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

About

This guide is intended to be used by other medical practitioners (OMPs) providing care to Aboriginal and Torres Strait Islander people. It includes MBS items commonly used by OMPs, 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.

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 other medical practitioners

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Standard attendances – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
52	<5 minutes	Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	<5 minutes	0.00	11.00	0	0	$0.00	False	11.00	$11.00	$0.00
53	5–25 minutes	Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	5–25 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
54	25–45 minutes	Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	25–45 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
57	>45 minutes	Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	>45 minutes	0.00	61.00	0	0	$0.00	False	61.00	$61.00	$0.00
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Attendances outside of metro areas – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
179	<5 minutes	Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area.	<5 minutes	0.00	15.10	0	0	$0.00	False	15.10	$15.10	$0.00
185	5–25 minutes	Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area	5–25 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
189	25–45 minutes	Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area	25–45 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
203	>45 minutes	Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area	>45 minutes	0.00	93.90	0	0	$0.00	False	93.90	$93.90	$0.00
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Standard attendances – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91792	<5 minutes	Telehealth attendance by a medical practitioner of not more than 5 minutes. 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).	<5 minutes	0.00	11.00	0	0	$0.00	False	11.00	$11.00	$0.00
91803	5–25 minutes	Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 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. 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).	5–25 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
91804	25–45 minutes	Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 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 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).	25–45 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
91805	>45 minutes	Telehealth attendance by a medical practitioner of at least 45 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 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).	>45 minutes	0.00	61.00	0	0	$0.00	False	61.00	$61.00	$0.00
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Attendances outside of metro areas – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91794	<5 minutes	Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. 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).	<5 minutes	0.00	15.10	0	0	$0.00	False	15.10	$15.10	$0.00
91806	5–25 minutes	Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 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. 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).	5–25 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
91807	25–45 minutes	Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 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 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).	25–45 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
91808	>45 minutes	Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 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 preventative health care. 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).	>45 minutes	0.00	93.90	0	0	$0.00	False	93.90	$93.90	$0.00
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Standard attendances – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91892	<6 minutes	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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	<6 minutes	0.00	11.00	0	0	$0.00	False	11.00	$11.00	$0.00
91893	6–20 minutes	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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	6–20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
93717	>25 minutes (eligibility for COVID-19 antivirals)	Phone attendance by a medical practitioner (other than a general practitioner) lasting at least 25 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	>25 minutes (eligibility for COVID-19 antivirals)	0.00	0	38.00	0	$0.00	False	38.00	$38.00	$0.00
91895	25–45 minutes (MMM 6–7)	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), of more than 25 minutes in duration but not more than 45 minutes, if: (a) the attendance is performed from a practice location in Modified Monash areas 6 or 7; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care	25–45 minutes (MMM 6–7)	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
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Attendances at a place other than consulting rooms or a residential aged care facility (RACF)

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
58	<5 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	<5 minutes	0.00	An amount equal to $8.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $8.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $.70 per patient	$0.00
59	5–25 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	5–25 minutes	0.00	An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $.70 per patient	$0.00
60	25–45 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	25–45 minutes	0.00	An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $.70 per patient	$0.00
65	>45 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).	>45 minutes	0.00	An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $.70 per patient	$0.00
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Attendances at a place other than consulting rooms or a RACF (outside of metro areas)

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
181	<5 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area	<5 minutes	0.00	The fee for item 179, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $1.85 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 179, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $1.85 per patient.	$0.00
187	5–25 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area	5–25 minutes	0.00	The fee for item 185, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $1.85 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 185, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $1.85 per patient.	$0.00
191	25–45 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area	25–45 minutes	0.00	The fee for item 189, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $1.85 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 189, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $1.85 per patient.	$0.00
206	>45 minutes	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area	>45 minutes	0.00	The fee for item 203, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $1.85 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 203, plus $23.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $1.85 per patient.	$0.00
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After-hours attendances at consulting rooms

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
5200	<5 minutes	Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance	<5 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
5203	5–25 minutes	Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance	5–25 minutes	0.00	31.00	0	0	$0.00	False	31.00	$31.00	$0.00
5207	25–45 minutes	Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance	25–45 minutes	0.00	48.00	0	0	$0.00	False	48.00	$48.00	$0.00
5208	>45 minutes	Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance	>45 minutes	0.00	71.00	0	0	$0.00	False	71.00	$71.00	$0.00
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After-hours attendances at consulting rooms (outside of metro areas)

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
733	<5 minutes	Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance	<5 minutes	0.00	25.40	0	0	$0.00	False	25.40	$25.40	$0.00
737	5–25 minutes	Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance	5–25 minutes	0.00	42.90	0	0	$0.00	False	42.90	$42.90	$0.00
741	25–45 minutes	Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance	25–45 minutes	0.00	73.60	0	0	$0.00	False	73.60	$73.60	$0.00
745	>45 minutes	Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance	>45 minutes	0.00	103.20	0	0	$0.00	False	103.20	$103.20	$0.00
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After-hours attendances at a place other than consulting rooms or a RACF

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
5220	<5 minutes	Professional attendance by a medical practitioner who is not 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 not more than 5 minutes-an attendance on one or more patients on one occasion-each patient	<5 minutes	0.00	An amount equal to $18.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $18.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $.70 per patient	$0.00
5223	5–25 minutes	Professional attendance by a medical practitioner who is not 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 more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient	5–25 minutes	0.00	An amount equal to $26.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $26.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $.70 per patient	$0.00
5227	25–45 minutes	Professional attendance by a medical practitioner who is not 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 more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient	25–45 minutes	0.00	An amount equal to $45.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $45.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $45.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $45.50 plus $.70 per patient	$0.00
5228	>45 minutes	Professional attendance by a medical practitioner who is not 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 more than 45 minutes-an attendance on one or more patients on one occasion-each patient	>45 minutes	0.00	An amount equal to $67.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $67.50 plus $.70 per patient	0	0	0	$0.00	False	0	$0.00 Derived fee An amount equal to $67.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $67.50 plus $.70 per patient	$0.00
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After-hours attendances at a place other than consulting rooms or a RACF (outside of metro areas)

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
761	<5 minutes	Professional attendance by a medical 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 not more than 5 minutes—an attendance on one or more patients on one occasion—each patient	<5 minutes	0.00	The fee for item 733, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $1.80 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 733, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $1.80 per patient.	$0.00
763	5–25 minutes	Professional attendance by a medical 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 more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient	5–25 minutes	0.00	The fee for item 737, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $1.80 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 737, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $1.80 per patient.	$0.00
766	25–45 minutes	Professional attendance by a medical 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 more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient	25–45 minutes	0.00	The fee for item 741, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $1.80 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 741, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $1.80 per patient.	$0.00
769	>45 minutes	Professional attendance by a medical 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 more than 45 minutes—an attendance on one or more patients on one occasion—each patient	>45 minutes	0.00	The fee for item 745, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $1.80 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 745, plus $22.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $1.80 per patient.	$0.00
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Urgent after-hours attendances at consulting rooms

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
588	Outside 11.00 pm – 7.00 am (first patient)	Professional attendance by a medical practitioner (other than 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) the attendance is in an after-hours rural area; and (d) 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)	0.00	142.20	0	106.65	$0.00	False	142.20	$142.20	$0.00
600	Between 11.00 pm – 7.00 am	Professional attendance by a medical practitioner (other than 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	0.00	133.95	0	100.50	$0.00	False	133.95	$133.95	$0.00
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Urgent after-hours attendances – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92211	Between 11.00 pm – 7.00 am	Telehealth attendance by a medical practitioner (other than 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		133.95	0	0	$0.00	False	133.95	$133.95	$0.00
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Health assessments – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
228	Aboriginal and Torres Strait Islander peoples’ health assessment	Professional attendance by a medical 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—this item or items 715, 93470 or 93479 not more than once in a 9 month period.	Aboriginal and Torres Strait Islander peoples’ health assessment	0.00	186.00	0	0	$0.00	False	186.00	$186.00	$0.00
177	Heart health assessment >20 minutes	Professional attendance on a patient who is 30 years of age or overfor a heart health assessment by amedical practitioner at consulting rooms(other than a specialist or consultant physician) lasting 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	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
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Health assessments – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92011	Aboriginal and Torres Strait Islander peoples’ health assessment	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment - 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		186.00	0	0	$0.00	False	186.00	$186.00	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
81300	Aboriginal and Torres Strait Islander health service	ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061,93546 to 93558 and 93579 to 93593inclusive apply) in a calendar year	Aboriginal and Torres Strait Islander health service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81305	Diabetes education service	DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if: (a)either: a medical practitioner has identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible diabetes educator 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Diabetes education service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81310	Audiology service	AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible audiologist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medicalpractitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Audiology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81315	Exercise physiology service	EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible exercise physiologist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Exercise physiology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81320	Dietetics service	DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible dietitian 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Dietetics service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81325	Mental health service	MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible mental health worker 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Mental health service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81330	Occupational therapy service	OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible occupational therapist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Occupational therapy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81335	Physiotherapy service	PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible physiotherapist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593inclusive apply) in a calendar year	Physiotherapy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81340	Podiatry service	PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible podiatrist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Podiatry service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81345	Chiropractic service	CHIROPRACTIC HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible chiropractor 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medicalpractitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Chiropractic service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81350	Osteopathy service	OSTEOPATHY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible osteopath 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Osteopathy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81355	Psychology service	PSYCHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible psychologist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Psychology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
81360	Speech pathology service	SPEECH PATHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible speech pathologist 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 the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year	Speech pathology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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; and (b) 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 (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) 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 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Allied Health Determination applies) in a calendar year	All follow-up items	0.00		0	58.00	51.15	$0.00	False	58.00	$58.00	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Telephone

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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; and (b) 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 (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) 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 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Allied Health Determination applies) in a calendar year	All follow-up items	0.00		0	58.00	0	$0.00	False	58.00	$58.00	$0.00
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COVID-19 vaccine suitability assessment service (must be bulk billed)

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93646	Any dose, MMM 1 (business hours)	Professional attendance by a medical practitioner (other than 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	29.20	0	$0.00	False	29.20	$29.20	$0.00
93647	Any dose, MMM 2–7 (business hours)	Professional attendance by a medical practitioner (other than 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	36.05	0	$0.00	False	36.05	$36.05	$0.00
93655	Any dose, MMM 1 (after-hours)	Professional attendance by a medical practitioner (other than 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	39.70	0	$0.00	False	39.70	$39.70	$0.00
93656	Any dose, MMM 2–7 (after-hours)	Professional attendance by a medical practitioner (other than 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; (d) the service is rendered in an after-hours period	Any dose, MMM 2–7 (after-hours)	0.00	0	46.40	0	$0.00	False	46.40	$46.40	$0.00
93660	Attendance by a relevant health professional on behalf of a medical practitioner (MMM 1)	Attendance by a relevant health professional on behalf of a medical practitioner for the purpose of assessing a patient’s suitability for a dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b)the service is bulk-billed; (c) the service is not provided at a practice location; and (d) the service is provided from a practice location in a Modified Monash 1 area	Attendance by a relevant health professional on behalf of a medical practitioner (MMM 1)	0.00	0	22.10	0	$0.00	False	22.10	$22.10	$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	25.25	0	$0.00	False	25.25	$25.25	$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	122.40	0	$0.00	False	122.40	$122.40	$0.00
10661	Vaccine counselling >10 minutes	Professional attendance by a medical practitioner (other than a general practitioner), if all of the following apply: (a) the service is associated with a service to which item 93646, 93647, 93655 or 93656 applies; (b) the service requires personal attendance by the medical practitioner (other than a 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	32.95	0	$0.00	False	32.95	$32.95	$0.00
Drag and drop items here

Chronic disease management – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
229	Preparation of an OMP management plan	Attendance by a medical 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 and items 235 to 240 apply)	Preparation of an OMP management plan	0.00	126.40	0	94.80	$0.00	False	126.40	$126.40	$0.00
230	Coordination of a Team Care Arrangement (TCA)	Attendance by a medical 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 and items 235 to 240 apply)	Coordination of a Team Care Arrangement (TCA)	0.00	100.15	0	75.15	$0.00	False	100.15	$100.15	$0.00
233	Review of an OMP management plan or TCA	Attendance by a medical practitioner to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 or item 229 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723 or item 230 applies	Review of an OMP management plan or TCA	0.00	63.10	0	47.35	$0.00	False	63.10	$63.10	$0.00
231	Contribution to review of multidisciplinary care plan prepared by another provider	Contribution by a medical 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 and items 235 to 240 apply)	Contribution to review of multidisciplinary care plan prepared by another provider	0.00	61.70	0	46.30	$0.00	False	61.70	$61.70	$0.00
232	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	Contribution by a medical 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 and items 235 to 240 apply)	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ... Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	0.00	61.70	0	46.30	$0.00	False	61.70	$61.70	$0.00
Drag and drop items here

Chronic disease management – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92055	Preparation of an OMP management plan	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 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 the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).	Preparation of an OMP management plan	0.00	126.40	0	0	$0.00	False	126.40	$126.40	$0.00
92056	Coordination of a TCA	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 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 the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).	Coordination of a TCA	0.00	100.15	0	0	$0.00	False	100.15	$100.15	$0.00
92059	Review of an OMP management plan or TCA	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 230, 723, 92025, 92056, 92069 or 92100 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 an OMP management plan or TCA	0.00	63.10	0	0	$0.00	False	63.10	$63.10	$0.00
92057	Contribution to review of multidisciplinary care plan prepared by another provider	Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 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	0.00	61.70	0	0	$0.00	False	61.70	$61.70	$0.00
92058	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 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 the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ... Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	0.00	61.70	0	0	$0.00	False	61.70	$61.70	$0.00
Drag and drop items here

Individual allied health items for people with a chronic condition and complex care needs – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10950	Aboriginal and Torres Strait Islander health service	ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE Aboriginal or Torres Strait Islander health service provided to a person by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 Aboriginal health worker or eligible Aboriginal and Torres Strait Islander 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Aboriginal and Torres Strait Islander health service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10951	Diabetes education service	DIABETES EDUCATION SERVICE Diabetes education health service provided to a person by an eligible diabetes educator if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 diabetes educator 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible diabetes educator 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Diabetes education service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10952	Audiology service	AUDIOLOGY Audiology health service provided to a person by an eligible audiologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared can 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 audiologist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible audiologist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Audiology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10953	Exercise physiology service	EXERCISE PHYSIOLOGY Exercise physiology service provided to a person by an eligible exercise physiologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or underboth 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, multidisciplinary care plan or shared 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 exercise physiologist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible exercise physiologist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Exercise physiology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10954	Dietetics service	DIETETICS SERVICES Dietetics health service provided to a person by an eligible dietician if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 dietician 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible dietician 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Dietetics service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10956	Mental health service	MENTAL HEALTH SERVICE Mental health service provided to a person by an eligible mental health worker if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 mental health worker 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible mental health worker 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Mental health service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10958	Occupational therapy service	OCCUPATIONAL THERAPY Occupational therapy health service provided to a person by an eligible occupational therapist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 occupational therapist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible occupational therapist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Occupational therapy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10960	Physiotherapy service	PHYSIOTHERAPY Physiotherapy health service provided to a person by an eligible physiotherapist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared care planas part of the management of the person's chronic condition andcomplex care needs; and (c)the person is referred to the eligible physiotherapist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible physiotherapist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Physiotherapy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10962	Podiatry service	PODIATRY Podiatry health service provided to a person by an eligible podiatrist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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,multidisciplinary care plan or shared 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 podiatrist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible podiatrist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Podiatry service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10964	Chiropractic service	CHIROPRACTIC SERVICE Chiropractic health service provided to a person by an eligible chiropractor if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or underboth 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, multidisciplinary care plan or shared 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 chiropractor 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible chiropractor 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Chiropractic service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10966	Osteopathy service	OSTEOPATHY Osteopathy health service provided to a person by an eligible osteopath if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 osteopath by the medical practitioner using a referral form that has been issued by the Departmentor a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible osteopath 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Osteopathy service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10968	Psychology service	PSYCHOLOGY Psychology health service provided to a person by an eligible psychologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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,multidisciplinary care plan or shared 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 psychologist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible psychologist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Psychology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
10970	Speech pathology service	SPEECH PATHOLOGY Speech pathology health service provided to a person by an eligible speech pathologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or 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, multidisciplinary care plan or shared 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 speech pathologist 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 person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible speech pathologist 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 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; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year	Speech pathology service	0.00	0	58.00	0	$0.00	False	58.00	$58.00	$0.00
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Allied health chronic disease management – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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 Part 1 of the Schedule to the Allied Health Determination applies) in a calendar year	All allied health chronic disease management services	0.00		0	58.00	0	$0.00	False	58.00	$58.00	$0.00
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Allied health chronic disease management – Telephone

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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 Part 1 of the Schedule to the Allied Health Determination applies) in a calendar year	All allied health chronic disease management services	0.00		0	58.00	0	$0.00	False	58.00	$58.00	$0.00
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Multidisciplinary case conferences

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
235	Organise and coordinate, 15–20 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply).	Organise and coordinate, 15–20 minutes	0.00	61.95	0	46.50	$0.00	False	61.95	$61.95	$0.00
238	Participate, 15–20 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply).	Participate, 15–20 minutes	0.00	45.50	0	34.15	$0.00	False	45.50	$45.50	$0.00
236	Organise and coordinate, 20–40 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply).	Organise and coordinate, 20–40 minutes	0.00	105.95	0	79.50	$0.00	False	105.95	$105.95	$0.00
239	Participate, 20–40 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply).	Participate, 20–40 minutes	0.00	78.00	0	58.50	$0.00	False	78.00	$78.00	$0.00
237	Organise and coordinate, at least 40 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply)	Organise and coordinate, at least 40 minutes	0.00	176.65	0	132.50	$0.00	False	176.65	$176.65	$0.00
240	Participate, at least 40 minutes	Attendance by a medical 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, items 229 to 233 or items 93469 or 93475 apply)	Participate, at least 40 minutes	0.00	129.85	0	97.40	$0.00	False	129.85	$129.85	$0.00
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Allied health case conferencing -– Chronic disease management

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	45.50	0	$0.00	False	45.50	$45.50	$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	78.00	0	$0.00	False	78.00	$78.00	$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	129.80	0	$0.00	False	129.80	$129.80	$0.00
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Allied health case conferencing -– Autism, pervasive development disorder and disability

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	45.50	0	$0.00	False	45.50	$45.50	$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	78.00	0	$0.00	False	78.00	$78.00	$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	129.80	0	$0.00	False	129.80	$129.80	$0.00
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Medication management review

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
245	Domiciliary medication management review	Participation by a medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical 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 patient For any particular patient—this item or item 900 is applicable not more than once in each 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	0.00		135.70	0	0	$0.00	False	135.70	$135.70	$0.00
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Mental health care – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
272	Preparation of a mental health plan 20–40 minutes (without mental health skills training)	Professional attendance by a medical 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 a mental health plan 20–40 minutes (without mental health skills training)	0.00	62.85	0	47.15	$0.00	False	62.85	$62.85	$0.00
276	Preparation of a mental health plan >40 minutes (without mental health skills training)	Professional attendance by a medical 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 a mental health plan >40 minutes (without mental health skills training)	0.00	92.50	0	69.40	$0.00	False	92.50	$92.50	$0.00
281	Preparation of a mental health plan 20–40 minutes (with mental health skills training)	Professional attendance by a medical 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 a mental health plan 20–40 minutes (with mental health skills training)	0.00	79.75	0	59.85	$0.00	False	79.75	$79.75	$0.00
282	Preparation of a mental health plan >40 minutes (with mental health skills training)	Professional attendance by a medical 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 a mental health plan >40 minutes (with mental health skills training)	0.00	117.50	0	88.15	$0.00	False	117.50	$117.50	$0.00
277	Review of mental health plan	Professional attendance by a medical practitioner to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan	Review of mental health plan	0.00	62.85	0	47.15	$0.00	False	62.85	$62.85	$0.00
279	Attendance related to mental disorder >20 minutes	Professional attendance by a medical 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	62.85	0	47.15	$0.00	False	62.85	$62.85	$0.00
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Mental health care – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92118	Preparation of a mental health plan 20–40 minutes (without mental health skills training)	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 a mental health plan 20–40 minutes (without mental health skills training)	0.00	62.85	0	0	$0.00	False	62.85	$62.85	$0.00
92119	Preparation of a mental health plan >40 minutes (without mental health skills training)	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 a mental health plan >40 minutes (without mental health skills training)	0.00	92.50	0	0	$0.00	False	92.50	$92.50	$0.00
92122	Preparation of a mental health plan 20–40 minutes (with mental health skills training)	Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician),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 a mental health plan 20–40 minutes (with mental health skills training)	0.00	79.75	0	0	$0.00	False	79.75	$79.75	$0.00
92123	Preparation of a mental health plan >40 minutes (with mental health skills training)	Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician),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 a mental health plan >40 minutes (with mental health skills training)	0.00	117.50	0	0	$0.00	False	117.50	$117.50	$0.00
92120	Review of mental health plan	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.	Review of mental health plan	0.00	62.85	0	0	$0.00	False	62.85	$62.85	$0.00
92121	Attendance related to mental disorder >20 minutes	Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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	62.85	0	0	$0.00	False	62.85	$62.85	$0.00
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Mental health care – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92132	Review of mental health plan	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.	Review of mental health plan	0.00	62.85	0	0	$0.00	False	62.85	$62.85	$0.00
92133	Attendance related to mental disorder >20 minutes	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),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	62.85	0	0	$0.00	False	62.85	$62.85	$0.00
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Blood borne viruses, sexual or reproductive health services – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92716	<5 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	<5 minutes	0.00	11.00	0	0	$0.00	False	11.00	$11.00	$0.00
92719	5–20 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	5–20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
92722	20–40 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	20–40 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
92725	>40 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	>40 minutes	0.00	61.00	0	0	$0.00	False	61.00	$61.00	$0.00
Drag and drop items here

Blood borne viruses, sexual or reproductive health services (outside of metro areas) – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92717	<5 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	<5 minutes	0.00	15.10	0	0	$0.00	False	15.10	$15.10	$0.00
92720	5–20 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	5–20 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
92723	20–40 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	20–40 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
92726	>40 minutes	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	>40 minutes	0.00	93.90	0	0	$0.00	False	93.90	$93.90	$0.00
Drag and drop items here

Blood borne viruses, sexual or reproductive health services – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92732	<5 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	<5 minutes	0.00	11.00	0	0	$0.00	False	11.00	$11.00	$0.00
92735	5–20 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	5–20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
92738	20–40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	20–40 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
92741	>40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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.	>40 minutes	0.00	61.00	0	0	$0.00	False	61.00	$61.00	$0.00
Drag and drop items here

Blood borne viruses, sexual or reproductive health services (outside of metro areas) – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92733	<5 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	<5 minutes	0.00	15.10	0	0	$0.00	False	15.10	$15.10	$0.00
92736	5–20 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	5–20 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
92739	20–40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	20–40 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
92742	>40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, 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.	>40 minutes	0.00	93.90	0	0	$0.00	False	93.90	$93.90	$0.00
Drag and drop items here

Smoking cessation services – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93681	<20 minutes	Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation	<20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
93684	>20 minutes	Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation	>20 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
Drag and drop items here

Smoking cessation services (outside of metro areas) – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93682	<20 minutes	Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms, in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation	<20 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
93685	>20 minutes	Professional attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) at consulting rooms, in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	>20 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
Drag and drop items here

Smoking cessation services – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93691	<20 minutes	Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	<20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
93694	>20 minutes	Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	>20 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
Drag and drop items here

Smoking cessation services (outside of metro areas) – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93692	<20 minutes	Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	<20 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
93695	>20 minutes	Telehealth attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	>20 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
Drag and drop items here

Smoking cessation services – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93701	<20 minutes	Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	<20 minutes	0.00	21.00	0	0	$0.00	False	21.00	$21.00	$0.00
93704	>20 minutes	Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	>20 minutes	0.00	38.00	0	0	$0.00	False	38.00	$38.00	$0.00
Drag and drop items here

Smoking cessation services (outside of metro areas) – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93702	<20 minutes	Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting less than 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	<20 minutes	0.00	32.95	0	0	$0.00	False	32.95	$32.95	$0.00
93705	>20 minutes	Phone attendance for nicotine and smoking cessation counselling, care and advice by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 20 minutes and must include any of the following: (a) taking a patient history, aimed at identifying disease risk factors attributable to nicotine use and smoking dependence, and/or identifying barriers and enablers to cessation; and (b) completing an assessment of the patient’s nicotine dependence, including where clinically appropriate a basic physical examination; and (c) initiating interventions and referrals for the cessation of nicotine, if required; and (d) implementing a management plan for appropriate treatment; and (e) providing the patient with nicotine and smoking cessation advice and information, including modifiable lifestyle factors; with appropriate documentation.	>20 minutes	0.00	63.75	0	0	$0.00	False	63.75	$63.75	$0.00
Drag and drop items here

Pregnancy care – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
16400	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	ANTENATAL CARE Antenatal service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitionerif: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; (b) the service is provided at, or from, a practice location in a regional, rural or remote area; (c) the service is not performed in conjunction with another antenatal attendance item (same patient, same practitioner on the same day); (d) the service is not provided for an admitted patient of a hospital; and to a maximum of 10 service per pregnancy	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	0	0	25.40	0	$0.00	False	25.40	$25.40	$0.00
16500	Antenatal attendance	ANTENATAL ATTENDANCE	Antenatal attendance	0.00	0	43.95	38.75	$0.00	False	43.95	$43.95	$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 hospitaleach attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day	Attendance (hospital) – complicated pregnancy treated with oral medication or bed rest	0.00	0	43.95	38.75	$0.00	False	43.95	$43.95	$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	32.05	28.25	$0.00	False	32.05	$32.05	$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 performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)	Pregnancy ultrasound (dating is 17 to 22 weeks)	0.00	0	34.80	30.70	$0.00	False	34.80	$34.80	$0.00
Drag and drop items here

Miscellaneous tests and procedures

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	19.20	16.95	$0.00	False	19.20	$19.20	$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	17.15	0	$0.00	False	17.15	$17.15	$0.00
13757	Therapeutic venesection	THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda	Therapeutic venesection	0.00	0	67.95	59.95	$0.00	False	67.95	$67.95	$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	47.60	42.00	$0.00	False	47.60	$47.60	$0.00
14206	Hormone implant by cannula (including Implanon)	HORMONE OR LIVING TISSUE IMPLANTATIONby cannula	Hormone implant by cannula (including Implanon)	0.00	0	33.15	29.25	$0.00	False	33.15	$33.15	$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	21.90	19.35	$0.00	False	21.90	$21.90	$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	102.30	90.30	$0.00	False	102.30	$102.30	$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	74.65	65.85	$0.00	False	74.65	$74.65	$0.00
35506	Intrauterine contraceptive device – removal	Intra-uterine device, removal of under general anaesthesia, for a retained or embedded device, not being a service associated with a service to which another item in this Group applies (other than a service described in item 35503) (Anaes.)	Intrauterine contraceptive device – removal	0	0	50.00	44.10	$0.00	False	50.00	$50.00	$0.00
73805	Microscopy of urine	Microscopy of urine, excluding dipstick testing.	Microscopy of urine	0	0	3.90	3.45	$0.00	False	3.90	$3.90	$0.00
73806	Pregnancy test	Pregnancy test by 1 or more immunochemical methods	Pregnancy test	0	0	8.65	7.65	$0.00	False	8.65	$8.65	$0.00
73812	Quantitation of glycated haemoglobin (HbA1c)	Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient	Quantitation of glycated haemoglobin (HbA1c)	0.00	0	10.05	8.85	$0.00	False	10.05	$10.05	$0.00
73826	Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item	Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; and (b) by a nurse practitioner who works in a general practice that is accredited against the point of care testing accreditation module under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%). Applicable not more than 3 times per 12 months per patient.	Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item	0.00	0	10.05	8.85	$0.00	False	10.05	$10.05	$0.00
73839	Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)	Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)	Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical ... Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)	0.00	0	14.30	12.60	$0.00	False	14.30	$14.30	$0.00
73840	Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)	Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)	Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)	0.00	0	14.45	12.75	$0.00	False	14.45	$14.45	$0.00
73844	Quantitation of urinary microalbumin (QAAMS)	Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.	Quantitation of urinary microalbumin (QAAMS)	0.00	0	17.30	15.30	$0.00	False	17.30	$17.30	$0.00
12325	Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)	Assessment of visual acuity and bilateral retinal photography with a non mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a)the patient is of Aboriginal and Torres Strait Islander descent; and (b)the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (c)this item and item 12326 have not applied to the patient in the preceding 12 months; and (d)the patient does not have: (i)an existing diagnosis of diabetic retinopathy; or (ii)visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation	Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (f... Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)	0.00	0	46.55	41.10	$0.00	False	46.55	$46.55	$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	95.90	84.60	$0.00	False	95.90	$95.90	$0.00
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Pregnancy care – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	25.40	0	$0.00	False	25.40	$25.40	$0.00
91853	Antenatal attendance	Antenatal telehealth attendance.	Antenatal attendance	0.00	0	43.95	0	$0.00	False	43.95	$43.95	$0.00
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Pregnancy care – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	25.40	0	$0.00	False	25.40	$25.40	$0.00
91858	Antenatal attendance	Antenatal phone attendance.	Antenatal attendance	0.00	0	43.95	0	$0.00	False	43.95	$43.95	$0.00
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Services provided on behalf of a medical practitioner – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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 ... Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	0.00	26.25	0	0	$0.00	False	26.25	$26.25	$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	13.15	0	0	$0.00	False	13.15	$13.15	$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	13.15	0	0	$0.00	False	13.15	$13.15	$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	13.15	0	0	$0.00	False	13.15	$13.15	$0.00
13105	Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner in an MMM 7 area	Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area	Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered ... Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner in an MMM 7 area	0.00	648.35	0	0	$0.00	False	648.35	$648.35	$0.00
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Nurse practitioner services – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	8.95	0	$0.00	False	8.95	$8.95	$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	19.55	0	$0.00	False	19.55	$19.55	$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	37.00	0	$0.00	False	37.00	$37.00	$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	54.60	0	$0.00	False	54.60	$54.60	$0.00
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Services provided on behalf of a medical practitioner – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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 ... Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	0.00	0	26.25	0	$0.00	False	26.25	$26.25	$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	13.20	0	$0.00	False	13.20	$13.20	$0.00
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Nurse practitioner services – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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	8.95	0	$0.00	False	8.95	$8.95	$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	19.55	0	$0.00	False	19.55	$19.55	$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	37.00	0	$0.00	False	37.00	$37.00	$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	54.60	0	$0.00	False	54.60	$54.60	$0.00
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Services provided on behalf of a medical practitioner – Telephone

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out 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 ... Health services provided by a practice nurse or registered Aboriginal