Medicare Benefits Schedule - Note AN.7.1

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Category 1 - PROFESSIONAL ATTENDANCES

AN.7.1

Prescribed Medical Practitioners

Last reviewed: 1 November 2023

A prescribed medical practitioner is a medical practitioner:

(a) who is not a general practitioner (see GN.4.13), specialist or consultant physician, and

(b) who:

a. is registered under section 3GA of the Act and is practising during the period, and in the location in respect of which the medical practitioner is registered, and insofar as the circumstances specified for paragraph 19AA(3)(b) of the Act apply; or

b. is covered by an exemption under subsection 19AB(3) of the Act; or

c. first became a medical practitioner before 1 November 1996.

Related Items: 179 181 185 187 189 191 203 206 214 215 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 235 236 237 238 239 240 243 244 245 249 272 276 277 279 281 282 283 285 286 287 301 303 733 737 741 745 761 763 766 769 772 776 788 789 792 2197 2198 2200 90092 90093 90095 90096 90098 90183 90188 90202 90212 90215


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

90092

90092 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.

Fee: $8.50 Benefit: 100% = $8.50

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90093

90093 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.

Fee: $16.00 Benefit: 100% = $16.00

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90095

90095 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.

Fee: $35.50 Benefit: 100% = $35.50

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90096

90096 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Mar-2019

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but less than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1), by a medical practitioner who is not a general practitioner

Fee: $57.50 Benefit: 100% = $57.50

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90098

90098 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause 2.30.1(2))

Fee: $88.20 Benefit: 100% = $88.20

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

229

229 - Additional Information

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

Attendance by a prescribed medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply)

Fee: $127.05 Benefit: 75% = $95.30 100% = $127.05

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

230

230 - Additional Information

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

Attendance by a prescribed medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply)

Fee: $100.70 Benefit: 75% = $75.55 100% = $100.70

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

231

231 - Additional Information

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

Either:
(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or
(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;
by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply

Fee: $62.00 Benefit: 75% = $46.50 100% = $62.00

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

232

232 - Additional Information

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

Either:
(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or
(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;
by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply

Fee: $62.00 Benefit: 75% = $46.50 100% = $62.00

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

233

233 - Additional Information

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

Attendance by a prescribed medical practitioner:
(a) to review a GP management plan prepared by a medical practitioner (or an associated medical practitioner); or
(b) to coordinate a review of team care arrangements which have been coordinated by the medical practitioner (or the associated medical practitioner)

Fee: $63.45 Benefit: 75% = $47.60 100% = $63.45

(See para AN.7.1, AN.7.17 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

235

235 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

Fee: $62.30 Benefit: 75% = $46.75 100% = $62.30

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

236

236 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

Fee: $106.50 Benefit: 75% = $79.90 100% = $106.50

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

237

237 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

Fee: $177.50 Benefit: 75% = $133.15 100% = $177.50

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

238

238 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

Fee: $45.75 Benefit: 75% = $34.35 100% = $45.75

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

239

239 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items 229 to 233 and 721 to 732 apply

Fee: $78.40 Benefit: 75% = $58.80 100% = $78.40

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

240

240 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:
(a) a community case conference; or
(b) a multidisciplinary case conference in a residential aged care facility; or
(c) a multidisciplinary discharge case conference;
if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

Fee: $130.50 Benefit: 75% = $97.90 100% = $130.50

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

243

243 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers

Fee: $61.00 Benefit: 75% = $45.75 100% = $61.00

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

244

244 - Additional Information

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

Attendance by a prescribed medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers

Fee: $28.45 Benefit: 75% = $21.35 100% = $28.45

(See para AN.7.1, AN.7.27 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

272

272 - Additional Information

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

Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient

Fee: $63.15 Benefit: 75% = $47.40 100% = $63.15

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

276

276 - Additional Information

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

Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient

Fee: $92.95 Benefit: 75% = $69.75 100% = $92.95

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

277

277 - Additional Information

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

Professional attendance by a prescribed medical practitioner to:
(a) review a GP mental health treatment plan which a medical practitioner, or an associated medical practitioner, has prepared; or
(b) to review a Psychiatrist Assessment and Management Plan

Fee: $63.15 Benefit: 75% = $47.40 100% = $63.15

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

279

279 - Additional Information

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

Professional attendance by a prescribed medical practitioner, in relation to a mental disorder, lasting at least 20 minutes and involving:
(a) taking relevant history and identifying the presenting problem (to the extent not previously recorded); and
(b) providing treatment and advice; and
(c) if appropriate, referral for other services or treatments; and
(d) documenting the outcomes of the consultation

Fee: $63.15 Benefit: 75% = $47.40 100% = $63.15

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

281

281 - Additional Information

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

Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient

Fee: $80.15 Benefit: 75% = $60.15 100% = $80.15

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

282

282 - Additional Information

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

Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient

Fee: $118.10 Benefit: 75% = $88.60 100% = $118.10

(See para AN.7.1, AN.7.22 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

283

283 - Additional Information

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

Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:
(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and
(b) lasting at least 30 minutes but less than 40 minutes

Fee: $81.70 Benefit: 100% = $81.70

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

285

285 - Additional Information

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

Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:
(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and
(b) lasting at least 30 minutes but less than 40 minutes

The fee for item 283, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 283 plus $1.80 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

286

286 - Additional Information

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

Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:
(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and
(b) lasting at least 40 minutes

Fee: $116.90 Benefit: 100% = $116.90

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

287

287 - Additional Information

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

Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:
(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and
(b) lasting at least 40 minutes

The fee for item 286, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 286 plus $1.80 per patient.
Ready Reckoner

(See para AN.7.1, AN.7.23 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

245

245 - Additional Information

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

Participation by a prescribed medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the prescribed medical practitioner, with the patient’s consent:
(a) assesses the patient as:
(i) having a chronic medical condition or a complex medication regimen; and
(ii) not having the patient’s therapeutic goals met; and
(b) following that assessment:
(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and
(ii) provides relevant clinical information required for the DMMR; and
(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and
(d) develops a written medication management plan following discussion with the patient; and
(e) provides the written medication management plan to a community pharmacy chosen by the patient
For any particular patient—applicable not more than once in each 12 month period, and only if item 900 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR

Fee: $136.35 Benefit: 100% = $136.35

(See para AN.7.1, AN.7.18 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

249

249 - Additional Information

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

Participation by a prescribed medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR

Fee: $93.35 Benefit: 100% = $93.35

(See para AN.7.1, AN.7.18 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

179

179 - Additional Information

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

Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Fee: $15.15 Benefit: 100% = $15.15

(See para AN.0.9, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

181

181 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

The fee for item 179, plus $23.20 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $1.85 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

185

185 - Additional Information

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

Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Fee: $33.10 Benefit: 100% = $33.10

(See para AN.0.9, AN.7.1, AN.7.2, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

187

187 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

The fee for item 185, plus $23.20 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $1.85 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

189

189 - Additional Information

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

Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.0.9, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

191

191 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

The fee for item 189, plus $23.20 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $1.85 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

203

203 - Additional Information

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

Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Fee: $94.40 Benefit: 100% = $94.40

(See para AN.0.9, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

206

206 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

The fee for item 203, plus $23.20 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $1.85 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

301

301 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item in this Schedule applies) by a prescribed medical practitioner in an eligible area—each attendance

Fee: $152.95 Benefit: 100% = $152.95

(See para AN.0.9, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

303

303 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

The fee for item 301, plus $23.20 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 301 plus $1.85 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

733

733 - Additional Information

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

Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance

Fee: $25.50 Benefit: 100% = $25.50

(See para AN.0.9, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

737

737 - Additional Information

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

Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance

Fee: $43.10 Benefit: 100% = $43.10

(See para AN.0.9, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

741

741 - Additional Information

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

Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance

Fee: $73.95 Benefit: 100% = $73.95

(See para AN.0.9, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

745

745 - Additional Information

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

Professional attendance at consulting rooms of more than 45 minutes in duration but not more than 60 minutes (other than a service to which another item applies) by a prescribed medical practitioner—each attendance

Fee: $103.70 Benefit: 100% = $103.70

(See para AN.0.9, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

761

761 - Additional Information

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

Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 733, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $1.80 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

763

763 - Additional Information

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

Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 737, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $1.80 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

766

766 - Additional Information

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

Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient

The fee for item 741, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $1.80 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

769

769 - Additional Information

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

Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients on one occasion—each patient.

The fee for item 745, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $1.80 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

772

772 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of not more than 5 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 733, plus $41.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $2.90 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

776

776 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 737, plus $41.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $2.90 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

788

788 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 741, plus $41.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $2.90 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

789

789 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 45 minutes but not more than 60 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

The fee for item 745, plus $41.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $2.90 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2197

2197 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance at consulting rooms of more than 60 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance.

Fee: $176.20 Benefit: 100% = $176.20

(See para AN.0.9, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2198

2198 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 60 minutes—an attendance on one or more patients on one occasion—each patient.

The fee for item 2197, plus $22.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2197 plus $1.80 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

2200

2200 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 60 minutes in duration by a prescribed medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient.

The fee for item 2197, plus $41.15 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2197 plus $2.90 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.7.1, AN.7.2, AN.7.24, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

792

792 - Additional Information

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

Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, lasting at least 20 minutes, for the purpose of providing non-directive pregnancy support counselling to a person who:
(a) is currently pregnant; or
(b) has been pregnant in the 12 months preceding the provision of the first service to which this item, or item 4001, 81000, 81005, 81010, 92136, 92137, 92138, 92139, 93026 or 93029, applies in relation to that pregnancy

Fee: $67.45 Benefit: 100% = $67.45

(See para AN.7.1, AN.7.25 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

221

221 - Additional Information

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

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients

Fee: $103.50 Benefit: 75% = $77.65 100% = $103.50

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

222

222 - Additional Information

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

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 3 patients

Fee: $109.10 Benefit: 75% = $81.85 100% = $109.10

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

223

223 - Additional Information

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

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients

Fee: $132.70 Benefit: 75% = $99.55 100% = $132.70

(See para AN.7.1, AN.7.4 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90183

90183 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

Fee: $15.15 Benefit: 100% = $15.15

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90188

90188 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

Fee: $33.10 Benefit: 100% = $33.10

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90202

90202 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90212

90212 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

Fee: $94.40 Benefit: 100% = $94.40

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

90215

90215 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

Fee: $152.95 Benefit: 100% = $152.95

(See para AN.0.9, AN.7.1, AN.7.2, AN.35.2, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

214

214 - Additional Information

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

Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $195.10 Benefit: 75% = $146.35 100% = $195.10

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

215

215 - Additional Information

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

Professional attendance by a prescribed medical practitioner 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: $325.10 Benefit: 75% = $243.85 100% = $325.10

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

218

218 - Additional Information

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

Professional attendance by a prescribed medical practitioner 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: $454.90 Benefit: 75% = $341.20 100% = $454.90

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

219

219 - Additional Information

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

Professional attendance by a prescribed medical practitioner 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: $585.20 Benefit: 75% = $438.90 100% = $585.20

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

220

220 - Additional Information

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

Professional attendance by a prescribed medical practitioner 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: $650.20 Benefit: 75% = $487.65 100% = $650.20

(See para AN.7.1, AN.7.3 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

224

224 - Additional Information

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

Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:
(a) collection of relevant information, including taking a patient history; and
(b) a basic physical examination; and
(c) initiating interventions and referrals as indicated; and
(d) providing the patient with preventive health care advice and information

Fee: $52.25 Benefit: 100% = $52.25

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

225

225 - Additional Information

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

Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:
(a) detailed information collection, including taking a patient history; and
(b) an extensive physical examination; and
(c) initiating interventions and referrals as indicated; and
(d) providing a preventive health care strategy for the patient

Fee: $121.45 Benefit: 100% = $121.45

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

226

226 - Additional Information

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

Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:
(a) comprehensive information collection, including taking a patient history; and
(b) an extensive examination of the patient’s medical condition and physical function; and
(c) initiating interventions and referrals as indicated; and
(d) providing a basic preventive health care management plan for the patient

Fee: $167.55 Benefit: 100% = $167.55

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

227

227 - Additional Information

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

Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:
(a) comprehensive information collection, including taking a patient history; and
(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and
(c) initiating interventions and referrals as indicated; and
(d) providing a comprehensive preventive health care management plan for the patient

Fee: $236.70 Benefit: 100% = $236.70

(See para AN.7.1, AN.7.5, AN.7.6, AN.7.7, AN.7.8, AN.7.9, AN.7.10, AN.7.11, AN.7.12 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

228

228 - Additional Information

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

Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—applicable not more than once in a 9 month period and only if the following items are not applicable within the same 9 month period:
(a) item 715;
(b) item 92004 or 92011 of the Telehealth and Telephone Determination

Fee: $186.90 Benefit: 100% = $186.90

(See para AN.7.1, AN.7.13, AN.7.14, AN.7.15, AN.7.16 of explanatory notes to this Category)


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