Results 21 to 30 of 34 matches
Category 1 - PROFESSIONAL ATTENDANCES
5032 - Additional Information
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
Fee: $160.40 Benefit: 75% = $120.30 85% = $136.35
(See para AN.0.60 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5033 - Additional Information
Professional attendance, on a patient 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
Fee: $215.20 Benefit: 75% = $161.40 85% = $182.95
(See para AN.0.60 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5035 - Additional Information
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
Fee: $248.20 Benefit: 75% = $186.15 85% = $211.00
(See para AN.0.60 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5036 - Additional Information
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
Fee: $248.20 Benefit: 75% = $186.15 85% = $211.00
(See para AN.0.60 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5039 - Additional Information
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if:
(a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and
(b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and
(c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019
Fee: $156.80 Benefit: 75% = $117.60 85% = $133.30
(See para AN.0.61 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5040 - Additional Information
Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and 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;
for one or more health-related issues, with appropriate documentation-each attendance
Fee: $92.45 Benefit: 100% = $92.45
(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5041 - Additional Information
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if:
(a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and
(b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and
(c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and
(d) the attendance is for at least 60 minutes
Fee: $294.85 Benefit: 75% = $221.15 85% = $250.65
(See para AN.0.61 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5042 - Additional Information
Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if:
(a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and
(b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and
(c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036
Fee: $117.70 Benefit: 75% = $88.30 85% = $100.05
(See para AN.0.61 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5043 - Additional Information
Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and 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;
for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient
The fee for item 5040, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $2.25 per patient.
Ready Reckoner
(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 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
5044 - Additional Information
Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if:
(a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and
(b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and
(c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and
(d) the attendance is for at least 60 minutes
Fee: $221.10 Benefit: 75% = $165.85 85% = $187.95
(See para AN.0.61 of explanatory notes to this Category)
Results 21 to 30 of 34 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