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Category 8 - MISCELLANEOUS SERVICES
MN.1.6
Bulk Billing Incentives for Eligible Patients in Modified Monash Area 5
General Practitioners1
Bulk billing incentives for eligible patients2 – Modified Monash 5 (Small Rural Towns)3
Applicable BBI Item | 75856 | 75874 | 75883 (MyMedicare enrolled patients only) |
Standard hours consultations - in consulting rooms | 3 | 23, 36, 44, 123 | |
Standard hours consultations - out of consulting rooms | 4 | 24, 37, 47, 124 | |
Standard hours consultations - residential aged care facility | 90020 | 90035, 90043, 90051, 90054 | |
Telehealth - video | 91790 (all)
91801, 91802, 91920 if not MyMedicare enrolled |
91800 | 91801, 91802, 91920 |
Telehealth - phone | 91890 | 91891 | 91900, 91910 |
After hours consultations - in consulting rooms | 5000 | 5020, 5040, 5060, 5071 | |
After hours consultations - out of consulting rooms | 5003 | 5023, 5043, 5063, 5076 | |
After hours consultations - residential aged care facility | 5010 | 5028, 5049, 5067, 5077 | |
Other | All other “unreferred services”4, including but not limited to: chronic disease management items, Better Access mental health items, health assessments, minor procedures etc. |
1 For the definition of GP for MBS purposes see GN.4.13
2 Bulk billing incentives can be claimed when you bulk bill a child under 16 or a Commonwealth Concession Card holder www.servicesaustralia.gov.au/concession-and-health-care-cards
3 Practice located in Modified Monash area www.health.gov.au/resources/apps-and-tools/health-workforce-locator/app
4 Bulk billing incentives cannot be claimed for the provision of COVID vaccine support services
Medical Practitioners1
Bulk billing incentives for eligible patients2 – Modified Monash 5 (Small Rural Towns)3
Applicable BBI Item | 75856 | 75874 | 75883 (MyMedicare enrolled patients only) |
Standard hours consultations - in consulting rooms | 52, 179 | 53, 54, 57, 151, 185, 189, 203, 301 | |
Standard hours consultations - out of consulting rooms | 58, 181 | 59, 60, 65, 165, 187, 191, 206, 303 | |
Standard hours consultations - residential aged care facility | 90092, 90183 | 90093, 90095, 90096, 90098, 90188, 90202, 90212, 90215 | |
Telehealth - video | 91792, 91794 (all)
91804, 91805, 91923, 91807, 91808, 91926 if not MyMedicare enrolled |
91803, 91806 | 91804, 91805, 91923, 91807, 91808, 91926 |
Telehealth - phone | 91892 | 91893 | 91903, 91913, 91906, 91916 |
After hours consultations - in consulting rooms | 5200, 733 | 5203, 5207, 5208, 5209, 737, 741, 745, 2197 | |
After hours consultations - out of consulting rooms | 5220, 761 | 5223, 5227, 5228, 5261, 763, 766, 769, 2198 | |
After hours consultations - residential aged care facility | 5260, 772 | 5263, 5265, 5267, 5262, 776, 788, 789, 2200 | |
Other | All other “unreferred services”4 Including but not limited to: chronic disease management items, Better Access mental health items, health assessments, minor procedures etc. |
1 Items in italics can only be claimed by prescribed medical practitioners, that is, medical practitioners that are not GPs, specialists or consultant physicians. Other items can be claimed by medical practitioners that are not GPs.
2 Bulk billing incentives can be claimed when you bulk bill a child under 16 or a Commonwealth Concession Card holder www.servicesaustralia.gov.au/concession-and-health-care-cards
3 Practice located in Modified Monash area www.health.gov.au/resources/apps-and-tools/health-workforce-locator/app
4 Bulk billing incentives cannot be claimed for the provision of COVID vaccine support services
Related Items: 3 4 23 24 36 37 44 47 52 53 54 57 58 59 60 65 123 124 151 165 179 181 185 187 189 191 203 206 301 303 733 737 741 745 761 763 766 769 772 776 788 789 2197 2198 2200 5000 5003 5010 5020 5023 5028 5040 5043 5049 5060 5063 5067 5071 5076 5077 5200 5203 5207 5208 5209 5220 5223 5227 5228 5260 5261 5262 5263 5265 5267 75856 75874 75883 90020 90035 90043 90051 90054 90092 90093 90095 90096 90098 90183 90188 90202 90212 90215 91790 91792 91794 91800 91801 91802 91803 91804 91805 91806 91807 91808 91890 91891 91892 91893 91900 91903 91906 91910 91913 91916 91920 91923 91926
Related Items
Category 1 - PROFESSIONAL ATTENDANCES
5209 - Additional Information
Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)
Fee: $122.40 Benefit: 100% = $122.40
(See para AN.0.9, 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
5261 - Additional Information
Professional attendance by a medical practitioner who is not 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 more than 60 minutes—an attendance on one or more patients on one occasion—each patient
An amount equal to $112.20, 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 $112.20 plus $0.70 per patient
Ready Reckoner
(See para AN.0.9, AN.0.11, 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
5262 - 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 at the facility and is not a resident of a self-contained unit, lasting more than 60 minutes by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
An amount equal to $112.20, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $112.20 plus $1.25 per patient
Ready Reckoner
(See para AN.0.9, AN.0.15, 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
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 8 - MISCELLANEOUS SERVICES
75856 - Additional Information
A medical service to which an item in this Schedule (other than this item) applies, if:
(a) the service is an unreferred service; and
(b) the service is provided to a person who is:
(i) under the age of 16; or
(ii) a concessional beneficiary; and
(c) the person is not an admitted patient of a hospital; and
(d) the service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) any other item in this Schedule applying to the service; and
(e) the service is provided at, or from, a practice location in a Modified Monash 5 area;
other than a service associated with a service:
(f) to which another item in this Group applies; or
(g) that is a general practice support service; or
(h) that is a MyMedicare service
Fee: $14.35 Benefit: 85% = $12.20
(See para MN.1.1, MN.1.6 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
5071 - Additional Information
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: $227.95 Benefit: 100% = $227.95
(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 - Additional Information
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 $29.60 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 $2.35 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 - Additional Information
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 $53.25 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 $3.80 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
58 - 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 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 - 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 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 - 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 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 - 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 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
5040 - Additional Information
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: $95.70 Benefit: 100% = $95.70
(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 - Additional Information
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 $29.60 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 $2.35 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 - Additional Information
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 $53.25 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 $3.80 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
5060 - Additional Information
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: $134.20 Benefit: 100% = $134.20
(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 - Additional Information
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 $29.60 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 $2.35 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 - Additional Information
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 $53.25 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 $3.80 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
5260 - 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 medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
An amount equal to $18.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $1.25 per patient
Ready Reckoner
(See para AN.0.9, AN.0.15, 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
5263 - 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 medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
An amount equal to $26.00, plus $31.55 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $1.25 per patient
Ready Reckoner
(See para AN.0.9, AN.0.15, 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
5265 - 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 medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
An amount equal to $45.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $45.50 plus $1.25 per patient
Ready Reckoner
(See para AN.0.9, AN.0.15, 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
5267 - 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, by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
An amount equal to $67.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $67.50 plus $1.25 per patient
Ready Reckoner
(See para AN.0.9, AN.0.15, 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
3 - Additional Information
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: $19.60 Benefit: 100% = $19.60
(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 - Additional Information
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 $30.00 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 $2.40 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
5220 - Additional Information
Professional attendance by a medical practitioner who is not 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 not more than 5 minutes-an attendance on one or more patients on one occasion-each patient
An amount equal to $18.50, 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 $18.50 plus $.70 per patient
Ready Reckoner
(See para AN.0.9, AN.0.11, 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
5223 - Additional Information
Professional attendance by a medical practitioner who is not 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 more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient
An amount equal to $26.00, 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 $26.00 plus $.70 per patient
Ready Reckoner
(See para AN.0.9, AN.0.11, 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
5227 - Additional Information
Professional attendance by a medical practitioner who is not 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 more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient
An amount equal to $45.50, 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 $45.50 plus $.70 per patient
Ready Reckoner
(See para AN.0.9, AN.0.11, 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
5228 - Additional Information
Professional attendance by a medical practitioner who is not 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 more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients on one occasion—each patient
An amount equal to $67.50, 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 $67.50 plus $0.70 per patient
Ready Reckoner
(See para AN.0.9, AN.0.11, 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
5020 - Additional Information
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: $55.80 Benefit: 100% = $55.80
(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 - Additional Information
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 $29.60 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 $2.35 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 - Additional Information
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 $53.25 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 $3.80 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 - Additional Information
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: $19.60 Benefit: 100% = $19.60
(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
91891 - Additional Information
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: $42.85 Benefit: 100% = $42.85
(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
91892 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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: $11.00 Benefit: 100% = $11.00
(See para AN.0.9, 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
91893 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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: $21.00 Benefit: 100% = $21.00
(See para AN.0.9, 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
91900 - Additional Information
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: $82.90 Benefit: 100% = $82.90
(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
91903 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner) to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 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: $38.00 Benefit: 100% = $38.00
(See para AN.0.9, 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
91906 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 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 preventive health care;
for one or more health related issues, with appropriate documentation
Fee: $66.35 Benefit: 100% = $66.35
(See para AN.0.9, 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
91910 - Additional Information
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: $122.15 Benefit: 100% = $122.15
(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
91913 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner), to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 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;
for one or more health related issues, with appropriate documentation
Fee: $61.00 Benefit: 100% = $61.00
(See para AN.0.9, 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
91916 - Additional Information
Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 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;
for one or more health related issues, with appropriate documentation
Fee: $97.70 Benefit: 100% = $97.70
(See para AN.0.9, 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
123 - Additional Information
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: $197.90 Benefit: 100% = $197.90
(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 - Additional Information
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 $30.00 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 $2.40 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
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 8 - MISCELLANEOUS SERVICES
75874 - Additional Information
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:
(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the general practice support service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;
other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies
Subgroup 2
NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B telehealth and telephone general attendance items.
Fee: $43.10 Benefit: 85% = $36.65
(See para MN.1.1, MN.1.6 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
52 - Additional Information
Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, 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).
Fee: $11.00 Benefit: 100% = $11.00
(See para AN.0.9, AN.2.1, 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
53 - Additional Information
Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, 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).
Fee: $21.00 Benefit: 100% = $21.00
(See para AN.0.9, AN.2.1, 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
54 - Additional Information
Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, 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).
Fee: $38.00 Benefit: 100% = $38.00
(See para AN.0.9, AN.2.1, 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
57 - 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) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner
Fee: $61.00 Benefit: 100% = $61.00
(See para AN.0.9, AN.2.1, 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
90020 - 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 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: $19.60 Benefit: 100% = $19.60
(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 - Additional Information
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: $42.85 Benefit: 100% = $42.85
(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 - Additional Information
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: $82.90 Benefit: 100% = $82.90
(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 - Additional Information
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: $122.15 Benefit: 100% = $122.15
(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 - Additional Information
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: $197.90 Benefit: 100% = $197.90
(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
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
44 - Additional Information
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: $122.15 Benefit: 100% = $122.15
(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 - Additional Information
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 $30.00 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 $2.40 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
5200 - 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 medical practitioner (other than a general practitioner)-each attendance
Fee: $21.00 Benefit: 100% = $21.00
(See para AN.0.9, 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
5203 - 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 medical practitioner (other than a general practitioner)-each attendance
Fee: $31.00 Benefit: 100% = $31.00
(See para AN.0.9, 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
5207 - 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 medical practitioner (other than a general practitioner)-each attendance
Fee: $48.00 Benefit: 100% = $48.00
(See para AN.0.9, 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
5208 - Additional Information
Professional attendance at consulting rooms lasting more than 45 minutes, but not more than 60 minutes, (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)
Fee: $71.00 Benefit: 100% = $71.00
(See para AN.0.9, 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 8 - MISCELLANEOUS SERVICES
75883 - Additional Information
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:
(a) the attendance service is provided to a patient:
(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and
(ii) who is under the age of 16 or who is a concessional beneficiary; and
(b) the patient is not an admitted patient of a hospital; and
(c) the attendance service is bulk-billed in relation to the fees for:
(i) this item; and
(ii) the MyMedicare service item applying to the attendance service; and
(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;
other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75884 or 75885 applies
Subgroup 3
NOTE: this item can be claimed with level C, D, and E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
Fee: $43.10 Benefit: 85% = $36.65
(See para MN.1.1, MN.1.6 of explanatory notes to this Category)
Category 1 - PROFESSIONAL ATTENDANCES
151 - Additional Information
Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:
(a) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner
Fee: $98.40 Benefit: 100% = $98.40
(See para AN.0.9, AN.2.1, 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
165 - 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 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
23 - Additional Information
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: $42.85 Benefit: 100% = $42.85
(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 - Additional Information
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 $30.00 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 $2.40 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
36 - Additional Information
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: $82.90 Benefit: 100% = $82.90
(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 - Additional Information
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 $30.00 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 $2.40 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
5000 - Additional Information
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: $33.00 Benefit: 100% = $33.00
(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 - Additional Information
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 $29.60 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 $2.35 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 - 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 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 $53.25 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 $3.80 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 - Additional Information
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: $19.60 Benefit: 100% = $19.60
(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
91792 - Additional Information
Telehealth attendance by a medical practitioner of not more than 5 minutes.
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: $11.00 Benefit: 100% = $11.00
(See para AN.0.9, 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
91794 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes
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: $15.70 Benefit: 100% = $15.70
(See para AN.0.9, 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
91800 - Additional Information
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: $42.85 Benefit: 100% = $42.85
(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 - Additional Information
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: $82.90 Benefit: 100% = $82.90
(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 - Additional Information
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: $122.15 Benefit: 100% = $122.15
(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
91803 - Additional Information
Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 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.
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: $21.00 Benefit: 100% = $21.00
(See para AN.0.9, 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
91804 - Additional Information
Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 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: $38.00 Benefit: 100% = $38.00
(See para AN.0.9, 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
91805 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner) of more than 45 minutes in duration but not more than 60 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: $61.00 Benefit: 100% = $61.00
(See para AN.0.9, 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
91806 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 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
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: $34.25 Benefit: 100% = $34.25
(See para AN.0.9, 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
91807 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 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: $66.35 Benefit: 100% = $66.35
(See para AN.0.9, 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
91808 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration but not more than 60 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: $97.70 Benefit: 100% = $97.70
(See para AN.0.9, 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
91920 - Additional Information
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: $197.90 Benefit: 100% = $197.90
(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
91923 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner), of more than 60 minutes in duration 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: $98.40 Benefit: 100% = $98.40
(See para AN.0.9, 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
91926 - Additional Information
Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 60 minutes in duration 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: $158.30 Benefit: 100% = $158.30
(See para AN.0.9, AN.7.2, 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