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ANAESTHETIST, REFERRED CONSULTATION (other than prior to anaesthesia)

(Professional attendance by a specialist anaesthetist in the practice of ANAESTHESIA where the patient is referred to him or her)

-    a BRIEF consultation involving a short history and limited examination

-    AND of not more than 15 minutes  duration, not being a service associated with a service to which items 2801 - 3000 apply

Fee: $48.05 Benefit: 75% = $36.05 85% = $40.85

(See para TN.6.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $144.15

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Extraction of one or more chronically implanted transvenous pacing or defibrillator leads, by percutaneous method, with locking stylets and snares, with extraction sheaths (if any), if:

(a) the leads have been in place for more than 6 months and require removal; and

(b) the service is performed:

(i) in association with a service to which item 61109 or 60509 applies; and

(ii) by a specialist or consultant physician who has undertaken the training to perform the service; and

(iii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(c) if the service is performed by an interventional cardiologist—a cardiothoracic surgeon is in attendance during the service

(H) 

Multiple Operation Rule

Fee: $3,156.85 Benefit: 75% = $2,367.65

(See para TN.8.64, TN.8.214 of explanatory notes to this Category)

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Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval and replacement of, including cardiac electrophysiological services, during the same percutaneous procedure, if:

(a) the service is performed by a specialist or consultant physician who has undertaken training to perform the service; and

(b) if the service is performed at least 4 weeks after the pacemaker was inserted—the service is performed in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(c) if the service is performed by an interventional cardiologist at least 4 weeks after the pacemaker was inserted—a cardiothoracic surgeon is in attendance during the service;

other than a service associated with a service to which item 38350 applies

(H)

Multiple Operation Rule

Fee: $830.30 Benefit: 75% = $622.75

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Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval of, if:

(a) the service is performed by a specialist or consultant physician who has undertaken training to perform the service; and

(b) if the service is performed at least 4 weeks after the pacemaker was inserted—the service is performed in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(c) if the service is performed by an interventional cardiologist at least 4 weeks after the pacemaker was inserted—a cardiothoracic surgeon is in attendance during the service

(H)

Multiple Operation Rule

Fee: $830.30 Benefit: 75% = $622.75

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Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner

Fee: $94.10 Benefit: 85% = $80.00

Extended Medicare Safety Net Cap: $282.30

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• Next - Item 54002

Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner

Fee: $47.35 Benefit: 85% = $40.25

Extended Medicare Safety Net Cap: $142.05

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Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.

Fee: $24.25 Benefit: 85% = $20.65

(See para MN.1.1, MN.1.3 of explanatory notes to this Category)

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Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.

Fee: $36.90 Benefit: 85% = $31.40

(See para MN.1.1, MN.1.4 of explanatory notes to this Category)

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• Next - Item 75872

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in:
(i) a Modified Monash 3 area; or
(ii) a Modified Monash 4 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.

Fee: $39.20 Benefit: 85% = $33.35

(See para MN.1.1, MN.1.5 of explanatory notes to this Category)

• Previous - Item 75872
• Next - Item 75874

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;
other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.

Fee: $41.65 Benefit: 85% = $35.45

(See para MN.1.1, MN.1.6 of explanatory notes to this Category)

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