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Related Items: 10905 10907 10910 10911 10914 10915 10916 10918 10921 10924 10926 10927 10928 10929 10930 10931 10938 10939 10940 10941 10942 10943 10944

• Previous - Note AN.8.1
• Next - Note AN.14.2

Professional attendance of more than 15 minutes in duration, being the first in a course of attention if the patient has attended another optometrist for an attendance to which this item or item 10905, 10910, 10911, 10913, 10914 or 10915 applies:

(a) for a patient who is less than 65 years of age-within the previous 36 months; or

(b) for a patient who is at least 65 years or age-within the previous 12 months

Fee: $39.00 Benefit: 85% = $33.15

(See para AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $117.00

• Previous - Item 10905
• Next - Item 10910

Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if:

(a) the patient is less than 65 years of age; and

(b) the patient has not, within the previous 36 months, received a service to which this item or item 10905, 10907, 10913, 10914 or 10915 applies

Fee: $77.80 Benefit: 85% = $66.15

(See para AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $233.40

• Previous - Item 10907
• Next - Item 10911

Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if:

(a) the patient is at least 65 years of age; and

(b) the patient has not, within the previous 12 months, received a service to which this item, or item 10905, 10907, 10910, 10913, 10914 or 10915 applies

Fee: $77.80 Benefit: 85% = $66.15

(See para AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $233.40

• Previous - Item 10910
• Next - Item 10913

Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has suffered a significant change of visual function or has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment:
(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10914 or 10915 applies; or
(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10911, 10914 or 10915 applies

Fee: $77.80 Benefit: 85% = $66.15

Extended Medicare Safety Net Cap: $233.40

• Previous - Item 10911
• Next - Item 10914

Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment:
(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item or item 10905, 10907, 10910, 10913 or 10915 applies; or
(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item or item 10905, 10907, 10910, 10911, 10913 or 10915 applies

Fee: $77.80 Benefit: 85% = $66.15

(See para AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $233.40

• Previous - Item 10913
• Next - Item 10915

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses for optical correction, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies
For patients with any of the following:
(a) myopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye;
(b) manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye;
(c) astigmatism of 3.0 dioptres or greater in at least one eye;
(d) anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)
Applicable once for each condition in a period of 36 months

Fee: $193.45 Benefit: 85% = $164.45

(See para AN.0.2, AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 10918
• Next - Item 10924

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, topographic or quantitative corneal morphology if:
(a) the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12); and
(b) if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens;
being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies
Applicable once in a period of 36 months

Fee: $244.05 Benefit: 85% = $207.45

(See para AN.0.2, AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 10921
• Next - Item 10926

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies
Applicable once in a period of 36 months

Fee: $193.45 Benefit: 85% = $164.45

(See para AN.0.2, AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 10924
• Next - Item 10927

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by any of the following:
(a) pathological mydriasis;
(b) aniridia;
(c) coloboma of the iris;
(d) pupillary malformation or distortion;
(e) significant ocular deformity; or
(f) corneal opacity;
whether congenital, traumatic or surgical in origin being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies
Applicable once in a period of 36 months

Fee: $244.05 Benefit: 85% = $207.45

(See para AN.0.2, AN.10.1 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $500.00

• Previous - Item 10926
• Next - Item 10928