Medicare Benefits Schedule - Note AN.0.74

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.74

General Attendance Items - General Practitioners

GENERAL ATTENDANCE ITEMS – GENERAL PRACTITIONERS

Last reviewed: 1 November 2023

  Level A
Straightforward
Level B
6-20 minutes
Level C
20+ minutes
Level D
40+ minutes
Level E
60+ minutes
Business hours     
In consulting rooms  3  23  36  44  123
Out of consulting rooms  4  24  37  47  124
RACF1  90020  90035  90043  90051  90054
After-hours     
In consulting rooms2  5000 5020 5040 5060 5071
Out of consulting rooms  5003 5023 5043 5063 5076
RACF3  5010 5028 5049 5067 5077
Telehealth      
Telehealth (video)   91790 91800 91801 91802 91920
Telephone   91890 91891 919004 919104 NA

1Residential Aged Care Facility
2Use on: public holiday; Sunday; before 8am or after 1 pm on Saturday; before 8am or after 8pm on any other day
3Use on: public holiday; Sunday; before 8am or after 12 noon on Saturday; before 8am or after 6pm on any other day
4Patients enrolled in MyMedicare only

 

Related Items: 3 4 23 24 36 37 44 47 123 124 5000 5003 5010 5020 5023 5028 5040 5043 5049 5060 5063 5067 5071 5076 5077 90020 90035 90043 90051 90054 91790 91800 91801 91802 91890 91891 91900 91910 91920


Related Items

Category 1 - PROFESSIONAL ATTENDANCES

5071

5071 - 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 at consulting rooms (other than 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

Fee: $220.25 Benefit: 100% = $220.25

(See para AN.0.9, AN.0.19, 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

5076

5076 - 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, a hospital 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 on one occasion—each patient

The fee for item 5071, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5071 plus $2.25 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.19, 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

5077

5077 - 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, on care recipients in a residential aged care facility, other than 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 residential aged care facility on one occasion—each patient

The fee for item 5071, plus $51.45 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5071 plus $3.65 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, 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)


Level C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

5040

5040 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at consulting rooms (other than 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-each attendance

Fee: $92.45 Benefit: 100% = $92.45

(See para AN.0.9, AN.0.19, 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

5043

5043 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general 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 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 on one occasion-each patient

The fee for item 5040, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $2.25 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.19, 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

5049

5049 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than 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 residential aged care facility on one occasion-each patient

The fee for item 5040, plus $51.45 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $3.65 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, 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)


Level D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

5060

5060 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at consulting rooms (other than 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-each attendance

Fee: $129.65 Benefit: 100% = $129.65

(See para AN.0.9, AN.0.19, 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

5063

5063 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general 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 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 on one occasion-each patient

The fee for item 5060, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $2.25 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.19, 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

5067

5067 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than 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 residential aged care facility on one occasion-each patient

The fee for item 5060, plus $51.45 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $3.65 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, 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)


Level A

Professional attendance 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.

Category 1 - PROFESSIONAL ATTENDANCES

3

3 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023

Professional attendance at consulting rooms (other than a service to which another item applies) by a general 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-each attendance

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.0.9, 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

4

4 - Additional Information

Item Start Date:
01-Nov-1997
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)


Level B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

5020

5020 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at consulting rooms (other than 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

Fee: $53.90 Benefit: 100% = $53.90

(See para AN.0.9, AN.0.19, 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

5023

5023 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital 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 on one occasion—each patient

The fee for item 5020, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $2.25 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.19, 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

5028

5028 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than a service to which another item in this Schedule applies), on care recipients in a residential aged care facility, 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 residential aged care facility on one occasion—each patient

The fee for item 5020, plus $51.45 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $3.65 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, 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

91890

91890 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.0.9, AN.0.74, AN.1.1, 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

91891

91891 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Nov-2023

Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.0.9, AN.0.74, AN.1.1, 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

91900

91900 - Additional Information

Item Start Date:
01-Nov-2023
Description Updated:
01-Jan-2024
Schedule Fee Updated:
01-Nov-2023

Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant:
(a) taking a detailed patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventative health care;
for one or more health related issues, with appropriate documentation

 

 

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.0.9, 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

91910

91910 - Additional Information

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

Phone attendance by a general practitioner, to a patient registered under MyMedicare with the billing practice, lasting at least 40 minutes, if the attendance includes any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventive health care;
for one or more health related issues, with appropriate documentation

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.0.9, 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

123

123 - 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 at consulting rooms (other than 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

Fee: $191.20 Benefit: 100% = $191.20

(See para AN.0.9, 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

90020

90020 - Additional Information

Item Start Date:
01-Mar-2019
Description Updated:
01-Mar-2019
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 a residential aged care facility (other than accommodation in a self‑contained unit) by a general 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—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.0.9, AN.0.74, AN.35.1, 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

90035

90035 - Additional Information

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

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item 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 residential aged care facility on one occasion—each patient (subject to clause 2.30.1)

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.0.9, AN.0.74, AN.35.1, 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

90043

90043 - Additional Information

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

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than 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 residential aged care facility on one occasion—each patient

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.0.9, AN.0.74, AN.35.1, 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

90051

90051 - Additional Information

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

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than 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 residential aged care facility on one occasion—each patient

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.0.9, AN.0.74, AN.35.1, 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

90054

90054 - 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, on care recipients in a residential aged care facility, other than a service to which another item 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 residential aged care facility on one occasion—each patient (subject to clause 2.30.1)

Fee: $191.20 Benefit: 100% = $191.20

(See para AN.0.9, AN.0.74, AN.35.1, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

44

44 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at consulting rooms (other than 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-each attendance

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.0.9, 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-Nov-1997
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)


Level B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

23

23 - 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 at consulting rooms (other than 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

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.0.9, 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

24

24 - Additional Information

Item Start Date:
01-Nov-1997
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)


Level C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, 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;

in relation to 1 or more health-related issues, with appropriate documentation.

Category 1 - PROFESSIONAL ATTENDANCES

36

36 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner at consulting rooms (other than 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-each attendance

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.0.9, 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-Nov-1997
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)


Level A

Professional attendance by a general 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.

Category 1 - PROFESSIONAL ATTENDANCES

5000

5000 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-May-2010
Schedule Fee Updated:
01-Nov-2023


Professional attendance at consulting rooms (other than a service to which another item applies) by a general 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-each attendance

Fee: $31.90 Benefit: 100% = $31.90

(See para AN.0.9, AN.0.19, 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

5003

5003 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general 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) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients on one occasion-each patient

The fee for item 5000, plus $28.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $2.25 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.19, 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

5010

5010 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
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 a residential aged care facility (other than accommodation in a self-contained unit) by a general 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-an attendance on one or more patients at one residential aged care facility on one occasion-each patient

The fee for item 5000, plus $51.45 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $3.65 per patient.
Ready Reckoner

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, 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

91790

91790 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Nov-2023

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

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

 

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.0.9, 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

91800

91800 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Telehealth attendance by a general practitioner lasting at least 6 minutes but less than 20 minutes if the attendance includes any of the following that are clinically relevant:
(a) taking a short patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventative health care

 

 


 

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.0.9, 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

91801

91801 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Nov-2023

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

(a)     taking a detailed patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care.

 

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

 

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.0.9, 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

91802

91802 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Nov-2023

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

(a)     taking an extensive patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care.

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

Fee: $118.00 Benefit: 100% = $118.00

(See para AN.0.9, 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

91920

91920 - Additional Information

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

Telehealth attendance by a general practitioner, lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) arranging any necessary investigation;
(c) implementing a management plan;
(d) providing appropriate preventive health care;
for one or more health related issues, with appropriate documentation

NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).

Fee: $191.20 Benefit: 100% = $191.20

(See para AN.0.9, 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