Medicare Benefits Schedule - Note AN.0.27

The conditions to be met before services covered by items 160‑164 attract benefits are:‑

(i)               the patient must be in imminent danger of death;

(ii)              if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance; and

(iii)             if personal attendance on a single patient is provided by 1 or more general practitioners, specialists or consultant physicians concurrently, each general practitioner, specialist or consultant physician may claim an attendance fee. 

Related Items: 160 161 162 163 164

• Previous - Note AN.0.26
• Next - Note AN.0.28

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

Fee: $252.40 Benefit: 75% = $189.30 100% = $252.40

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

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

Fee: $420.55 Benefit: 75% = $315.45 100% = $420.55

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

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

Fee: $588.55 Benefit: 75% = $441.45 100% = $588.55

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

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death

Fee: $757.10 Benefit: 75% = $567.85 100% = $757.10

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

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

Fee: $841.20 Benefit: 75% = $630.90 100% = $841.20

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