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Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking a detailed patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.0.9, AN.7.2, 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: $192.30

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Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration but not more than 60 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking an extensive patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

Fee: $94.40 Benefit: 100% = $94.40

(See para AN.0.9, AN.7.2, 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: $283.20

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Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)    the service lasts at least 30 minutes, but less than 40 minutes.

Fee: $102.10 Benefit: 100% = $102.10

(See para AN.0.57 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $306.30

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Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)    the service lasts at least 40 minutes.

Fee: $146.10 Benefit: 100% = $146.10

(See para AN.0.57 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $438.30

• Previous - Item 91818
• Next - Item 91820

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)    the service lasts at least 30 minutes, but less than 40 minutes

Fee: $81.70 Benefit: 100% = $81.70

(See para AN.7.23 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $245.10

• Previous - Item 91819
• Next - Item 91821

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)    the service lasts at least 40 minutes

Fee: $116.90 Benefit: 100% = $116.90

(See para AN.7.23 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $350.70

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• Next - Item 91822

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

Fee: $95.60 Benefit: 85% = $81.30

(See para AN.0.7, AN.0.25, AN.40.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $286.80

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• Next - Item 91823

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance is after the first attendance as part of a single course of treatment.

Fee: $48.05 Benefit: 85% = $40.85

(See para AN.0.7, AN.0.70, AN.3.1, AN.40.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $144.15

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• Next - Item 91824

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration. 

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

Fee: $168.60 Benefit: 85% = $143.35

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

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 91823
• Next - Item 91825

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

(a)           the attendance follows referral of the patient to the specialist; and

(b)           the attendance was of more than 5 minutes in duration.

 Where the attendance is not a minor attendance after the first as part of a single course of treatment.

Fee: $84.35 Benefit: 85% = $71.70

(See para AN.0.7, AN.0.70, AN.3.1, AN.40.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $253.05

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