Medicare Benefits Schedule - Note AN.0.13

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.13

Attendances at a Hospital (Items 4, 24, 37, 47, 124, 58, 59, 60, 65, 165)

Last reviewed: 1 November 2023

These items refer to attendances on patients admitted to a hospital. Where medical practitioners have made arrangements with a local hospital to routinely use out-patient facilities to see their private patients, items for services provided in consulting rooms would apply.

Related Items: 4 24 37 47 58 59 60 65 124 165


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

58

58 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).

An amount equal to $8.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $.70 per patient
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, 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

59

59 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).

An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $.70 per patient
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, 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

60

60 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by:

(a) a medical practitioner (who is not a general practitioner); or

(b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).

An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $.70 per patient
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, 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

65

65 - Additional Information

Item Start Date:
01-Dec-1989
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 in this Schedule 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—each patient, by:
(a) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner

An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $0.70 per patient
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, 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

4

4 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 3, plus $29.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.30 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, 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

124

124 - Additional Information

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

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), 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—an attendance on one or more patients at one place on one occasion—each patient

The fee for item 123, plus $29.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 123 plus $2.30 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, 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

47

47 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 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-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 44, plus $29.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 44 plus $2.30 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, 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

165

165 - 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 in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:
(a) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner

An amount equal to $88.20, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $88.20 plus $0.70 per patient
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, 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

24

24 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a 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—an attendance on one or more patients at one place on one occasion—each patient

The fee for item 23, plus $29.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 23 plus $2.30 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, 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

37

37 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant:

(a) taking a detailed 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-an attendance on one or more patients at one place on one occasion-each patient

The fee for item 36, plus $29.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 36 plus $2.30 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 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