MBS guide for GPs and primary care teams working in Aboriginal and Torres Strait Islander health


About

This guide is intended to be used by GPs providing care to Aboriginal and Torres Strait Islander people. It includes MBS items commonly used in general practice, as well as items used by other health professionals such as allied health providers and nurse practitioners. The MBS Online Tool Terms of Use can be viewed here.

Out-of-pocket expenses only relate to services provided within a general practice. All Medicare services provided by Aboriginal Community Controlled Health Organisations (ACCHOs) are bulk billed.
 

How to use this tool

  • Click on the arrow in the Item column to read the full descriptor for the item and view any associated explanatory notes on MBS Online.
  • Click on values in the Clinic Fee column to enter fees for services provided in your practice. Each time you enter a clinic fee, click anywhere else on the page. The tool will then calculate the patient out-of-pocket contribution based on the MBS rebate for the service.
  • Some items have different rebates depending on the number of patients seen (derived fee items). For these items, the patient out-of-pocket contribution is calculated based on the rebate value for one patient. To view the rebates for more than one patient, click on ‘Derived fee’ in the Rebate column.
  • Click on the ‘Save as Excel’ and ‘Save as PDF’ buttons to save to your computer and print the guide.
  • Items that you don't use in your practice can be deleted from the downloaded Excel file.
  • When opening the Excel file, you may receive a message asking if you trust the source of the workbook. If you select ‘Yes’, the contents should display correctly. Item categories will display in separate tabs of the spreadsheet.


Note on rebate values

  • The rebate amounts listed in this tool reflect the rebate payable rather than the MBS fee. This will either be 100% or 85% of the fee. 75% rebates have not been included due to their relatively low application in general practice.

MBS guide for GPs

  
Standard attendances – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
18.95
0
0
$0.00
False
18.95
$18.95
$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
 
41.40
0
0
$0.00
False
41.40
$41.40
$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
 
80.10
0
0
$0.00
False
80.10
$80.10
$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
 
118.00
0
0
$0.00
False
118.00
$118.00
$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
 
191.20
0
0
$0.00
False
191.20
$191.20
$0.00
Standard attendances – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
91790
Level A
Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 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
 
18.95
0
0
$0.00
False
18.95
$18.95
$0.00
91800
Level B 6–20 minutes
Telehealth attendance by a general practitioner lasting at least 6 minutes but less than 20 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
 
41.40
0
0
$0.00
False
41.40
$41.40
$0.00
91801
Level C 20–40 minutes
Telehealth 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
 
80.10
0
0
$0.00
False
80.10
$80.10
$0.00
91802
Level D 40–60 minutes
Telehealth attendance 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
 
118.00
0
0
$0.00
False
118.00
$118.00
$0.00
91920
Level E >60 minutes
Telehealth 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
 
191.20
0
0
$0.00
False
191.20
$191.20
$0.00
Standard attendances – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
18.95
0
0
$0.00
False
18.95
$18.95
$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
 
41.40
0
0
$0.00
False
41.40
$41.40
$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
 
80.10
0
0
$0.00
False
80.10
$80.10
$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
 
118.00
0
0
$0.00
False
118.00
$118.00
$0.00
93716
Level C >20 minutes (eligibility for COVID-19 antivirals)
Phone attendance by a general practitioner lasting at least 20 minutes for the assessment and management of a person with COVID‑19 infection of recent onset, for the purposes of determining the patient’s eligibility for receiving a COVID-19 oral antiviral treatment, where the service 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, including follow up arrangements;(d) providing any necessary treatment, including prescribing a COVID-19 oral antiviral treatment;(e) providing appropriate preventive health care for one or more related issues; with appropriate documentation
Level C >20 minutes (eligibility for COVID-19 antivirals)
0.00
 
0
80.10
0
$0.00
False
80.10
$80.10
$0.00
Attendances at a place other than consulting rooms or a residential aged care facility (RACF)
 
ItemDescriptionClinic FeeRebateOut of pocket
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 $29.00 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 $2.30 per patient.
0
0
0
$0.00
False
44.90
$44.90
Derived fee
$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 $29.00 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 $2.30 per patient.
0
0
0
$0.00
False
65.90
$65.90
Derived fee
$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 $29.00 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 $2.30 per patient.
0
0
0
$0.00
False
102.20
$102.20
Derived fee
$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 $29.00 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 $2.30 per patient.
0
0
0
$0.00
False
137.65
$137.65
Derived fee
$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 $29.00 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 $2.30 per patient.
0
0
0
$0.00
False
0
$0.00
Derived fee
$0.00
After-hours attendances at consulting rooms
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
31.90
0
0
$0.00
False
31.90
$31.90
$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
 
53.90
0
0
$0.00
False
53.90
$53.90
$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
 
92.45
0
0
$0.00
False
92.45
$92.45
$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
 
129.65
0
0
$0.00
False
129.65
$129.65
$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
 
220.25
0
0
$0.00
False
220.25
$220.25
$0.00
After-hours attendances at a place other than consulting rooms or a RACF
 
ItemDescriptionClinic FeeRebateOut of pocket
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 $28.60 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 $2.25 per patient.
0
0
0
$0.00
False
56.65
$56.65
Derived fee
$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 $28.60 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 $2.25 per patient.
0
0
0
$0.00
False
77.30
$77.30
Derived fee
$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 $28.60 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 $2.25 per patient.
0
0
0
$0.00
False
113.35
$113.35
Derived fee
$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 $28.60 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 $2.25 per patient.
0
0
0
$0.00
False
148.20
$148.20
Derived fee
$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 $28.60 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 $2.25 per patient.
0
0
0
$0.00
False
0
$0.00
Derived fee
$0.00
Urgent after-hours attendances at consulting rooms
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
142.90
0
107.20
$0.00
False
142.90
$142.90
$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
 
168.40
0
126.30
$0.00
False
168.40
$168.40
$0.00
Urgent after-hours attendances – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
92210
Between 11.00 pm – 7.00 am
Telehealth 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
 
168.40
0
0
$0.00
False
168.40
$168.40
$0.00
Health assessments – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
233.65
0
0
$0.00
False
233.65
$233.65
$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
 
80.10
0
0
$0.00
False
80.10
$80.10
$0.00
Health assessments – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
92004
Aboriginal and Torres Strait Islander peoples’ health assessment
Telehealth attendance 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 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).
Aboriginal and Torres Strait Islander peoples’ health assessment
0.00
 
233.65
0
0
$0.00
False
233.65
$233.65
$0.00
Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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 and Telephone Determination applies) in a calendar year
Aboriginal and Torres Strait Islander health service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Diabetes education service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Audiology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Exercise physiology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Dietetics service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Mental health service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Occupational therapy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Physiotherapy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Podiatry service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Chiropractic service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Osteopathy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Psychology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Speech pathology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$0.00
Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
93048
All follow-up items
Telehealth 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 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
58.30
51.45
$0.00
False
58.30
$58.30
$0.00
Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
58.30
0
$0.00
False
58.30
$58.30
$0.00
COVID-19 vaccine suitability assessment service (must be bulk billed)
 
ItemDescriptionClinic FeeRebateOut of pocket
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
36.55
0
$0.00
False
36.55
$36.55
$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
40.10
0
$0.00
False
40.10
$40.10
$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
49.55
0
$0.00
False
49.55
$49.55
$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
53.00
0
$0.00
False
53.00
$53.00
$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 practitionerfor 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
22.25
0
$0.00
False
22.25
$22.25
$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
25.40
0
$0.00
False
25.40
$25.40
$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
123.00
0
$0.00
False
123.00
$123.00
$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
41.40
0
$0.00
False
41.40
$41.40
$0.00
Chronic disease management – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
158.80
0
119.10
$0.00
False
158.80
$158.80
$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
 
125.85
0
94.40
$0.00
False
125.85
$125.85
$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
 
79.30
0
59.50
$0.00
False
79.30
$79.30
$0.00
729
Contribution to review of multidisciplinary care plan prepared by another provider
Contribution by a general practitioner to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 apply)
Contribution to review of multidisciplinary care plan prepared by another provider
0
 
77.50
0
0
$0.00
False
77.50
$77.50
$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 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 735 to 758 apply)
Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ...
0
 
77.50
0
0
$0.00
False
77.50
$77.50
$0.00
Chronic disease management – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
92024
Preparation of a GPMP
Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 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
 
158.80
0
0
$0.00
False
158.80
$158.80
$0.00
92025
Coordination of a TCA
Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 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
 
125.85
0
0
$0.00
False
125.85
$125.85
$0.00
92028
Review of a GPMP or TCA
Telehealth 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 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
 
79.30
0
0
$0.00
False
79.30
$79.30
$0.00
92026
Contribution to review of multidisciplinary care plan prepared by another provider
Contribution by a general practitioner by telehealth, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 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
 
77.50
0
0
$0.00
False
77.50
$77.50
$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 by telehealth 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 ...
0.00
 
77.50
0
0
$0.00
False
77.50
$77.50
$0.00
Individual allied health items for people with a chronic condition and complex care needs – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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 and Telephone Determination applies) in a calendar year
Aboriginal and Torres Strait Islander health service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Diabetes education service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Audiology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Exercise physiology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Dietetics service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Mental health service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Occupational therapy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Physiotherapy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Podiatry service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Chiropractic service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Osteopathy service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Psychology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$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 and Telephone Determination applies) in a calendar year
Speech pathology service
0.00
 
0
58.30
0
$0.00
False
58.30
$58.30
$0.00
Allied health chronic disease management – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
93000
All allied health chronic disease management services
Telehealth 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
58.30
0
$0.00
False
58.30
$58.30
$0.00
Allied health chronic disease management – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
58.30
0
$0.00
False
58.30
$58.30
$0.00
Multidisciplinary case conferences
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
77.85
0
58.40
$0.00
False
77.85
$77.85
$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
 
57.20
0
42.90
$0.00
False
57.20
$57.20
$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
 
133.10
0
99.85
$0.00
False
133.10
$133.10
$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
 
98.00
0
73.50
$0.00
False
98.00
$98.00
$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
 
221.90
0
166.45
$0.00
False
221.90
$221.90
$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
 
163.10
0
122.35
$0.00
False
163.10
$163.10
$0.00
Allied health case conferencing -– Chronic disease management
 
ItemDescriptionClinic FeeRebateOut of pocket
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
45.70
0
$0.00
False
45.70
$45.70
$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
78.40
0
$0.00
False
78.40
$78.40
$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
130.45
0
$0.00
False
130.45
$130.45
$0.00
Allied health case conferencing -– Autism, pervasive development disorder and disability
 
ItemDescriptionClinic FeeRebateOut of pocket
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
45.70
0
$0.00
False
45.70
$45.70
$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
78.40
0
$0.00
False
78.40
$78.40
$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
130.45
0
$0.00
False
130.45
$130.45
$0.00
Medication management review
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
170.45
0
0
$0.00
False
170.45
$170.45
$0.00
Mental health care – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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...
0
 
78.95
0
59.25
$0.00
False
78.95
$78.95
$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
 
116.20
0
87.15
$0.00
False
116.20
$116.20
$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
 
100.20
0
75.15
$0.00
False
100.20
$100.20
$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
 
147.65
0
110.75
$0.00
False
147.65
$147.65
$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
 
78.95
0
59.25
$0.00
False
78.95
$78.95
$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
 
78.95
0
0
$0.00
False
78.95
$78.95
$0.00
Mental health care – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
92112
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)
Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.
Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without me...
0.00
 
78.95
0
0
$0.00
False
78.95
$78.95
$0.00
92113
Preparation of GP MHTP >40 minutes (without mental health skills training)
Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.
Preparation of GP MHTP >40 minutes (without mental health skills training)
0.00
 
116.20
0
0
$0.00
False
116.20
$116.20
$0.00
92116
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.
Preparation of GP MHTP 20–40 minutes (with mental health skills training)
0.00
 
100.20
0
0
$0.00
False
100.20
$100.20
$0.00
92117
Preparation of GP MHTP >40 minutes (with mental health skills training)
Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.
Preparation of GP MHTP >40 minutes (with mental health skills training)
0.00
 
147.65
0
0
$0.00
False
147.65
$147.65
$0.00
92114
Review of GP MHTP
Telehealth attendance 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
 
78.95
0
0
$0.00
False
78.95
$78.95
$0.00
92115
Attendance related to mental disorder >20 minutes
Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.
Attendance related to mental disorder >20 minutes
0.00
 
78.95
0
0
$0.00
False
78.95
$78.95
$0.00
Mental health care – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
78.95
0
0
$0.00
False
78.95
$78.95
$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
 
78.95
0
0
$0.00
False
78.95
$78.95
$0.00
Blood borne viruses, sexual or reproductive health services – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
92715
Level A
Telehealth 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
 
18.95
0
0
$0.00
False
18.95
$18.95
$0.00
92718
Level B <20 minutes
Telehealth 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
 
41.40
0
0
$0.00
False
41.40
$41.40
$0.00
92721
Level C 20–40 minutes
Telehealth 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
 
80.10
0
0
$0.00
False
80.10
$80.10
$0.00
92724
Level D >40 minutes
Telehealth 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 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
 
118.00
0
0
$0.00
False
118.00
$118.00
$0.00
Blood borne viruses, sexual or reproductive health services – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
 
18.95
0
0
$0.00
False
18.95
$18.95
$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
 
41.40
0
0
$0.00
False
41.40
$41.40
$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
 
80.10
0
0
$0.00
False
80.10
$80.10
$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
 
118.00
0
0
$0.00
False
118.00
$118.00
$0.00
Pregnancy care – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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
25.50
0
$0.00
False
25.50
$25.50
$0.00
16500
Antenatal attendance
Antenatal attendance
Antenatal attendance
0.00
 
0
44.15
38.95
$0.00
False
44.15
$44.15
$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
44.15
38.95
$0.00
False
44.15
$44.15
$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
32.20
28.40
$0.00
False
32.20
$32.20
$0.00
55709
Pregnancy ultrasound (dating is 17 to 22 weeks)
Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current 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
34.95
30.85
$0.00
False
34.95
$34.95
$0.00
Pregnancy care – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
91850
Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)
Antenatal telehealth 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
25.50
0
$0.00
False
25.50
$25.50
$0.00
91853
Antenatal attendance
Antenatal telehealth attendance.
Antenatal attendance
0.00
 
0
44.15
0
$0.00
False
44.15
$44.15
$0.00
Pregnancy care – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
25.50
0
$0.00
False
25.50
$25.50
$0.00
91858
Antenatal attendance
Antenatal phone attendance.
Antenatal attendance
0.00
 
0
44.15
0
$0.00
False
44.15
$44.15
$0.00
Miscellaneous tests and procedures
 
ItemDescriptionClinic FeeRebateOut of pocket
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
19.30
17.00
$0.00
False
19.30
$19.30
$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
17.25
0
$0.00
False
17.25
$17.25
$0.00
13757
Therapeutic venesection
THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda
Therapeutic venesection
0.00
 
0
68.30
60.25
$0.00
False
68.30
$68.30
$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
47.90
42.25
$0.00
False
47.90
$47.90
$0.00
14206
Hormone implant by cannula (including Implanon)
HORMONE OR LIVING TISSUE IMPLANTATIONby cannula
Hormone implant by cannula (including Implanon)
0.00
 
0
33.35
29.40
$0.00
False
33.35
$33.35
$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
22.05
19.45
$0.00
False
22.05
$22.05
$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
102.85
90.75
$0.00
False
102.85
$102.85
$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
75.05
66.20
$0.00
False
75.05
$75.05
$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) (Anaes.)
Intrauterine contraceptive device – removal
0
 
0
50.25
44.35
$0.00
False
50.25
$50.25
$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 ...
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...
0.00
 
0
46.75
41.25
$0.00
False
46.75
$46.75
$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
96.35
85.05
$0.00
False
96.35
$96.35
$0.00
Services provided on behalf of a medical practitioner – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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 ...
0.00
 
26.40
0
0
$0.00
False
26.40
$26.40
$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
 
13.20
0
0
$0.00
False
13.20
$13.20
$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
 
13.20
0
0
$0.00
False
13.20
$13.20
$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
 
13.20
0
0
$0.00
False
13.20
$13.20
$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 ...
0.00
 
651.60
0
0
$0.00
False
651.60
$651.60
$0.00
Nurse practitioner services – Face-to-face
 
ItemDescriptionClinic FeeRebateOut of pocket
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
9.00
0
$0.00
False
9.00
$9.00
$0.00
82205
Level B <20 minutes
Professional attendance by a participating nurse practitioner lasting 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
19.60
0
$0.00
False
19.60
$19.60
$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
37.15
0
$0.00
False
37.15
$37.15
$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
54.85
0
$0.00
False
54.85
$54.85
$0.00
Services provided on behalf of a medical practitioner – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
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‑up telehealth 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 ...
0.00
 
0
26.35
0
$0.00
False
26.35
$26.35
$0.00
93201
Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker
Telehealth 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
13.30
0
$0.00
False
13.30
$13.30
$0.00
Nurse practitioner services – Videoconference
 
ItemDescriptionClinic FeeRebateOut of pocket
91192
Level A
Telehealth 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
9.00
0
$0.00
False
9.00
$9.00
$0.00
91178
Level B <20 minutes
Telehealth attendance by a participating nurse practitioner lasting 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
19.60
0
$0.00
False
19.60
$19.60
$0.00
91179
Level C 20–40 minutes
Telehealth 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
37.15
0
$0.00
False
37.15
$37.15
$0.00
91180
Level D >40 minutes
Telehealth 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
54.85
0
$0.00
False
54.85
$54.85
$0.00
Services provided on behalf of a medical practitioner – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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 ...
0.00
 
0
26.35
0
$0.00
False
26.35
$26.35
$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
13.30
0
$0.00
False
13.30
$13.30
$0.00
Nurse practitioner services – Telephone
 
ItemDescriptionClinic FeeRebateOut of pocket
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
9.00
0
$0.00
False
9.00
$9.00
$0.00
91189
Level B <20 minutes
Phone attendance by a participating nurse practitioner lasting 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
19.60
0
$0.00
False
19.60
$19.60
$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
37.15
0
$0.00
False
37.15
$37.15
$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
54.85
0
$0.00
False
54.85
$54.85
$0.00
Bulk billing incentive items (single)
 
ItemDescriptionClinic FeeRebateOut of pocket
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
6.90
0
$0.00
False
6.90
$6.90
$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
10.45
0
$0.00
False
10.45
$10.45
$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
10.45
0
$0.00
False
10.45
$10.45
$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
11.05
0
$0.00
False
11.05
$11.05
$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
11.80
0
$0.00
False
11.80
$11.80
$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
12.45
0
$0.00
False
12.45
$12.45
$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
13.25
0
$0.00
False
13.25
$13.25
$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
6.50
0
$0.00
False
6.50
$6.50
$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
9.80
0
$0.00
False
9.80
$9.80
$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
10.40
0
$0.00
False
10.40
$10.40
$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
11.05
0
$0.00
False
11.05
$11.05
$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
11.70
0
$0.00
False
11.70
$11.70
$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
12.80
0
$0.00
False
12.80
$12.80
$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
6.50
0
$0.00
False
6.50
$6.50
$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
9.80
0
$0.00
False
9.80
$9.80
$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
10.40
0
$0.00
False
10.40
$10.40
$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
11.05
0
$0.00
False
11.05
$11.05
$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
11.70
0
$0.00
False
11.70
$11.70
$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
12.80
0
$0.00
False
12.80
$12.80
$0.00
Tripled bulk billing incentives (all eligible patients)
 
ItemDescriptionClinic FeeRebateOut of pocket
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 B telehealth and telephone general attendance items.
Metropolitan
0.00
 
0
20.65
0
$0.00
False
20.65
$20.65
$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 B telehealth and telephone general attendance items.
MMM 2
0.00
 
0
31.40
0
$0.00
False
31.40
$31.40
$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
31.40
0
$0.00
False
31.40
$31.40
$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 telehealth and telephone general attendance items.
MMM 3–4
0.00
 
0
33.35
0
$0.00
False
33.35
$33.35
$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 telehealth and telephone general attendance items.
MMM 5
0.00
 
0
35.45
0
$0.00
False
35.45
$35.45
$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 B telehealth and telephone general attendance items.
MMM 6
0.00
 
0
37.40
0
$0.00
False
37.40
$37.40
$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 B telehealth and telephone general attendance items.
MMM 7
0.00
 
0
39.70
0
$0.00
False
39.70
$39.70
$0.00
Tripled bulk billing incentives (services linked to MyMedicare)
 
ItemDescriptionClinic FeeRebateOut of pocket
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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
Metropolitan
0.00
 
0
20.65
0
$0.00
False
20.65
$20.65
$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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
MMM 2
0.00
 
0
31.40
0
$0.00
False
31.40
$31.40
$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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
MMM 3–4
0.00
 
0
33.35
0
$0.00
False
33.35
$33.35
$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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
MMM 5
0.00
 
0
35.45
0
$0.00
False
35.45
$35.45
$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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
MMM 6
0.00
 
0
37.40
0
$0.00
False
37.40
$37.40
$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 E telehealth general attendance items, and level C and D telephone general attendance items, where the patient is registered with MyMedicare.
MMM 7
0.00
 
0
39.70
0
$0.00
False
39.70
$39.70
$0.00
Support for telehealth consultations with non-GP specialists and consultant physicians
 
ItemDescriptionClinic FeeRebateOut of pocket
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...
0.00
 
35.70
0
0
$0.00
False
35.70
$35.70
$0.00