Only Payable For Anaesthesia Performed In Association With An Eligible Service
Subgroup
21 - Anaesthesia/Perfusion Time Units

23:51 HOURS TO 24:00 HOURS



(140 basic units)

Fee: $2,933.00 Benefit: 75% = $2,199.75 85% = $2,493.05

(See para TN.10.3 of explanatory notes to this Category)

Category 6 - PATHOLOGY SERVICES

71153

71153 - Additional Information

Item Start Date:
01-May-2001
Description Updated:
01-May-2007
Schedule Fee Updated:
01-Jan-2013

Group
P4 - Immunology

Investigations in the assessment or diagnosis of systemic inflammatory disease or vasculitis - antineutrophil cytoplasmic antibody immunofluorescence (ANCA test), antineutrophil proteinase 3 antibody (PR-3 ANCA test), antimyeloperoxidase antibody (MPO ANCA test) or antiglomerular basement membrane antibody (GBM test) - detection of 1 antibody

(Item is subject to rule 6 and 23)



Fee: $34.55 Benefit: 75% = $25.95 85% = $29.40

Results 11 to 20 of 25 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