Medicare Benefits Schedule - Note AN.0.27

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

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Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $258.45 Benefit: 75% = $193.85 100% = $258.45

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

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $430.65 Benefit: 75% = $323.00 100% = $430.65

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

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $602.70 Benefit: 75% = $452.05 100% = $602.70

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

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: $775.25 Benefit: 75% = $581.45 100% = $775.25

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

Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $861.40 Benefit: 75% = $646.05 100% = $861.40

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