Medicare Benefits Schedule - Note MN.1.7

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Category 8 - MISCELLANEOUS SERVICES

MN.1.7

Bulk Billing Incentives for Eligible Patients in Modified Monash Area 6

General Practitioners1

Bulk billing incentives for eligible patients2 – Modified Monash 6 (Remote Communities)3

Applicable BBI Item 75857 75875 75884 (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 91980 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 6 (Remote Communities)3

Applicable BBI Item 75857 75875 75884 (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 5200, 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 75857 75875 75884 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

5209 - Additional Information

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

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

5261 - Additional Information

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

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

5262 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is 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

90092 - Additional Information

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

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

90093 - Additional Information

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

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

90095 - Additional Information

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

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

90096 - Additional Information

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

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

90098 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms 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

75857

75857 - Additional Information

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

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 6 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: $14.60 Benefit: 85% = $12.45

(See para MN.1.1, MN.1.7 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5071

5071 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation

Fee: $220.25 Benefit: 100% = $220.25

(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5076

5076 - Additional Information

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

Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5077

5077 - Additional Information

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

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Consultation At A Place Other Than Consulting Rooms Or A Residential Aged Care Facility

Professional attendance by a medical practitioner (other than a general practitioner) on 1 or more patients on 1 occasion at a place other than consulting rooms or a residential aged care facility.

Category 1 - PROFESSIONAL ATTENDANCES

58

58 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

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

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

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

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

59

59 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

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

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

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

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

60

60 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Nov-2000

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

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

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

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

65

65 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 45 minutes but not more than 60 minutes —an attendance on one or more patients at one place on one occasion—each patient, by:
(a) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant:

a)     taking a detailed patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

5040

5040 - Additional Information

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

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-each attendance

Fee: $92.45 Benefit: 100% = $92.45

(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5043

5043 - Additional Information

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

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5049

5049 - Additional Information

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

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, including any of the following that are clinically relevant:

a)     taking an extensive patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

5060

5060 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-each attendance

Fee: $129.65 Benefit: 100% = $129.65

(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5063

5063 - Additional Information

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

Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5067

5067 - Additional Information

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

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Consultation At A Residential Aged Care Facility

Professional attendance on 1 or more patients on 1 residential aged care facility ( but excluding a professional attendance at a self-contained unit) or attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (excluding accommodation in a self-contained unit) on 1 occasion – each patient

Category 1 - PROFESSIONAL ATTENDANCES

5260

5260 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2007

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

5263 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2007

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

5265 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2007

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

5267 - Additional Information

Item Start Date:
01-Jan-2005
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2007

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)


Level A

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

Category 1 - PROFESSIONAL ATTENDANCES

3

3 - Additional Information

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

Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance

Fee: $18.95 Benefit: 100% = $18.95

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

Category 1 - PROFESSIONAL ATTENDANCES

4

4 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

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

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Consultation At A Place Other Than Consulting Rooms, Hospital Or A Residential Aged Care Facility

Professional attendance by a medical practitioner (other than a general practitioner) on 1 or more patients on 1 occasion at a place other than consulting rooms, a hospital or residential aged care facility.

Category 1 - PROFESSIONAL ATTENDANCES

5220

5220 - Additional Information

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

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

5223 - Additional Information

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

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

5227 - Additional Information

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

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

5228 - Additional Information

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

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)


Level B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

5020

5020 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation

Fee: $53.90 Benefit: 100% = $53.90

(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5023

5023 - Additional Information

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

Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5028

5028 - Additional Information

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

Professional attendance by a general practitioner (other than a service to which another item in this Schedule applies), on care recipients in a residential aged care facility, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91890

91890 - Additional Information

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

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

Fee: $18.95 Benefit: 100% = $18.95

(See para AN.0.9, AN.0.74, AN.1.1, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91891

91891 - Additional Information

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

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

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care

Fee: $41.40 Benefit: 100% = $41.40

(See para AN.0.9, AN.0.74, AN.1.1, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91892

91892 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Mar-2022

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.1.1, 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

91893

91893 - Additional Information

Item Start Date:
01-Jul-2021
Description Updated:
01-Jul-2021
Schedule Fee Updated:
01-Mar-2022

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.1.1, 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

91900

91900 - Additional Information

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

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

 

 

Fee: $80.10 Benefit: 100% = $80.10

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

Category 1 - PROFESSIONAL ATTENDANCES

91903

91903 - Additional Information

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

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

91906 - Additional Information

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

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: $64.10 Benefit: 100% = $64.10

(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

91910 - Additional Information

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

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

Fee: $118.00 Benefit: 100% = $118.00

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

Category 1 - PROFESSIONAL ATTENDANCES

91913

91913 - Additional Information

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

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

91916 - Additional Information

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

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: $94.40 Benefit: 100% = $94.40

(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

123 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health related issues, with appropriate documentation

Fee: $191.20 Benefit: 100% = $191.20

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

Category 1 - PROFESSIONAL ATTENDANCES

124

124 - Additional Information

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

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

179

179 - Additional Information

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

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: $15.15 Benefit: 100% = $15.15

(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

181 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item 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 $23.20 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 $1.85 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

185 - Additional Information

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

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: $33.10 Benefit: 100% = $33.10

(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

187 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item 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 $23.20 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 $1.85 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

189 - Additional Information

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

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: $64.10 Benefit: 100% = $64.10

(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

191 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item 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 $23.20 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 $1.85 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

203 - Additional Information

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

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: $94.40 Benefit: 100% = $94.40

(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

206 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item 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 $23.20 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 $1.85 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

301 - Additional Information

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

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: $152.95 Benefit: 100% = $152.95

(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

303 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item 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 $23.20 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 $1.85 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

733 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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: $25.50 Benefit: 100% = $25.50

(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

737 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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: $43.10 Benefit: 100% = $43.10

(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

741 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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: $73.95 Benefit: 100% = $73.95

(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

745 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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: $103.70 Benefit: 100% = $103.70

(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

761 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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 $22.90 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 $1.80 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

763 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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 $22.90 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 $1.80 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

766 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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 $22.90 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 $1.80 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

769 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

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 $22.90 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 $1.80 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

772 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in 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 $41.15 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 $2.90 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

776 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in 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 $41.15 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 $2.90 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

788 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in 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 $41.15 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 $2.90 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

789 - Additional Information

Item Start Date:
01-Jul-2018
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in 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 $41.15 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 $2.90 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

2197 - Additional Information

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

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: $176.20 Benefit: 100% = $176.20

(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

2198 - Additional Information

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

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 $22.90 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 $1.80 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

2200 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in 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 $41.15 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 $2.90 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

75875

75875 - Additional Information

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

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 6 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, 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: $43.95 Benefit: 85% = $37.40

(See para MN.1.1, MN.1.7 of explanatory notes to this Category)


Consultation At Consulting Rooms

Professional attendance at consulting rooms

Category 1 - PROFESSIONAL ATTENDANCES

52

52 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Dec-1991

 

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

53 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Dec-1991

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

54 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2019
Schedule Fee Updated:
01-Dec-1991

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

57 - Additional Information

Item Start Date:
01-Dec-1989
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Dec-1991

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

90020 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self‑contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.

Fee: $18.95 Benefit: 100% = $18.95

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

Category 1 - PROFESSIONAL ATTENDANCES

90035

90035 - Additional Information

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

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)

Fee: $41.40 Benefit: 100% = $41.40

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

Category 1 - PROFESSIONAL ATTENDANCES

90043

90043 - Additional Information

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

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

Fee: $80.10 Benefit: 100% = $80.10

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

Category 1 - PROFESSIONAL ATTENDANCES

90051

90051 - Additional Information

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

Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

Fee: $118.00 Benefit: 100% = $118.00

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

Category 1 - PROFESSIONAL ATTENDANCES

90054

90054 - Additional Information

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

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:
(a) taking an extensive patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)

Fee: $191.20 Benefit: 100% = $191.20

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

Category 1 - PROFESSIONAL ATTENDANCES

90183

90183 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms 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: $15.15 Benefit: 100% = $15.15

(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

90188 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms 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: $33.10 Benefit: 100% = $33.10

(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

90202 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms 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: $64.10 Benefit: 100% = $64.10

(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

90212 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is 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: $94.40 Benefit: 100% = $94.40

(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

90215 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is 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: $152.95 Benefit: 100% = $152.95

(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)


Level D

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 40 minutes, including any of the following that are clinically relevant:

a)     taking an extensive patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

44

44 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-each attendance

Fee: $118.00 Benefit: 100% = $118.00

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

Category 1 - PROFESSIONAL ATTENDANCES

47

47 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Consultation At Consulting Rooms

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

Category 1 - PROFESSIONAL ATTENDANCES

5200

5200 - Additional Information

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


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

5203 - Additional Information

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

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

5207 - Additional Information

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

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

5208 - Additional Information

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

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

75884

75884 - Additional Information

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

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 6 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, 75883 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: $43.95 Benefit: 85% = $37.40

(See para MN.1.1, MN.1.7 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

151

151 - Additional Information

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

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

165 - Additional Information

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

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:
(a) a medical practitioner who is not a general practitioner; or
(b) a Group A1 disqualified general practitioner

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.7.2, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level B

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting less than 20 minutes, including any of the following that are clinically relevant:

a)     taking a patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

23

23 - Additional Information

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

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation

Fee: $41.40 Benefit: 100% = $41.40

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

Category 1 - PROFESSIONAL ATTENDANCES

24

24 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Nov-2023

Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:
(a) taking a patient history;
(b) performing a clinical examination;
(c) arranging any necessary investigation;
(d) implementing a management plan;
(e) providing appropriate preventive health care;
for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level C

Professional attendance by a general practitioner (not being a service to which any other item in this table applies) lasting at least 20 minutes, including any of the following that are clinically relevant:

a)     taking a detailed patient history;

b)     performing a clinical examination;

c)     arranging any necessary investigation;

d)     implementing a management plan;

e)     providing appropriate preventive health care;

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

Category 1 - PROFESSIONAL ATTENDANCES

36

36 - Additional Information

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

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-each attendance

Fee: $80.10 Benefit: 100% = $80.10

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

Category 1 - PROFESSIONAL ATTENDANCES

37

37 - Additional Information

Item Start Date:
01-Nov-1997
Description Updated:
01-Jan-2013
Schedule Fee Updated:
01-Nov-2023

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

(a) taking a detailed patient history;

(b) performing a clinical examination;

(c) arranging any necessary investigation;

(d) implementing a management plan;

(e) providing appropriate preventive health care;

for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.13, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)


Level A

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

Category 1 - PROFESSIONAL ATTENDANCES

5000

5000 - Additional Information

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


Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance

Fee: $31.90 Benefit: 100% = $31.90

(See para AN.0.9, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5003

5003 - Additional Information

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

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

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

(See para AN.0.9, AN.0.11, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

5010

5010 - Additional Information

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

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion-each patient

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

(See para AN.0.9, AN.0.11, AN.0.15, AN.0.19, AN.0.74, MN.1.3, MN.1.4, MN.1.5, MN.1.6, MN.1.7, MN.1.8 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

91790

91790 - Additional Information

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

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

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

 

Fee: $18.95 Benefit: 100% = $18.95

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

Category 1 - PROFESSIONAL ATTENDANCES

91792

91792 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Apr-2022

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

91794 - Additional Information

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

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: $15.15 Benefit: 100% = $15.15

(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

91800 - Additional Information

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

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

 

 


 

Fee: $41.40 Benefit: 100% = $41.40

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

Category 1 - PROFESSIONAL ATTENDANCES

91801

91801 - Additional Information

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

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

(a)     taking a detailed patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care.

 

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

 

Fee: $80.10 Benefit: 100% = $80.10

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

Category 1 - PROFESSIONAL ATTENDANCES

91802

91802 - Additional Information

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

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

(a)     taking an extensive patient history;

(b)    arranging any necessary investigation;

(c)     implementing a management plan;

(d)    providing appropriate preventative health care.

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

Fee: $118.00 Benefit: 100% = $118.00

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

Category 1 - PROFESSIONAL ATTENDANCES

91803

91803 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Mar-2022

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

91804 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Oct-2020
Schedule Fee Updated:
01-Mar-2022

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

91805 - Additional Information

Item Start Date:
13-Mar-2020
Description Updated:
01-Nov-2023
Schedule Fee Updated:
01-Mar-2022

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

91806 - Additional Information

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

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: $33.10 Benefit: 100% = $33.10

(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

91807 - Additional Information

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

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: $64.10 Benefit: 100% = $64.10

(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

91808 - Additional Information

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

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: $94.40 Benefit: 100% = $94.40

(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

91920 - Additional Information

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

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

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

Fee: $191.20 Benefit: 100% = $191.20

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

Category 1 - PROFESSIONAL ATTENDANCES

91923

91923 - Additional Information

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

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

91926 - Additional Information

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

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: $152.95 Benefit: 100% = $152.95

(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