Medicare Benefits Schedule - Note MN.14.12

Services provided by participating nurse practitioners are covered by five MBS items 82200, 82205, 82210, 82215 and 82216. These also have phone equivalents 91193, 91189, 91190, 91191 and video equivalents 91192, 91178, 91179, 91180 and 91206.

These items provide for:

professional attendance for an obvious problem, straight forward in nature, with limited examination and management required (item 82200) 

professional attendance for a patient lasting no less than 6 minutes and no more than 20 minutes duration (item 82205) 

professional attendance for a patient lasting at least 20 minutes duration (item 82210);

professional attendance for a patient lasting at least 40 minutes duration (item 82215);

professional attendance for a patient lasting at least 60 minutes duration (item 82216).

Related Items: 82200 82205 82210 82215 82216 91178 91180 91189 91190 91191 91192 91193 91206

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Phone attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking a short history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventive health care

Fee: $31.05 Benefit: 85% = $26.40

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking a detailed history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventive health care.

Fee: $58.85 Benefit: 85% = $50.05

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking an extensive history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventive health care.

Fee: $86.80 Benefit: 85% = $73.80

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.

Fee: $14.20 Benefit: 85% = $12.10

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management

Fee: $14.20 Benefit: 85% = $12.10

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Professional attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes and including any of the following:

a)    taking a history;

b)    undertaking clinical examination;

c)    arranging any necessary investigation;

d)    implementing a management plan;

e)    providing appropriate preventive health care;

for 1 or more health related issues, with appropriate documentation

Fee: $31.05 Benefit: 85% = $26.40

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following:

a)    taking a detailed history;

b)    undertaking clinical examination;

c)    arranging any necessary investigation;

d)    implementing a management plan;

e)    providing appropriate preventive health care;

for 1 or more health related issues, with appropriate documentation

Fee: $58.85 Benefit: 85% = $50.05

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Professional attendance by a participating nurse practitioner lasting at least 40 minutes and including any of the following:

a)    taking an extensive history;

b)    undertaking clinical examination;

c)    arranging any necessary investigation;

d)    implementing a management plan;

e)    providing appropriate preventive health care;

for 1 or more health related issues, with appropriate documentation

Fee: $86.80 Benefit: 85% = $73.80

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Professional attendance by a participating nurse practitioner lasting at least 60 minutes and including any of the following:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health related issues, with appropriate documentation

Fee: $131.20 Benefit: 85% = $111.55

(See para MN.14.12 of explanatory notes to this Category)

Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if  the attendance includes any of the following that are clinically relevant:

(a) taking a short history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care

Fee: $31.05 Benefit: 85% = $26.40

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Video attendance by a participating nurse practitioner lasting at least 40 minutes if  the attendance includes any of the following that are clinically relevant:

(a)     taking an extensive history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventive health care

Fee: $86.80 Benefit: 85% = $73.80

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Video attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management

Fee: $14.20 Benefit: 85% = $12.10

(See para MN.14.12, MN.14.16 of explanatory notes to this Category)

Video attendance by a participating nurse practitioner lasting at least 60 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health related issues, with appropriate documentation

Fee: $131.20 Benefit: 85% = $111.55

(See para MN.14.12 of explanatory notes to this Category)