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• Previous - Note MN.1.7
• Next - Note MN.3.1

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 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 $30.30 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 $2.40 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)

Extended Medicare Safety Net Cap: 300% of the Derived fee for this item, or $500, whichever is the lesser amount

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Professional attendance (the attendance service) if:

(a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and

(b) the attendance service is an unreferred service; and

(c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and

(e) the attendance service is not provided in consulting rooms; and

(f) the attendance service is provided in any of the following areas:

(i) a Modified Monash 2 area;

(ii) a Modified Monash 3 area;

(iii) a Modified Monash 4 area;

(iv) a Modified Monash 5 area;

(v) a Modified Monash 6 area;

(vi) a Modified Monash 7 area; and

(g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and

(h) the attendance service is bulk-billed in relation to the fees for:

(i) this item; and

(ii) an item mentioned in paragraph (a) that applies to the service

Fee: $39.10 Benefit: 85% = $33.25

(See para MN.1.1, MN.1.3 of explanatory notes to this Category)

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