Medicare Benefits Schedule - Item 111

Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if:

(a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and

(b) the specialist subsequently performs the operation on the patient, on the same day; and

(c) the operation is a service to which an item in Group T8 applies; and

(d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $341.75 or more

For any particular patient, once only on the same day

Fee: $49.75 Benefit: 75% = $37.35 85% = $42.30

Extended Medicare Safety Net Cap: $149.25

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