View Related Items
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: 179 181 185 187 189 191 203 206 214 215 218 219 220 221 222 223 228 229 230 231 232 233 235 236 237 238 239 240 243 244 245 249 272 276 277 279 281 282 283 285 286 287 301 303 733 737 741 745 761 763 766 769 772 776 788 789 792 2197 2198 2200 90092 90093 90095 90096 90098 90183 90188 90202 90212 90215
Related Items
Category 1 - PROFESSIONAL ATTENDANCES
90092 - Additional Information
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 - Additional Information
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 - Additional Information
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 - Additional Information
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 - Additional Information
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 - Additional Information
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: $131.50 Benefit: 75% = $98.65 100% = $131.50
(See para AN.7.1, AN.7.17 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
230 - Additional Information
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: $104.20 Benefit: 75% = $78.15 100% = $104.20
(See para AN.7.1, AN.7.17 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
231 - Additional Information
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: $64.15 Benefit: 75% = $48.15 100% = $64.15
(See para AN.7.1, AN.7.17 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
232 - Additional Information
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: $64.15 Benefit: 75% = $48.15 100% = $64.15
(See para AN.7.1, AN.7.17 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
233 - Additional Information
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: $65.65 Benefit: 75% = $49.25 100% = $65.65
(See para AN.7.1, AN.7.17 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
235 - Additional Information
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: $64.50 Benefit: 75% = $48.40 100% = $64.50
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
236 - Additional Information
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: $110.25 Benefit: 75% = $82.70 100% = $110.25
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
237 - Additional Information
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: $183.70 Benefit: 75% = $137.80 100% = $183.70
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
238 - Additional Information
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: $47.35 Benefit: 75% = $35.55 100% = $47.35
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
239 - Additional Information
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: $81.15 Benefit: 75% = $60.90 100% = $81.15
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
240 - Additional Information
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: $135.05 Benefit: 75% = $101.30 100% = $135.05
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
243 - Additional Information
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: $63.15 Benefit: 75% = $47.40 100% = $63.15
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
244 - Additional Information
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: $29.45 Benefit: 75% = $22.10 100% = $29.45
(See para AN.7.1, AN.7.27 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
272 - Additional Information
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: $65.35 Benefit: 75% = $49.05 100% = $65.35
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
276 - Additional Information
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: $96.20 Benefit: 75% = $72.15 100% = $96.20
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
277 - Additional Information
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: $65.35 Benefit: 75% = $49.05 100% = $65.35
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
279 - Additional Information
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: $65.35 Benefit: 75% = $49.05 100% = $65.35
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
281 - Additional Information
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: $82.95 Benefit: 75% = $62.25 100% = $82.95
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
282 - Additional Information
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: $122.25 Benefit: 75% = $91.70 100% = $122.25
(See para AN.7.1, AN.7.22 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
283 - Additional Information
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: $84.55 Benefit: 100% = $84.55
(See para AN.7.1, AN.7.23 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
285 - Additional Information
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 $23.70 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 $1.85 per patient.
Ready Reckoner
(See para AN.7.1, AN.7.23 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
286 - Additional Information
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: $121.00 Benefit: 100% = $121.00
(See para AN.7.1, AN.7.23 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
287 - Additional Information
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 $23.70 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 $1.85 per patient.
Ready Reckoner
(See para AN.7.1, AN.7.23 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
245 - Additional Information
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: $141.10 Benefit: 100% = $141.10
(See para AN.7.1, AN.7.18 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
249 - Additional Information
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: $96.60 Benefit: 100% = $96.60
(See para AN.7.1, AN.7.18 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
179 - Additional Information
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: $15.70 Benefit: 100% = $15.70
(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 - Additional Information
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 $24.00 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 $1.90 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 - Additional Information
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: $34.25 Benefit: 100% = $34.25
(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 - Additional Information
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 $24.00 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 $1.90 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 - Additional Information
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: $66.35 Benefit: 100% = $66.35
(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 - Additional Information
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 $24.00 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 $1.90 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 - Additional Information
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: $97.70 Benefit: 100% = $97.70
(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 - Additional Information
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 $24.00 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 $1.90 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 - Additional Information
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: $158.30 Benefit: 100% = $158.30
(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 - Additional Information
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 $24.00 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 $1.90 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 - Additional Information
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: $26.40 Benefit: 100% = $26.40
(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 - Additional Information
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: $44.60 Benefit: 100% = $44.60
(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 - Additional Information
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: $76.55 Benefit: 100% = $76.55
(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 - Additional Information
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: $107.35 Benefit: 100% = $107.35
(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 - Additional Information
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 $23.70 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 $1.85 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 - Additional Information
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 $23.70 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 $1.85 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 - Additional Information
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 $23.70 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 $1.85 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 - Additional Information
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 $23.70 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 $1.85 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 - Additional Information
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 $42.60 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 $3.00 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 - Additional Information
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 $42.60 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 $3.00 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 - Additional Information
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 $42.60 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 $3.00 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 - Additional Information
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 $42.60 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 $3.00 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 - Additional Information
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: $182.35 Benefit: 100% = $182.35
(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 - Additional Information
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 $23.70 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 $1.85 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 - Additional Information
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 $42.60 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 $3.00 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 - Additional Information
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: $69.80 Benefit: 100% = $69.80
(See para AN.7.1, AN.7.25, MN.8.2 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
221 - Additional Information
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: $107.10 Benefit: 75% = $80.35 100% = $107.10
(See para AN.7.1, AN.7.4 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
222 - Additional Information
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: $112.90 Benefit: 75% = $84.70 100% = $112.90
(See para AN.7.1, AN.7.4 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
223 - Additional Information
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: $137.35 Benefit: 75% = $103.05 100% = $137.35
(See para AN.7.1, AN.7.4 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
90183 - Additional Information
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: $15.70 Benefit: 100% = $15.70
(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 - Additional Information
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: $34.25 Benefit: 100% = $34.25
(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 - Additional Information
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: $66.35 Benefit: 100% = $66.35
(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 - Additional Information
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: $97.70 Benefit: 100% = $97.70
(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 - Additional Information
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: $158.30 Benefit: 100% = $158.30
(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 - Additional Information
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: $201.95 Benefit: 75% = $151.50 100% = $201.95
(See para AN.7.1, AN.7.3 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
215 - Additional Information
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: $336.50 Benefit: 75% = $252.40 100% = $336.50
(See para AN.7.1, AN.7.3 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
218 - Additional Information
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: $470.80 Benefit: 75% = $353.10 100% = $470.80
(See para AN.7.1, AN.7.3 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
219 - Additional Information
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: $605.70 Benefit: 75% = $454.30 100% = $605.70
(See para AN.7.1, AN.7.3 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
220 - Additional Information
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: $672.95 Benefit: 75% = $504.75 100% = $672.95
(See para AN.7.1, AN.7.3 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
228 - Additional Information
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: $193.45 Benefit: 100% = $193.45
(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