Medicare Benefits Schedule - Item 163

Search Results for Item 163

View Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

163

163 - Additional Information

Item Start Date:
01-Feb-1984
Description Updated:
01-Jul-2018
Schedule Fee Updated:
01-Nov-2023

Group
A5 - Prolonged Attendances To Which No Other Item Applies
Subheading
1 - Prolonged Professional Attendance

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $731.50 Benefit: 75% = $548.65 100% = $731.50

(See para AN.0.27 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00


Associated Notes

Category 1 - PROFESSIONAL ATTENDANCES

AN.0.27

Prolonged Attendance in Treatment of a Critical Condition (Items 160 164)

The conditions to be met before services covered by items 160‑164 attract benefits are:‑

(i)               the patient must be in imminent danger of death;

(ii)              if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance; and

(iii)             if personal attendance on a single patient is provided by 1 or more general practitioners, specialists or consultant physicians concurrently, each general practitioner, specialist or consultant physician may claim an attendance fee. 

Related Items: 160 161 162 163 164


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