New items for COVID-19 telehealth and phone services


Introduction

On 29 March 2020, the Minister for Health announced that telehealth services would be expanded to all Australians in response to the COVID-19 pandemic. ‘Whole of population’ telehealth services were introduced on 30 March 2020.

The changes mean GPs can now provide more services to their patients via telehealth, regardless of the health status of both the GP and the patient. A service may only be provided by telehealth where it is safe and clinically appropriate to do so. Providers do not need to physically be in their regular practice to provide telehealth services.

For more information regarding the new items visit MBS Online. A series of fact sheets has also been developed to support the introduction of these items.

Further information regarding rules around claiming the new items can be found in the relevant legislation.

Enquiries relating specifically to the COVID-19 telehealth MBS items can be sent to COVIDResponse@health.gov.au. All other enquiries relating to MBS items should continue to be sent to askMBS@health.gov.au.

Bulk billing requirement

The new temporary MBS telehealth items must be bulk billed and are for non-admitted patients. The bulk billing incentive can be claimed separately with the new items.

The bulk billing incentive payment has been doubled for services provided to patients under 16 and concession hard holders.

Item

Rebate

10990

$12.75

10991

$19.30

74990

$12.00

74991

$18.15


Overview of new items and descriptors

Rebates for telehealth services are the same as those paid for the equivalent face-to-face services. The new items will be available until 30 September 2020.

The following MBS items can be used by GPs. Click on the categories below for full item descriptors and rebates for these services.


Please note:
telehealth attendance means a professional attendance by video conference where the rendering health practitioner:

  1. has the capacity to provide the full service through this means safely and in accordance with relevant professional standards; and
  2. is satisfied that it is clinically appropriate to provide the service to the patient; and
  3. maintains a visual and audio link with the patient; and
  4. is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.

Item number

Descriptor

Rebate

91790

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;

where the service is bulk-billed

$17.50

91800

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

  1. taking a short patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$38.20

91801

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

  1. taking a detailed patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$73.95

91802

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

  1. taking an extensive patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$108.85


Please note:
phone attendance means a professional attendance by telephone where the health practitioner:

  1. has the capacity to provide the full service through this means safely and in accordance with professional standards; and
  2. is satisfied that it is clinically appropriate to provide the service to the patient; and
  3. maintains an audio link with the patient.

Item number

Descriptor

Rebate

91795

Phone 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;

where the service is bulk-billed

$17.50

91809

Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant:

  1. taking a short patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$38.20

91810

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

  1. taking a detailed patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$73.95

91811

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

  1. taking an extensive patient history;
  2. arranging any necessary investigation;
  3. implementing a management plan;
  4. providing appropriate preventative health care;

where the service is bulk-billed

$108.85

Item number

Descriptor

Rebate

91818

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

  1. the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
  2. the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk-billed

$94.25

91819

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

  1. the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
  2. the service lasts at least 40 minutes;

where the service is bulk-billed

$134.85

Item number

Descriptor

Rebate

91842

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

  1. the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
  2. the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk-billed

$94.25

91843

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

  1. the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
  2. the service lasts at least 40 minutes;

where the service is bulk-billed

$134.85

Item number

Descriptor

Rebate

92112

Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$72.85

92113

Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$107.25

92114

Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

Where the service is bulk-billed.

$72.85

92115

Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

Where the service is bulk-billed.

$72.85

92116

Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$92.50

92117

Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$136.25

Item number

Descriptor

Rebate

92124

Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$72.85

92125

Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$107.25

92126

Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

Where the service is bulk-billed.

$72.85

92127

Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

Where the service is bulk-billed.

$72.85

92128

Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$92.50

92129

Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

Where the service is bulk-billed.

$136.25

Item number

Descriptor

Rebate

92024

Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$146.55

92025

Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$116.15

92026

Contribution by a general practitioner by telehealth, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$71.55

92027

Contribution by a general practitioner by telehealth to:

  1. a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or
  2. a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.
    (other than a service associated with a service to which items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$71.55

92028

Telehealth attendance by a general practitioner to review or coordinate a review of:

  1. a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 721, 229, or item 92024 or 92068 applies; or
  2. team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, item 230, or item 92025 or 92069 or items applies.

Where the service is bulk-billed.

$73.20

Item number

Descriptor

Rebate

92068

Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$146.55

92069

Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$116.15

92070

Contribution by a general practitioner by phone to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$71.55

92071

Contribution by a general practitioner by phone, to:

  1. a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or
  2. a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

Where the service is bulk-billed.

$71.55

92072

Phone attendance by a general practitioner to review or coordinate a review of:

  1. a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, item 229, or items 92074 to 92078 or 92030 to 92034, or items 92024 or 92068 applies; or
  2. team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies.

Where the service is bulk-billed.

$73.20

Item number

Descriptor

Rebate

92004

Telehealth attendance by a general practitioner for a health assessment of a patient.

Where the service is bulk-billed.

$215.65

Item number

Descriptor

Rebate

92016

Phone attendance by a general practitioner for a health assessment of a patient.

Where the service is bulk-billed.

$215.65

Item number

Descriptor

Rebate

92136

Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:

  1. is currently pregnant; or
  2. has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Where the service is bulk-billed.

$77.85

Item number

Descriptor

Rebate

92138

Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:

  1. is currently pregnant; or
  2. has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Where the service is bulk-billed.

$77.85

Item number

Descriptor

Rebate

92142

Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

  1. undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);
  2. develops a treatment and management plan, which must include the following:
    1. an assessment and diagnosis of the patient’s condition;
    2. a risk assessment;
    3. treatment options and decisions;
    4. if necessary—medication recommendations;
  3. provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

Where the service is bulk-billed.

$136.65

Item number

Descriptor

Rebate

92145

Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

  1. undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);
  2. develops a treatment and management plan, which must include the following:
    1. an assessment and diagnosis of the patient’s condition;
    2. a risk assessment;
    3. treatment options and decisions;
    4. if necessary—medication recommendations;
  3. provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

Where the service is bulk-billed.

$136.65

Item number

Descriptor

Rebate

92146

Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$72.85

92147

Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$107.25

92148

Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$92.50

92149

Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$136.25

Item number

Descriptor

Rebate

92154

Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$72.85

92155

Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$107.25

92156

Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$92.50

92157

Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

  1. the plan includes an opinion on diagnosis of the patient’s eating disorder; and
  2. the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
  3. the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$136.25

Item number

Descriptor

Rebate

92170

Telehealth attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

  1. the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
  2. modifications are made to the eating disorder treatment and management plan, recorded in writing, including:
    1. recommendations to continue with treatment options detailed in the plan; or
    2. recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and
  3. initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$72.85

Item number

Descriptor

Rebate

92176

Phone attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

  1. the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
  2. modifications are made to the eating disorder treatment and management plan, recorded in writing, including:
    1. recommendations to continue with treatment options detailed in the plan; or
    2. recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and
  3. initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and
  4. the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
    1. a copy of the plan; and
    2. suitable education about the eating disorder.

Where the service is bulk-billed.

$72.85

Item number

Descriptor

Rebate

92182

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Where the service is bulk-billed.

$94.25

92184

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Where the service is bulk-billed.

$134.85

Item number

Descriptor

Rebate

92194

Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Where the service is bulk-billed.

$94.25

92196

Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

Where the service is bulk-billed.

$134.85

Item number

Descriptor

Rebate

92210

Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

  1. the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and
  2. the patient’s medical condition requires urgent assessment.

Where the service is bulk-billed.

$155.45

Item number

Descriptor

Rebate

92216

Phone attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

  1. the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and
  2. the patient’s medical condition requires urgent assessment.

Where the service is bulk-billed.

$155.45

Item number

Descriptor

Rebate

91850

Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if:

  1. the service is provided on behalf of, and under the supervision of, a medical practitioner; and
  2. the service is provided at, or from, a practice location in a regional, rural or remote area; and
  3. the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and
  4. the service is bulk billed.

$23.55

91851

Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

  1. is between 4 and 8 weeks after the birth; and
  2. lasts at least 20 minutes in duration; and
  3. includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and
  4. is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and
  5. the service is bulk billed.

Applicable once for a pregnancy

$61.95

91852

Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if:

  1. the attendance is rendered by:
    1. a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or
    2. an obstetrician; or
    3. a general practitioner; and
  2. is between 1 week and 4 weeks after the birth; and
  3. lasts at least 20 minutes; and
  4. is for a patient who was privately admitted for the birth; and
  5. is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and
  6. the service is bulk billed.

Applicable once for a pregnancy

$46.15

91853

Antenatal telehealth attendance if the service is bulk billed.

$40.75

Item number

Descriptor

Rebate

91855

Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if:

  1. the service is provided on behalf of, and under the supervision of, a medical practitioner; and
  2. the service is provided at, or from, a practice location in a regional, rural or remote area; and
  3. the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and
  4. the service is bulk billed.

$23.55

91856

Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

  1. is between 4 and 8 weeks after the birth; and
  2. lasts at least 20 minutes in duration; and
  3. includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and
  4. is for a pregnancy in relation to which a service to which item 82140 applies is not provided; and
  5. the service is bulk billed.

Applicable once for a pregnancy

$61.95

91857

Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if:

  1. the attendance is rendered by:
    1. a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or
    2. an obstetrician; or
    3. a general practitioner; and
  2. is between 1 week and 4 weeks after the birth; and
  3. lasts at least 20 minutes; and
  4. is for a patient who was privately admitted for the birth; and
  5. is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided; and
  6. the service is bulk billed.

Applicable once for a pregnancy

$46.15

91858

Antenatal phone attendance if the service is bulk billed.

$40.75