|
| |
|
3
|
Level A
|
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
|
Level A
|
0.00
|
|
19.60
|
0
|
0
|
$0.00
|
False
|
19.60
|
$19.60
|
$0.00
|
|
23
|
Level B 6–20 minutes
|
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
|
Level B 6–20 minutes
|
0.00
|
|
42.85
|
0
|
0
|
$0.00
|
False
|
42.85
|
$42.85
|
$0.00
|
|
36
|
Level C 20–40 minutes
|
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
|
Level C 20–40 minutes
|
0
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
|
44
|
Level D 40–60 minutes
|
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
|
Level D 40–60 minutes
|
0.00
|
|
122.15
|
0
|
0
|
$0.00
|
False
|
122.15
|
$122.15
|
$0.00
|
|
123
|
Level E >60 minutes
|
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
|
Level E >60 minutes
|
0.00
|
|
197.90
|
0
|
0
|
$0.00
|
False
|
197.90
|
$197.90
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91790
|
Level A
|
Videoattendance 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 thatthis 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)
|
Level A
|
0.00
|
|
19.60
|
0
|
0
|
$0.00
|
False
|
19.60
|
$19.60
|
$0.00
|
|
91800
|
Level B 6–20 minutes
|
Videoattendance 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
|
Level B 6–20 minutes
|
0.00
|
|
42.85
|
0
|
0
|
$0.00
|
False
|
42.85
|
$42.85
|
$0.00
|
|
91801
|
Level C 20–40 minutes
|
Video 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)
|
Level C 20–40 minutes
|
0.00
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
|
91802
|
Level D 40–60 minutes
|
Videoattendance 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)
|
Level D 40–60 minutes
|
0.00
|
|
122.15
|
0
|
0
|
$0.00
|
False
|
122.15
|
$122.15
|
$0.00
|
|
91920
|
Level E >60 minutes
|
Video 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)
|
Level E >60 minutes
|
0.00
|
|
197.90
|
0
|
0
|
$0.00
|
False
|
197.90
|
$197.90
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91890
|
Level A <6 minutes
|
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
|
Level A <6 minutes
|
0.00
|
|
19.60
|
0
|
0
|
$0.00
|
False
|
19.60
|
$19.60
|
$0.00
|
|
91891
|
Level B 6–20 minutes
|
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
|
Level B 6–20 minutes
|
0.00
|
|
42.85
|
0
|
0
|
$0.00
|
False
|
42.85
|
$42.85
|
$0.00
|
|
91900
|
Level C 20–40 minutes (MyMedicare patients only)
|
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
|
Level C 20–40 minutes (MyMedicare patients only)
|
0.00
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
|
91910
|
Level D >40 minutes (MyMedicare patients only)
|
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
|
Level D >40 minutes (MyMedicare patients only)
|
0.00
|
|
122.15
|
0
|
0
|
$0.00
|
False
|
122.15
|
$122.15
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
4
|
Level A
|
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
|
Level A
|
44.90
|
The fee for item 3, plus $30.00 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 $2.40 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
44.90
|
$44.90
Derived fee
The fee for item 3, plus $30.00 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 $2.40 per patient.
|
$0.00
|
|
24
|
Level B 6–20 minutes
|
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
|
Level B 6–20 minutes
|
65.90
|
The fee for item 23, plus $30.00 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 $2.40 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
65.90
|
$65.90
Derived fee
The fee for item 23, plus $30.00 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 $2.40 per patient.
|
$0.00
|
|
37
|
Level C 20–40 minutes
|
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
|
Level C 20–40 minutes
|
102.20
|
The fee for item 36, plus $30.00 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 $2.40 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
102.20
|
$102.20
Derived fee
The fee for item 36, plus $30.00 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 $2.40 per patient.
|
$0.00
|
|
47
|
Level D 40–60 minutes
|
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
|
Level D 40–60 minutes
|
137.65
|
The fee for item 44, plus $30.00 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 $2.40 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
137.65
|
$137.65
Derived fee
The fee for item 44, plus $30.00 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 $2.40 per patient.
|
$0.00
|
|
124
|
Level E >60 minutes
|
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
|
Level E >60 minutes
|
0.00
|
The fee for item 123, plus $30.00 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 $2.40 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
0
|
$0.00
Derived fee
The fee for item 123, plus $30.00 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 $2.40 per patient.
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
5000
|
Level A
|
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
|
Level A
|
0
|
|
33.00
|
0
|
0
|
$0.00
|
False
|
33.00
|
$33.00
|
$0.00
|
|
5020
|
Level B 6–20 minutes
|
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
|
Level B 6–20 minutes
|
0.00
|
|
55.80
|
0
|
0
|
$0.00
|
False
|
55.80
|
$55.80
|
$0.00
|
|
5040
|
Level C 20–40 minutes
|
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
|
Level C 20–40 minutes
|
0
|
|
95.70
|
0
|
0
|
$0.00
|
False
|
95.70
|
$95.70
|
$0.00
|
|
5060
|
Level D 40–60 minutes
|
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
|
Level D 40–60 minutes
|
0.00
|
|
134.20
|
0
|
0
|
$0.00
|
False
|
134.20
|
$134.20
|
$0.00
|
|
5071
|
Level E >60 minutes
|
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
|
Level E >60 minutes
|
0.00
|
|
227.95
|
0
|
0
|
$0.00
|
False
|
227.95
|
$227.95
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
5003
|
Level A
|
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
|
Level A
|
56.65
|
The fee for item 5000, plus $29.60 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 $2.35 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
56.65
|
$56.65
Derived fee
The fee for item 5000, plus $29.60 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 $2.35 per patient.
|
$0.00
|
|
5023
|
Level B 6–20 minutes
|
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
|
Level B 6–20 minutes
|
77.30
|
The fee for item 5020, plus $29.60 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 $2.35 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
77.30
|
$77.30
Derived fee
The fee for item 5020, plus $29.60 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 $2.35 per patient.
|
$0.00
|
|
5043
|
Level C 20–40 minutes
|
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
|
Level C 20–40 minutes
|
113.35
|
The fee for item 5040, plus $29.60 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 $2.35 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
113.35
|
$113.35
Derived fee
The fee for item 5040, plus $29.60 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 $2.35 per patient.
|
$0.00
|
|
5063
|
Level D 40–60 minutes
|
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
|
Level D 40–60 minutes
|
148.20
|
The fee for item 5060, plus $29.60 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 $2.35 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
148.20
|
$148.20
Derived fee
The fee for item 5060, plus $29.60 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 $2.35 per patient.
|
$0.00
|
|
5076
|
Level E >60 minutes
|
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
|
Level E >60 minutes
|
0.00
|
The fee for item 5071, plus $29.60 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 $2.35 per patient.
|
0
|
0
|
0
|
$0.00
|
False
|
0
|
$0.00
Derived fee
The fee for item 5071, plus $29.60 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 $2.35 per patient.
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
585
|
Outside 11.00 pm – 7.00 am (first patient)
|
Professional attendance by a general practitioner on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
|
Outside 11.00 pm – 7.00 am (first patient)
|
0
|
|
147.90
|
0
|
110.95
|
$0.00
|
False
|
147.90
|
$147.90
|
$0.00
|
|
599
|
Between 11.00 pm – 7.00 am
|
Professional attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
|
Between 11.00 pm – 7.00 am
|
0
|
|
174.30
|
0
|
130.75
|
$0.00
|
False
|
174.30
|
$174.30
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92210
|
Between 11.00 pm – 7.00 am
|
Video attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and (b) the patient’s medical condition requires urgent assessment
|
Between 11.00 pm – 7.00 am
|
0.00
|
|
174.30
|
0
|
0
|
$0.00
|
False
|
174.30
|
$174.30
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
715
|
Aboriginal and Torres Strait Islander peoples’ health assessment
|
Professional attendance by a general practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period
|
Aboriginal and Torres Strait Islander peoples’ health assessment
|
0
|
|
241.85
|
0
|
0
|
$0.00
|
False
|
241.85
|
$241.85
|
$0.00
|
|
699
|
Heart health assessment >20 minutes
|
Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting roomslasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information.
|
Heart health assessment >20 minutes
|
0
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92004
|
Aboriginal and Torres Strait Islander peoples’ health assessment
|
Videoattendance by a general practitioner for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement thatthis 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).
|
Aboriginal and Torres Strait Islander peoples’ health assessment
|
0.00
|
|
241.85
|
0
|
0
|
$0.00
|
False
|
241.85
|
$241.85
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
81300
|
Aboriginal and Torres Strait Islander health service
|
Aboriginal and Torres Strait Islander health service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Aboriginal and Torres Strait Islander health service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81305
|
Diabetes education service
|
Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Diabetes education service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81310
|
Audiology service
|
Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Audiology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81315
|
Exercise physiology service
|
Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Exercise physiology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81320
|
Dietetics service
|
Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Dietetics service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81325
|
Mental health service
|
Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Mental health service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81330
|
Occupational therapy service
|
Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Occupational therapy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81335
|
Physiotherapy service
|
Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Physiotherapy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81340
|
Podiatry service
|
Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Podiatry service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81345
|
Chiropractic service
|
Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Chiropractic service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81350
|
Osteopathy service
|
Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013,93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Osteopathy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81355
|
Psychology service
|
Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013,93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Psychology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
81360
|
Speech pathology service
|
Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has: (i) a chronic condition; (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013,93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year
|
Speech pathology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93048
|
All follow-up items
|
Videoattendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 10 services (including any services to which this item or 93000, 93013 or 93061 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health Determination applies) in a calendar year
|
All follow-up items
|
0.00
|
|
0
|
60.35
|
53.25
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93061
|
All follow-up items
|
Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph(b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 10 services (including any services to which this item or item 93000, 93013, 93048 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health Determination applies) in a calendar year
|
All follow-up items
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93644
|
Any dose, MMM 1 (business hours)
|
Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for a COVID-19 vaccine if all of the following apply:(a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management;(b) the service is bulk-billed;(c) the service is provided at, or from, a practice location in a Modified Monash 1 area
|
Any dose, MMM 1 (business hours)
|
0.00
|
|
0
|
37.80
|
0
|
$0.00
|
False
|
37.80
|
$37.80
|
$0.00
|
|
93645
|
Any dose, MMM 2–7 (business hours)
|
Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for a COVID-19 vaccine if all of the following apply:(a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management;(b) the service is bulk-billed;(c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
|
Any dose, MMM 2–7 (business hours)
|
0.00
|
|
0
|
41.50
|
0
|
$0.00
|
False
|
41.50
|
$41.50
|
$0.00
|
|
93653
|
Any dose, MMM 1 (after-hours)
|
Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in a Modified Monash 1 area; (d) the service is rendered in an after-hours period
|
Any dose, MMM 1 (after-hours)
|
0.00
|
|
0
|
51.30
|
0
|
$0.00
|
False
|
51.30
|
$51.30
|
$0.00
|
|
93654
|
Any dose, MMM 2–7 (after-hours)
|
Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the service is bulk-billed; (c) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (d) the service is rendered in an after-hours period
|
Any dose, MMM 2–7 (after-hours)
|
0.00
|
|
0
|
54.90
|
0
|
$0.00
|
False
|
54.90
|
$54.90
|
$0.00
|
|
93660
|
Attendance by a relevant health professional on behalf of a medical practitioner (MMM 1)
|
Attendance by a relevant health professional on behalf of a medical practitioner for the purpose of assessing a patient’s suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b)the service is bulk-billed; (c) the service is not provided at a practice location; and (d) the service is provided from a practice location in a Modified Monash 1 area
|
Attendance by a relevant health professional on behalf of a medical practitioner (MMM 1)
|
0.00
|
|
0
|
23.00
|
0
|
$0.00
|
False
|
23.00
|
$23.00
|
$0.00
|
|
93661
|
Attendance by a relevant health professional on behalf of a medical practitioner (MMM 2–7)
|
Attendance by a relevant health professional on behalf of a medical practitioner for the purpose of assessing a patient’s suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b)the service is bulk-billed; (c) the service is not provided at a practice location; and (d) the service is provided from a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
|
Attendance by a relevant health professional on behalf of a medical practitioner (MMM 2–7)
|
0.00
|
|
0
|
26.30
|
0
|
$0.00
|
False
|
26.30
|
$26.30
|
$0.00
|
|
90005
|
Flag fall item – initial attendance at an aged care/disability facility or a person's home
|
A flag fall service to which item 93644, 93645, 93646, 93647, 93653, 93654, 93655, 93656, 93660 or 93661 applies. For the first patient attended during one attendance by a general practitioner or by a medical practitioner (other than a general practitioner) at: (a) one residential aged care facility, or at consulting rooms situated within such a complex, on one occasion; or(b) one residential disability setting facility, or at consulting rooms situated within such a complex, on one occasion; or (c) a person’s place of residence (other than a residential aged care facility) on one occasion.
|
Flag fall item – initial attendance at an aged care/disability facility or a person's home
|
0.00
|
|
0
|
127.30
|
0
|
$0.00
|
False
|
127.30
|
$127.30
|
$0.00
|
|
10660
|
Vaccine counselling >10 minutes
|
Professional attendance by a general practitioner, if all of the following apply: (a)the service is associated with a service to which item 93644, 93645, 93653 or 93654 applies; (b)the service requires personal attendance by the general practitioner, lasting more than 10 minutes in duration, to provide in-depth clinical advice on the individual risks and benefits associated with receiving a COVID-19 vaccine; (c)one or both of the following is undertaken, where clinically relevant: (i)a detailed patient history; (ii)complex examination and management; (d)the service is bulk-billed
|
Vaccine counselling >10 minutes
|
0.00
|
|
0
|
42.80
|
0
|
$0.00
|
False
|
42.80
|
$42.80
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
721
|
Preparation of a GPMP
|
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 apply)
|
Preparation of a GPMP
|
0
|
|
164.35
|
0
|
123.30
|
$0.00
|
False
|
164.35
|
$164.35
|
$0.00
|
|
723
|
Coordination of a TCA
|
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 apply)
|
Coordination of a TCA
|
0
|
|
130.25
|
0
|
97.70
|
$0.00
|
False
|
130.25
|
$130.25
|
$0.00
|
|
732
|
Review of a GPMP or TCA
|
Attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 applies
|
Review of a GPMP or TCA
|
0.00
|
|
82.10
|
0
|
61.60
|
$0.00
|
False
|
82.10
|
$82.10
|
$0.00
|
|
729
|
Contribution to review of multidisciplinary care plan prepared by another provider
|
Contribution by a general practitioner (not including a specialist or consultant physician) 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 item 735, 739, 743, 747, 750 or 758 applies)
|
Contribution to review of multidisciplinary care plan prepared by another provider
|
0
|
|
80.20
|
0
|
0
|
$0.00
|
False
|
80.20
|
$80.20
|
$0.00
|
|
731
|
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)
|
Contribution by a general practitioner (not including a specialist or consultant physician) to: (a) 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 (b) 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 item 735, 739, 743, 747, 750 or 758 applies)
|
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ...
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)
|
0
|
|
80.20
|
0
|
0
|
$0.00
|
False
|
80.20
|
$80.20
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92024
|
Preparation of a GPMP
|
Videoattendance 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 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
|
Preparation of a GPMP
|
0.00
|
|
164.35
|
0
|
0
|
$0.00
|
False
|
164.35
|
$164.35
|
$0.00
|
|
92025
|
Coordination of a TCA
|
Videoattendance 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 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
|
Coordination of a TCA
|
0.00
|
|
130.25
|
0
|
0
|
$0.00
|
False
|
130.25
|
$130.25
|
$0.00
|
|
92028
|
Review of a GPMP or TCA
|
Videoattendance by a general practitioner to review or coordinate a review of:(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 229 or 721 of the general medical services table, or item 92024, 92055, 92068 or 92099 applies;(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which items 230 or 723 of the general medical services table, or item 92025 or 92069 applies NOTE: It is a legislative requirement thatthis 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)
|
Review of a GPMP or TCA
|
0.00
|
|
82.10
|
0
|
0
|
$0.00
|
False
|
82.10
|
$82.10
|
$0.00
|
|
92026
|
Contribution to review of multidisciplinary care plan prepared by another provider
|
Contribution by a general practitioner by video, 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 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
|
Contribution to review of multidisciplinary care plan prepared by another provider
|
0.00
|
|
80.20
|
0
|
0
|
$0.00
|
False
|
80.20
|
$80.20
|
$0.00
|
|
92027
|
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)
|
Contribution by a general practitioner byvideo to:(a) 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(b) 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 235 to 240 or 735 to 758 of the general medical services table apply) 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)
|
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ...
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)
|
0.00
|
|
80.20
|
0
|
0
|
$0.00
|
False
|
80.20
|
$80.20
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
10950
|
Aboriginal and Torres Strait Islander health service
|
Aboriginal and Torres Strait Islander health service provided to a patient by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Aboriginal and Torres Strait Islander health service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10951
|
Diabetes education service
|
Diabetes education health service provided to a patient by an eligible diabetes educator if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Diabetes education service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10952
|
Audiology service
|
Audiology health service provided to a patient by an eligible audiologist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Audiology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10953
|
Exercise physiology service
|
Exercise physiology health service provided to a patient by an eligible exercise physiologist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or items 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Exercise physiology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10954
|
Dietetics service
|
Dietetics health service provided to a patient by an eligible dietitian if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Dietetics service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10956
|
Mental health service
|
Mental health service provided to a patient by an eligible mental health worker if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Mental health service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10958
|
Occupational therapy service
|
Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Occupational therapy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10960
|
Physiotherapy service
|
Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Physiotherapy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10962
|
Podiatry service
|
Podiatry health service provided to a patient by an eligible podiatrist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Podiatry service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10964
|
Chiropractic service
|
Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the service is provided to a patient who has: (i) a chronic condition; and(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Chiropractic service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10966
|
Osteopathy service
|
Osteopathy health service provided to a patient by an eligible osteopath if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Osteopathy service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10968
|
Psychology service
|
Psychology health service provided to a patient by an eligible psychologist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Psychology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
|
10970
|
Speech pathology service
|
Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the service is provided to a patient who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year
|
Speech pathology service
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93000
|
All allied health chronic disease management services
|
Video attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Subgroup 1 of Group M3 of the Allied Health Determination applies) in a calendar year
|
All allied health chronic disease management services
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93013
|
All allied health chronic disease management services
|
Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Subgroup 1 of Group M3 of the Allied Health Determination applies) in a calendar year
|
All allied health chronic disease management services
|
0.00
|
|
0
|
60.35
|
0
|
$0.00
|
False
|
60.35
|
$60.35
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
735
|
Organise and coordinate, 15–20 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Organise and coordinate, 15–20 minutes
|
0.00
|
|
80.55
|
0
|
60.45
|
$0.00
|
False
|
80.55
|
$80.55
|
$0.00
|
|
747
|
Participate, 15–20 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Participate, 15–20 minutes
|
0.00
|
|
59.20
|
0
|
44.40
|
$0.00
|
False
|
59.20
|
$59.20
|
$0.00
|
|
739
|
Organise and coordinate, 20–40 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Organise and coordinate, 20–40 minutes
|
0.00
|
|
137.75
|
0
|
103.35
|
$0.00
|
False
|
137.75
|
$137.75
|
$0.00
|
|
750
|
Participate, 20–40 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Participate, 20–40 minutes
|
0.00
|
|
101.45
|
0
|
76.10
|
$0.00
|
False
|
101.45
|
$101.45
|
$0.00
|
|
743
|
Organise and coordinate, at least 40 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Organise and coordinate, at least 40 minutes
|
0.00
|
|
229.65
|
0
|
172.25
|
$0.00
|
False
|
229.65
|
$229.65
|
$0.00
|
|
758
|
Participate, at least 40 minutes
|
Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
|
Participate, at least 40 minutes
|
0.00
|
|
168.80
|
0
|
126.60
|
$0.00
|
False
|
168.80
|
$168.80
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
10955
|
15–20 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)
|
15–20 minutes
|
0.00
|
|
0
|
47.35
|
0
|
$0.00
|
False
|
47.35
|
$47.35
|
$0.00
|
|
10957
|
20–40 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)
|
20–40 minutes
|
0.00
|
|
0
|
81.15
|
0
|
$0.00
|
False
|
81.15
|
$81.15
|
$0.00
|
|
10959
|
>40 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)
|
>40 minutes
|
0.00
|
|
0
|
135.00
|
0
|
$0.00
|
False
|
135.00
|
$135.00
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
82001
|
15–20 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)
|
15–20 minutes
|
0.00
|
|
0
|
47.35
|
0
|
$0.00
|
False
|
47.35
|
$47.35
|
$0.00
|
|
82002
|
20–40 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)
|
20–40 minutes
|
0.00
|
|
0
|
81.15
|
0
|
$0.00
|
False
|
81.15
|
$81.15
|
$0.00
|
|
82003
|
>40 minutes
|
Attendance by an eligible allied health practitioner, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)
|
>40 minutes
|
0.00
|
|
0
|
135.00
|
0
|
$0.00
|
False
|
135.00
|
$135.00
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
900
|
Domiciliary medication management review
|
Participation by a general practitioner (not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient’s consent:(a) assesses the patient as:(i) having a chronic medical condition or a complex medication regimen; and(ii) not having their therapeutic goals met; and(b) following that assessment:(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient—applicable not more than once in each 12 month period, and only if item 245 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR
|
Domiciliary medication management review
|
0
|
|
176.40
|
0
|
0
|
$0.00
|
False
|
176.40
|
$176.40
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
2700
|
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)
|
Professional attendance by a general practitioner (including 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
|
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without me...
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)
|
0
|
|
81.70
|
0
|
61.30
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
|
2701
|
Preparation of GP MHTP >40 minutes (without mental health skills training)
|
Professional attendance by a general practitioner (including 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
|
Preparation of GP MHTP >40 minutes (without mental health skills training)
|
0
|
|
120.25
|
0
|
90.20
|
$0.00
|
False
|
120.25
|
$120.25
|
$0.00
|
|
2715
|
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
|
Professional attendance by a general practitioner (including 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
|
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
|
0
|
|
103.70
|
0
|
77.80
|
$0.00
|
False
|
103.70
|
$103.70
|
$0.00
|
|
2717
|
Preparation of GP MHTP >40 minutes (with mental health skills training)
|
Professional attendance by a general practitioner (including 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
|
Preparation of GP MHTP >40 minutes (with mental health skills training)
|
0
|
|
152.80
|
0
|
114.60
|
$0.00
|
False
|
152.80
|
$152.80
|
$0.00
|
|
2712
|
Review of GP MHTP
|
Professional attendance by a general practitioner to review a GP mental health treatment plan which he or she, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan
|
Review of GP MHTP
|
0
|
|
81.70
|
0
|
61.30
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
|
2713
|
Attendance related to mental disorder >20 minutes
|
Professional 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
|
Attendance related to mental disorder >20 minutes
|
0
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92112
|
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)
|
Videoattendance, 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
|
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without me...
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)
|
0.00
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
|
92113
|
Preparation of GP MHTP >40 minutes (without mental health skills training)
|
Videoattendance, 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
|
Preparation of GP MHTP >40 minutes (without mental health skills training)
|
0.00
|
|
120.25
|
0
|
0
|
$0.00
|
False
|
120.25
|
$120.25
|
$0.00
|
|
92116
|
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
|
Videoattendance, 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
|
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
|
0.00
|
|
103.70
|
0
|
0
|
$0.00
|
False
|
103.70
|
$103.70
|
$0.00
|
|
92117
|
Preparation of GP MHTP >40 minutes (with mental health skills training)
|
Videoattendance, 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
|
Preparation of GP MHTP >40 minutes (with mental health skills training)
|
0.00
|
|
152.80
|
0
|
0
|
$0.00
|
False
|
152.80
|
$152.80
|
$0.00
|
|
92114
|
Review of GP MHTP
|
Videoattendance by a general practitionerto 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
|
Review of GP MHTP
|
0.00
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
|
92115
|
Attendance related to mental disorder >20 minutes
|
Videoattendance 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
|
Attendance related to mental disorder >20 minutes
|
0.00
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92126
|
Review of GP MHTP
|
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.
|
Review of GP MHTP
|
0.00
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
|
92127
|
Attendance related to mental disorder >20 minutes
|
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.
|
Attendance related to mental disorder >20 minutes
|
0.00
|
|
81.70
|
0
|
0
|
$0.00
|
False
|
81.70
|
$81.70
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92715
|
Level A
|
Videoattendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 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 preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level A
|
0.00
|
|
19.60
|
0
|
0
|
$0.00
|
False
|
19.60
|
$19.60
|
$0.00
|
|
92718
|
Level B <20 minutes
|
Videoattendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level B <20 minutes
|
0.00
|
|
42.85
|
0
|
0
|
$0.00
|
False
|
42.85
|
$42.85
|
$0.00
|
|
92721
|
Level C 20–40 minutes
|
Videoattendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 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 Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level C 20–40 minutes
|
0.00
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
|
92724
|
Level D >40 minutes
|
Videoattendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration 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 Note:Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level D >40 minutes
|
0.00
|
|
122.15
|
0
|
0
|
$0.00
|
False
|
122.15
|
$122.15
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
92731
|
Level A
|
Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 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 preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level A
|
0.00
|
|
19.60
|
0
|
0
|
$0.00
|
False
|
19.60
|
$19.60
|
$0.00
|
|
92734
|
Level B <20 minutes
|
Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note:Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level B <20 minutes
|
0.00
|
|
42.85
|
0
|
0
|
$0.00
|
False
|
42.85
|
$42.85
|
$0.00
|
|
92737
|
Level C 20–40 minutes
|
Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 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 Note:Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level C 20–40 minutes
|
0.00
|
|
82.90
|
0
|
0
|
$0.00
|
False
|
82.90
|
$82.90
|
$0.00
|
|
92740
|
Level D >40 minutes
|
Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration 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 Note:Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.
|
Level D >40 minutes
|
0.00
|
|
122.15
|
0
|
0
|
$0.00
|
False
|
122.15
|
$122.15
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
16400
|
Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)
|
Antenatal service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, applicable 10 times for a pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) 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 (d) the service is not provided for an admitted patient of a hospital or approved day facility
|
Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)
|
0
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
16500
|
Antenatal attendance
|
Antenatal attendance
|
Antenatal attendance
|
0.00
|
|
0
|
45.65
|
40.30
|
$0.00
|
False
|
45.65
|
$45.65
|
$0.00
|
|
16502
|
Attendance (hospital) –
complicated pregnancy
treated with oral medication
or bed rest
|
Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—a professional attendance that is not a routine antenatal attendance, applicable once per day
|
Attendance (hospital) –
complicated pregnancy
treated with oral medication
or bed rest
|
0.00
|
|
0
|
45.65
|
40.30
|
$0.00
|
False
|
45.65
|
$45.65
|
$0.00
|
|
55703
|
Pregnancy ultrasound (uncertain dates less than 12 weeks)
|
Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (NR)
|
Pregnancy ultrasound (uncertain dates less than 12 weeks)
|
0.00
|
|
0
|
33.30
|
29.40
|
$0.00
|
False
|
33.30
|
$33.30
|
$0.00
|
|
55709
|
Pregnancy ultrasound (dating is 17 to 22 weeks)
|
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (thecurrent ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55706; and (ii) is not performedon the same patientwithin 24 hours of a service mentioned in item 55757 or 55758(NR)
|
Pregnancy ultrasound (dating is 17 to 22 weeks)
|
0.00
|
|
0
|
36.20
|
31.95
|
$0.00
|
False
|
36.20
|
$36.20
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91850
|
Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)
|
Antenatalvideo service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) 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.
|
Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)
|
0.00
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
91853
|
Antenatal attendance
|
Antenatalvideo attendance
|
Antenatal attendance
|
0.00
|
|
0
|
45.65
|
0
|
$0.00
|
False
|
45.65
|
$45.65
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91855
|
Antenatal service by midwife/nurse (RRMA 3–7)
|
Antenatal phone service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) 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.
|
Antenatal service by midwife/nurse (RRMA 3–7)
|
0.00
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
91858
|
Antenatal attendance
|
Antenatal phone attendance.
|
Antenatal attendance
|
0.00
|
|
0
|
45.65
|
0
|
$0.00
|
False
|
45.65
|
$45.65
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
11506
|
Spirometry before and after bronchodilator, each occasion at which recordings are made
|
Measurement of spirometry, that: (a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and (b) is performed to: (i) confirm diagnosis of chronic obstructive pulmonary disease (COPD); or (ii) assess acute exacerbations of asthma; or (iii) monitor asthma and COPD; or (iv) assess other causes of obstructive lung disease or the presence of restrictive lung disease; each occasion at which recordings are made
|
Spirometry before and after bronchodilator, each occasion at which recordings are made
|
0
|
|
0
|
19.95
|
17.60
|
$0.00
|
False
|
19.95
|
$19.95
|
$0.00
|
|
11707
|
ECG (12-lead), tracing only
|
Twelve‑lead electrocardiography, trace only, by a medical practitioner, if: (a) the trace: (i) is required to inform clinical decision making; and (ii) is reviewed in a clinically appropriate timeframe to identify potentially serious or life‑threatening abnormalities; and (iii) does not need to be fully interpreted or reported on; and (b) the service is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than twice on the same day Note: the service is not provided to the patient as part of an episode of: hospital treatment; or hospital-substitute treatment.
|
ECG (12-lead), tracing only
|
0
|
|
0
|
17.85
|
0
|
$0.00
|
False
|
17.85
|
$17.85
|
$0.00
|
|
13757
|
Therapeutic venesection
|
THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda
|
Therapeutic venesection
|
0.00
|
|
0
|
70.65
|
62.35
|
$0.00
|
False
|
70.65
|
$70.65
|
$0.00
|
|
14203
|
Hormone implant by direct implantation
|
HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
|
Hormone implant by direct implantation
|
0
|
|
0
|
49.55
|
43.70
|
$0.00
|
False
|
49.55
|
$49.55
|
$0.00
|
|
14206
|
Hormone implant by cannula
(including Implanon)
|
HORMONE OR LIVING TISSUE IMPLANTATIONby cannula
|
Hormone implant by cannula
(including Implanon)
|
0.00
|
|
0
|
34.50
|
30.45
|
$0.00
|
False
|
34.50
|
$34.50
|
$0.00
|
|
30061
|
Superficial foreign body, including from cornea or sclera
|
SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure (Anaes.)
|
Superficial foreign body, including from cornea or sclera
|
0
|
|
0
|
22.80
|
20.10
|
$0.00
|
False
|
22.80
|
$22.80
|
$0.00
|
|
30064
|
Subcutaneous foreign body
|
SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.)
|
Subcutaneous foreign body
|
0
|
|
0
|
106.45
|
93.90
|
$0.00
|
False
|
106.45
|
$106.45
|
$0.00
|
|
35503
|
Intrauterine contraceptive device – introduction
|
Introduction of an intra-uterine device for abnormal uterine bleeding or contraception or for endometrial protection during oestrogen replacement therapy, if the service is not associated with a service to which another item in this Group applies (other than a service described in item 30062, 35506 or 35620) (Anaes.)
|
Intrauterine contraceptive device – introduction
|
0
|
|
0
|
77.65
|
68.55
|
$0.00
|
False
|
77.65
|
$77.65
|
$0.00
|
|
35506
|
Intrauterine contraceptive device – removal
|
Intra-uterine device, removal of under general anaesthesia, for a retained or embedded device, not being a service associated with a service to which another item in this Group applies (other than a service described in item 35503) (H) (Anaes.)
|
Intrauterine contraceptive device – removal
|
0
|
|
0
|
0
|
45.90
|
$0.00
|
False
|
0
|
$0.00
|
$0.00
|
|
73805
|
Microscopy of urine
|
Microscopy of urine, excluding dipstick testing.
|
Microscopy of urine
|
0
|
|
0
|
3.90
|
3.45
|
$0.00
|
False
|
3.90
|
$3.90
|
$0.00
|
|
73806
|
Pregnancy test
|
Pregnancy test by 1 or more immunochemical methods
|
Pregnancy test
|
0
|
|
0
|
8.65
|
7.65
|
$0.00
|
False
|
8.65
|
$8.65
|
$0.00
|
|
73812
|
Quantitation of glycated haemoglobin (HbA1c)
|
Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
|
Quantitation of glycated haemoglobin (HbA1c)
|
0.00
|
|
0
|
10.05
|
8.85
|
$0.00
|
False
|
10.05
|
$10.05
|
$0.00
|
|
73826
|
Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item
|
Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
|
Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item
|
0.00
|
|
0
|
10.05
|
8.85
|
$0.00
|
False
|
10.05
|
$10.05
|
$0.00
|
|
73839
|
Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)
|
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)
|
Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical ...
Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)
|
0.00
|
|
0
|
14.30
|
12.60
|
$0.00
|
False
|
14.30
|
$14.30
|
$0.00
|
|
73840
|
Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)
|
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)
|
Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)
|
0.00
|
|
0
|
14.45
|
12.75
|
$0.00
|
False
|
14.45
|
$14.45
|
$0.00
|
|
73844
|
Quantitation of urinary microalbumin (QAAMS)
|
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
|
Quantitation of urinary microalbumin (QAAMS)
|
0.00
|
|
0
|
17.30
|
15.30
|
$0.00
|
False
|
17.30
|
$17.30
|
$0.00
|
|
12325
|
Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)
|
Assessment of visual acuity and bilateral retinal photography with a non mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a)the patient is of Aboriginal and Torres Strait Islander descent; and (b)the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (c)this item and item 12326 have not applied to the patient in the preceding 12 months; and (d)the patient does not have: (i)an existing diagnosis of diabetic retinopathy; or (ii)visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation
|
Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (f...
Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)
|
0.00
|
|
0
|
48.40
|
42.70
|
$0.00
|
False
|
48.40
|
$48.40
|
$0.00
|
|
11607
|
Ambulatory blood pressure monitoring
|
Continuous ambulatory blood pressure recording for 24 hours or more for a patient if: (a) the patient has a clinic blood pressure measurement (using a sphygmomanometer or a validated oscillometric blood pressure monitoring device) of either or both of the following measurements: (i) systolic blood pressure greater than or equal to 140 mmHg and less than or equal to 180 mmHg; (ii) diastolic blood pressure greater than or equal to 90 mmHg and less than or equal to 110 mmHg; and (b) the patient has not commenced anti‑hypertensive therapy; and (c) the recording includes the patient’s resting blood pressure; and (d) the recording is conducted using microprocessor‑based analysis equipment; and (e) the recording is interpreted by a medical practitioner and a report is prepared by the same medical practitioner; and (f) a treatment plan is provided for the patient; and (g) the service: (i) is not provided in association with ambulatory electrocardiogram recording, and (ii) is not associated with a service to which any of the following items apply: (A) 177; (B) 224 to 228; (C) 229 to 244; (D) 699; (E) 701 to 707; (F) 715; (G) 721 to 732; (H) 735 to 758. Applicable only once in any 12 month period
|
Ambulatory blood pressure monitoring
|
0.00
|
|
0
|
99.75
|
88.00
|
$0.00
|
False
|
99.75
|
$99.75
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
10987
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment if: a)The service is provided on behalf of and under the supervision of a medical practitioner; and b)the person is not an admitted patient of a hospital; and c)the service is consistent with the needs identified through the health assessment; -to a maximum of 10 services per patient in a calendar year
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ...
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
0.00
|
|
27.30
|
0
|
0
|
$0.00
|
False
|
27.30
|
$27.30
|
$0.00
|
|
10997
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
Service provided to a person with a chronic disease by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the person has a GP Management Plan, Team Care Arrangements or Multidisciplinary Care Plan in place; and (d) the service is consistent with the GP Management Plan, Team Care Arrangements or Multidisciplinary Care Plan to a maximum of 5 services per patient in a calendar year
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
0
|
|
13.65
|
0
|
0
|
$0.00
|
False
|
13.65
|
$13.65
|
$0.00
|
|
10988
|
Immunisation (Aboriginal and Torres Strait Islander health practitioner)
|
Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a)the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b)the person is not an admitted patient of a hospital.
|
Immunisation (Aboriginal and Torres Strait Islander health practitioner)
|
0.00
|
|
13.65
|
0
|
0
|
$0.00
|
False
|
13.65
|
$13.65
|
$0.00
|
|
10989
|
Wound management (Aboriginal and Torres Strait Islander health practitioner)
|
Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a)the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b)the person is not an admitted patient of a hospital.
|
Wound management (Aboriginal and Torres Strait Islander health practitioner)
|
0.00
|
|
13.65
|
0
|
0
|
$0.00
|
False
|
13.65
|
$13.65
|
$0.00
|
|
13105
|
Haemodialysis for a patient with end-stage renal
disease if the service is provided by a registered
nurse, an Aboriginal health worker or an Aboriginal
and Torres Strait Islander health practitioner on
behalf of a medical practitioner in an MMM 7 area
|
Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area
|
Haemodialysis for a patient with end-stage renal
disease if the service is provided by a registered
...
Haemodialysis for a patient with end-stage renal
disease if the service is provided by a registered
nurse, an Aboriginal health worker or an Aboriginal
and Torres Strait Islander health practitioner on
behalf of a medical practitioner in an MMM 7 area
|
0.00
|
|
674.40
|
0
|
0
|
$0.00
|
False
|
674.40
|
$674.40
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
82200
|
Level A
|
Professional attendance by a participating nurse 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
|
Level A
|
0.00
|
|
0
|
12.10
|
0
|
$0.00
|
False
|
12.10
|
$12.10
|
$0.00
|
|
82205
|
Level B <20 minutes
|
Professional attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes and including any of the following: a)taking a history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation
|
Level B <20 minutes
|
0.00
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
82210
|
Level C 20–40 minutes
|
Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following: a)taking a detailed history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation
|
Level C 20–40 minutes
|
0.00
|
|
0
|
50.05
|
0
|
$0.00
|
False
|
50.05
|
$50.05
|
$0.00
|
|
82215
|
Level D >40 minutes
|
Professional attendance by a participating nurse practitioner lasting at least 40 minutes and including any of the following: a)taking an extensive history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation
|
Level D >40 minutes
|
0.00
|
|
0
|
73.80
|
0
|
$0.00
|
False
|
73.80
|
$73.80
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93200
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
Follow‑upvideo attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ...
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
0.00
|
|
0
|
27.30
|
0
|
$0.00
|
False
|
27.30
|
$27.30
|
$0.00
|
|
93201
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
Videoattendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
0.00
|
|
0
|
13.75
|
0
|
$0.00
|
False
|
13.75
|
$13.75
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91192
|
Level A
|
Videoattendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management
|
Level A
|
0.00
|
|
0
|
12.10
|
0
|
$0.00
|
False
|
12.10
|
$12.10
|
$0.00
|
|
91178
|
Level B <20 minutes
|
Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes ifthe attendance includes any of the following that are clinically relevant: (a)taking a short history; (b)arranging any necessary investigation; (c)implementing a management plan; (d)providing appropriate preventive health care
|
Level B <20 minutes
|
0.00
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
91179
|
Level C 20–40 minutes
|
Videoattendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
|
Level C 20–40 minutes
|
0.00
|
|
0
|
50.05
|
0
|
$0.00
|
False
|
50.05
|
$50.05
|
$0.00
|
|
91180
|
Level D >40 minutes
|
Videoattendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
|
Level D >40 minutes
|
0.00
|
|
0
|
73.80
|
0
|
$0.00
|
False
|
73.80
|
$73.80
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
93202
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
Follow‑up phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment.
|
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ...
Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment
|
0.00
|
|
0
|
27.30
|
0
|
$0.00
|
False
|
27.30
|
$27.30
|
$0.00
|
|
93203
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
Phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements.
|
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
|
0.00
|
|
0
|
13.75
|
0
|
$0.00
|
False
|
13.75
|
$13.75
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
91193
|
Level A
|
Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.
|
Level A
|
0.00
|
|
0
|
12.10
|
0
|
$0.00
|
False
|
12.10
|
$12.10
|
$0.00
|
|
91189
|
Level B <20 minutes
|
Phone attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
|
Level B <20 minutes
|
0.00
|
|
0
|
26.40
|
0
|
$0.00
|
False
|
26.40
|
$26.40
|
$0.00
|
|
91190
|
Level C 20–40 minutes
|
Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
|
Level C 20–40 minutes
|
0.00
|
|
0
|
50.05
|
0
|
$0.00
|
False
|
50.05
|
$50.05
|
$0.00
|
|
91191
|
Level D >40 minutes
|
Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
|
Level D >40 minutes
|
0.00
|
|
0
|
73.80
|
0
|
$0.00
|
False
|
73.80
|
$73.80
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
10990
|
General medical services
|
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;other than a service associated with a service:(e) to which another item in this Group applies; or(f) that is a general practice support service; or(g) that is a MyMedicare service
|
General medical services
|
0
|
|
0
|
7.15
|
0
|
$0.00
|
False
|
7.15
|
$7.15
|
$0.00
|
|
10991
|
General medical services (MMM 2)
|
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 2 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
|
General medical services (MMM 2)
|
0.00
|
|
0
|
10.80
|
0
|
$0.00
|
False
|
10.80
|
$10.80
|
$0.00
|
|
10992
|
General medical services - after-hours (MMM 2–7)
|
A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or(b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is under the age of 16 or is a concessional beneficiary; and (e) the personis not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the 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 (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not inan area mentioned in paragraph(g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph(a) or (b) applying to the service
|
General medical services - after-hours (MMM 2–7)
|
0.00
|
|
0
|
10.80
|
0
|
$0.00
|
False
|
10.80
|
$10.80
|
$0.00
|
|
75855
|
General medical services (MMM 3–4)
|
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:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 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
|
General medical services (MMM 3–4)
|
0.00
|
|
0
|
11.45
|
0
|
$0.00
|
False
|
11.45
|
$11.45
|
$0.00
|
|
75856
|
General medical services (MMM 5)
|
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 5 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
|
General medical services (MMM 5)
|
0.00
|
|
0
|
12.20
|
0
|
$0.00
|
False
|
12.20
|
$12.20
|
$0.00
|
|
75857
|
General medical services (MMM 6)
|
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
|
General medical services (MMM 6)
|
0.00
|
|
0
|
12.85
|
0
|
$0.00
|
False
|
12.85
|
$12.85
|
$0.00
|
|
75858
|
General medical services (MMM 7)
|
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 7 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
|
General medical services (MMM 7)
|
0.00
|
|
0
|
13.70
|
0
|
$0.00
|
False
|
13.70
|
$13.70
|
$0.00
|
|
74990
|
Unreferred pathology services
|
A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder;and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service
|
Unreferred pathology services
|
0.00
|
|
0
|
6.70
|
0
|
$0.00
|
False
|
6.70
|
$6.70
|
$0.00
|
|
74991
|
Unreferred pathology services (MMM 2)
|
A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area.
|
Unreferred pathology services (MMM 2)
|
0.00
|
|
0
|
10.15
|
0
|
$0.00
|
False
|
10.15
|
$10.15
|
$0.00
|
|
75861
|
Unreferred pathology services (MMM 3–4)
|
A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a)the service is an unreferred service; and (b)the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area
|
Unreferred pathology services (MMM 3–4)
|
0.00
|
|
0
|
10.80
|
0
|
$0.00
|
False
|
10.80
|
$10.80
|
$0.00
|
|
75862
|
Unreferred pathology services (MMM 5)
|
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a)the service is an unreferred service; and (b)the service is rendered to a person who is under the age of 16 or is 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)the other item in this Schedule applying to the service; and (e)the service is rendered at, or from, a practice location in a Modified Monash 5 area
|
Unreferred pathology services (MMM 5)
|
0.00
|
|
0
|
11.40
|
0
|
$0.00
|
False
|
11.40
|
$11.40
|
$0.00
|
|
75863
|
Unreferred pathology services (MMM 6)
|
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a)the service is an unreferred service; and (b)the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii) the other item in this Schedule applying to the service; and (e)the service is rendered at, or from, a practice location in a Modified Monash 6 area
|
Unreferred pathology services (MMM 6)
|
0.00
|
|
0
|
12.15
|
0
|
$0.00
|
False
|
12.15
|
$12.15
|
$0.00
|
|
75864
|
Unreferred pathology services (MMM 7)
|
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a)the service is an unreferred service; and (b)the service is rendered to a person who is under the age of 16 or is 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area
|
Unreferred pathology services (MMM 7)
|
0.00
|
|
0
|
13.30
|
0
|
$0.00
|
False
|
13.30
|
$13.30
|
$0.00
|
|
64990
|
Diagnostic imaging services
|
A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service
|
Diagnostic imaging services
|
0.00
|
|
0
|
6.70
|
0
|
$0.00
|
False
|
6.70
|
$6.70
|
$0.00
|
|
64991
|
Diagnostic imaging services (MMM 2)
|
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area
|
Diagnostic imaging services (MMM 2)
|
0.00
|
|
0
|
10.15
|
0
|
$0.00
|
False
|
10.15
|
$10.15
|
$0.00
|
|
64992
|
Diagnostic imaging services (MMM 3–4)
|
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i)this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 are; or (ii) a Modified Monash 4 area
|
Diagnostic imaging services (MMM 3–4)
|
0.00
|
|
0
|
10.80
|
0
|
$0.00
|
False
|
10.80
|
$10.80
|
$0.00
|
|
64993
|
Diagnostic imaging services (MMM 5)
|
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i)this item; and (ii) the 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 5 area
|
Diagnostic imaging services (MMM 5)
|
0.00
|
|
0
|
11.40
|
0
|
$0.00
|
False
|
11.40
|
$11.40
|
$0.00
|
|
64994
|
Diagnostic imaging services (MMM 6)
|
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i)this item; and (ii) the 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
|
Diagnostic imaging services (MMM 6)
|
0.00
|
|
0
|
12.15
|
0
|
$0.00
|
False
|
12.15
|
$12.15
|
$0.00
|
|
64995
|
Diagnostic imaging services (MMM 7)
|
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64994) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the 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 7 area
|
Diagnostic imaging services (MMM 7)
|
0.00
|
|
0
|
13.30
|
0
|
$0.00
|
False
|
13.30
|
$13.30
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
75870
|
Metropolitan
|
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;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level Bvideoand phone general attendance items.
|
Metropolitan
|
0.00
|
|
0
|
21.35
|
0
|
$0.00
|
False
|
21.35
|
$21.35
|
$0.00
|
|
75871
|
MMM 2
|
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 2 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level Bvideo and phone general attendance items.
|
MMM 2
|
0.00
|
|
0
|
32.50
|
0
|
$0.00
|
False
|
32.50
|
$32.50
|
$0.00
|
|
75872
|
MMM 2–7 (after-hours)
|
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 under the age of 16 or who is a concessional beneficiary; and(d) the patient 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
|
MMM 2–7 (after-hours)
|
0.00
|
|
0
|
32.50
|
0
|
$0.00
|
False
|
32.50
|
$32.50
|
$0.00
|
|
75873
|
MMM 3–4
|
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:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 area;other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
|
MMM 3–4
|
0.00
|
|
0
|
34.50
|
0
|
$0.00
|
False
|
34.50
|
$34.50
|
$0.00
|
|
75874
|
MMM 5
|
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 5 area;other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
|
MMM 5
|
0.00
|
|
0
|
36.65
|
0
|
$0.00
|
False
|
36.65
|
$36.65
|
$0.00
|
|
75875
|
MMM 6
|
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 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level Bvideo and phone general attendance items.
|
MMM 6
|
0.00
|
|
0
|
38.70
|
0
|
$0.00
|
False
|
38.70
|
$38.70
|
$0.00
|
|
75876
|
MMM 7
|
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 7 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, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level Bvideo and phone general attendance items.
|
MMM 7
|
0.00
|
|
0
|
41.10
|
0
|
$0.00
|
False
|
41.10
|
$41.10
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
75880
|
Metropolitan
|
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;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, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
Metropolitan
|
0.00
|
|
0
|
21.35
|
0
|
$0.00
|
False
|
21.35
|
$21.35
|
$0.00
|
|
75881
|
MMM 2
|
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 2 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, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
MMM 2
|
0.00
|
|
0
|
32.50
|
0
|
$0.00
|
False
|
32.50
|
$32.50
|
$0.00
|
|
75882
|
MMM 3–4
|
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:(i) a Modified Monash 3 area; or(ii) a Modified Monash 4 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, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
MMM 3–4
|
0.00
|
|
0
|
34.50
|
0
|
$0.00
|
False
|
34.50
|
$34.50
|
$0.00
|
|
75883
|
MMM 5
|
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 5 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, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
MMM 5
|
0.00
|
|
0
|
36.65
|
0
|
$0.00
|
False
|
36.65
|
$36.65
|
$0.00
|
|
75884
|
MMM 6
|
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 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
MMM 6
|
0.00
|
|
0
|
38.70
|
0
|
$0.00
|
False
|
38.70
|
$38.70
|
$0.00
|
|
75885
|
MMM 7
|
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 7 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 75884 applies Subgroup 3NOTE: this item can be claimed with level C, D, and Evideo general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
|
MMM 7
|
0.00
|
|
0
|
41.10
|
0
|
$0.00
|
False
|
41.10
|
$41.10
|
$0.00
|
| Drag and drop items here |
|
|
| |
|
10983
|
Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervision of, a medical practitioner
|
Attendance by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a)is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b)is not an admitted patient
|
Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervisio...
Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervision of, a medical practitioner
|
0.00
|
|
36.95
|
0
|
0
|
$0.00
|
False
|
36.95
|
$36.95
|
$0.00
|
| Drag and drop items here |
|