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Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a medical practitioner at consulting rooms (other than a specialist or consultant physician) lasting at least 20 minutes and including:

(a) collection of relevant information, including taking a patient history; and

(b) a basic physical examination, which must include recording blood pressure and cholesterol; and

(c) initiating interventions and referrals as indicated; and

(d) implementing a management plan; and

(e) providing the patient with preventative health care advice and information.

Fee: $64.10 Benefit: 100% = $64.10

(See para AN.14.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $192.30

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Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and including:

1. collection of relevant information, including taking a patient history; and

2. a basic physical examination, which must include recording blood pressure and cholesterol; and

3. initiating interventions and referrals as indicated; and

4. implementing a management plan; and

5. providing the patient with preventative health care advice and information.

Fee: $80.10 Benefit: 100% = $80.10

(See para AN.14.2 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $240.30

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Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2

Frequent repetition serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service:

(a) is for the investigation of a patient who:

(i) has an isolated pericardial effusion or pericarditis; or

(ii) has a normal baseline study, and has commenced medication for non‑cardiac purposes that has cardiotoxic side effects and is a pharmaceutical benefit (within the meaning of Part VII of the National Health Act 1953) for the writing of a prescription for the supply of which under that Part an echocardiogram is required; and

(b) is not associated with a service to which:

(i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or

(ii) an item in Subgroup 2 applies (except items 55118 and 55130); or

(iii) an item in Subgroup 3 applies (R)

Bulk bill incentive

Fee: $224.95 Benefit: 75% = $168.75 85% = $191.25

(See para IN.0.19, IN.1.7, IN.7.1, IR.1.2, IR.1.3 of explanatory notes to this Category)

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