Division Division 2.23 - Health Insurance (General Medical Services Table) Regulations 2021 - Group A21: Professional attendances at recognised emergency departments of private hospitals | Zoe
The Dictionary in Part 7 defines certain words and expressions that are used in this Schedule, and includes references to certain words and expressions that are defined elsewhere in this Schedule.
1.1.2 Meaning of eligible non‑vocationally recognised medical practitioner
(1) In this Schedule:
eligible non‑vocationally recognised medical practitioner means:
(a) a medical practitioner:
(i) who is registered under the MedicarePlus for Other Medical Practitioners Program; and
(ii) who successfully completed the requirements of that Program, as evidenced by written advice from the Chief Executive Medicare; or
Note: The MedicarePlus for Other Medical Practitioners Program will cease on 31 December 2023.
(b) a medical practitioner who:
(i) as at 30 June 2023, was registered under:
(A) the After Hours Other Medical Practitioners Program; or
(B) the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program; or
(C) the Rural Other Medical Practitioners’ Program; and
(ii) is registered under, and providing general medical services in accordance with, the Other Medical Practitioners Extension Program; or
(c) a medical practitioner:
(i) who is registered as a medical practitioner under the MedicarePlus for Other Medical Practitioners Program; and
(ii) providing general medical services in accordance with that Program.
Note: The MedicarePlus for Other Medical Practitioners Program will cease on 31 December 2023.
(2) In subclause (1):
After Hours Other Medical Practitioners Program means the program by that name that, before 1 July 2023, was administered by the Chief Executive Medicare.
MedicarePlus for Other Medical Practitioners Program means the program by that name administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
Other Medical Practitioners Extension Program means the program by that name administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program means the program by that name that, before 1 July 2023, was administered by the Chief Executive Medicare.
Rural Other Medical Practitioners’ Program means the program by that name that, before 1 July 2023, was administered by the Chief Executive Medicare.
Note 1: The After Hours Other Medical Practitioners Program, the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program and the Rural Other Medical Practitioners’ Program ceased on 30 June 2023.
Note 2: The MedicarePlus for Other Medical Practitioners Program will cease on 31 December 2023.
1.1.3 General practitioners
For the purposes of paragraph (b) of the definition of general practitioner in subsection 3(1) of the Act, the following medical practitioners are specified:
(a) a medical practitioner who is undertaking a placement in general practice that is approved by the Royal Australian College of General Practitioners (the RACGP):
(i) as part of a training program for general practice leading to the award of Fellowship of the RACGP; or
(ii) as part of another training program recognised by the RACGP as being of an equivalent standard;
(b) an eligible non‑vocationally recognised medical practitioner;
(c) a medical practitioner who is undertaking a placement in general practice as part of the Remote Vocational Training Scheme administered by Remote Vocational Training Scheme Limited;
(d) a medical practitioner who is undertaking a placement in general practice that is approved by the Australian College of Rural and Remote Medicine (the ACRRM):
(i) as part of a training program for general practice leading to the award of Fellowship of the ACRRM; or
(ii) as part of another training program recognised by the ACRRM as being of an equivalent standard.
Note: For other medical practitioners who are general practitioners, see the definition of general practitioner in subsection 3(1) of the Act and section 16 of the Health Insurance Regulations 2018.
1.1.4 Meaning of multidisciplinary case conference
In this Schedule:
multidisciplinary case conference means a process by which a multidisciplinary case conference team carries out all of the following activities:
(a) discussing a patient’s history;
(b) identifying the patient’s multidisciplinary care needs;
(c) identifying outcomes to be achieved by members of the multidisciplinary case conference team giving care and service to the patient;
(d) identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the multidisciplinary case conference team;
(e) assessing whether previously identified outcomes (if any) have been achieved.
1.1.5 Meaning of multidisciplinary case conference team
(1) In this Schedule, a multidisciplinary case conference team for a patient:
(a) includes a medical practitioner; and
(b) either:
(i) for items 235, 236, 237, 238, 239, 240, 735, 739, 743, 747, 750, 758, 825 to 828, 930, 933, 935, 937, 943, 945, 946, 948, 959, 961, 962, 964, 969, 971, 972, 973, 975, 986, 6029 to 6042 and 6064 to 6075—includes at least 2 other members; or
(ii) for an item mentioned in subclause (3)—includes at least 3 other members; and
(c) may also include a family member of the patient.
(2) For the members mentioned in paragraph (1)(b):
(a) each member must provide a different kind of care or service to the patient; and
(b) each member must not be an unpaid carer of the patient; and
(c) one member may be another medical practitioner.
Note: Example: Other members may be allied health and other primary health care professionals, home and community service providers and care organisers, including the following:
(a) Aboriginal and Torres Strait Islander health practitioners;
(b) asthma educators;
(c) audiologists;
(d) dental therapists;
(e) dentists;
(f) diabetes educators;
(g) dietitians;
(h) mental health workers;
(i) occupational therapists;
(j) optometrists;
(k) orthoptists;
(l) orthotists or prosthetists;
(m) pharmacists;
(n) physiotherapists;
(o) podiatrists;
(p) psychologists;
(q) registered nurses;
(r) social workers;
(s) speech pathologists;
(t) education providers;
(u) “meals on wheels” providers;
(v) personal care workers;
(w) probation officers.
(3) For the purposes of subparagraph (1)(b)(ii), the items are items 820, 822, 823, 830, 832, 834, 2946, 2949, 2954, 2978, 2984, 2988, 3032, 3040, 3044, 3069 and 3074.
1.1.6 Meaning of single course of treatment
(1) Use this clause for items 104 to 133, 385 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 6018, 6019, 6024, 6051, 6052, 6058, 6062, 6063, 16401, 16404, 16406, 51700, 51703, 91825, 92422, 92423, 92440 and 92443.
(2) A single course of treatment for a patient:
(a) includes:
(i) the initial attendance on the patient by a specialist or consultant physician; and
(ii) the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(iii) any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or by the specialist or consultant physician; but
(b) does not include:
(i) referral of the patient to the specialist or consultant physician; or
(ii) an attendance (the later attendance) on the patient by the specialist or consultant physician, after the end of the period of validity of the last referral to have application under section 102 of the Health Insurance Regulations 2018 if:
(A) the referring practitioner considers the later attendance necessary for the patient’s condition to be reviewed; and
(B) the patient was most recently attended by the specialist or consultant physician more than 9 months before the later attendance.
Note: Division 4 of Part 11 of the Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in this Schedule specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.
1.1.7 Meaning of symbol (H)
An item in this Schedule including the symbol (H) applies only to a service performed or provided in a hospital.
1.1.8 References in this Schedule to items include items determined under section 3C of the Act
A reference in this Schedule to an item includes a reference to an item relating to a health service that, under a determination in force under subsection 3C(1) of the Act, is treated as if there were an item in the table that relates to the service.
Division 1.2—General application provisions
1.2.1 Application
An item in this Schedule does not apply to a service provided in contravention of a law of the Commonwealth, a State or Territory.
1.2.2 Restrictions on certain items—attendances by specialists and consultant physicians without referrals
(1) Use this clause for items 104 to 111, 115 to 137, 141 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 6018 to 6028, 6051 to 6063, 16401, 16404, 16407, 16408, 16508, 16509, 16533, 16534, 17640 to 17655, 90260, 90261, 90266, 90267, 91825, 92172, 92173, 92423, 92436, 92440, 92441, 92442, 92443, 92444, 92445, 92446, 92447, 92448, 92612, 92613, 92614 and 92624.
(2) The item does not apply to an attendance on a patient by a specialist or consultant physician if:
(a) the attendance forms part of a single course of treatment for the patient; and
(b) the attendance is after the end of the period of validity (under section 102 of the Health Insurance Regulations 2018) of the referral that was valid for the initial attendance on the patient by the specialist or consultant physician in the single course of treatment; and
(c) the attendance is not within the period of validity (under section 102 of the Health Insurance Regulations 2018) of a later referral.
Note: Division 4 of Part 11 of the Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in this Schedule specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.
1.2.3 Restrictions on certain items—attendances by specialist radiologists in conjunction with certain diagnostic imaging services
(1) Use this clause for items 52, 53, 54, 57, 104, 105 and 151.
(2) The item does not apply to an attendance on a patient by a specialist in the specialty of diagnostic radiology if the attendance is in association with a service to which any of the following items of the diagnostic imaging services table applies:
(a) an item in Subgroup 6 of Group I1;
(b) an item in any of Subgroups 1 to 7 of Group I3;
(c) items 58900 and 58903 in Subgroup 8 of Group I3;
(d) item 59103 in Subgroup 9 of Group I3.
(3) The item also does not apply to an attendance on a patient if the attendance is in association with a service to which an item in Group I5 of the diagnostic imaging services table applies, unless the practitioner providing the service considers the attendance is necessary for the management or treatment of the patient.
1.2.4 Restrictions on certain items—attendances by specialists and consultant physicians on same day as they perform certain surgical operations
(1) Use this clause for items 105, 116, 119, 386, 2806, 2814, 3010, 3014, 6009 to 6015, 6019, 6052, 16404, 91823, 91825, 91826, 91833, 91836, 92611, 92612, 92613, 92614, 92618, 92440, 92445, 92446 and 92447.
Note: Some of these items are specified in determinations made under subsection 3C(1) of the Act.
(2) The item does not apply to a service if:
(a) the service is an attendance on a patient by a specialist or a consultant physician on the same day as the day on which an operation is performed on the patient by the specialist or consultant physician; and
(b) the operation is a service to which an item in Group T8 applies; and
(c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $349.95 or more.
1.2.5 Professional attendance services—matters included
(1) Use this clause for items 3 to 338, 348 to 388, 392, 393, 410 to 417, 585 to 600, 701 to 707, 715, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 900, 903, 965, 967, 969, 971, 972, 973, 975, 986, 2497 to 2840, 3005 to 3028, 5000 to 5267, 6007 to 6015, 6018 to 6024, 6051 to 6063, 13899, 16401, 16404, 16406, 16407, 16508, 16509, 16533, 16534, 17610 to 17690, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215, 90250 to 90278, 92004 and 92011.
(2) A professional attendance includes the provision, for a patient, of any of the following services:
(a) evaluating the patient’s condition or conditions including, if applicable, evaluation using a health screening service mentioned in subsection 19(5) of the Act;
(b) formulating a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c) giving advice to the patient about the patient’s condition or conditions and, if applicable, about treatment;
(d) if authorised by the patient—giving advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(e) providing appropriate preventive health care;
(f) recording the clinical details of the service or services provided to the patient.
(3) However, a professional attendance does not include the supply of a vaccine to a patient if:
(a) the vaccine is supplied to the patient in connection with a professional attendance mentioned in any of items 3 to 65, 123, 124, 151, 165, 179, 181, 185, 187, 189, 191, 203, 206, 301, 303, 5000 to 5267 and 90020 to 90098; and
(b) the cost of the vaccine is not subsidised by the Commonwealth or a State.
1.2.6 Personal attendance by medical practitioners generally—application and matters included
(1) Use this clause for items 3 to 147, 151, 165, 177, 179, 181, 185, 187, 189, 191, 193 to 338, 348 to 388, 410 to 417, 585 to 600, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 2497 to 2840, 3005 to 3028, 35570, 35571, 35573, 35577, 35581, 35582, 35585, 4001 to 6015, 6018 to 6024, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11705, 11724, 11731, 12000 to 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14216, 14219, 14224, 14255 to 14288, 15942, 15944, 15946, 15948, 16003 to 16512, 16515 to 51318, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215 and 90250 to 90278.
(2) The item applies to a service provided in the course of a personal attendance by a single medical practitioner on a single patient on a single occasion.
(3) A personal attendance by the medical practitioner on the patient includes any of the following:
(a) the planning, management and supervision of the patient on home dialysis to which item 13104 applies;
(b) participating in a video conferencing consultation referred to in item 294.
1.2.7 Personal attendance by medical practitioners—application and matters included
(1) Use this clause for items 3 to 230, 233, 245 to 723, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 900, 903, 965, 967, 2700 to 6015, 6018 to 6024, 6028, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11705, 11724, 11728, 11731, 11820, 11823, 12000, 12003, 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14216, 14219, 14224, 14255 to 14288, 15942, 15944, 15946, 15948, 16003 to 16512, 16515 to 51318, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215 and 90250 to 90278.
(2) The item applies to a service provided during a personal attendance by:
(a) a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or
(b) a medical practitioner who:
(i) is employed by the proprietor of a hospital that is not a private hospital; and
(ii) provides the service otherwise than in the course of employment by that proprietor.
(3) Subclause (2) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.
(4) A personal attendance by the medical practitioner on the patient includes any of the following:
(a) the planning, management and supervision of the patient on home dialysis to which item 13104 applies;
(b) participating in a video conferencing consultation referred to in item 294.
1.2.8 Restriction on items—services provided with non‑medicare services
Items 3 to 10816, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215 and 90250 to 90278 do not apply to a service described in the item if the service is provided at the same time as, or in connection with, a non‑medicare service.
1.2.9 Restrictions on items—services rendered in certain circumstances or for certain purposes
An item in this Schedule does not apply to a service described in the item if the service is rendered in any of the following circumstances:
(a) the service is rendered in relation to the provision of chelation therapy, in the form of the intravenous administration of ethylenediamine tetra‑acetic acid or any of its salts, otherwise than for the treatment of heavy‑metal poisoning;
(b) the service is rendered in association with the injection of human chorionic gonadotrophin in the management of obesity;
(c) the service is rendered in relation to the use of hyperbaric oxygen therapy in the treatment of multiple sclerosis;
(d) the service is rendered for the purpose of, or in relation to, the removal of tattoos;
(e) the service is rendered for the purposes of, or in relation to, the removal from a cadaver of kidneys for transplantation;
(f) the service is rendered to a patient of a hospital for the purposes of, or in relation to:
(i) the transplantation of a thoracic or abdominal organ, other than a kidney, or of part of an organ of that kind; or
(ii) the transplantation of a kidney in conjunction with the transplantation of a thoracic or other abdominal organ, or of a part of an organ of that kind;
(g) the service is rendered for the purpose of administering microwave (UHF radiowave) cancer therapy, including the intravenous injection of drugs used immediately before or during the therapy;
(h) the service is rendered to a patient at the same time as, or in connection with, an injection of blood or a blood product that is autologous.
Note: Paragraph (h) does not apply to a service to which item 22002 applies.
1.2.10 Restriction on items—services provided with harvesting, storage, in vitro processing or injection of non‑haematopoietic stem cells
An item in this Schedule does not apply to a service described in the item if the service is provided to a patient at the same time as, or in connection with, the harvesting, storage, in vitro processing or injection of non‑haematopoietic stem cells.
1.2.11 Services that may be provided by persons other than medical practitioners
(1) Use this clause for items 10983 to 10989, 10997, 11000, 11003, 11004, 11005, 11009, 11024, 11027, 11200, 11203, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11224, 11235, 11237, 11240, 11241, 11242, 11243, 11244, 11300, 11302, 11303, 11306, 11309, 11312, 11315, 11318, 11324, 11332, 11340, 11341, 11342, 11343, 11345, 11503, 11505, 11506, 11507, 11508, 11512, 11602, 11604, 11605, 11607, 11610, 11611, 11612, 11614, 11615, 11704, 11707, 11713, 11714, 11716, 11717, 11721, 11723, 11725, 11726, 11727, 11729, 11730, 11732, 11735, 11800, 11810, 11830, 11833, 11900, 11912, 11919, 12012, 12017, 12021, 12022, 12024, 12200, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217, 12250 to 12272, 12500 to 12527, 13015, 13020, 13025, 13200 to 13203, 13212, 13215, 13218, 13221, 13703, 13706, 13750, 13755, 13757, 13760, 14050, 14217, 14218, 14220, 14221, 15900 to 15984, 16514 and 41764.
(2) The item applies whether the medical service is given by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
1.2.12 Restriction on items—services involving video conferences between patients and medical practitioners separated by at least 15 km
If it is a condition of a service, in an item, involving a video conference between a patient and a medical practitioner that the patient and practitioner be at least 15 km by road from one another, the item does not apply if the patient or the practitioner travels to ensure that the condition is met.
Note: This clause has effect whether the condition is set out in the item or not.
1.2.13 Restriction on items—attendances on same day as electrocardiogram services are performed
(1) An item in Part 2 of this Schedule does not apply to a service (the attendance service) provided by a specialist, consultant physician or medical practitioner to a patient on a day if an electrocardiogram service to which item 11716, 11717, 11723, 11729, 11732 or 11735 applies is provided by the specialist, consultant physician or medical practitioner to the patient on the same day.
(2) Subclause (1) does not apply if:
(a) the patient has been referred to the specialist, consultant physician or medical practitioner; or
(b) the patient is being provided with ongoing care by the specialist, consultant physician or medical practitioner; or
(c) both of the following apply:
(i) another medical practitioner has requested the electrocardiogram service;
(ii) the attendance service is provided at the same time as, or after, the electrocardiogram service and is required because there is an urgent clinical need to make decisions about the patient’s care as a result of the electrocardiogram service.
1.2.14 Restriction on items—attendances on same day as echocardiogram services or myocardial perfusion study services are performed
(1) An item in Part 2 of this Schedule does not apply to a service (the attendance service) provided to a patient on a day if either of the following is provided to the patient on the same day:
(a) an echocardiogram service to which item 55126, 55127, 55128, 55129, 55132, 55133, 55134, 55137, 55141, 55143, 55145 or 55146 applies;
(b) a myocardial perfusion study service to which item 61321, 61324, 61325, 61329, 61345, 61349, 61357, 61394, 61398, 61406, 61410 or 61414 applies.
(2) Subclause (1) does not apply if:
(a) both:
(i) the attendance service is provided after another service is provided to the patient; and
(ii) clinical management decisions are made about the patient during that other service; or
(b) the decision to perform the echocardiogram service or the myocardial perfusion study service on the same day is made as a result of a clinical assessment of the patient during the attendance service.
Division 1.3—Indexation of fees
1.3.1 Indexation—1 July 2025
(1) At the start of 1 July 2025 (the indexation time), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:
Start formula 1.024 times the amount of the fee immediately before the indexation time end formula
Note: The indexed fees could in 2025 be viewed on the Department’s MBS Online website (http://www.health.gov.au).
(2) The amounts covered by this subclause are the fee for each item in a Group in this Schedule, other than the fee for the following:
(a) an item in Group A2;
(b) an item in Group A23;
(c) items 90092, 90093, 90095, 90096 and 90098 in Group A35;
(d) an item in Group T10.
(3) To avoid doubt, a fee listed in any of the following items is not indexed under subclause (1):
(a) items in a Group that list the fee as a percentage of a fee listed in another item in the Group;
(b) items in a Group that list the fee as an amount under a specified clause in this Schedule;
(c) a table item of the following tables:
(i) table 2.1.1;
(ii) table 2.1.2;
(iii) table 2.20.2;
(iv) table 2.20.2A.
(4) An amount worked out under subclause (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Part 2—Attendances
Division 2.1—Preliminary
2.1.1 Meaning of amount under clause 2.1.1
In an item of this Schedule mentioned in column 1 of table 2.1.1:
amount under clause 2.1.1 means the sum of:
(a) the fee mentioned in column 2 for the item; and
(b) either:
(i) if a practitioner attends not more than 6 patients in a single attendance—the amount mentioned in column 3 for the item, divided by the number of patients attended; or
(ii) if a practitioner attends more than 6 patients in a single attendance—the amount mentioned in column 4 for the item.
In an item of this Schedule mentioned in column 1 of table 2.1.2:
amount under clause 2.1.2 means the sum of:
(a) the fee mentioned in column 2 for the item; and
(b) either:
(i) if a practitioner attends not more than 6 patients in a single attendance—the amount mentioned in column 3 for the item, divided by the number of patients attended; or
(ii) if a practitioner attends more than 6 patients in a single attendance—the amount mentioned in column 4 for the item.
Division 2.2—Group A1: General practitioner attendances to which no other item applies
2.2.1 Items in Group A1
This clause sets out items in Group A1.
Note: The fees in Group A1 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Group A1—General practitioner attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Column 1</span></p><p class="TableHeading" style="page-break-inside:avoid"><span>Item</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Column 2</span></p><p class="TableHeading" style="page-break-inside:avoid"><span>Description</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right; page-break-inside:avoid"><span>Column 3</span></p><p class="TableHeading" style="text-align:right; page-break-inside:avoid"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>3</span></p></td><td style="width:72.22%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management</span></p></td><td style="width:13.9%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right; page-break-inside:avoid; page-break-after:avoid"><span>17.90</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>4</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies) that requires a short patient history and, if necessary, limited examination and management—an attendance on one or more patients at one place on one occasion—each patient</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_544841"></a><a id="CU_546315"></a><span>23</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>39.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>24</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_846730"></a><a id="CU_848204"></a><span>36</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>75.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1047942"></a><a id="CU_1049416"></a><span>37</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>44</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>111.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1349832"></a><a id="CU_1351306"></a><span>47</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151801486"><span>123</span></a></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health related issues, with appropriate documentation</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>191.20</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>124</span></p></td><td style="width:72.22%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient</span></p></td><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
Division 2.3—Group A2: Other non‑referred attendances to which no other item applies
2.3.1 Items in Group A2
This clause sets out items in Group A2.
<table cellspacing="0" cellpadding="0" style="width:100.08%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="_Hlk150865763"><span>Group A2—Other non</span><span>‑</span><span>referred attendances to which no other item applies</span></a></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.02%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Other medical practitioner attendances</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>52</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>11.00</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_452333"></a><a id="CU_453807"></a><span>53</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 5 minutes, but not more than 25 minutes (other than a service to which any other item applies) by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>21.00</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>54</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 25 minutes, but not more than 45 minutes (other than a service to which any other item applies) by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>38.00</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>57</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 45 minutes, but not more than 60 minutes (other than a service to which any other item applies) by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>61.00</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151801715"><span>151</span></a></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>98.40</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>58</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies), lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr style="height:52.85pt"><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_853697"></a><a id="CU_855171"></a><span>59</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>60</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>65</span></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:</span></p><p class="Tablea"><span>(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151801788"><span>165</span></a></p></td><td style="width:71.1%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:</span></p><p style="margin-top:3pt; line-height:12pt"><span style="font-size:10pt">(a) a medical practitioner who is not a general practitioner; or</span></p><p class="Tablea"><span>(b) a Group A1 disqualified general practitioner</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
Division 2.4—Group A3: Specialist attendances to which no other item applies
2.4.1 Items in Group A3
This clause sets out items in Group A3.
Note: The fees in Group A3 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A3—Specialist attendances to which no other item applies</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_458964"></a><a id="CU_460438"></a><span>104</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist’s specialty after referral of the patient to the specialist—initial attendance in a single course of treatment, other than a service to which item</span><span> </span><span>106, 109, 125 or 16401 applies</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>90.35</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>105</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item</span><span> </span><span>126 or 16404 applies</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>106</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist in the practice of the specialist’s specialty of ophthalmology and following referral of the patient to the specialist—an initial attendance at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (other than a service to which any of items</span><span> </span><span>104, 109 and 10801 to 10816 applies)</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.95</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>107</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—an initial attendance, if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>132.60</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>108</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>83.95</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_960639"></a><a id="CU_962113"></a><span>109</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist in the practice of the specialist’s specialty of ophthalmology following referral of the patient to the specialist—an initial attendance at which a comprehensive eye examination, including pupil dilation, is performed on:</span></p><p class="Tablea"><span>(a) a patient aged 9 years or younger; or</span></p><p class="Tablea"><span>(b) a patient aged 14 years or younger with developmental delay;</span></p><p class="Tabletext"><span>(other than a service to which any of items</span><span> </span><span>104, 106 and 10801 to 10816 applies)</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>203.65</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>111</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if:</span></p><p class="Tablea"><span>(a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and</span></p><p class="Tablea"><span>(b) the specialist subsequently performs the operation on the patient, on the same day; and</span></p><p class="Tablea"><span>(c) the operation is a service to which an item in Group T8 applies; and</span></p><p class="Tablea"><span>(d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $349.95 or more</span></p><p class="Tabletext"><span>For any particular patient, once only on the same day</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; line-height:normal; font-size:10pt"><a id="CU_1061162"></a><a id="CU_1062636"></a><span>115</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the </span><span style="font-weight:bold; font-style:italic">attending practitioner</span><span>) who is a specialist or consultant physician in the practice of the attending practitioner’s specialty after referral of the patient to the attending practitioner by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if:</span></p><p class="Tablea"><span>(a) the attending practitioner performs a scheduled operation on the patient on the same day; and</span></p><p class="Tablea"><span>(b) the operation is a service to which an item in Group T8 applies; and</span></p><p class="Tablea"><span>(c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $349.95 or more; and</span></p><p class="Tablea"><span>(d) the attendance is unrelated to the scheduled operation; and</span></p><p class="Tablea"><span>(e) it is considered a clinical risk to defer the attendance to a later day</span></p><p class="Tablea"><span>For any particular patient, once only on the same day</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; line-height:normal"><span>125</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes at consulting rooms or hospital, by a specialist in the practice of the specialist’s specialty of gynaecology, following referral of the patient to the specialist by a referring practitioner—initial attendance in a single course of treatment, if:</span></p><p class="Tablea"><span>(a) the specialist takes a comprehensive history, including psychosocial history and medication review; and</span></p><p class="Tablea"><span>(b) the specialist undertakes any of the following that are clinically relevant:</span></p><p class="Tablei"><span>(i) a comprehensive multi</span><span>‑</span><span>system physical examination;</span></p><p class="Tablei"><span>(ii) consideration of multiple complex diagnoses;</span></p><p class="Tablei"><span>(iii)</span><span style="width:0pt; text-indent:0pt; display:inline-block"> </span><span>discussion of all treatment options available;</span></p><p class="Tablei"><span>(iv)</span><span style="width:0pt; text-indent:0pt; display:inline-block"> </span><span>assessment of pros and cons of each treatment option given patient characteristics and medical history;</span></p><p class="Tablei"><span>(v) consideration, discussion and provision of necessary referrals for clinically appropriate investigations or treatment;</span></p><p class="Tablei"><span>(vi)</span><span style="width:0pt; text-indent:0pt; display:inline-block"> </span><span>communication of a patient</span><span>‑</span><span>centred management plan; and</span></p><p class="Tablea"><span>(c) the specialist makes available to the patient or carer written documentation that outlines treatment options and information on associated risks and benefits; and</span></p><p class="Tablea"><span>(d) another attendance on the patient did not take place on the same day by the specialist in the same single course of treatment</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>178.70</span></p></td></tr><tr><td style="width:15.56%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; line-height:normal"><span>126</span></p></td><td style="width:71.02%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes at consulting rooms or hospital, by a specialist in the practice of the specialist’s specialty of gynaecology, following referral of the patient to the specialist by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if:</span></p><p class="Tablea"><span>(a) the specialist takes a comprehensive history, including psychosocial history and medication review; and</span></p><p class="Tablea"><span>(b) the specialist reviews implemented management strategies; and</span></p><p class="Tablea"><span>(c) the specialist undertakes any of the following that are clinically relevant:</span></p><p class="Tablei"><span>(i) update of management plan;</span></p><p class="Tablei"><span>(ii) performance of a physical examination;</span></p><p class="Tablei"><span>(iii) </span><span style="width:0pt; text-indent:0pt; display:inline-block"></span><span>discussion of treatment options;</span></p><p class="Tablei"><span>(iv)</span><span style="width:0pt; text-indent:0pt; display:inline-block"> </span><span>consideration, discussion and provision of necessary referrals;</span></p><p class="Tablei"><span>(v) provision of appropriate education; and</span></p><p class="Tablea"><span>(d) the specialist makes available to the patient or carer written documentation that outlines treatment options and information on associated risks and benefits; and</span></p><p class="Tablea"><span>(e) another attendance on the patient did not take place on the same day by the specialist in the same single course of treatment</span></p></td><td style="width:13.42%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>89.40</span></p></td></tr></tbody></table>
Division 2.5—Group A4: Consultant physician (other than psychiatry) attendances to which no other item applies
2.5.1 Items in Group A4
This clause sets out items in Group A4.
Note: The fees in Group A4 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A4—Consultant physician (other than psychiatry) attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.7%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_362411"></a><span>110</span></p></td><td style="width:71.04%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:15.26%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>116</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>119 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>117</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if:</span></p><p class="Tablea"><span>(a) the attendance is not a minor attendance; and</span></p><p class="Tablea"><span>(b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and</span></p><p class="Tablea"><span>(c) the consultant physician subsequently performs the operation on the patient, on the same day; and</span></p><p class="Tablea"><span>(d) the operation is a service to which an item in Group T8 applies; and</span></p><p class="Tablea"><span>(e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $349.95 or more</span></p><p class="Tabletext"><span>For any particular patient, once only on the same day</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_764596"></a><a id="CU_866073"></a><span>119</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>120</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—minor attendance, if:</span></p><p class="Tablea"><span>(a) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and</span></p><p class="Tablea"><span>(b) the consultant physician subsequently performs the operation on the patient, on the same day; and</span></p><p class="Tablea"><span>(c) the operation is a service to which an item in Group T8 applies; and</span></p><p class="Tablea"><span>(d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $349.95 or more</span></p><p class="Tabletext"><span>For any particular patient, once only on the same day</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>122</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>193.35</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>128</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>131 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.95</span></p></td></tr><tr><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1065572"></a><a id="CU_1167049"></a><span>131</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.25</span></p></td></tr><tr style="height:27.45pt"><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1165895"></a><span>132</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) lasting at least 45 minutes for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if:</span></p><p class="Tablea"><span>(a) an assessment is undertaken that covers:</span></p><p class="Tablei"><span>(i) a comprehensive history, including psychosocial history and medication review; and</span></p><p class="Tablei"><span>(ii) comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iii) the formulation of differential diagnoses; and</span></p><p class="Tablea"><span>(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves:</span></p><p class="Tablei"><span>(i) an opinion on diagnosis and risk assessment; and</span></p><p class="Tablei"><span>(ii) treatment options and decisions; and</span></p><p class="Tablei"><span>(iii) medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient to which item</span><span> </span><span>110, 116, 119, 91824, 91825, 91826, 91836 or 92440 applies did not take place on the same day by the same consultant physician; and</span></p><p class="Tablea"><span>(d) a service to which this item or item</span><span> </span><span>92422 applies has not been provided to the patient by the same consultant physician in the preceding 12 months</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.7%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1267096"></a><a id="CU_1368573"></a><span>133</span></p></td><td style="width:71.04%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) lasting at least 20 minutes after the initial attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if:</span></p><p class="Tablea"><span>(a) a review is undertaken that covers:</span></p><p class="Tablei"><span>(i) review of initial presenting problems and results of diagnostic investigations; and</span></p><p class="Tablei"><span>(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and</span></p><p class="Tablei"><span>(iii) comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iv) review of original and differential diagnoses; and</span></p><p class="Tablea"><span>(b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate:</span></p><p class="Tablei"><span>(i) a revised opinion on the diagnosis and risk assessment; and</span></p><p class="Tablei"><span>(ii) treatment options and decisions; and</span></p><p class="Tablei"><span>(iii) revised medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient to which item</span><span> </span><span>110, 116, 119, 91824, 91825, 91826, 91836 or 92440 applies did not take place on the same day by the same consultant physician; and</span></p><p class="Tablea"><span>(d) a service to which item</span><span> </span><span>132 or 92422 applies was provided to the patient by the same consultant physician or a locum tenens in the preceding 12 months; and</span></p><p class="Tablea"><span>(e) not more than 2 services to which this item or item</span><span> </span><span>92423 or 92443 applies have been provided to the patient by the same consultant physician or a locum tenens in any 12 month period</span></p></td><td style="width:15.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr></tbody></table>
Division 2.6—Group A29: Attendance services for complex neurodevelopmental disorder or disability
2.6.1 Meaning of eligible disability
In this Schedule:
eligible disability means any of the following:
(a) sight impairment that results in vision of less than or equal to 6/18 vision or equivalent field loss in the better eye, with correction;
(b) hearing impairment that results in:
(i) a hearing loss of 40 decibels or greater in the better ear, across 4 frequencies; or
(ii) permanent conductive hearing loss and auditory neuropathy;
(c) deafblindness;
(d) cerebral palsy;
(e) Down syndrome;
(f) fragile X syndrome;
(g) Prader‑Willi syndrome;
(h) Williams syndrome;
(i) Angelman syndrome;
(j) Kabuki syndrome;
(k) Smith‑Magenis syndrome;
(l) CHARGE syndrome;
(m) Cri du Chat syndrome;
(n) Cornelia de Lange syndrome;
(o) microcephaly, if a child has:
(i) a head circumference less than the third percentile for age and sex; and
(ii) a functional level at or below 2 standard deviations below the mean for age on a standard development test or an IQ score of less than 70 on a standardised test of intelligence;
(p) Rett’s syndrome;
(q) fetal alcohol spectrum disorder;
(r) Lesch‑Nyhan syndrome;
(s) 22q deletion Syndrome;
(t) stuttering;
(u) a speech sound disorder, including:
(i) an articulation disorder; and
(ii) a phonological disorder; and
(iii) childhood apraxia of speech (also known as dyspraxia, developmental verbal dyspraxia or speech apraxia); and
(iv) dysarthria;
(v) cleft lip;
(w) cleft palate;
(x) cleft lip and palate.
2.6.2 Meaning of risk assessment
In items 135, 137 and 139:
risk assessment means an assessment of:
(a) the risk to the patient of a contributing co‑morbidity; and
(b) environmental, physical, social and emotional risk factors that may apply to the patient or to another individual.
2.6.3 Items in Group A29
This clause sets out items in Group A29.
Note: The fees in Group A29 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A29—Attendance services for complex neurodevelopmental disorder or disability</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:70.92%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.18%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr style="height:7.55pt"><td style="width:13.9%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>135</span></p></td><td style="width:70.92%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant paediatrician by a</span><span> </span><span>referring practitioner, for a patient aged under 25, if the consultant paediatrician:</span></p><p class="Tablea"><span>(a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and</span></p><p class="Tablea"><span>(b) develops a treatment and management plan, which must include:</span></p><p class="Tablei"><span>(i) documentation of the confirmed diagnosis; and</span></p><p class="Tablei"><span>(ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and</span></p><p class="Tablei"><span>(iii) a risk assessment; and</span></p><p class="Tablei"><span>(iv) treatment options (which may include biopsychosocial recommendations); and</span></p><p class="Tablea"><span>(c) provides a copy of the treatment and management plan to:</span></p><p class="Tablei"><span>(i) the</span><span> </span><span>referring practitioner; and</span></p><p class="Tablei"><span>(ii) one or more allied health providers, if appropriate, for the treatment of the patient;</span></p><p class="Tabletext"><span>(other than attendance on a patient for whom payment has previously been made under this item or item</span><span> </span><span>137, 139, 289, 92140, 92141, 92142 or 92434)</span></p><p class="Tabletext"><span>Applicable only once per lifetime</span></p></td><td style="width:15.18%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_471598"></a><a id="CU_473075"></a><span>137</span></p></td><td style="width:70.92%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes by a specialist or consultant physician (not including a general practitioner), following referral of the patient to the specialist or consultant physician by a referring practitioner, for a patient aged under 25, if the specialist or consultant physician:</span></p><p class="Tablea"><span>(a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and</span></p><p class="Tablea"><span>(b) develops a treatment and management plan, which must include:</span></p><p class="Tablei"><span>(i) documentation of the confirmed diagnosis; and</span></p><p class="Tablei"><span>(ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and</span></p><p class="Tablei"><span>(iii) a risk assessment; and</span></p><p class="Tablei"><span>(iv) treatment options (which may include biopsychosocial recommendations); and</span></p><p class="Tablea"><span>(c) provides a copy of the treatment and management plan to:</span></p><p class="Tablei"><span>(i) the referring practitioner; and</span></p><p class="Tablei"><span>(ii) one or more allied health providers, if appropriate, for the treatment of the patient;</span></p><p class="Tabletext"><span>(other than attendance on a patient for whom payment has previously been made under this item or item</span><span> </span><span>135, 139, 289, 92140, 92141, 92142 or 92434)</span></p><p class="Tabletext"><span>Applicable only once per lifetime</span></p></td><td style="width:15.18%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr style="height:20.15pt"><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>139</span></p></td><td style="width:70.92%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes, at a place other than a hospital, by a general practitioner (not including a specialist or consultant physician), for a patient aged under 25, if the general practitioner:</span></p><p class="Tablea"><span>(a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and</span></p><p class="Tablea"><span>(b) develops a treatment and management plan, which must include:</span></p><p class="Tablei"><span>(i) documentation of the confirmed diagnosis; and</span></p><p class="Tablei"><span>(ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and</span></p><p class="Tablei"><span>(iii) a risk assessment; and</span></p><p class="Tablei"><span>(iv) treatment options (which may include biopsychosocial recommendations); and</span></p><p class="Tablea"><span>(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;</span></p><p class="Tabletext"><span>(other than attendance on a patient for whom payment has previously been made under this item or item</span><span> </span><span>135, 137, 289, 92140, 92141, 92142 or 92434)</span></p><p class="Tabletext"><span>Applicable only once per lifetime</span></p></td><td style="width:15.18%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.95</span></p></td></tr></tbody></table>
Division 2.7—Group A28: Geriatric medicine
2.7.1 Items in Group A28
This clause sets out items in Group A28.
Note: The fees in Group A28 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A28—Geriatric medicine</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.9%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_374042"></a><a id="CU_375519"></a><span>141</span></p></td><td style="width:70.86%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 60 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:</span></p><p class="Tablea"><span>(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and</span></p><p class="Tablea"><span>(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and</span></p><p class="Tablea"><span>(c) during the attendance:</span></p><p class="Tablei"><span>(i) the medical, physical, psychological and social aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the </span><span style="font-weight:bold; font-style:italic">assessment</span><span>); and</span></p><p class="Tablei"><span>(ii) the patient’s various health problems and care needs are identified and prioritised (the </span><span style="font-weight:bold; font-style:italic">formulation</span><span>); and</span></p><p class="Tablei"><span>(iii) a detailed management plan is prepared (the </span><span style="font-weight:bold; font-style:italic">management plan</span><span>) setting out:</span></p><p class="TableAA"><span>(A) the prioritised list of health problems and care needs; and</span></p><p class="TableAA"><span>(B) short and longer term management goals; and</span></p><p class="TableAA"><span>(C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and</span></p><p class="Tablei"><span>(iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and</span></p><p class="Tablei"><span>(v) the management plan is communicated in writing to the referring practitioner; and</span></p><p class="Tablea"><span>(d) an attendance to which item</span><span> </span><span>104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and</span></p><p class="Tablea"><span>(e) an attendance to which this item or item</span><span> </span><span>145 applies has not been provided to the patient by the same practitioner in the preceding 12 months</span></p></td><td style="width:15.24%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>478.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_475973"></a><a id="CU_477450"></a><span>143</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 30 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item</span><span> </span><span>141 or 145, if:</span></p><p class="Tablea"><span>(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and</span></p><p class="Tablea"><span>(b) during the attendance:</span></p><p class="Tablei"><span>(i) the patient’s health status is reassessed; and</span></p><p class="Tablei"><span>(ii) a management plan prepared under item</span><span> </span><span>141 or 145 is reviewed and revised; and</span></p><p class="Tablei"><span>(iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and</span></p><p class="Tablea"><span>(c) an attendance to which item</span><span> </span><span>104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies was not provided to the patient on the same day by the same practitioner; and</span></p><p class="Tablea"><span>(d) an attendance to which item</span><span> </span><span>141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and</span></p><p class="Tablea"><span>(e) an attendance to which this item or item</span><span> </span><span>147, 92448 or 92624 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>298.85</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>145</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 60 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:</span></p><p class="Tablea"><span>(a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and</span></p><p class="Tablea"><span>(b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and</span></p><p class="Tablea"><span>(c) during the attendance:</span></p><p class="Tablei"><span>(i) the medical, physical, psychological and social aspects of the patient’s health are evaluated in detail utilising appropriately validated assessment tools if indicated (the </span><span style="font-weight:bold; font-style:italic">assessment</span><span>); and</span></p><p class="Tablei"><span>(ii) the patient’s various health problems and care needs are identified and prioritised (the </span><span style="font-weight:bold; font-style:italic">formulation</span><span>); and</span></p><p class="Tablei"><span>(iii) a detailed management plan is prepared (the </span><span style="font-weight:bold; font-style:italic">management</span><span> </span><span style="font-weight:bold; font-style:italic">plan</span><span>) setting out:</span></p><p class="TableAA"><span>(A) the prioritised list of health problems and care needs; and</span></p><p class="TableAA"><span>(B) short and longer term management goals; and</span></p><p class="TableAA"><span>(C) recommended actions or intervention strategies, to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient’s family and any carers; and</span></p><p class="Tablei"><span>(iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and</span></p><p class="Tablei"><span>(v) the management plan is communicated in writing to the referring practitioner; and</span></p><p class="Tablea"><span>(d) an attendance to which item</span><span> </span><span>104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and</span></p><p class="Tablea"><span>(e) an attendance to which this item or item</span><span> </span><span>141 applies has not been provided to the patient by the same practitioner in the preceding 12 months</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>579.65</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_679285"></a><a id="CU_680762"></a><span>147</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 30 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items</span><span> </span><span>141 or 145, if:</span></p><p class="Tablea"><span>(a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and</span></p><p class="Tablea"><span>(b) during the attendance:</span></p><p class="Tablei"><span>(i) the patient’s health status is reassessed; and</span></p><p class="Tablei"><span>(ii) a management plan that was prepared under item</span><span> </span><span>141 or 145 is reviewed and revised; and</span></p><p class="Tablei"><span>(iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and</span></p><p class="Tablea"><span>(c) an attendance to which item</span><span> </span><span>104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and</span></p><p class="Tablea"><span>(d) an attendance to which item</span><span> </span><span>141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and</span></p><p class="Tablea"><span>(e) an attendance to which this item or item</span><span> </span><span>143, 92448 or 92624 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>362.35</span></p></td></tr></tbody></table>
Division 2.8—Group A5: Prolonged attendances to which no other item applies
2.8.1 Restrictions on items in Group A5
(1) Items 160 to 164 apply only to a service provided in the course of a personal attendance by one or more general practitioners, specialists or consultant physicians on a single patient on a single occasion.
(2) If the personal attendance is provided by one or more general practitioners, specialists or consultant physicians concurrently, each general practitioner, specialist or consultant physician may claim an attendance fee.
(3) However, if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance.
2.8.2 Items in Group A5
This clause sets out items in Group A5.
Note: The fees in Group A5 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A5—Prolonged attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.9%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>160</span></p></td><td style="width:70.86%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:15.24%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>230.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>161</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>384.15</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>162</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>537.55</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>163</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>691.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>164</span></p></td><td style="width:70.86%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:15.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>768.30</span></p></td></tr></tbody></table>
Division 2.9—Group A6: Group therapy
2.9.1 Items in Group A6
This clause sets out items in Group A6.
Note: The fees in Group A6 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A6—Group therapy</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.74%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>170</span></p></td><td style="width:69.72%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of group therapy lasting at least 1 hour given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 2 patients</span></p></td><td style="width:16.54%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>122.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>171</span></p></td><td style="width:69.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of group therapy lasting at least 1 hour given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 3 patients</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.90</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>172</span></p></td><td style="width:69.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of group therapy lasting at least 1 hour given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 4 or more patients</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>156.80</span></p></td></tr></tbody></table>
Division 2.10—Group A7: Acupuncture and non‑specialist practitioner items
Note 1: Various restrictions, limitations and other requirements apply to items in Subgroups 5, 6, 7, 9 and 11 of Group A7. The restrictions, limitations and other requirements are set out in the following Divisions:
(a) for items in Subgroup 5—Division 2.15;
(b) for items in Subgroup 6—Division 2.16;
(c) for items in Subgroup 7—Division 2.17;
(d) for items in Subgroup 9—Division 2.20;
(e) for items in Subgroup 11—Division 2.22.
Note 2: A number of expressions used in Subgroups 6, 7 and 9 of Group A7 are defined in Divisions 2.16, 2.17 and 2.20, including the following:
(a) contribute to a multidisciplinary care plan (see clause 2.16.3);
(c) multidisciplinary care plan (see clause 2.16.6);
(d) organise and coordinate (see clause 2.16.15);
(e) participate (see clause 2.16.16);
(f) preparing a GP chronic condition management plan (see clause 2.16.7);
(g) residential medication management review (see clause 2.17.2);
(h) review of a GP mental health treatment plan (see clause 2.20.4).
2.10.1 Restriction on treatment time
For the purposes of items 193 to 199, treatment time for a medical practitioner does not include the period:
(a) commencing immediately after the practitioner has completed applying all acupuncture stimuli on or through a patient’s skin; and
(b) ending immediately before the practitioner begins to remove the acupuncture stimuli from the patient;
unless the practitioner personally attends the patient during that period for a consultation related to the condition for which the acupuncture was performed or another consultation.
2.10.1A Application of items 214 to 220
(1) Items 214 to 220 apply only to a service provided in the course of a personal attendance by one or more prescribed medical practitioners on a single patient on a single occasion.
(2) If the professional attendance is provided by one or more prescribed medical practitioners concurrently, each prescribed medical practitioner may claim an attendance fee.
(3) However, if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance.
2.10.2 Items in Group A7
This clause sets out items in Group A7.
Note: The fees in Group A7 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100.1%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A7—Acupuncture and non</span><span>‑</span><span>specialist practitioner items</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Acupuncture</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_485045"></a><a id="CU_486522"></a><span>193</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>38.55</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>195</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, on one or more patients at a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_686652"></a><a id="CU_688129"></a><span>197</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.60</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_787451"></a><a id="CU_788928"></a><span>199</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>109.85</span></p></td></tr><tr><td colspan="3" style="border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="_Hlk150945310"><span>Subgroup 2—Prescribed medical practitioner attendance to which no other item applies</span></a></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>179</span></p><p class="Tabletext"><span></span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>15.15</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>181</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a</span><span> </span><span>prescribed medical practitioner in an eligible area—each patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.2</span></p><p class="Tabletext"><span></span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>185</span></p><p class="Tabletext"><span></span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>33.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>187</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.2</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>189</span></p><p class="Tabletext"><span></span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>64.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>191</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.2</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>203</span></p><p class="Tabletext"><span></span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>94.40</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>206</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.2</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>301</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item in this Schedule applies) by a prescribed medical practitioner in an eligible area—each attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>152.95</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>303</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.2</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Prescribed medical practitioner prolonged attendances to which no other item applies</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>214</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>195.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>215</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>325.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>218</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>454.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>219</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>585.20</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>220</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>650.20</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 4—Prescribed medical practitioner group therapy</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>221</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>103.50</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>222</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 3 patients</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>109.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>223</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>132.70</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 5—Prescribed medical practitioner health assessments</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>224</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:</span></p><p class="Tablea"><span>(a) collection of relevant information, including taking a patient history; and</span></p><p class="Tablea"><span>(b) a basic physical examination; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing the patient with preventive health care advice and information</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>52.25</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>225</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:</span></p><p class="Tablea"><span>(a) detailed information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive physical examination; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a preventive health care strategy for the patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>121.45</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>226</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:</span></p><p class="Tablea"><span>(a) comprehensive information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive examination of the patient’s medical condition and physical function; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a basic preventive health care management plan for the patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>167.55</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>227</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:</span></p><p class="Tablea"><span>(a) comprehensive information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a comprehensive preventive health care management plan for the patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>236.70</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>228</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility:</span></p><p class="Tablea"><span>(a) for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent; and</span></p><p class="Tablea"><span>(b) that includes the following:</span></p><p class="Tablei"><span>(i) recognising the patient’s health priorities;</span></p><p class="Tablei"><span>(ii) taking the patient’s medical history;</span></p><p class="Tablei"><span>(iii) undertaking any relevant physical examinations;</span></p><p class="Tablei"><span>(iv) undertaking or arranging any required investigations;</span></p><p class="Tablei"><span>(v) assessing the patient using the information gained in the health assessment;</span></p><p class="Tablei"><span>(vi) initiating any necessary interventions and referrals;</span></p><p class="Tablei"><span>(vii) developing and documenting a plan to manage the patient’s health, including for follow</span><span>‑</span><span>up, based on the health assessment and the patient’s priorities;</span></p><p class="Tablei"><span>(viii) offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health</span><span style="font-style:italic"> </span><span>assessment and a strategy for the patient’s good health;</span></p><p class="Tablei"><span>(ix) if the offer referred to in subparagraph</span><span> </span><span>(viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);</span></p><p class="Tablei"><span>(x) adding a record of the health</span><span style="font-style:italic"> </span><span>assessment to the patient’s medical records</span></p><p class="Tabletext"><span>Applicable only if a service to which this item or item</span><span> </span><span>715, 92004 or 92011 applies has not been provided to the patient in the preceding 9 months</span></p><p class="notemargin"><span>Note:</span><span style="width:15.45pt; text-indent:0pt; display:inline-block"> </span><span>For items</span><span> </span><span>92004 and 92011, see the Telehealth Attendance Determination.</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>186.90</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 6—Prescribed medical practitioner chronic condition management plans, multidisciplinary care plans and case conferences</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>231</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Either:</span></p><p class="Tabletext"><span>(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or</span></p><p class="Tabletext"><span>(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;</span></p><p class="Tabletext"><span>by a prescribed medical practitioner, other than a service associated with a service to which any of items</span><span> </span><span>235 to 240, 735, 739, 743, 747, 750 or 758 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>62.00</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>232</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Either:</span></p><p class="Tabletext"><span>(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or</span></p><p class="Tabletext"><span>(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;</span></p><p class="Tabletext"><span>by a prescribed medical practitioner, other than a service associated with a service to which any of items</span><span> </span><span>235 to 240, 735, 739, 743, 747, 750 or 758 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>62.00</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>235</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>62.30</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>236</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.50</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>237</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>177.50</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>238</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>239</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.40</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>240</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tabletext"><span>(a) a community case conference; or</span></p><p class="Tabletext"><span>(b) a multidisciplinary case conference in a residential aged care facility; or</span></p><p class="Tabletext"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>130.50</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>243</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>61.00</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>244</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>28.45</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>392</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>125.30</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>393</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>125.30</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>969</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>62.30</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>971</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.50</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>972</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference if the conference lasts for at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>177.55</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>973</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>975</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.40</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>986</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference if the conference lasts for at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>130.50</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 7—Prescribed medical practitioner domiciliary and residential medication management review</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>245</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Participation by a prescribed medical practitioner in a Domiciliary Medication Management Review (</span><span style="font-weight:bold; font-style:italic">DMMR</span><span>) for a patient living in a community setting, in which the prescribed medical practitioner, with the patient’s consent:</span></p><p class="Tablea"><span>(a) assesses the patient as:</span></p><p class="Tablei"><span>(i) having a chronic medical condition or a complex medication regimen; and</span></p><p class="Tablei"><span>(ii) not having the patient’s therapeutic goals met; and</span></p><p class="Tablea"><span>(b) following that assessment:</span></p><p class="Tablei"><span>(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and</span></p><p class="Tablei"><span>(ii) provides relevant clinical information required for the DMMR; and</span></p><p class="Tablea"><span>(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and</span></p><p class="Tablea"><span>(d) develops a written medication management plan following discussion with the patient; and</span></p><p class="Tablea"><span>(e) provides the written medication management plan to a community pharmacy chosen by the patient</span></p><p class="Tabletext"><span>For any particular patient—applicable not more than once in each 12 month period, and only if item</span><span> </span><span>900 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>136.35</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>249</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Participation by a prescribed medical practitioner in a residential medication management review </span><span style="font-weight:bold; font-style:italic">(RMMR</span><span>) for a patient who is a care recipient in a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item</span><span> </span><span>903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>93.35</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 9—Prescribed medical practitioner mental health care</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>272</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.15</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>276</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>92.95</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>281</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>80.15</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>282</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>118.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>283</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and</span></p><p class="Tablea"><span>(b) lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>81.70</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>285</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a)</span><span style="width:3.1pt; text-indent:0pt; display:inline-block"> </span><span>for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and</span></p><p class="Tablea"><span>(b) lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>Amount under clause</span><span> </span><span>2.20.2A</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>286</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and</span></p><p class="Tablea"><span>(b) lasting at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>287</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and</span></p><p class="Tablea"><span>(b) lasting at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>Amount under clause</span><span> </span><span>2.20.2A</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>309</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a)</span><span style="width:3.1pt; text-indent:0pt; display:inline-block"> </span><span>for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b)</span><span style="width:2.54pt; text-indent:0pt; display:inline-block"> </span><span>lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>81.70</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>311</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a)</span><span style="width:3.1pt; text-indent:0pt; display:inline-block"> </span><span>for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b)</span><span style="width:2.54pt; text-indent:0pt; display:inline-block"> </span><span>lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>Amount under clause</span><span> </span><span>2.20.2A</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>313</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a)</span><span style="width:3.1pt; text-indent:0pt; display:inline-block"> </span><span>for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b)</span><span style="width:2.54pt; text-indent:0pt; display:inline-block"> </span><span>lasting at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>315</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a)</span><span style="width:3.1pt; text-indent:0pt; display:inline-block"> </span><span>for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b)</span><span style="width:2.54pt; text-indent:0pt; display:inline-block"> </span><span>lasting at least 40 minutes</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>Amount under clause</span><span> </span><span>2.20.2A</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 11—Prescribed medical practitioner pregnancy support counselling</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>792</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, lasting at least 20 minutes, for the purpose of providing non</span><span>‑</span><span>directive pregnancy support counselling to a person who:</span></p><p class="Tablea"><span>(a) is currently pregnant; or</span></p><p class="Tablea"><span>(b) has been pregnant in the 12 months preceding the provision of the first service to which this item, or item</span><span> </span><span>4001,</span><span> </span><span>81000, 81005, 81010, 92136, 92137, 92138, 92139, 93026 or 93029, applies in relation to that pregnancy</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>67.45</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 13—Prescribed medical practitioner patient end support for video conferencing consultations with specialists or consultant physicians</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>373</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 5 minutes but not more than 25 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>55.05</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>374</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 5 minutes but not more than 25 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.65</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>375</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 5 minutes but not more than 25 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>55.05</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>376</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 25 minutes but not more than 45 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>87.95</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>377</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 25 minutes but not more than 45 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>100.25</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>378</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 25 minutes but not more than 45 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>87.95</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>379</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 45 minutes but not more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>120.05</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>380</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 45 minutes but not more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>144.65</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>381</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 45 minutes but not more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>120.05</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>382</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>182.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>390</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>206.70</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>391</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>182.10</span></p></td></tr></tbody></table>
Division 2.11—Group A8: Consultant psychiatrist attendances to which no other item applies
2.11.2 Restriction on items 342, 344 and 346
Items 342, 344 and 346 apply only to a service provided in the course of a personal attendance by a single medical practitioner.
2.11.3 Certain services may be provided by video conference rather than at consulting rooms
A service provided to a patient under item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319 or 92436 may be provided by video conference rather than at consulting rooms if the service is associated with a service to which item 294 applies.
2.11.4 Meaning of risk assessment
In item 289:
risk assessment means an assessment of:
(a) the risk to the patient of a contributing co‑morbidity; and
(b) environmental, physical, social and emotional risk factors that may apply to the patient or to another individual.
2.11.5 Items in Group A8
This clause sets out items in Group A8.
Note: The fees in Group A8 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A8—Consultant psychiatrist attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_389693"></a><a id="CU_391170"></a><a id="CU_490552"></a><a id="CU_492029"></a><span>289</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 45 minutes, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant psychiatrist by a</span><span> </span><span>referring practitioner, for a patient aged under 25, if the consultant psychiatrist:</span></p><p class="Tablea"><span>(a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and</span></p><p class="Tablea"><span>(b) develops a treatment and management plan, which must include:</span></p><p class="Tablei"><span>(i) documentation of the confirmed diagnosis; and</span></p><p class="Tablei"><span>(ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and</span></p><p class="Tablei"><span>(iii) a risk assessment; and</span></p><p class="Tablei"><span>(iv) treatment options (which may include biopsychosocial recommendations); and</span></p><p class="Tablea"><span>(c) provides a copy of the treatment and management plan to:</span></p><p class="Tablei"><span>(i) the referring practitioner; and</span></p><p class="Tablei"><span>(ii) one or more allied health providers, if appropriate, for the treatment of the patient;</span></p><p class="Tabletext"><span>(other than attendance on a patient for whom payment has previously been made under this item or item</span><span> </span><span>135, 137, 139, 92140, 92141, 92142 or 92434)</span></p><p class="Tabletext"><span>Applicable only once per lifetime</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>291</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 45 minutes at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:</span></p><p class="Tablea"><span>(a) the attendance follows referral of the patient to the consultant, by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner, for an assessment or management; and</span></p><p class="Tablea"><span>(b) during the attendance, the consultant:</span></p><p class="Tablei"><span>(i) if it is clinically appropriate to do so—uses an appropriate outcome tool; and</span></p><p class="Tablei"><span>(ii) carries out a mental state examination; and</span></p><p class="Tablei"><span>(iii) undertakes a comprehensive diagnostic assessment; and</span></p><p class="Tablea"><span>(c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing management by the consultant; and</span></p><p class="Tablea"><span>(d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes:</span></p><p class="Tablei"><span>(i) the comprehensive diagnostic assessment of the patient; and</span></p><p class="Tablei"><span>(ii) a management plan for the patient for the next 12 months that comprehensively evaluates the patient’s biopsychosocial factors and makes recommendations to the referring practitioner to manage the patient’s ongoing care in a biopsychosocial model; and</span></p><p class="Tablea"><span>(e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to:</span></p><p class="Tablei"><span>(i) the patient; and</span></p><p class="Tablei"><span>(ii) the patient’s carer (if any), if the patient agrees; and</span></p><p class="Tablea"><span>(f) in the preceding 12 months, a service to which this item or item</span><span> </span><span>92435 applies has not been provided to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>505.70</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>293</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:</span></p><p class="Tablea"><span>(a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item</span><span> </span><span>291 or item</span><span> </span><span>92435; and</span></p><p class="Tablea"><span>(b) the attendance follows referral of the patient to the consultant, by the medical practitioner or participating nurse practitioner managing the patient, for review of the management plan and the associated comprehensive diagnostic assessment; and</span></p><p class="Tablea"><span>(c) during the attendance, the consultant:</span></p><p class="Tablei"><span>(i) if it is clinically appropriate to do so—uses an appropriate outcome tool; and</span></p><p class="Tablei"><span>(ii) carries out a mental state examination; and</span></p><p class="Tablei"><span>(iii) reviews the comprehensive diagnostic assessment and undertakes additional assessment as required; and</span></p><p class="Tablei"><span>(iv) reviews the management plan; and</span></p><p class="Tablea"><span>(d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes:</span></p><p class="Tablei"><span>(i) the revised comprehensive diagnostic assessment of the patient; and</span></p><p class="Tablei"><span>(ii) a revised management plan including updated recommendations to the referring practitioner to manage the patient’s ongoing care in a biopsychosocial model; and</span></p><p class="Tablea"><span>(e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to:</span></p><p class="Tablei"><span>(i) the patient; and</span></p><p class="Tablei"><span>(ii) the patient’s carer (if any), if the patient agrees; and</span></p><p class="Tablea"><span>(f) in the preceding 12 months, a service to which item</span><span> </span><span>291 or item</span><span> </span><span>92435 applies has been provided to the patient; and</span></p><p class="Tablea"><span>(g) in the preceding 12 months, a service to which this item or item</span><span> </span><span>92436 or 92444 applies has not been provided to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>316.15</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_693392"></a><a id="CU_694869"></a><span>294</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance on a patient by a consultant physician practising in the consultant physician’s specialty of psychiatry if:</span></p><p class="Tablea"><span>(a) the attendance is by video conference; and</span></p><p class="Tablea"><span>(b) except for the requirement for the attendance to be at consulting rooms—item</span><span> </span><span>291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 92436 or 92444 would otherwise apply to the attendance; and</span></p><p class="Tablea"><span>(c) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(d) the patient is bulk</span><span>‑</span><span>billed; and</span></p><p class="Tablea"><span>(e) the patient:</span></p><p class="Tablei"><span>(i) is located:</span></p><p class="TableAA"><span>(A) within a Modified Monash 2, 3, 4, 5, 6 or 7 area; and</span></p><p class="TableAA"><span>(B) at the time of the attendance—at least 15 km by road from the physician; or</span></p><p class="Tablei"><span>(ii) is a care recipient in a residential aged care facility; or</span></p><p class="Tablei"><span>(iii) is a patient of:</span></p><p class="TableAA"><span>(A) an Aboriginal medical service; or</span></p><p class="TableAA"><span>(B) an Aboriginal community controlled health service;</span></p><p class="Tablei"><span style="width:14.2pt; text-indent:0pt; display:inline-block"></span><span>for which a direction made under subsection</span><span> </span><span>19(2) of the Act applies</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>50% of the fee for the relevant item</span><span> </span><span>referred to in paragraph</span><span> </span><span>(b) of column 2</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>296</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at consulting rooms if the patient:</span></p><p class="Tablea"><span>(a) is a new patient for this consultant physician; or</span></p><p class="Tablea"><span>(b) has not received a professional attendance from this consultant physician in the preceding 24 months;</span></p><p class="Tabletext"><span>other than attendance on a patient in relation to whom this item or any of items</span><span> </span><span>297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to </span><span>91839, 92437 and 92478 to 92483 has applied in the preceding 24 months</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>274.95</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>297</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at hospital if the patient:</span></p><p class="Tablea"><span>(a) is a new patient for this consultant physician; or</span></p><p class="Tablea"><span>(b) has not received a professional attendance from this consultant physician in the preceding 24 months;</span></p><p class="Tabletext"><span>other than attendance on a patient in relation to whom this item or any of items</span><span> </span><span>296, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to </span><span>91839, 92437 and 92478 to 92483 has applied in the preceding 24 months (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>274.95</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_996080"></a><a id="CU_997557"></a><span>299</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at a place other than consulting rooms or a hospital if the patient:</span></p><p class="Tablea"><span>(a) is a new patient for this consultant physician; or</span></p><p class="Tablea"><span>(b) has not received a professional attendance from this consultant physician in the preceding 24 months;</span></p><p class="Tabletext"><span>other than attendance on a patient in relation to whom this item or any of items</span><span> </span><span>296, 297, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to </span><span>91839, 92437 and 92478 to 92483 has applied in the preceding 24 months</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>328.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>300</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting not more than 15 minutes at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies have not exceeded 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>302</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 15 minutes, but not more than 30 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies have not exceeded 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>91.30</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>304</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies have not exceeded 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>140.55</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_1398127"></a><a id="CU_1399604"></a><span>306</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes, but not more than 75 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies have not exceeded 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>194.00</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>308</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 75 minutes at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies have not exceeded 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>225.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>310</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting not more than 15 minutes at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies exceed 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>22.80</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>312</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 15 minutes, but not more than 30 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies exceed 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>314</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies exceed 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>70.45</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_18100419"></a><a id="CU_18101896"></a><span>316</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes, but not more than 75 minutes, at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies exceed 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>97.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>318</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 75 minutes at consulting rooms, if that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, </span><span style="background-color:#ffffff">91827 to 91831, 91837 to 91839 and 92437</span><span> applies exceed 50 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>112.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>319</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes at consulting rooms, if:</span></p><p class="Tablea"><span>(a) the formulation of the patient’s clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment; and</span></p><p class="Tablea"><span>(b) that attendance and another attendance to which any of items</span><span> </span><span>296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91873 and 92437 applies have not exceeded 160 attendances in a calendar year for the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>205.20</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>320</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting not more than 15 minutes at hospital (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>322</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 15 minutes, but not more than 30 minutes, at hospital (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>91.30</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>324</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 30 minutes, but not more than 45 minutes, at hospital (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>140.55</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>326</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes, but not more than 75 minutes, at hospital (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>194.00</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>328</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 75 minutes at hospital (H)</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>225.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>330</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting not more than 15 minutes if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.05</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>332</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 15 minutes, but not more than 30 minutes, if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>131.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>334</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 30 minutes, but not more than 45 minutes, if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>191.80</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>336</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 45 minutes, but not more than 75 minutes, if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>232.05</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>338</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance lasting more than 75 minutes if that attendance is at a place other than consulting rooms or hospital</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>263.55</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>341</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>An interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of:</span></p><p class="Tablea"><span>(a) initial diagnostic evaluation; or</span></p><p class="Tablea"><span>(b) continuing management of the patient;</span></p><p class="Tabletext"><span>if that service and another service to which this item or any of items</span><span> </span><span>343, 345, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>48.40</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>342</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) lasting at least 1 hour given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner—each patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>52.05</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>343</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>An interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of:</span></p><p class="Tablea"><span>(a) initial diagnostic evaluation; or</span></p><p class="Tablea"><span>(b) continuing management of the patient;</span></p><p class="Tabletext"><span>if that service and another service to which this item or any of items</span><span> </span><span>341, 345, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>96.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>344</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) lasting at least 1 hour given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner—each patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>69.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>345</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>An interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of:</span></p><p class="Tablea"><span>(a) initial diagnostic evaluation; or</span></p><p class="Tablea"><span>(b) continuing management of the patient;</span></p><p class="Tabletext"><span>if that service and another service to which this item or any of items</span><span> </span><span>341, 343, 347, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>148.70</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>346</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) lasting at least 1 hour given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner—each patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>102.20</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>347</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>An interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of:</span></p><p class="Tablea"><span>(a) initial diagnostic evaluation; or</span></p><p class="Tablea"><span>(b) continuing management of the patient;</span></p><p class="Tabletext"><span>if that service and another service to which this item or any of items</span><span> </span><span>341, 343, 345, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>205.20</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>349</span></p></td><td style="width:67.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>An interview, lasting more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of:</span></p><p class="Tablea"><span>(a) initial diagnostic evaluation; or</span></p><p class="Tablea"><span>(b) continuing management of the patient;</span></p><p class="Tabletext"><span>if that service and another service to which this item or any of items</span><span> </span><span>341, 343, 345, 347, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient</span></p></td><td style="width:18.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>238.15</span></p></td></tr></tbody></table>
Division 2.12—Group A12: Consultant occupational physician attendances to which no other item applies
2.12.1 Restrictions on items in Group A12—attendances by consultant occupational physicians
Items 385 to 388 apply to an attendance by a consultant occupational physician only if the attendance relates to one or more of the following matters:
(a) evaluating and assessing a patient’s rehabilitation requirements when, in the consultant’s opinion, the patient has an accepted medical condition that:
(i) may be affected by the patient’s working environment; or
(ii) affects the patient’s capacity to be employed;
(b) managing an accepted medical condition that, in the consultant’s opinion, may affect a patient’s capacity for continued employment, or return to employment, following a non‑compensable accident, injury or ill‑health;
(c) evaluating and forming an opinion about, including management as the case requires, a patient’s medical condition when causation may be related to acute or chronic exposure to scientifically acknowledged environmental hazards or toxins.
2.12.2 Items in Group A12
This clause sets out items in Group A12.
Note: The fees in Group A12 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A12—Consultant occupational physician attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>385</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician’s specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>90.35</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>386</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician’s specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner—an attendance after the initial attendance in a single course of treatment</span></p></td><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>387</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician’s specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>132.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_7118380"></a><span>388</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician’s specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner—an attendance after the initial attendance in a single course of treatment</span></p></td><td style="width:15%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>83.95</span></p></td></tr></tbody></table>
Division 2.13—Group A13: Public health physician attendances to which no other item applies
2.13.1 Restrictions on items in Group A13—attendances by public health physicians
Items 410 to 417 apply to an attendance on a patient by a public health physician only if the attendance relates to one or more of the following matters:
(a) management of a patient’s vaccination requirements for immunisation programs;
(b) prevention or management of sexually transmitted disease;
(c) prevention or management of disease caused by scientifically accepted environmental hazards or toxins;
(d) prevention or management of infection arising from an outbreak of an infectious disease;
(e) prevention or management of an exotic disease.
2.13.2 Items in Group A13
This clause sets out items in Group A13.
Note: The fees in Group A13 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A13—Public health physician attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>410</span></p></td><td style="width:69.3%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance 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</span></p></td><td style="width:16.82%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>20.65</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>411</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.15</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>412</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>87.35</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>413</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_7122283"></a><a id="CU_7123763"></a><span>414</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at other than consulting rooms by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance 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</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>415</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>416</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>417</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
2.14.1 Meaning of patient’s medical condition requires urgent assessment
(1) A patient’s medical condition requires urgent assessment if:
(a) medical opinion is to the effect that the patient’s medical condition requires assessment within the unbroken after‑hours period in which the attendance mentioned in the item was requested; and
(b) assessment could not be delayed until the start of the next in‑hours period.
(2) For the purposes of subclause (1), medical opinion is to a particular effect if:
(a) the attending practitioner is of that opinion; and
(b) in the circumstances that existed and on the information available when the opinion was formed, that opinion would be acceptable to the general body of medical practitioners.
2.14.2 Restrictions on items in Group A11
(1) Items 585 to 600 do not apply to a service provided by a medical practitioner if:
(a) the service is provided at consulting rooms; and
(b) the practitioner:
(i) routinely provides services to patients in after‑hours periods at consulting rooms; or
(ii) provides the service (as a contractor, employee, member or otherwise) for a general practice or clinic that routinely provides services to patients in after‑hours periods at consulting rooms.
(2) Items 585 to 600 do not apply to a professional attendance requested by:
(a) the attending medical practitioner; or
(b) an employee of the attending medical practitioner; or
(c) a person contracted by, or an employee or member of, the general practice of which the attending medical practitioner is a contractor, employee or member; or
(d) a call centre; or
(e) a reception service.
(3) Also, item 585, 588, 591, 599 or 600 applies to a service only if the practitioner keeps a record of the assessment of the patient.
2.14.4 Restrictions on items in Group A11—practitioners
(1) Item 585 does not apply to a service described in the item that is provided by an eligible non‑vocationally recognised medical practitioner registered under the Other Medical Practitioners Extension Program (within the meaning of subclause 1.1.2(2)) who:
(a) was registered under the After Hours Other Medical Practitioners Program on or before 30 June 2023; and
(b) provides the service through a medical deputising service.
(2) Each of items 588 and 591 apply to a service described in the item only if the service is provided by:
(a) a medical practitioner other than a general practitioner; or
(b) an eligible non‑vocationally recognised medical practitioner registered under the Other Medical Practitioners Extension Program (within the meaning of subclause 1.1.2(2)) who:
(i) was registered under the After Hours Other Medical Practitioners Program on or before 30 June 2023; and
(ii) provides the service through a medical deputising service.
2.14.5 Items in Group A11
This clause sets out items in Group A11.
Note: The fees in Group A11 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A11—Urgent attendances after hours</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6136147"></a><a id="CU_6137627"></a><span>585</span></p></td><td style="width:69.32%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner on one patient on one occasion in an after</span><span>‑</span><span>hours period outside unsociable hours if:</span></p><p class="Tablea"><span>(a) the attendance is requested by or on behalf of the patient in the same unbroken after</span><span>‑</span><span>hours period; and</span></p><p class="Tablea"><span>(b) the patient’s medical condition requires urgent assessment; and</span></p><p class="Tablea"><span>(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</span></p></td><td style="width:16.8%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>135.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>588</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner on one patient on one occasion in an after</span><span>‑</span><span>hours period outside unsociable hours if:</span></p><p class="Tablea"><span>(a) the attendance is requested by or on behalf of the patient in the same unbroken after</span><span>‑</span><span>hours period; and</span></p><p class="Tablea"><span>(b) the patient’s medical condition requires urgent assessment; and</span></p><p class="Tablea"><span>(c) the attendance is in an after</span><span>‑</span><span>hours rural area; and</span></p><p class="Tablea"><span>(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</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>135.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>591</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner on one patient on one occasion in an after</span><span>‑</span><span>hours period outside unsociable hours if:</span></p><p class="Tablea"><span>(a) the attendance is requested by or on behalf of the patient in the same unbroken after</span><span>‑</span><span>hours period; and</span></p><p class="Tablea"><span>(b) the patient’s medical condition requires urgent assessment; and</span></p><p class="Tablea"><span>(c) the attendance is not in an after</span><span>‑</span><span>hours rural area; and</span></p><p class="Tablea"><span>(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</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>93.65</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>594</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner—each additional patient at an attendance that qualifies for item</span><span> </span><span>585, 588 or 591 in relation to the first patient</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>43.65</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>599</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner on one patient on one occasion in unsociable hours if:</span></p><p class="Tablea"><span>(a) the attendance is requested by or on behalf of the patient in the same unbroken after</span><span>‑</span><span>hours period; and</span></p><p class="Tablea"><span>(b) the patient’s medical condition requires urgent assessment; and</span></p><p class="Tablea"><span>(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</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.20</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>600</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion in unsociable hours if:</span></p><p class="Tablea"><span>(a) the attendance is requested by or on behalf of the patient in the same unbroken after</span><span>‑</span><span>hours period; and</span></p><p class="Tablea"><span>(b) the patient’s medical condition requires urgent assessment; and</span></p><p class="Tablea"><span>(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</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>127.25</span></p></td></tr></tbody></table>
Division 2.15—Group A14 and Subgroup 5 of Group A7: Health assessments
Note: Items in Subgroup 5 of Group A7 are set out in Division 2.10.
2.15.1 Restrictions on items in Group A14 and Subgroup 5 of Group A7
(1) Items 701 to 715 apply only to a service provided in the course of a personal attendance by a single general practitioner on a single patient.
(2) Items 224 to 228 apply only to a service provided in the course of a personal attendance by a single prescribed medical practitioner on a single patient.
2.15.2 Types of health assessments
(1) The following health assessments may be performed under item 701, 703, 705, 707, 224, 225, 226 or 227:
(a) a Type 2 Diabetes Risk Evaluation, in accordance with clause 2.15.4, for a patient who:
(i) is at least 40 years old and under 50 years old; and
(ii) has a high risk of developing type 2 diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool; and
(iii) is not an in‑patient of a hospital;
(b) a 45 year old Health Assessment, in accordance with clause 2.15.5, for a patient who is:
(i) at least 45 years old and under 50 years old; and
(ii) at risk of developing a chronic disease; and
(iii) not an in‑patient of a hospital or a care recipient in a residential aged care facility;
(c) an Older Person’s Health Assessment, in accordance with clause 2.15.6, for a patient who is:
(i) at least 75 years old; and
(ii) not an in‑patient of a hospital or a care recipient in a residential aged care facility;
(d) a Comprehensive Medical Assessment, in accordance with clause 2.15.7, for a patient who is a care recipient in a residential aged care facility;
(e) a health assessment, in accordance with clause 2.15.8, for a person with an intellectual disability, if the patient is not an in‑patient of a hospital or a care recipient in a residential aged care facility;
(f) a health assessment, in accordance with clause 2.15.9, for a patient who:
(i) is a refugee or humanitarian entrant, with eligibility for Medicare; and
(ii) either:
(A) holds a relevant visa that the person has held for less than 12 months at the time of the assessment; or
(B) first entered Australia less than 12 months before the assessment is performed; and
(iii) is not an in‑patient of a hospital or a care recipient in a residential aged care facility;
(g) a health assessment, in accordance with clause 2.15.10, for a patient who:
(i) is a veteran, being a former member of the Permanent Forces (within the meaning of the Defence Act 1903) or a former member of the Reserves (within the meaning of that Act); and
(ii) has not already received such an assessment.
(2) In this clause:
relevant visa means any of the following visas granted under the Migration Act 1958:
2.15.3 Application of items 715 and 228—attendances for health assessments for persons of Aboriginal and Torres Strait Islander descent
(1) Items 715 and 228 apply to a service if:
(a) the service is for a patient who:
(i) is not an in‑patient of a hospital; and
(ii) is not a care recipient in a residential aged care facility; and
(b) the purpose of the health assessment referred to in the item is to assess:
(i) the patient’s health and physical, psychological and social function; and
(ii) whether preventive health care, education and other assistance should be offered to the patient, or the patient’s parent or carer, to improve the patient’s health and physical, psychological or social function.
(2) For the purpose of items 715 and 228, a person is of Aboriginal or Torres Strait Islander descent if the person identifies as being of that descent.
2.15.4 Type 2 Diabetes Risk Evaluation
(1) A Type 2 Diabetes Risk Evaluation must include:
(a) a review of the risk factors underlying a patient’s high risk score as identified by the Australian Type 2 Diabetes Risk Assessment Tool; and
(b) initiating interventions, if appropriate, to address risk factors or to exclude diabetes.
(2) The Type 2 Diabetes Risk Evaluation for a patient must also include:
(a) assessing the patient’s high risk score as determined by the Australian Type 2 Diabetes Risk Assessment Tool (to be completed by the patient within 3 months before performing the Type 2 Diabetes Risk Evaluation); and
(b) updating the patient’s history and performing physical examinations and clinical investigations; and
(c) making an overall assessment of the patient’s risk factors and the results of examinations and investigations; and
(d) initiating interventions, if appropriate, including referrals and follow‑up services relating to the management of any risk factors identified; and
(e) giving the patient advice and information, including strategies to achieve lifestyle and behaviour changes if appropriate.
(3) A Type 2 Diabetes Risk Evaluation must not be provided more than once every 3 years to an eligible person.
(4) For this clause, risk factors includes:
(a) lifestyle risk factors (for example smoking, physical inactivity or poor nutrition); and
(b) biomedical risk factors (for example high blood pressure, impaired glucose metabolism or excess weight); and
(c) a family history of a chronic disease.
2.15.5 45 year old Health Assessment
(1) A 45 year old Health Assessment is an assessment for a patient if the patient, in the clinical judgement of the attending general practitioner, or attending prescribed medical practitioner, as the case may be, based on the identification of a specific risk factor, is at risk of developing a chronic disease.
(2) The 45 year old Health Assessment must include:
(a) information collection, including taking a patient’s history and performing examinations and investigations, as required; and
(b) making an overall assessment of the patient; and
(c) initiating interventions or referrals, as appropriate; and
(d) giving health advice and information to the patient.
(3) The medical practitioner providing the assessment is responsible for the overall health assessment of the patient.
(4) A 45 year old Health Assessment must not be given more than once to an eligible person.
(5) In this clause:
chronic disease means a disease that has been, or is likely to be, present for at least 6 months, including asthma, cancer, cardiovascular illness, diabetes mellitus, a mental health condition, arthritis or a musculoskeletal condition.
specific risk factors includes:
(a) lifestyle risk factors (for example smoking, physical inactivity, poor nutrition or alcohol misuse); and
(b) biomedical risk factors (for example high cholesterol, high blood pressure, impaired glucose metabolism or excess weight); and
(c) a family history of a chronic disease.
2.15.6 Older Person’s Health Assessment
(1) An Older Person’s Health Assessment is the assessment of:
(a) a patient’s health and physical, psychological and social function; and
(b) whether preventive health care and education should be offered to the patient, to improve the patient’s health and physical, psychological and social function.
(2) An Older Person’s Health Assessment must include:
(a) personal attendance by a general practitioner or a prescribed medical practitioner; and
(b) measurement of the patient’s blood pressure, pulse rate and rhythm; and
(c) assessment of the patient’s medication; and
(d) assessment of the patient’s continence; and
(e) assessment of the patient’s immunisation status; and
(f) assessment of the patient’s physical functions, including the patient’s activities of daily living and whether or not the patient has had a fall in the last 3 months; and
(g) assessment of the patient’s psychological function, including the patient’s cognition and mood; and
(h) assessment of the patient’s social function, including:
(i) the availability and adequacy of paid, and unpaid, help; and
(ii) whether the patient is responsible for caring for another person.
(3) An Older Person’s Health Assessment must also include:
(a) keeping a record of the health assessment; and
(b) offering the patient a written report on the health assessment, with recommendations about matters covered by the health assessment; and
(c) offering the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report relevant to the carer.
(4) An Older Person’s Health Assessment must not be provided more than once every 12 months to an eligible person.
2.15.7 Comprehensive Medical Assessment for care recipient in a residential aged care facility
(1) A Comprehensive Medical Assessment of a care recipient in a residential aged care facility includes an assessment of the resident’s health and physical and psychological function.
(2) A Comprehensive Medical Assessment must include:
(a) a personal attendance by a general practitioner or a prescribed medical practitioner; and
(b) taking a detailed patient history of the resident; and
(c) conducting a comprehensive medical examination of the resident; and
(d) developing a list of diagnoses and medical problems based on the medical history and examination; and
(e) giving a written copy of a summary of the outcomes of the assessment to the residential aged care facility for the resident’s medical records.
(3) A Comprehensive Medical Assessment must also include:
(a) making a written summary of the Comprehensive Medical Assessment; and
(b) giving a copy of the summary to the residential aged care facility; and
(c) offering the resident a copy of the summary.
(4) A Comprehensive Medical Assessment may be provided:
(a) on admission to a residential aged care facility, if a Comprehensive Medical Assessment has not already been provided in another residential aged care facility in the last 12 months; and
(b) at 12 month intervals after that assessment.
(5) A Comprehensive Medical Assessment may be performed in conjunction with a consultation for another purpose, but must be claimed separately.
2.15.8 Health assessment for a person with an intellectual disability
(1) A health assessment for a person with an intellectual disability is an assessment of:
(a) the patient’s physical, psychological and social function; and
(b) whether any medical intervention and preventive health care is required.
(2) The health assessment for a person with an intellectual disability must include the following matters to the extent that they are relevant to the patient:
(a) checking dental health (including dentition);
(b) conducting an aural examination (including arranging a formal audiometry if an audiometry has not been conducted within the last 5 years);
(c) assessing ocular health (arrange review by an ophthalmologist or optometrist if a comprehensive eye examination has not been conducted within the last 5 years);
(d) assessing nutritional status (including weight and height measurements) and a review of growth and development;
(e) assessing bowel and bladder function (particularly for incontinence or chronic constipation);
(f) assessing medications including:
(i) non‑prescription medicines taken by the patient, prescriptions from other doctors, medications prescribed but not taken, interactions, side effects and review of indications; and
(ii) advice to carers on the common side‑effects and interactions; and
(iii) consideration of the need for a formal medication review;
(g) assessing immunisation status;
(h) checking exercise opportunities (with the aim of moderate exercise for at least 30 minutes each day);
(i) checking whether the support provided for activities of daily living adequately and appropriately meets the patient’s needs, and considering formal review if required;
(j) considering the need for breast examination, mammography, testicular examination, lipid measurement and prostate assessment as for the general population;
(ja) checking the patient’s participation in the following:
(i) National Bowel Cancer Screening Program;
(ii) National Breast Screen Australia Program;
(iii) National Cervical Screening Program;
(iv) National Lung Cancer Screening Program;
(k) checking for dysphagia and gastro‑oesophageal disease (especially for patients with cerebral palsy) and arranging for investigation or treatment as required;
(l) assessing risk factors for osteoporosis (including diet, exercise, Vitamin D deficiency, hormonal status, family history, medication and fracture history) and arranging for investigation or treatment as required;
(m) for a patient diagnosed with epilepsy—reviewing seizure control (including anticonvulsant drugs) and considering referral to a neurologist at appropriate intervals;
(n) screening for thyroid disease at least every 2 years (or yearly for patients with Down syndrome);
(o) for a patient without a definitive aetiological diagnosis—considering referral to a genetic clinic every 5 years;
(p) assessing or reviewing treatment for co‑morbid mental health issues;
(q) considering timing of puberty and management of sexual development, sexual activity and reproductive health;
(r) considering whether there are any signs of physical, psychological or sexual abuse.
(3) A health assessment for a person with an intellectual disability must also include:
(a) keeping a record of the health assessment; and
(b) offering the patient a written report on the health assessment; and
(c) offering the patient’s carer (if any, and if the general practitioner or the prescribed medical practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report; and
(d) offering relevant disability professionals (if the general practitioner or the prescribed medical practitioner considers it appropriate and the patient or, if appropriate, the patient’s carer, agrees) a copy of the report or extracts of the report.
(4) A health assessment for a person with an intellectual disability must not be provided more than once every 12 months to an eligible person.
2.15.9 Health assessment for a refugee or other humanitarian entrant
(1) A health assessment for a refugee or other humanitarian entrant is the assessment of:
(a) the patient’s health and physical, psychological and social function; and
(b) whether preventive health care and education should be offered to the patient to improve their health and physical, psychological or social function.
(2) A health assessment for a refugee or other humanitarian entrant must include:
(a) a personal attendance by a general practitioner or a prescribed medical practitioner; and
(b) taking the patient’s history; and
(c) examining the patient; and
(d) performing or arranging any required investigations; and
(e) assessing the patient, using the information gained in paragraphs (b), (c) and (d); and
(f) developing a management plan addressing the patient’s health care needs, health problems and relevant conditions; and
(g) making or arranging any necessary interventions and referrals.
(3) A health assessment for a refugee or other humanitarian entrant must also include:
(a) keeping a record of the health assessment; and
(b) offering to provide the patient with a written report of the health assessment.
(4) A health assessment for a refugee or other humanitarian entrant must not be provided to a patient more than once.
2.15.10 Health assessment for a veteran
(1) A health assessment for a veteran is an assessment of:
(a) the patient’s physical and psychological health and social function; and
(b) whether health care, education or other assistance should be offered to the patient to improve the patient’s physical or psychological health or social function.
(2) The assessment must be performed by the patient’s usual doctor.
(3) The assessment must not be performed in conjunction with a separate consultation in relation to the patient unless the consultation is clinically necessary.
(4) The assessment may be performed using the Veteran Health Check tool, as existing on 2 September 2021.
Note 1: The Veteran Health Check tool could in 2021 be viewed on the Department of Veterans’ Affairs’ website (http://dva.gov.au).
Note 2: Other assessment tools mentioned in the Department of Veterans’ Affairs’ Mental Health Advice Book may be relevant. The Mental Health Advice Book could in 2021 be viewed on the Department of Veterans’ Affairs’ website (http://dva.gov.au).
(5) The assessment must include taking a history of the patient that includes the following:
(a) the patient’s service with the Australian Defence Force, including service type, years of service, field of work, number of deployments and reason for discharge;
(b) the patient’s social history, including relationship status, number of children (if any) and current occupation;
(c) the patient’s current medical conditions;
(d) whether the patient suffers from hearing loss or tinnitus;
(e) the patient’s use of medication, including medication prescribed by another doctor and medication obtained without a prescription;
(f) the patient’s smoking, if applicable;
(g) the patient’s alcohol use, if applicable;
(h) the patient’s substance use, if applicable;
(i) the patient’s level of physical activity;
(j) whether the patient has bodily pain;
(k) whether the patient has difficulty getting to sleep or staying asleep;
(l) whether the patient has psychological distress;
(m) whether the patient has posttraumatic stress disorder;
(n) whether the patient is at risk of harm to self or others;
(o) whether the patient has anger problems;
(p) the patient’s sexual health;
(q) any other health concerns the patient has.
(6) The assessment must also include the following:
(a) measuring the patient’s height;
(b) weighing the patient and ascertaining, or asking the patient, whether the patient’s weight has changed in the last 12 months;
(c) measuring the patient’s waist circumference;
(d) taking the patient’s blood pressure;
(e) using information gained in the course of taking the patient’s history to assess whether any further assessment of the patient’s health is necessary;
(f) either:
(i) making the further assessment mentioned in paragraph (e); or
(ii) referring the patient to another medical practitioner who can make the further assessment;
(g) documenting a strategy for improving the patient’s health;
(h) offering to give the patient a written report of the assessment that makes recommendations for treating the patient including preventive health measures.
(7) The doctor must keep a record of the assessment.
(8) In this clause:
usual doctor, in relation to a patient, means a general practitioner, or a prescribed medical practitioner, employed by a medical practice:
(a) that has provided at least 50% of the primary health care required by the patient in the last 12 months; or
(b) that the patient anticipates will provide at least 50% of the patient’s primary health care requirements in the next 12 months.
2.15.14 Restrictions on health assessments for Group A14 and Subgroup 5 of Group A7
(1) A health assessment mentioned in an item in Group A14 or Subgroup 5 of Group A7 must not include a health screening service.
(2) A separate consultation must not be performed in conjunction with a health assessment, unless clinically necessary.
(3) A health assessment must be performed by the patient’s usual medical practitioner, if reasonably practicable.
(4) Practice nurses, Aboriginal and Torres Strait Islander health workers and Aboriginal and Torres Strait Islander health practitioners may assist general practitioners or prescribed medical practitioners in performing a health assessment, in accordance with accepted medical practice, and under the supervision of the general practitioner or the prescribed medical practitioner, as the case may be.
(5) For the purposes of subclause (4), assistance may include activities associated with:
(a) information collection; and
(b) at the direction of the general practitioner or prescribed medical practitioner—provision to patients of information on recommended interventions.
(6) In this clause:
health screening service has the same meaning as in subsection 19(5) of the Act.
2.15.15 Items in Group A14
This clause sets out items in Group A14.
Note: The fees in Group A14 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A14—Health assessments</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.72%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>701</span></p></td><td style="width:71.12%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes and including:</span></p><p class="Tablea"><span>(a) collection of relevant information, including taking a patient history; and</span></p><p class="Tablea"><span>(b) a basic physical examination; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing the patient with preventive health care advice and information</span></p></td><td style="width:15.16%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>61.75</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_4168777"></a><a id="CU_4170257"></a><span>703</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:</span></p><p class="Tablea"><span>(a) detailed information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive physical examination; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a preventive health care strategy for the patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>143.50</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>705</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:</span></p><p class="Tablea"><span>(a) comprehensive information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive examination of the patient’s medical condition and physical function; and</span></p><p class="Tablea"><span>(c) initiating interventions and referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a basic preventive health care management plan for the patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>198.00</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>707</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment, lasting at least 60 minutes, including:</span></p><p class="Tablea"><span>(a) comprehensive information collection, including taking a patient history; and</span></p><p class="Tablea"><span>(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and</span></p><p class="Tablea"><span>(c) initiating interventions or referrals as indicated; and</span></p><p class="Tablea"><span>(d) providing a comprehensive preventive health care management plan for the patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>279.70</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_7170305"></a><a id="CU_7171785"></a><span>715</span></p></td><td style="width:71.12%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at consulting rooms or in a place other than a hospital or a residential aged care facility:</span></p><p class="Tablea"><span>(a) for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent; and</span></p><p class="Tablea"><span>(b) that includes the following:</span></p><p class="Tablei"><span>(i) recognising the patient’s health priorities;</span></p><p class="Tablei"><span>(ii) taking the patient’s medical history;</span></p><p class="Tablei"><span>(iii) undertaking any relevant physical examinations;</span></p><p class="Tablei"><span>(iv) undertaking or arranging any required investigations;</span></p><p class="Tablei"><span>(v) assessing the patient using the information gained in the health assessment;</span></p><p class="Tablei"><span>(vi) initiating any necessary interventions and referrals;</span></p><p class="Tablei"><span>(vii) developing and documenting a plan to manage the patient’s health, including for follow</span><span>‑</span><span>up, based on the health assessment and the patient’s priorities;</span></p><p class="Tablei"><span>(viii) offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health</span><span style="font-style:italic"> </span><span>assessment and a strategy for the patient’s good health;</span></p><p class="Tablei"><span>(ix) if the offer referred to in subparagraph</span><span> </span><span>(viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);</span></p><p class="Tablei"><span>(x) adding a record of the health</span><span style="font-style:italic"> </span><span>assessment to the patient’s medical records</span></p><p class="Tabletext"><span>Applicable only if a service to which this item or item</span><span> </span><span>228, 92004 or 92011 applies has not been provided to the patient in the preceding 9 months</span></p><p class="notemargin"><span>Note:</span><span style="width:15.45pt; text-indent:0pt; display:inline-block"> </span><span>For items</span><span> </span><span>92004 and 92011, see the Telehealth Attendance Determination.</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.85</span></p></td></tr></tbody></table>
Division 2.16—Group A15 and Subgroup 6 of Group A7: GP chronic condition management plans, multidisciplinary care plans and case conferences
Note: Items in Subgroup 6 of Group A7 are set out in Division 2.10.
Subdivision A—General
2.16.1 Restrictions on items 729 to 866, 965 and 967, 231 to 240 and 392 and 393—services by certain medical practitioners
(1A) This clause applies to items 729 to 866, 965 and 967, 231 to 240 and 392 and 393.
(1) The items apply only to a service provided by:
(a) a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or
(b) a medical practitioner who:
(i) is employed by the proprietor of a hospital that is not a private hospital; and
(ii) provides the service otherwise than in the course of employment by that proprietor.
(2) Paragraph (1)(b) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.
Subdivision B—Subgroup 1 of Group A15 and Subgroup 6 of Group A7
2.16.2 Meaning of associated medical practitioner
In items 967 and 393:
associated medical practitioner means a medical practitioner who, if not engaged in the same general practice as the general practitioner or prescribed medical practitioner mentioned in the item, performs the service described in the item at the request of the patient (or the patient’s guardian).
2.16.3 Meaning of contribute to a multidisciplinary care plan
In items 729, 731, 231 and 232:
contribute to a multidisciplinary care plan, for a patient, includes the following:
(a) preparing part of a multidisciplinary care plan and adding a copy of that part of the plan to the patient’s medical records;
(b) preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the patient’s medical records;
(c) giving advice to a person who prepares part of a multidisciplinary care plan and recording in writing, on the patient’s medical records, any advice provided to the person;
(d) giving advice to a person who reviews part of a multidisciplinary care plan and recording in writing, on the patient’s medical records, any advice provided to the person.
2.16.6 Meaning of multidisciplinary care plan
(1) In items 729, 731, 231 and 232:
multidisciplinary care plan, for a patient, means a written plan that:
(a) is prepared for the patient by:
(i) a general practitioner (for items 729 and 731) or a prescribed medical practitioner (for items 231 and 232), in consultation with 2 other collaborating providers, each of whom provides a different kind of treatment or service to the patient, and one of whom may be another medical practitioner; or
(ii) a collaborating provider (other than a general practitioner or a prescribed medical practitioner, as the case may be), in consultation with at least 2 other collaborating providers, each of whom provides a different kind of treatment or service to the patient; and
(b) describes, at least, treatment and services to be provided to the patient by the collaborating providers.
(2) For this clause, a collaborating provider is a person, including a medical practitioner, who:
(a) provides treatment or a service to a patient; and
(b) is not an unpaid carer of the patient.
2.16.7 Meaning of preparing a GP chronic condition management plan
(1) In items 965 and 392:
preparing a GP chronic condition management plan, for a patient, means a process by which a general practitioner (for item 965) or a prescribed medical practitioner (for item 392):
(a) prepares a written plan for the patient that describes:
(i) the patient’s chronic condition and associated health care needs; and
(ii) health and lifestyle goals developed by the patient and medical practitioner using a shared decision making approach; and
(iii) actions to be taken by the patient; and
(iv) treatment and services the patient is likely to need; and
(v) if the patient would benefit from multidisciplinary care to manage the chronic condition, the treatments or services to which the practitioner will refer the patient (including the purposes of those treatments or services); and
(vi) arrangements to review the plan (including the proposed timeframe for review); and
(b) if the patient is to be referred to a member or members of a multidisciplinary team for management of the patient’s chronic condition:
(i) obtains the patient’s consent to sharing relevant information (including relevant parts of the plan) with the members of the multidisciplinary team; and
(ii) if the patient so consents—provides relevant parts of the plan to the members of the multidisciplinary team; and
(c) records the patient’s consent and agreement to the preparation of the plan; and
(d) offers a copy of the plan to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(e) adds a copy of the plan to the patient’s medical records.
(2) For the purposes of this clause, a member of a multidisciplinary team is a person other than the general practitioner or prescribed medical practitioner who:
(a) provides treatment or a service to the patient; and
(b) provides a different kind of treatment or service to the patient than each other member of the multidisciplinary team; and
(c) is not an unpaid carer of the patient.
2.16.8 Meaning of reviewing a GP chronic condition management plan
(1) In items 967 and 393:
reviewing a GP chronic condition management plan, in relation to a patient with a GP chronic condition management plan, means a process by which a general practitioner (for item 967) or a prescribed medical practitioner (for item 393):
(a) discusses with the patient, and documents:
(i) the patient’s progress in relation to meeting the goals mentioned in paragraph (a) of the definition of preparing a GP chronic condition management plan; and
(ii) whether any updates should be made to the GP chronic condition management plan;
taking into account:
(iii) whether the goals remain appropriate and the degree of progress towards meeting the goals; and
(iv) information provided by members of the multidisciplinary team (if any) referred to in paragraph (b) of the definition of preparing a GP chronic condition management plan in relation to the members’ treatment of the patient and the extent to which the treatments or services provided by the members are supporting the patient to meet the patient’s goals; and
(b) updates the arrangements to review the plan (including the proposed timeframe for review); and
(c) makes any other updates to the plan required as a result of the discussions referred to in paragraph (a); and
(d) if the patient is to be referred to a member or members of a multidisciplinary team for management of the patient’s chronic condition:
(i) obtains the patient’s consent to sharing relevant information (including relevant parts of the plan) with the members of the multidisciplinary team; and
(ii) if the patient so consents—provides relevant updated parts of the plan to the members of the multidisciplinary team; and
(e) records the patient’s consent and agreement to the updates; and
(f) offers a copy of the updated plan to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(g) adds a copy of the updated plan to the patient’s medical records.
(2) For the purposes of this clause, a member of a multidisciplinary team is a person other than the general practitioner or prescribed medical practitioner who:
(a) provides treatment or a service to the patient; and
(b) provides a different kind of treatment or service to the patient than each other member of the multidisciplinary team; and
(c) is not an unpaid carer of the patient.
2.16.9 Restrictions on items 729, 731, 965, 967, 231, 232, 392 and 393—services for certain patients
(1) An item of this Schedule mentioned in column 1 of table 2.16.9 applies only to a service for a patient who:
(a) suffers from at least one chronic condition; and
(b) is described in column 2 of table 2.16.9.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Table 2.16.9—Restriction on items</span><span> </span><span>729, 731, 965, 967, 231, 232, 392 and 393—services for certain patients</span></p></td></tr><tr><td style="width:7.64%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span></span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:25.2%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Items of this Schedule</span></p></td><td style="width:67.14%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description of patient</span></p></td></tr></thead><tbody><tr><td style="width:7.64%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>1</span></p></td><td style="width:25.2%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>965, 967, 392 and 393</span></p></td><td style="width:67.14%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Both:</span></p><p class="Tablea"><span>(a) the patient:</span></p><p class="Tablei"><span>(i) is a private in</span><span>‑</span><span>patient of a hospital; or</span></p><p class="Tablei"><span>(ii) is not a public in</span><span>‑</span><span>patient of a hospital or a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(b) the patient is provided with the service:</span></p><p class="Tablei"><span>(i) if the patient is enrolled in MyMedicare—at the general practice at which the patient is so enrolled; or</span></p><p class="Tablei"><span>(ii) if the patient is not enrolled in MyMedicare—by the patient’s usual medical practitioner</span></p></td></tr><tr><td style="width:7.64%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>2</span></p></td><td style="width:25.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>729 and 231</span></p></td><td style="width:67.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>The patient:</span></p><p class="Tablea"><span>(a) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner; and</span></p><p class="Tablea"><span>(b) is not a care recipient in a residential aged care facility</span></p></td></tr><tr><td style="width:7.64%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>3</span></p></td><td style="width:25.2%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>731 and 232</span></p></td><td style="width:67.14%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>The patient:</span></p><p class="Tablea"><span>(a) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner; and</span></p><p class="Tablea"><span>(b) is a care recipient in a residential aged care facility</span></p></td></tr></tbody></table>
(2) For the purposes of this clause, a collaborating provider is a person who:
(a) provides treatment or a service to a patient; and
(b) is not an unpaid carer of the patient.
2.16.10 Restrictions on items 965, 967, 392 and 393 (GP chronic condition management plans)
Items 965 and 967
(1) Items 965 and 967 apply only to a service provided in the course of personal attendance by a single general practitioner on a single patient.
Items 392 and 393
(2) Items 392 and 393 apply only to a service provided in the course of personal attendance by a single prescribed medical practitioner on a single patient.
Items 965, 967, 392 and 393
(3) Practice nurses, Aboriginal and Torres Strait Islander health workers and Aboriginal and Torres Strait Islander health practitioners may assist general practitioners or prescribed medical practitioners in preparing or reviewing a GP chronic condition management plan, in accordance with accepted medical practice, and under the supervision of the general practitioner or the prescribed medical practitioner, as the case may be.
(4) For the purposes of subclause (3), assistance may include activities associated with:
(a) information collection; and
(b) supporting collaboration with a multidisciplinary team (if any) to which the patient is or is to be referred in accordance with the plan; and
(c) at the direction of the general practitioner or prescribed medical practitioner—providing further information to the patient on any treatments, services or interventions considered or discussed during preparation or review of the plan.
2.16.11 Restrictions on other items—services provided on same day as services in items 965, 967, 392, 393, 92029, 92030, 9206 and 92061
The following items do not apply to a service described in the item that is provided by a medical practitioner or a prescribed medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service described in item 965, 967, 392, 393, 92029, 92030, 9206 and 92061:
(a) items 3, 4, 23, 24, 36, 37, 44, 47, 52, 53, 54, 57, 58, 59, 60, 65, 123, 124, 151 and 165;
(b) items 179, 181, 185, 187, 189, 191, 203, 206, 301, 303, 733, 737, 741, 745, 761, 763, 766, 769, 2197 and 2198;
(c) items 585, 588, 591, 594, 599 and 600;
(d) items 5000, 5003, 5020, 5023, 5040, 5043, 5060, 5063, 5071 and 5076;
(e) items 5200, 5203, 5207, 5208, 5209, 5220, 5223, 5227, 5228 and 5261;
(f) items 91790, 91792, 91794, 91800, 91801, 91802, 91803, 91804, 91805, 91806, 91807, 91808, 91890, 91891, 91892, 91893, 91900, 91903, 91906, 91910, 91913, 91916, 91920, 91923, 91926, 92210 and 92211.
2.16.12 Conditions relating to timing of services if exceptional circumstances do not exist
(1) Subclause (3) applies to the performances of services for a patient for whom exceptional circumstances do not exist.
(2) For the purposes of subclause (1), exceptional circumstances, for a patient, means there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the performance of the service for the patient.
(3) An item of this Schedule mentioned in column 1 of an item of table 2.16.12 applies in the circumstances mentioned in column 2 of that item of table 2.16.12.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Table 2.16.12—Conditions relating to timing of services</span></p></td></tr><tr><td style="width:7.22%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span></span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:25.4%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Items of this Schedule</span></p></td><td style="width:67.38%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Circumstances</span></p></td></tr></thead><tbody><tr><td style="width:7.22%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>1</span></p></td><td style="width:25.4%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>729 and 231</span></p></td><td style="width:67.38%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tablea"><span>The circumstances are that:</span></p><p class="Tablea"><span>(a) in the preceding 3 months, a service to which item</span><span> </span><span>232, 393, 731, 967, 92027, 92058, 92030 or 92061 applies has not been provided to the patient; or</span></p><p class="Tablea"><span>(b) in the preceding 12 months, a service to which both of the following subparagraphs apply has not been provided to the patient:</span></p><p class="Tablei"><span>(i) the service is a service to which item</span><span> </span><span>392, 965, 92029 or 92060 applies;</span></p><p class="Tablei"><span>(ii) the service is performed by the medical practitioner who performs the service to which item</span><span> </span><span>729, 231, 92026 or 92057 would, but for this item, apply</span></p></td></tr><tr><td style="width:7.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>2</span></p></td><td style="width:25.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>731 and 232</span></p></td><td style="width:67.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>The circumstances are that in the preceding 3 months a service to which item</span><span> </span><span>231, 232, 392, 393, 729, 731, 965, 967, 92027, 92029, 92030, 92057, 92060 or 92061 applies has not been provided to the patient</span></p></td></tr><tr><td style="width:7.22%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>3</span></p></td><td style="width:25.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>965 and 392</span></p></td><td style="width:67.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tablea"><span>The circumstances are that:</span></p><p class="Tablea"><span>(a) the service:</span></p><p class="Tablei"><span>(i) is not performed by a medical practitioner who is a recognised specialist in palliative medicine; and</span></p><p class="Tablei"><span>(ii) is not performed by a medical practitioner who is treating a palliative patient who has been referred to the medical practitioner; and</span></p><p class="Tablei"><span>(iii) is not a service to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the medical practitioner; and</span></p><p class="Tablea"><span>(b) in the preceding 3 months, a service to which item</span><span> </span><span>231, 232, 393, 729, 731, 967, 92026, 92027, 92030, 92057, 92059 or 92061 applies has not been provided to the patient; and</span></p><p class="Tablea"><span>(c) in the preceding 12 months, a service to which item</span><span> </span><span>392, 965, 92029 or 92060 applies has not been provided to the patient</span></p></td></tr><tr><td style="width:7.22%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>4</span></p></td><td style="width:25.4%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>967 and 393</span></p></td><td style="width:67.38%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tablea"><span>The circumstances are that:</span></p><p class="Tablea"><span>(a) the service:</span></p><p class="Tablei"><span>(i) is not performed by a medical practitioner who is a recognised specialist in palliative medicine; and</span></p><p class="Tablei"><span>(ii) is not performed by a medical practitioner who is treating a palliative patient who has been referred to the medical practitioner; and</span></p><p class="Tablei"><span>(iii) is not a service to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the medical practitioner; and</span></p><p class="Tablea"><span>(b) in the preceding 3 months, a service to which item</span><span> </span><span>393,</span><span> </span><span>967, 92030 or 92061 applies has not been performed for the patient</span></p></td></tr></tbody></table>
2.16.13 Items in Subgroup 1 of Group A15
This clause sets out items in Subgroup 1 of Group A15.
Note: The fees in Group A15 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A15—GP chronic condition management plans, multidisciplinary care plans and case conferences</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:72.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.4%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—GP chronic condition management plans and multidisciplinary care plans</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>729</span></p></td><td style="width:72.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Contribution by a general practitioner (not including a specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of item</span><span> </span><span>735, 739, 743, 747, 750 or 758 applies)</span></p></td><td style="width:13.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>73.25</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>731</span></p></td><td style="width:72.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Contribution by a general practitioner (not including a specialist or consultant physician), to:</span></p><p class="Tablea"><span>(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</span></p><p class="Tablea"><span>(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</span></p><p class="Tabletext"><span>(other than a service associated with a service to which item</span><span> </span><span>735, 739, 743, 747, 750 or 758 applies)</span></p></td><td style="width:13.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>73.25</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>965</span></p></td><td style="width:72.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to prepare a GP chronic condition management plan for a patient</span></p></td><td style="width:13.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>156.55</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>967</span></p></td><td style="width:72.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner</span></p></td><td style="width:13.4%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>156.55</span></p></td></tr></tbody></table>
Subdivision C—Subgroup 2 of Group A15
2.16.14 Meaning of multidisciplinary discharge case conference
In items 235, 236, 237, 238, 239, 240, 735, 739, 743, 747, 750 and 758:
multidisciplinary discharge case conference means a multidisciplinary case conference carried out for a patient before the patient is discharged from a hospital.
organise and coordinate, for a conference mentioned in the item, means undertaking all of the following activities:
(a) explaining to the patient the nature of the conference;
(b) asking the patient whether the patient agrees to the conference taking place;
(c) recording the patient’s agreement to the conference;
(d) recording the day the conference was held and the times the conference started and ended;
(e) recording the names of the participants;
(f) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records;
(g) offering the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;
(h) discussing the outcomes of the conference with the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees).
participate, for a conference mentioned in the item, means participation that:
(a) does not include organising and coordinating the conference; and
(b) involves undertaking all of the following activities in relation to the conference:
(i) explaining to the patient the nature of the conference;
(ii) asking the patient whether the patient agrees to the practitioner’s participation in the conference;
(iii) recording the patient’s agreement to the practitioner’s participation in the conference;
(iv) recording the day the conference was held and the times the conference started and ended;
(v) recording the names of the participants;
(vi) recording the matters mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records.
2.16.17 Meaning of coordinating
In item 880:
coordinating, for a case conference, means undertaking all of the following activities:
(a) coordinating and facilitating the case conference;
(b) resolving any disagreement or conflict to enable the members of the case conference team giving care and service to the patient to agree on the outcomes to be achieved;
(c) identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team;
(d) recording the input of each member and the outcome of the case conference.
2.16.18 Meaning of case conference team
In item 880:
case conference team:
(a) includes a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of geriatric or rehabilitation medicine; and
(b) includes at least 2 other allied health professionals, each of whom provides a different kind of care or service to the patient and is not a medical practitioner or unpaid carer of the patient; and
(c) may include the patient, an unpaid carer of the patient or a medical practitioner.
Note: Example: For the purposes of paragraph (b), persons who may be included in a team are the following:
(1) Item 880 applies if the attendance is on a patient who:
(a) is an admitted patient of a hospital; and
(b) is not a care recipient in a residential aged care facility; and
(c) is being provided with one of the following types of specialist care:
(i) geriatric evaluation and management;
(ii) rehabilitation care.
(2) In this clause:
geriatric evaluation and management means care provided to a patient with a disability or psychosocial problem for the purpose of maximising the patient’s health status or optimising the patient’s living arrangements.
rehabilitation care means care provided to a patient with an impairment or disability for the purpose of improving the patient’s functional status.
2.16.19A Restrictions on items 930 to 964, 969, 971, 972, 973, 975 and 986
Items 930 to 964, 969, 971, 972, 973, 975 and 986 apply to a patient only if the patient:
(a) is referred for a service to which any of the following items apply:
(i) an item in Subgroup 2 of Group A20;
(ii) an item in Subgroup 9 of Group A7;
(iii) an item in Subgroup 3 or 10 of Group A40;
(iv) an item in Group M6 or M7;
(v) an item in Subgroup 1, 2, 3, 4, 6, 7, 8 or 9 of Group M18; or
(b) has an eating disorder treatment and management plan.
2.16.20 Items in Subgroup 2 of Group A15
This clause sets out items in Subgroup 2 of Group A15.
Note: The fees in Group A15 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A15—GP chronic condition management plans, multidisciplinary care plans and case conferences</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Case conferences</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>735</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>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 item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>73.55</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_5194329"></a><span>739</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>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 item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>125.85</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6192840"></a><span>743</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 40 minutes (other than a service associated with a service to which item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>209.80</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>747</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>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 item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>54.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_8195945"></a><span>750</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>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 item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>92.60</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>758</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in:</span></p><p class="Tablea"><span>(a) a community case conference; or</span></p><p class="Tablea"><span>(b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or</span></p><p class="Tablea"><span>(c) a multidisciplinary discharge case conference;</span></p><p class="Tabletext"><span>if the conference lasts for at least 40 minutes (other than a service associated with a service to which item</span><span> </span><span>729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>154.20</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_10194959"></a><span>820</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>822</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>823</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_13197965"></a><span>825</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>826</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>828</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>830</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_17197356"></a><span>832</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>834</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_19200032"></a><span>835</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>837</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>838</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>855</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>857</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>858</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>861</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>864</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>866</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>871</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, specialist or consultant physician, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.80</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>872</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, specialist or consultant physician, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>39.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>880</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of geriatric or rehabilitation medicine, as a member of a case conference team, to coordinate a case conference of at least 10 minutes but less than 30 minutes—for any particular patient, one attendance only in a 7 day period (other than attendance on the same day as an attendance for which item</span><span> </span><span>832, 834, 835, 837 or 838 was applicable in relation to the patient) (H)</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>51.40</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>930</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 15 minutes, but for less than 20 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>77.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>933</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 20 minutes, but for less than 40 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>132.45</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk122432096"><span>935</span></a></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference, if the conference lasts for at least 40 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.80</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>937</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 15 minutes, but for less than 20 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>56.90</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>943</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 20 minutes, but for less than 40 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>97.50</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>945</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in a mental health case conference, if the conference lasts for at least 40 minutes</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>162.30</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>946</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>154.60</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>948</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a </span><a id="_Hlk122435042"><span>consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics</span></a><span>, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>232.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>959</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to organise and coordinate a mental health case conference of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>309.15</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>961</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>111.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>962</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>177.10</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>964</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry or paediatrics, as a member of a multidisciplinary case conference team, to participate in a mental health case conference of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:13.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>243.20</span></p></td></tr></tbody></table>
Division 2.17—Group A17 and Subgroup 7 of Group A7: Domiciliary and residential medication management reviews
Note: Items in Subgroup 7 of Group A7 are set out in Division 2.10.
2.17.1 Meaning of living in a community setting
In items 900 and 245:
living in a community setting: a patient is living in a community setting if the patient is not an in‑patient of a hospital or a care recipient in a residential aged care facility.
2.17.2 Meaning of residential medication management review
(1) In items 903 and 249:
residential medication management review means a collaborative service provided by a general practitioner (for item 903), or a prescribed medical practitioner (for item 249), and a pharmacist to review the medication management needs of a care recipient in a residential aged care facility.
(2) A medical practitioner’s involvement in a residential medication management review includes all of the following:
(a) discussing the proposed review with the resident and seeking the resident’s consent to the review;
(b) collaborating with the reviewing pharmacist about the pharmacist’s involvement in the review;
(c) providing input from the resident’s most recent comprehensive medical assessment or, if such an assessment has not been undertaken, providing relevant clinical information for the review and for the resident’s records;
(d) subject to subclause (4), participating in a post‑review discussion (either face‑to‑face or by telephone) with the pharmacist to discuss the outcomes of the review including:
(i) the findings of the review; and
(ii) medication management strategies; and
(iii) means to ensure that the strategies are implemented and reviewed, including any issues for implementation and follow‑up;
(e) developing or revising the resident’s medication management plan after discussion with the reviewing pharmacist, and finalising the plan after discussion with the resident.
(3) A medical practitioner’s involvement in a residential medication management review also includes:
(a) offering a copy of the medication management plan to the resident (or the resident’s carer or representative if appropriate); and
(b) providing copies of the plan for the resident’s records and for the nursing staff of the residential aged care facility; and
(c) discussing the plan with nursing staff if necessary.
(4) A post‑review discussion is not required if:
(a) there are no recommended changes to the resident’s medication management arising out of the review; or
(b) any changes are minor in nature and do not require immediate discussion; or
(c) the pharmacist and medical practitioner agree that issues arising out of the review should be considered in a case conference.
2.17.3 Restrictions on items 900, 903, 245 and 249
Items 900 and 903
(1) Items 900 and 903 apply only to a service provided in the course of personal attendance by a single general practitioner on a single patient.
Items 245 and 249
(2) Items 245 and 249 apply only to a service provided in the course of personal attendance by a single prescribed medical practitioner on a single patient.
2.17.3A Restrictions on items 900 and 245—domiciliary medication management reviews
Items 900 and 245 apply to a service provided on or after 1 July 2027 only if the patient has a GP chronic condition management plan that was prepared, or has been reviewed, in the period of 18 months ending immediately before the service to which item 900 or 245 applies is provided.
2.17.4 Items in Group A17
This clause sets out items in Group A17.
Note: The fees in Group A17 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A17—Domiciliary and residential medication management reviews</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.72%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>900</span></p></td><td style="width:72.84%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Participation by a general practitioner (not including a specialist or consultant physician) in a Domiciliary Medication Management Review (</span><span style="font-weight:bold; font-style:italic">DMMR</span><span>) for a patient living in a community setting, in which the general practitioner, with the patient’s consent:</span></p><p class="Tablea"><span>(a) assesses the patient as:</span></p><p class="Tablei"><span>(i) having a chronic medical condition or a complex medication regimen; and</span></p><p class="Tablei"><span>(ii) not having their therapeutic goals met; and</span></p><p class="Tablea"><span>(b) following that assessment:</span></p><p class="Tablei"><span>(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and</span></p><p class="Tablei"><span>(ii) provides relevant clinical information required for the DMMR; and</span></p><p class="Tablea"><span>(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and</span></p><p class="Tablea"><span>(d) develops a written medication management plan following discussion with the patient; and</span></p><p class="Tablea"><span>(e) provides the written medication management plan to a community pharmacy chosen by the patient</span></p><p class="Tabletext"><span>For any particular patient—applicable not more than once in each 12 month period, and only if item</span><span> </span><span>245 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR</span></p></td><td style="width:13.44%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>161.10</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_4206458"></a><a id="CU_4208499"></a><span>903</span></p></td><td style="width:72.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Participation by a general practitioner (not including a specialist or consultant physician) in a residential medication management review (</span><span style="font-weight:bold; font-style:italic">RMMR</span><span>) for a patient who is a care recipient in a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item</span><span> </span><span>249 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR</span></p></td><td style="width:13.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>110.30</span></p></td></tr></tbody></table>
Division 2.18—Group A48: General practitioner attendances—telehealth related
2.18.1 Items in Group A48
This clause sets out items in Group A48.
<table cellspacing="0" cellpadding="0" style="width:100.1%; border-collapse:collapse"><tbody><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A48—General practitioner attendances—telehealth related</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—General practitioner patient end support for video conferencing consultations with specialists or consultant physicians</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2484</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at consulting rooms, lasting at least 6 minutes but less than 20 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2485</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a place other than consulting rooms, lasting at least 6 minutes but less than 20 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.15</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2486</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a residential aged care facility, lasting at least 6 minutes but less than 20 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2487</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at consulting rooms, lasting at least 20 minutes but less than 40 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>104.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2488</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a place other than consulting rooms, lasting at least 20 minutes but less than 40 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>115.15</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2489</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a residential aged care facility, lasting at least 20 minutes but less than 40 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>104.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2490</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at consulting rooms, lasting at least 40 minutes but less than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>145.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2491</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a place other than consulting rooms, lasting at least 40 minutes but less than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>152.75</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2492</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a residential aged care facility, lasting at least 40 minutes but less than 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>145.10</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2493</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at consulting rooms, lasting at least 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>222.65</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2494</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a place other than consulting rooms, lasting at least 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is not a care recipient in a residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>232.90</span></p></td></tr><tr><td style="width:14.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2495</span></p></td><td style="width:68.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, at a residential aged care facility, lasting at least 60 minutes, if:</span></p><p class="Tablea"><span>(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient; and</span></p><p class="Tablea"><span>(c) the patient is a care recipient in the residential aged care facility; and</span></p><p class="Tablea"><span>(d) the medical practitioner is located in the same room as the patient for the whole of the attendance</span></p></td><td style="width:16.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>222.65</span></p></td></tr></tbody></table>
Division 2.20—Group A20 and Subgroup 9 of Group A7: Mental health care
Note: Items in Subgroup 9 of Group A7 are set out in Division 2.10.
2.20.1 Definitions
In this Schedule:
focussed psychological strategies means any of the following mental health care management strategies which have been derived from evidence‑based psychological therapies:
(a) psycho‑education;
(b) cognitive‑behavioural therapy which involves cognitive or behavioural interventions;
(c) relaxation strategies;
(d) skills training;
(e) interpersonal therapy;
(f) eye movement desensitisation and reprocessing.
mental disorder means a significant impairment of any or all of an individual’s cognitive, affective and relational abilities that:
(a) may require medical intervention; and
(b) may be a recognised, medically diagnosable illness or disorder; and
(c) is not dementia, delirium, tobacco use disorder or mental retardation.
Note: In relation to this definition, attention is drawn to the Diagnostic and Management Guidelines for Mental Disorders in Primary Care (ICD‑10, Chapter 5, Primary Care Version), developed by the World Health Organisation and published in 1996.
outcome measurement tool means a tool used to monitor changes in a patient’s health that occur in response to treatment received by the patient.
2.20.2 Meaning of amount under clause 2.20.2
(1) In items 2723, 2727, 2741 and 2745:
amount under clause 2.20.2, for an item mentioned in column 1 of table 2.20.2, means the sum of:
(a) the fee mentioned in column 2 for the item; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance—the amount mentioned in column 3 for the item, divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance—the amount mentioned in column 4 for the item.
(2) A reference in subclause (1) to an attendance on a patient includes, in relation to an attendance to which item 2741 or 2745 applies, an attendance on a person other than a patient as part of a patient’s treatment.
2.20.2A Meaning of amount under clause 2.20.2A
(1) In an item of this Schedule mentioned in column 1 of table 2.20.2A:
amount under clause 2.20.2A means the sum of:
(a) the fee mentioned in column 2 for the item; and
(b) either:
(i) if a practitioner attends not more than 6 patients in a single attendance—the amount mentioned in column 3 for the item, divided by the number of patients attended; or
(ii) if a practitioner attends more than 6 patients in a single attendance—the amount mentioned in column 4 for the item.
(2) A reference in subclause (1) to an attendance on a patient includes, in relation to an attendance to which item 311 or 315 applies, an attendance on a person other than a patient as part of a patient’s treatment.
2.20.3 Meaning of preparation of a GP mental health treatment plan
(1) In this Schedule:
preparation of a GP mental health treatment plan, for a patient, means each of the following:
(a) preparation of a written plan by a general practitioner or a prescribed medical practitioner for the patient that includes:
(i) an assessment of the patient’s mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate); and
(ii) formulation of the mental disorder, including provisional diagnosis or diagnosis; and
(iii) treatment goals with which the patient agrees; and
(iv) any actions to be taken by the patient; and
(v) a plan for either or both of the following:
(A) crisis intervention;
(B) relapse prevention; and
(vi) referral and treatment options for the patient; and
(vii) arrangements for providing the referral and treatment options mentioned in subparagraph (vi); and
(viii) arrangements to review the plan;
(b) explaining to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees) the steps involved in preparing the plan;
(c) recording the plan;
(d) recording the patient’s agreement to the preparation of the plan;
(e) offering the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):
(i) a copy of the plan; and
(ii) suitable education about the mental disorder;
(f) adding a copy of the plan to the patient’s medical records.
(2) In subparagraph (1)(a)(vi):
referral and treatment options, for a patient, includes:
(a) support services for the patient; and
(b) psychiatric services for the patient; and
(c) subject to the applicable limitations:
(i) psychological therapies provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a clinical psychologist (items 80000 to 80025, 91166, 91167, 91168, 91171, 91181, 91182, 91198 and 91199); and
(ii) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a general practitioner or prescribed medical practitioner mentioned in paragraph 2.20.7(1)(b) to provide those services (items 2721 to 2745, 91818, 91819, 91842, 91843, 91859, 91861, 91864 and 91865); and
(iii) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by an allied mental health professional (items 80100 to 80175, 91169, 91170, 91172, 91173, 91174, 91175, 91176, 91177, 91183, 91184, 91185, 91186, 91187, 91188, 91194, 91195, 91196, 91197, 91200, 91201, 91202, 91203, 91204 and 91205); and
(iv) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a prescribed medical practitioner mentioned in paragraph 2.20.7A(1)(b) to provide those services (items 283, 285, 286, 287, 309, 311, 313, 315, 91820, 91821, 91844, 91845, 91862, 91863, 91866, 91867).
2.20.4 Meaning of review of a GP mental health treatment plan
(1) In this Schedule:
review of a GP mental health treatment plan means a process by which a practitioner covered by subclause (2):
(a) reviews the matters mentioned in paragraph (a) of the definition of preparation of a GP mental health treatment plan in subclause 2.20.3(1); and
(b) checks, reinforces and expands any education given under the plan; and
(c) if appropriate and if not previously provided—prepares a plan for either or both of the following:
(i) crisis intervention;
(ii) relapse prevention; and
(d) re‑administers the outcome measurement tool used in the assessment mentioned in subparagraph (a)(i) of the definition of preparation of a GP mental health treatment plan in subclause 2.20.3(1) (except if considered clinically inappropriate); and
(e) if different arrangements need to be made—makes amendments to the plan that state those new arrangements; and
(f) explains to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees) the steps involved in the review of the plan; and
(g) records the patient’s agreement to the review of the plan; and
(h) if amendments are made to the plan:
(i) offers a copy of the amended plan to the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(ii) adds a copy of the amended plan to the patient’s medical records.
(2) A practitioner is covered by this subclause if the practitioner, in relation to a patient, is:
(a) if the patient is enrolled in MyMedicare—a general practitioner, or a prescribed medical practitioner, at the general practice at which the patient is so enrolled; or
(b) regardless of whether the patient is enrolled in MyMedicare—the patient’s usual medical practitioner.
2.20.5 Restrictions on items for review of a GP mental health treatment plan
(1) Items 735 to 758 do not apply to a review of a GP mental health treatment plan.
(2) Unless exceptional circumstances exist, a service for a review of a GP mental health treatment plan cannot be claimed:
(a) more than once in a 3 month period for a particular patient; or
(b) within 4 weeks following the preparation of the GP mental health treatment plan.
(3) In this clause:
exceptional circumstances means a significant change in:
(a) the patient’s clinical condition; or
(b) the patient’s care circumstances.
2.20.6 Restrictions on items in Subgroup 1 of Group A20 and Subgroup 9 of Group A7 (GP mental health treatment plans)
Patients provided with certain services
(1) Items 2700, 2701, 2715, 2717, 272, 276, 281 and 282 apply only to a patient with a mental disorder.
(2) Items 2700, 2701, 2715, 2717, 272, 276, 281 and 282 apply only to a service that is provided:
(a) to a patient in the community, or a private in‑patient (including a private in‑patient who is a resident of an aged care facility) being discharged from hospital; and
(b) by a practitioner covered by subclause 2.20.4(2); and
(c) in the course of personal attendance by a single medical practitioner on a single patient.
Timing of certain services—items 2700, 2701, 2715 and 2717
(3) Unless exceptional circumstances exist, items 2700, 2701, 2715 and 2717 cannot be claimed:
(a) with a service to which items 735 to 758 apply; or
(b) more than once in a 12 month period from the provision of any of the items for a particular patient; or
(c) within 3 months following a review of a GP mental health treatment plan; or
(d) more than once in a 12 month period from the provision of a service to which any of the following items apply:
(i) items 272, 276, 281 and 282;
(ii) items 92112, 92113, 92116, 92117, 92118, 92119, 92122 and 92123 of the Telehealth Attendance Determination.
Items 2715 and 2717—practitioner training
(8) Items 2715 and 2717 apply only if the general practitioner providing the service has successfully completed mental health skills training.
Timing of certain services—items 272, 276, 281 and 282
(8A) Unless exceptional circumstances exist, items 272, 276, 281 and 282 cannot be claimed:
(a) with a service to which any of items 235 to 240 or 735 to 758 apply; or
(b) more than once in a 12 month period from the provision of any of the items for a particular patient; or
(c) within 3 months following a review of a GP mental health treatment plan; or
(d) more than once in a 12 month period from the provision of a service to which any of the following items apply:
(i) items 2700, 2701, 2715 and 2717;
(ii) items 92112, 92113, 92116, 92117, 92118, 92119, 92122 and 92123 of the Telehealth Attendance Determination.
Items 281 and 282—practitioner training
(8E) Items 281 and 282 apply only if the prescribed medical practitioner providing the service has successfully completed mental health skills training.
Definition
(9) In this clause:
exceptional circumstances means a significant change in:
(a) the patient’s clinical condition; or
(b) the patient’s care circumstances.
2.20.7 Restrictions on items in Subgroup 2 of Group A20 (focussed psychological strategies)
(1) An item in Subgroup 2 of Group A20 applies to a service which:
(a) is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and
(b) is provided by a general practitioner:
(i) whose name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
(ii) who is identified in the register as a medical practitioner who can provide services to which Subgroup 2 of Group A20 applies; and
(iii) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration for providing services to which Subgroup 2 of Group A20 applies.
(2) An item in Subgroup 2 of Group A20 does not apply to:
(a) a service which:
(i) is provided to a patient, or to a person other than the patient as part of the patient’s treatment, if, in the calendar year, 6 other services to which any of the items in Subgroup 2 of Group A20 apply have already been provided to or in relation to the patient; and
(ii) is provided before a practitioner covered by subclause 2.20.4(2) who is managing the GP mental health treatment plan or the psychiatrist assessment and management plan has conducted a patient review and recorded in the patient’s records a recommendation that the patient have additional sessions of focussed psychological strategies in the same calendar year; or
(b) a service which is provided to a patient, or to a person other than the patient as part of the patient’s treatment, if, in the calendar year, 10 other services to which an item in Subgroup 2 of Group A20, or item 283, 285, 286, 287, 309, 311, 313, 315, 80000 to 80016, 80100 to 80116, 80125 to 80141, 80150 to 80166, 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181, 91182, 91183, 91184, 91185, 91186, 91187, 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867, apply, have already been provided to or in relation to the patient.
(3) In addition to the restrictions in subclauses (1) and (2) of this clause, item 2739, 2741, 2743 or 2745 applies to a service provided by a general practitioner to a person other than the patient only if:
(a) the general practitioner determines it is clinically appropriate to provide focussed psychological strategies services to a person other than the patient, and makes a written record of this determination in the patient’s records; and
(b) the general practitioner:
(i) explains the service to the patient; and
(ii) obtains the patient’s consent for the service to be provided to the other person as part of the patient’s treatment; and
(iii) makes a written record of the consent; and
(c) the service is provided as part of the patient’s treatment; and
(d) the patient is not in attendance during the provision of the service; and
(e) in the calendar year, no more than one other service to which any of items 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 apply has already been provided to or in relation to the patient.
Note: The patient’s consent may be withdrawn at any time.
2.20.7A Restrictions on items in Subgroup 9 of Group A7 (focussed psychological strategies)
(1) Items 283, 285, 286, 287, 309, 311, 313 and 315 apply to a service which:
(a) is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and
(b) is provided by a prescribed medical practitioner:
(i) whose name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
(ii) who is identified in the register as a medical practitioner who can provide services to which item 283, 285, 286, 287, 309, 311, 313 or 315, or an item in Subgroup 2 of Group A20, applies; and
(iii) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which item 283, 285, 286, 287, 309, 311, 313 or 315, or an item in Subgroup 2 of Group A20, applies.
(2) Items 283, 285, 286, 287, 309, 311, 313 and 315 do not apply to:
(a) a service which:
(i) is provided by a prescribed medical practitioner to a patient, or to a person other than the patient as part of the patient’s treatment, if, in the calendar year, 6 other services to which any of the following items apply have already been provided to the patient or to the person:
(A) item 283, 285, 286, 287 309, 311, 313 or 315;
(B) an item in Subgroup 2 of Group A20;
(C) item 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 of the Telehealth Attendance Determination applies; or
(ii) is provided before a practitioner covered by subclause 2.20.4(2) who is managing the GP mental health treatment plan or the psychiatrist assessment and management plan has conducted a patient review and recorded in the patient’s records a recommendation that the patient have additional sessions of focussed psychological strategies in the same calendar year; or
(b) a service which is provided to a patient, or to a person other than the patient as part of the patient’s treatment, if, in the calendar year, 10 other services to which any of the following items apply have already been provided to the patient or to the person:
(i) item 283, 285, 286, 287, 309, 311, 313, 315, 80000 to 80016, 80100 to 80116, 80125 to 80141, 80150 to 80166, 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181, 91182, 91183, 91184, 91185, 91186, 91187, 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867;
(ii) an item in Subgroup 2 of Group A20.
(3) In addition to the restrictions in subclauses (1) and (2) of this clause, item 309, 311, 313 or 315 applies to a service provided by a prescribed medical practitioner to a person other than the patient only if:
(a) the prescribed medical practitioner determines it is clinically appropriate to provide focussed psychological strategies services to a person other than the patient, and makes a written record of this determination in the patient’s records; and
(b) the prescribed medical practitioner:
(i) explains the service to the patient; and
(ii) obtains the patient’s consent for the service to be provided to the other person as part of the patient’s treatment; and
(iii) makes a written record of the consent; and
(c) the service is provided as part of the patient’s treatment; and
(d) the patient is not in attendance during the provision of the service; and
(e) in the calendar year, no more than one other service to which item 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 applies has already been provided to or in relation to the patient.
Note: The patient’s consent may be withdrawn at any time.
2.20.8 Items in Group A20
This clause sets out items in Group A20.
Note: The fees in Group A20 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A20—Mental health care</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—GP mental health treatment plans</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2700</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), lasting at least 20 minutes, but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.60</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2701</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), lasting at least 40 minutes for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>109.85</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_7252254"></a><a id="CU_7254298"></a><span>2715</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, by a general practitioner who has undertaken mental health skills training (but not including a specialist or consultant physician), lasting at least 20 minutes, but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>94.75</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2717</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt"><p class="Tabletext"><span>Professional attendance, by a general practitioner who has undertaken mental health skills training (but not including a specialist or consultant physician), lasting at least 40 minutes for the preparation of a GP mental health treatment plan for a patient</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Focussed psychological strategies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2721</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>96.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2723</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.20.2</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_13254328"></a><a id="CU_13256372"></a><span>2725</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>138.10</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_14254753"></a><a id="CU_14256797"></a><span>2727</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.20.2</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2739</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b) lasting at least 30 minutes, but less than 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>98.05</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2741</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b) lasting at least 30 minutes, but less than 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.20.2</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2743</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b) lasting at least 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>140.30</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid; page-break-after:avoid"><span>2745</span></p></td><td style="width:69.3%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician) registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:</span></p><p class="Tablea"><span>(a) for providing focussed psychological strategies to a person other than the patient, if the service is part of the patient’s treatment; and</span></p><p class="Tablea"><span>(b) lasting at least 40 minutes</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.20.2</span></p></td></tr></tbody></table>
Division 2.21—Group A24: Palliative and pain medicine
2.21.1 Meaning of organise and coordinate
In the items in Subgroups 2 and 4 of Group A24:
organise and coordinate, for a conference mentioned in the item, means undertaking all of the following activities:
(a) explaining to the patient the nature of the conference;
(b) asking the patient whether the patient agrees to the conference taking place;
(c) recording the patient’s agreement to the conference;
(d) recording the day the conference was held and the times the conference started and ended;
(e) recording the names of the participants;
(f) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records;
(g) offering the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;
(h) discussing the outcomes of the conference with the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees).
2.21.2 Meaning of participate
In items 2958, 2972, 2974, 2992, 2996, 3000, 3051, 3055, 3062, 3083, 3088 and 3093:
participate, for a conference mentioned in the item, means participation that:
(a) if the conference is a community case conference—is at the request of the person who organises and coordinates the conference; and
(b) involves undertaking all of the following activities in relation to the conference:
(i) explaining to the patient the nature of the conference;
(ii) asking the patient whether the patient agrees to the practitioner’s participation in the conference;
(iii) recording the patient’s agreement to the practitioner’s participation in the conference;
(iv) recording the day the conference was held and the times the conference started and ended;
(v) recording the names of the participants;
(vi) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records; but
(c) if the conference is a community case conference—does not include organising and coordinating the conference.
2.21.3 Restrictions on items in Subgroups 2 and 4 of Group A24—timing
The items in Subgroups 2 and 4 of Group A24 may only apply to a patient 5 times in a 12 month period.
2.21.4 Items in Group A24
This clause sets out items in Group A24.
Note: The fees in Group A24 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A24—Palliative and pain medicine</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Pain medicine attendances</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2801</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6259609"></a><a id="CU_6261653"></a><span>2806</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>2814 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2814</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_9263172"></a><span>2824</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>193.35</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_10261442"></a><span>2832</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>2840 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.95</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2840</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.25</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Pain medicine case conferences</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2946</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2949</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2954</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2958</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_17265405"></a><span>2972</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_18263691"></a><span>2974</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2978</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2984</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2988</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2992</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>2996</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3000</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Palliative medicine attendances</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3005</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3010</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>3014 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3014</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3018</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>193.35</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3023</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—an attendance (other than a service to which item</span><span> </span><span>3028 applies) after the initial attendance in a single course of treatment</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.95</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3028</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner—minor attendance</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.25</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 4—Palliative medicine case conferences</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3032</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3040</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3044</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3051</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_39273116"></a><span>3055</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_40271506"></a><span>3062</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3069</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>146.90</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3074</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>220.45</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3078</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>293.70</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>3083</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>105.50</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_45275221"></a><span>3088</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>168.25</span></p></td></tr><tr><td style="width:13.58%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_46273567"></a><a id="CU_46275611"></a><span>3093</span></p></td><td style="width:69.54%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)</span></p></td><td style="width:16.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>231.05</span></p></td></tr></tbody></table>
Division 2.22—Group A27 and Subgroup 11 of Group A7: Pregnancy support counselling
Note: Items in Subgroup 11 of Group A7 are set out in Division 2.10.
2.22.1 Restrictions on items 4001 and 792
(1) A service to which item 4001 applies must not be provided by a general practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination.
(1A) A service to which item 792 applies must not be provided by a prescribed medical practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination.
(2) Items 4001 and 792 do not apply if a patient has already been provided, for the same pregnancy, with 3 services to which that item or item 81000, 81005 or 81010 applies.
(3) In items 4001 and 792:
non‑directive pregnancy support counselling means counselling provided by a general practitioner (for item 4001) or a prescribed medical practitioner (for item 792) to a patient in which:
(a) information and issues relating to pregnancy are discussed; and
(b) the medical practitioner does not impose the medical practitioner’s views or values about what the patient should or should not do in relation to the pregnancy.
(4) A service to which item 4001 or 792 applies may be used to address any pregnancy‑related issue.
2.22.2 Items in Group A27
This clause sets out items in Group A27.
Note: The fees in Group A27 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A27—Pregnancy support counselling</span></p></td></tr><tr><td style="width:14.28%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:14.28%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:14.28%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>4001</span></p></td><td style="width:71.44%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance lasting at least 20 minutes at consulting rooms by a general practitioner (not including a specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service for the purpose of providing non</span><span>‑</span><span>directive pregnancy support counselling to a patient who:</span></p><p class="Tablea" style="page-break-inside:avoid; page-break-after:avoid"><span>(a) is currently pregnant; or</span></p><p class="Tablea" style="page-break-inside:avoid; page-break-after:avoid"><span>(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item</span><span> </span><span>81000, 81005 or 81010 applies in relation to that pregnancy</span></p></td><td style="width:14.28%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.70</span></p></td></tr></tbody></table>
Division 2.23—Group A21: Professional attendances at recognised emergency departments of private hospitals
2.23.1 Items in Group A21
This clause sets out items in Group A21.
Note: The fees in Group A21 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="4" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="_Hlk151791175"><span>Group A21—Professional attendances at recognised emergency departments of private hospitals</span></a></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="4" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Consultations</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5001</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>61.05</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5004</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>102.50</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5011</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>102.50</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5012</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>160.70</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5013</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>202.15</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5014</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>202.15</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5016</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>271.25</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5017</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>312.80</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5019</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>312.80</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5021</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.75</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5022</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>76.90</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5027</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of ordinary complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>76.90</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5030</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>120.45</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5031</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>151.60</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5032</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of complexity that is more than ordinary but is not high</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>151.60</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5033</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 4 years old but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>203.45</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5035</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient under 4 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>234.60</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5036</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance, on a patient at least 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision</span><span>‑</span><span>making of high complexity</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>234.60</span></p></td></tr><tr><td colspan="4" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Prolonged professional attendances to which no other Group applies</span></p></td></tr><tr><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5039</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if:</span></p><p class="Tablea"><span>(a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and</span></p><p class="Tablea"><span>(b) the attendance is the initial attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and</span></p><p class="Tablea"><span>(c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item</span><span> </span><span>5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>148.25</span></p></td></tr><tr><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5041</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if:</span></p><p class="Tablea"><span>(a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and</span></p><p class="Tablea"><span>(b) the attendance is the initial attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and</span></p><p class="Tablea"><span>(c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item</span><span> </span><span>5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and</span></p><p class="Tablea"><span>(d) the attendance is for at least 60 minutes</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td style="vertical-align:top"></td><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5042</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if:</span></p><p class="Tablea"><span>(a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and</span></p><p class="Tablea"><span>(b) the attendance is the initial attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and</span></p><p class="Tablea"><span>(c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item</span><span> </span><span>5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>111.25</span></p></td></tr><tr><td style="vertical-align:top"></td><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5044</span></p></td><td style="width:69.48%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if:</span></p><p class="Tablea"><span>(a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and</span></p><p class="Tablea"><span>(b) the attendance is the initial attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and</span></p><p class="Tablea"><span>(c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item</span><span> </span><span>5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and</span></p><p class="Tablea"><span>(d) the attendance is for at least 60 minutes</span></p></td><td style="width:16.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>209.00</span></p></td></tr><tr style="height:0pt"><td style="width:0.65pt"></td><td style="width:58.6pt"></td><td style="width:296.25pt"></td><td style="width:70.85pt"></td></tr></tbody></table>
Division 2.24—Group A22: General practitioner after‑hours attendances to which no other item applies
2.24.1 Restrictions on items in Group A22—timing
(1) Items 5000, 5020, 5040, 5060 and 5071 apply only to a professional attendance that is provided:
(a) on a public holiday; or
(b) on a Sunday; or
(c) before 8 am, or after 1 pm, on a Saturday; or
(d) before 8 am, or after 8 pm, on a day other than a day mentioned in paragraphs (a) to (c).
(2) Items 5003, 5010, 5023, 5028, 5043, 5049, 5063, 5067, 5076 and 5077 apply only to a professional attendance that is provided in an after‑hours period.
2.24.2 Items in Group A22
This clause sets out items in Group A22.
Note: The fees in Group A22 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A22—General practitioner after</span><span>‑</span><span>hours attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.74%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5000</span></p></td><td style="width:69.5%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management</span></p></td><td style="width:16.76%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>30.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_4276814"></a><a id="CU_4278861"></a><span>5003</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies) that requires a short patient history and, if necessary, limited examination and management—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5010</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6277911"></a><a id="CU_6279958"></a><span>5020</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>51.00</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5023</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5028</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than a service to which another item in this Schedule applies), on care recipients in a residential aged care facility, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_9279780"></a><a id="CU_9281827"></a><span>5040</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>87.40</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>5043</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_11280983"></a><a id="CU_11283030"></a><span>5049</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5060</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>122.55</span></p></td></tr><tr style="height:11.6pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5063</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_14282880"></a><a id="CU_14284927"></a><span>5067</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151801971"><span>5071</span></a></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>220.25</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5076</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5077</span></p></td><td style="width:69.5%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:16.76%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
Division 2.25—Group A23: Other non‑referred after‑hours attendances to which no other item applies
2.25.1 Restrictions on items in Group A23—timing
(1) Items 5200, 5203, 5207, 5208 and 5209 apply only to a professional attendance that is provided:
(a) on a public holiday; or
(b) on a Sunday; or
(c) before 8 am, or after 1 pm, on a Saturday; or
(d) before 8 am, or after 8 pm, on a day other than a day mentioned in paragraphs (a) to (c).
(2) Items 5220 to 5267 apply only to a professional attendance that is provided in an after‑hours period.
2.25.2 Items in Group A23
This clause sets out items in Group A23.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A23—Other non</span><span>‑</span><span>referred after</span><span>‑</span><span>hours attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.6%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5200</span></p></td><td style="width:71.24%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)</span></p></td><td style="width:15.16%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>21.00</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5203</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 5 minutes, but not more than 25 minutes, (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>31.00</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5207</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 25 minutes, but not more than 45 minutes, (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>48.00</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6284966"></a><a id="CU_6287013"></a><span>5208</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 45 minutes, but not more than 60 minutes, (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>71.00</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802114"><span>5209</span></a></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>122.40</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5220</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>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 this Schedule applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5223</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>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 this Schedule applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5227</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>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 this Schedule applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5228</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>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 this Schedule applies), lasting more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802173"><span>5261</span></a></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>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 this Schedule applies), lasting more than 60 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_11286695"></a><a id="CU_11288742"></a><span>5260</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting not more than 5 minutes by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5263</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 5 minutes, but not more than 25 minutes, by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>5265</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 25 minutes, but not more than 45 minutes, by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_14288600"></a><a id="CU_14290647"></a><span>5267</span></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 45 minutes, but not more than 60 minutes, by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.6%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802258"><span>5262</span></a></p></td><td style="width:71.24%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient at the facility and is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 60 minutes by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient</span></p></td><td style="width:15.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
Division 2.26—Group A26: Neurosurgery attendances to which no other item applies
2.26.1 Items in Group A26
This clause sets out items in Group A26.
Note: The fees in Group A26 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A26—Neurosurgery attendances to which no other item applies</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_4290417"></a><a id="CU_4292464"></a><span>6007</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist practising in the specialist’s specialty of neurosurgery following referral of the patient to the specialist—an initial attendance in a single course of treatment at consulting rooms or hospital</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>136.85</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6009</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist practising in the specialist’s specialty of neurosurgery following referral of the patient to the specialist—minor attendance at consulting rooms or hospital</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.40</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6011</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist practising in the specialist’s specialty of neurosurgery following referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and lasting more than 15 minutes, but not more than 30 minutes, at consulting rooms or hospital</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>90.35</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6013</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist practising in the specialist’s specialty of neurosurgery following referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms or hospital</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>125.15</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_8291795"></a><a id="CU_8293842"></a><span>6015</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a specialist practising in the specialist’s specialty of neurosurgery following referral of the patient to the specialist—an attendance after the initial attendance in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and lasting more than 45 minutes at consulting rooms or hospital</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr></tbody></table>
Division 2.27—Group A31: Addiction medicine
2.27.1 Meaning of organise and coordinate
In items 6029 to 6042:
organise and coordinate, for a conference mentioned in the item, means undertaking all of the following activities:
(a) explaining to the patient the nature of the conference;
(b) asking the patient whether the patient agrees to the conference taking place;
(c) recording the patient’s agreement to the conference;
(d) recording the day the conference was held and the times the conference started and ended;
(e) recording the names of the participants;
(f) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records;
(g) offering the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;
(h) discussing the outcomes of the conference with the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees).
2.27.2 Meaning of participate
In items 6035 to 6042:
participate, for a conference mentioned in the item, means participation that:
(a) does not include organising and coordinating the conference; and
(b) involves undertaking all of the following activities in relation to the conference:
(i) explaining to the patient the nature of the conference;
(ii) asking the patient whether the patient agrees to the practitioner’s participation in the conference;
(iii) recording the patient’s agreement to the practitioner’s participation in the conference;
(iv) recording the day the conference was held and the times the conference started and ended;
(v) recording the names of the participants;
(vi) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records.
2.27.3 Restrictions on item 6028
Item 6028 applies only to a service provided in the course of a personal attendance by a single addiction medicine specialist.
2.27.4 Items in Group A31
This clause sets out items in Group A31.
Note: The fees in Group A31 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A31—Addiction medicine</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Addiction medicine attendances</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6018</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance:</span></p><p class="Tablea"><span>(a) includes a comprehensive assessment; and</span></p><p class="Tablea"><span>(b) is the first or only time in a single course of treatment that a comprehensive assessment is provided</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6019</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment:</span></p><p class="Tablea"><span>(a) before or after a comprehensive assessment under item</span><span> </span><span>6018 in a single course of treatment; or</span></p><p class="Tablea"><span>(b) that follows an initial assessment under item</span><span> </span><span>6023 in a single course of treatment; or</span></p><p class="Tablea"><span>(c) that follows a review under item</span><span> </span><span>6024 in a single course of treatment</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6023</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if:</span></p><p class="Tablea"><span>(a) an assessment is undertaken that covers:</span></p><p class="Tablei"><span>(i) a comprehensive history, including psychosocial history and medication review; and</span></p><p class="Tablei"><span>(ii) a comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iii) the formulation of differential diagnoses; and</span></p><p class="Tablea"><span>(b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner:</span></p><p class="Tablei"><span>(i) an opinion on diagnosis and risk assessment;</span></p><p class="Tablei"><span>(ii) treatment options and decisions;</span></p><p class="Tablei"><span>(iii) medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient to which item</span><span> </span><span>104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and</span></p><p class="Tablea"><span>(d) a service to which this item or item</span><span> </span><span>132 applies has not been provided to the patient by the same addiction medicine specialist in the preceding 12 months</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6024</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty of at least 20 minutes, after the initial attendance in a single course of treatment for a review of a patient with at least 2 morbidities if:</span></p><p class="Tablea"><span>(a) a review is undertaken that covers:</span></p><p class="Tablei"><span>(i) review of initial presenting problems and results of diagnostic investigations; and</span></p><p class="Tablei"><span>(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and</span></p><p class="Tablei"><span>(iii) comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iv) review of original and differential diagnoses; and</span></p><p class="Tablea"><span>(b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate:</span></p><p class="Tablei"><span>(i) a revised opinion on diagnosis and risk assessment; and</span></p><p class="Tablei"><span>(ii) treatment options and decisions; and</span></p><p class="Tablei"><span>(iii) revised medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient to which item</span><span> </span><span>104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and</span></p><p class="Tablea"><span>(d) a service to which item</span><span> </span><span>6023 applies was provided to the patient by the same addiction medicine specialist or a locum tenens in the preceding 12 months; and</span></p><p class="Tablea"><span>(e) not more than 2 services to which this item applies have been provided to the patient by the same addiction medicine specialist or a locum tenens in any 12 month period</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Group therapy</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6028</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Group therapy (including any associated consultation with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner—for each patient</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>52.05</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Addiction medicine case conferences</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6029</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.10</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6031</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6032</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>119.65</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6034</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6035</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.05</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6037</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.80</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6038</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>95.70</span></p></td></tr><tr><td style="width:13.9%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6042</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>127.50</span></p></td></tr></tbody></table>
Division 2.28—Group A32: Sexual health medicine
2.28.1 Meaning of organise and coordinate
In items 6064 to 6075:
organise and coordinate, for a conference mentioned in the item, means undertaking all of the following activities:
(a) explaining to the patient the nature of the conference;
(b) asking the patient whether the patient agrees to the conference taking place;
(c) recording the patient’s agreement to the conference;
(d) recording the day the conference was held and the times the conference started and ended;
(e) recording the names of the participants;
(f) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records;
(g) offering the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;
(h) discussing the outcomes of the conference with the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees).
2.28.2 Meaning of participate
In items 6071 to 6075:
participate, for a conference mentioned in the item, means participation that:
(a) does not include organising and coordinating the conference; and
(b) involves undertaking all of the following activities in relation to the conference:
(i) explaining to the patient the nature of the conference;
(ii) asking the patient whether the patient agrees to the practitioner’s participation in the conference;
(iii) recording the patient’s agreement to the practitioner’s participation in the conference;
(iv) recording the day the conference was held and the times the conference started and ended;
(v) recording the names of the participants;
(vi) recording the activities mentioned in the definition of multidisciplinary case conference in clause 1.1.4 and putting a copy of that record in the patient’s medical records.
2.28.3 Items in Group A32
This clause sets out items in Group A32.
Note: The fees in Group A32 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A32—Sexual health medicine</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Sexual health medicine attendances</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6051</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance:</span></p><p class="Tablea"><span>(a) includes a comprehensive assessment; and</span></p><p class="Tablea"><span>(b) is the first or only time in a single course of treatment that a comprehensive assessment is provided</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6052</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment:</span></p><p class="Tablea"><span>(a) before or after a comprehensive assessment under item</span><span> </span><span>6051 in a single course of treatment; or</span></p><p class="Tablea"><span>(b) that follows an initial assessment under item</span><span> </span><span>6057 in a single course of treatment; or</span></p><p class="Tablea"><span>(c) that follows a review under item</span><span> </span><span>6058 in a single course of treatment</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6057</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if:</span></p><p class="Tablea"><span>(a) an assessment is undertaken that covers:</span></p><p class="Tablei"><span>(i) a comprehensive history, including psychosocial history and medication review; and</span></p><p class="Tablei"><span>(ii) a comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iii) the formulation of differential diagnoses; and</span></p><p class="Tablea"><span>(b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner:</span></p><p class="Tablei"><span>(i) an opinion on diagnosis and risk assessment;</span></p><p class="Tablei"><span>(ii) treatment options and decisions;</span></p><p class="Tablei"><span>(iii) medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient to which item</span><span> </span><span>104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and</span></p><p class="Tablea"><span>(d) a service to which this item or item</span><span> </span><span>132 applies has not been provided to the patient by the same sexual health medicine specialist in the preceding 12 months</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6058</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty of at least 20 minutes, after the initial attendance in a single course of treatment for a review of a patient with at least 2 morbidities if:</span></p><p class="Tablea"><span>(a) a review is undertaken that covers:</span></p><p class="Tablei"><span>(i) review of initial presenting problems and results of diagnostic investigations; and</span></p><p class="Tablei"><span>(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and</span></p><p class="Tablei"><span>(iii) comprehensive multi or detailed single organ system assessment; and</span></p><p class="Tablei"><span>(iv) review of original and differential diagnoses; and</span></p><p class="Tablea"><span>(b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate:</span></p><p class="Tablei"><span>(i) a revised opinion on diagnosis and risk assessment; and</span></p><p class="Tablei"><span>(ii) treatment options and decisions; and</span></p><p class="Tablei"><span>(iii) revised medication recommendations; and</span></p><p class="Tablea"><span>(c) an attendance on the patient, being an attendance to which item</span><span> </span><span>104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and</span></p><p class="Tablea"><span>(d) a service to which item</span><span> </span><span>6057 applies was provided to the patient by the same sexual health medicine specialist or a locum tenens in the preceding 12 months; and</span></p><p class="Tablea"><span>(e) not more than 2 services to which this item applies have been provided to the patient by the same sexual health medicine specialist or a locum tenens in any 12 month period</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Home visits</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6062</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner—initial attendance in a single course of treatment</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>193.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6063</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner—an attendance after the attendance under item</span><span> </span><span>6062 in a single course of treatment</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.95</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Sexual health medicine case conferences</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6064</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>45.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6065</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>79.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6067</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>119.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6068</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>159.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6071</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.05</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6072</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6074</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>95.70</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>6075</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist’s specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team</span></p></td><td style="width:16.82%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>127.50</span></p></td></tr></tbody></table>
Division 2.29—Group A9: Contact lenses
2.29.1 Restrictions on item 10809
Item 10809 does not apply if the patient’s requirement for contact lenses is only for any of the following reasons:
(a) because the patient does not want to wear spectacles for reasons of appearance;
(b) because the patient wants contact lenses for work or sporting purposes;
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
2.29.2 Items in Group A9
This clause sets out items in Group A9.
Note: The fees in Group A9 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A9—Contact lenses</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.88%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10801</span></p></td><td style="width:69.32%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with myopia of 5.0 dioptres or greater (spherical equivalent) in one eye</span></p></td><td style="width:16.8%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10802</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in one eye</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_5294163"></a><a id="CU_5296210"></a><span>10803</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with astigmatism of 3.0 dioptres or greater in one eye</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10804</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10805</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10806</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes and for whom a contact lens is prescribed as part of a telescopic system</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10807</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity—whether congenital, traumatic or surgical in origin</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10808</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient who, because of physical deformity, are unable to wear spectacles</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_11296592"></a><a id="CU_11298639"></a><span>10809</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—one service in any period of 36 months—patient with a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item</span><span> </span><span>10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient’s account</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_12297089"></a><a id="CU_12299136"></a><span>10816</span></p></td><td style="width:69.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, if the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months after the fitting of a contact lens to which items</span><span> </span><span>10801 to 10809 apply</span></p></td><td style="width:16.8%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.50</span></p></td></tr></tbody></table>
Division 2.30—Group A35: Non‑referred attendance at a residential aged care facility
2.30.1 Fee in relation to the first patient during each attendance at a residential aged care facility
(1) For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $64.15.
(2) For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $46.60.
2.30.2 Items in Group A35
This clause sets out items in Group A35.
Note: The fees in Group A35 (other than the fees for items 90092, 90093, 90095, 90096 and 90098) are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A35—Non</span><span>‑</span><span>referred attendance at a residential aged care facility</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90020</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>17.90</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90035</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>39.10</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90043</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 20 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking a detailed patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>75.75</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90051</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 40 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>111.50</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802313"><span>90054</span></a></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:</span></p><p class="Tablea"><span>(a) taking an extensive patient history;</span></p><p class="Tablea"><span>(b) performing a clinical examination;</span></p><p class="Tablea"><span>(c) arranging any necessary investigation;</span></p><p class="Tablea"><span>(d) implementing a management plan;</span></p><p class="Tablea"><span>(e) providing appropriate preventive health care;</span></p><p class="Tabletext"><span>for one or more health</span><span>‑</span><span>related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>191.20</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90092</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1), by a medical practitioner who is not a general practitioner</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>8.50</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90093</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1), by a medical practitioner who is not a general practitioner</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>16.00</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90095</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1), by a medical practitioner who is not a general practitioner</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>35.50</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90096</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 45 minutes, but less than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause</span><span> </span><span>2.30.1), by a medical practitioner who is not a general practitioner</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>57.50</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802475"><span>90098</span></a></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>88.20</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90183</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>15.15</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90188</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>33.10</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90202</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>64.10</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90212</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>94.40</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90215</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self</span><span>‑</span><span>contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self</span><span>‑</span><span>contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause</span><span> </span><span>2.30.1(2))</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>152.95</span></p></td></tr></tbody></table>
Division 2.31—Group A36: Eating disorder services
2.31.1 Application of items in Group A36
Eligible patients
(1) Subject to this clause, the items in Group A36 apply to a service provided to a patient (an eligible patient) covered by clause 2.31.2.
Preparation of eating disorder treatment and management plans
(2) The items in Subgroup 1 apply to a service provided to an eligible patient by a medical practitioner (other than a specialist or consultant physician) only if:
(a) the service includes the preparation of a plan for the patient in accordance with clause 2.31.3; and
(b) during the attendance, a copy of the plan and suitable education about the patient’s eating disorder is given to the patient and, if authorised by the patient, the patient’s carer.
(3) The items in Subgroup 2 apply to a service provided to an eligible patient by a consultant physician only if:
(a) the service includes the preparation of a plan for the patient in accordance with the requirements in clause 2.31.3; and
(b) for a service provided by a consultant psychiatrist—during the attendance, the consultant uses an outcome tool (if clinically appropriate) and carries out a mental state examination; and
(c) for a service provided by a consultant paediatrician—during the attendance, the consultant undertakes an assessment of the patient that includes:
(i) a comprehensive history (including a psychosocial history and medication review); and
(ii) a comprehensive multi‑organ system assessment or a detailed single‑organ system assessment; and
(d) within 2 weeks of the attendance, a copy of the plan is given to:
(i) the referring practitioner; and
(ii) if clinically appropriate—the patient and, if authorised by the patient, the patient’s carer.
Review of eating disorder treatment and management plans
(4) The items in Subgroup 3 apply to a service provided to an eligible patient by a medical practitioner (other than a specialist or consultant physician) only if:
(a) the service includes a review of an eating disorder treatment and management plan in accordance with clause 2.31.4; and
(b) during the attendance, a copy of the plan and suitable education about the patient’s eating disorder is given to the patient and, if authorised by the patient, the patient’s carer.
(5) The items in Subgroup 3 apply to a service provided to an eligible patient by a consultant physician only if:
(a) the service includes a review of an eating disorder treatment and management plan in accordance with clause 2.31.4; and
(b) for a service provided by a consultant psychiatrist—during the attendance, the consultant uses an outcome tool (if clinically appropriate) and carries out a mental state examination; and
(c) for a service provided by a consultant paediatrician—during the attendance, the consultant undertakes an assessment of the patient that includes:
(i) a comprehensive history (including a psychosocial history and medication review); and
(ii) a comprehensive multi‑organ system assessment or a detailed single‑organ system assessment; and
(d) within 2 weeks of the attendance, a copy of the plan is given to:
(i) the referring practitioner; and
(ii) if clinically appropriate—the patient and, if authorised by the patient, the patient’s carer.
Providing treatments under eating disorder treatment and management plans
(6) The items in Subgroup 4 apply to a service only if the service:
(a) is provided by a medical practitioner covered by clause 2.31.5; and
(b) is clinically indicated by an eating disorder treatment and management plan; and
(c) is provided using at least one mental health care management strategy covered by clause 2.31.6.
2.31.2 Eating disorder services—patients
(1) For the purposes of clause 2.31.1, a patient is covered by this clause if:
(a) the patient has a clinical diagnosis of anorexia nervosa; or
(b) both:
(i) the patient has a clinical diagnosis of bulimia nervosa, a binge‑eating disorder or other specified feeding or eating disorder; and
(ii) subclause (2) applies to the patient.
(2) This subclause applies to a patient if:
(a) the patient has been assessed as having an eating disorder classified as severe based on clinical screening tool results; and
(b) the patient’s condition is characterised by:
(i) rapid weight loss; or
(ii) frequent binge eating or inappropriate compensatory behaviour, as manifested by 3 or more occurrences per week; and
(c) at least 2 of the following apply to the patient:
(i) the patient is clinically underweight, with a body weight of less than 85% of the expected weight of the patient, and the weight loss is directly attributable to the eating disorder;
(ii) the patient is currently at risk, or has a high risk, of medical complications due to eating disorder behaviours and symptoms;
(iii) serious comorbid medical or psychological conditions are significantly impacting on the patient’s physical or psychological health and ability to function;
(iv) the patient has been admitted to a hospital for an eating disorder in the previous 12 months;
(v) the patient has had an inadequate treatment response to evidence based eating disorder treatment over the previous 6 months despite actively and consistently participating in the treatment.
2.31.3 Eating disorder services—requirements for eating disorder treatment and management plan
For the purposes of clause 2.31.1, a plan for the treatment and management of a patient’s eating disorder must:
(a) be in writing; and
(b) include the following:
(i) an opinion on the diagnosis of the patient’s eating disorder;
(ii) treatment options and recommendations to manage the patient’s condition for 12 months commencing on the day the plan is prepared;
(iii) an outline of the options for the referral of the patient to allied health professionals for mental health and dietetic services, and to specialists, as appropriate;
(iv) if the plan is prepared by a consultant psychiatrist—a comprehensive evaluation of the patient’s biological, psychological and social issues, and management recommendations addressing those issues;
(v) if the plan is prepared by a consultant paediatrician—a comprehensive history of the patient (including a psychosocial history and medication review) and a comprehensive multi‑organ system assessment or a detailed single‑organ system assessment; and
(c) be expressed to expire at the end of the period mentioned in subparagraph (b)(ii).
2.31.4 Eating disorder services—requirements for review of eating disorder treatment and management plan
(1) For the purposes of clause 2.31.1, a review of an eating disorder treatment and management plan for a patient must include a review of the treatment efficacy of treatments provided under the plan, including by discussing with the patient whether the treatments are meeting the patient’s needs.
(2) In conducting the review, the reviewing practitioner must:
(a) if the treatment options in the plan are to be continued—modify the plan, in writing, to include the recommendation that the treatment options are to be continued; and
(b) if the treatment options in the plan are to be revised—modify the plan, in writing, to include the recommendation that the treatment options are to be revised and the revised treatment options.
(3) If the review is conducted by a medical practitioner (other than a specialist or consultant physician), and the practitioner considers that it is appropriate for a consultant physician to review the plan, the practitioner must refer the patient to the consultant physician for the review of the plan.
2.31.5 Eating disorder services—medical practitioners for providing treatments
For the purposes of clause 2.31.1, a medical practitioner is covered by this clause if:
(a) the practitioner’s name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
(b) the practitioner is identified in the register as a medical practitioner who can provide services to which items in Subgroup 2 of Group A20, and items 283, 285, 286 and 287, apply; and
(c) the practitioner meets any training and skills requirements determined by the General Practice Mental Health Standards Collaboration for providing those services.
Note: Section 33 of the Human Services (Medicare) Regulations 2017 provides for the Chief Executive Medicare to establish and maintain a register of medical practitioners who may provide focused psychological strategies under the initiative known as the Better Access to Psychiatrists, Psychologists and General Practitioners through the MBS (Better Access) Initiative.
2.31.6 Eating disorder services—mental health care management strategies for use in providing treatments
For the purposes of clause 2.31.1, the following mental health care management strategies are covered by this clause:
(a) family based treatment (including whole family, parent based, parent only or separated therapy);
(b) adolescent focused therapy;
(c) cognitive behavioural therapy;
(d) specialist supportive clinical management;
(e) Maudsley model of anorexia treatment in adults;
(f) interpersonal therapy for bulimia nervosa or binge‑eating disorder;
(g) dialectical behavioural therapy for bulimia nervosa or binge‑eating disorder;
(h) focal psychodynamic therapy.
2.31.7 Restrictions on items in Group A36—general
Items do not apply to services provided to admitted patients
(1) An item in Group A36 does not apply to an attendance on an admitted patient.
Limit on number of plans that can be prepared for a patient each year
(2) An item in Subgroup 1 or 2 of Group A36 does not apply to a service that is provided to a patient who has already been provided, in the previous 12 months, with:
(a) another service to which an item in Subgroup 1 or 2 of Group A36 applies; or
(b) a service to which an item in Subgroup 21 to 24 of Group A40 applies.
Items do not apply to services provided in association with certain other services
(3) An item in Subgroup 1 of Group A36 does not apply to a service performed in association with a service to which any of items 235 to 244, 735 to 758, 92115, 92121, 92127 and 92133 apply.
(4) Item 90261 does not apply to a service performed in association with a service to which item 110, 116, 119, 132, 133, 91824, 91825, 91826, 91834, 91835, 91836, 92422, 92423, 92431, 92432, 92440 or 92443 applies.
(5) An item in Subgroup 3 of Group A36 does not apply to a service performed in association with a service to which item 92115, 92121, 92127 or 92133 applies.
2.31.9 Restriction on items in Group A36—limitation on number of services providing treatments under a plan
(1) An item in Subgroup 4 of Group A36 does not apply to a service providing a treatment to a patient under an eating disorder treatment and management plan if:
(a) the service is provided more than 12 months after the plan is prepared; or
(b) the patient has already been provided with 40 services under the plan; or
(c) the service is provided after the patient has already been provided with 10 services under the plan but before a recommendation by a reviewing practitioner is given that additional services should be provided under the plan; or
(d) the service is provided after the patient has already been provided with 20 services under the plan but before recommendations that additional services should be provided under the plan are given by each of the following:
(i) a medical practitioner (other than a specialist or consultant physician);
(ii) a consultant physician; or
(e) the service is provided after the patient has already been provided with 30 services under the plan but before a recommendation is given by a reviewing practitioner that additional services should be provided.
(1A) A reference in subclause (1) to a service providing a treatment to a patient includes any service to which item 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91859, 91861, 91862, 91863, 91864, 91865, 91866, or 91867 applies that is provided to another person as part of the patient’s treatment.
(2) A reviewing practitioner may recommend that additional services be provided under a plan only if:
(a) the recommendation is made as part of a service to which an item in Subgroup 3 of Group A36 or Subgroup 25 or 26 of Group A40 applies; and
(b) the service is provided:
(i) for the purposes of paragraph (1)(c)—after the patient has been provided with 10 services under the plan; and
(ii) for the purposes of paragraph (1)(d)—after the patient has been provided with 20 services under the plan; and
(iii) for the purposes of paragraph (1)(e)—after the patient has been provided with 30 services under the plan; and
(c) the practitioner records the recommendation in the patient’s records.
(3) For the purposes of this clause, in counting the services providing treatments under a plan, only count the services to which any of the following apply:
(a) items 283, 285, 286, 287, 309, 311, 313 and 315;
(b) items 2721, 2723, 2725, 2727, 2739, 2741, 2743 and 2745;
(c) items in Groups M6, M7 and M16 other than item 82350;
(d) items 90271, 90272, 90273, 90274, 90275, 90276, 90277 and 90278;
(e) items 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181 to 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866, 91867, 92182, 92184, 92186, 92188, 92194, 92196, 92198, 92200, 93076, 93079, 93084, 93087, 93092, 93095, 93100, 93103, 93110, 93113, 93118, 93121, 93126, 93129, 93134 and 93137.
2.31.10 Items in Group A36
This clause sets out items in Group A36.
Note: The fees in Group A36 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A36—Eating disorders</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Preparation of eating disorder treatment and management plans: general practitioners and non</span><span>‑</span><span>specialist medical practitioners</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90250</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.60</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90251</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>109.85</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90252</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>94.75</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90253</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90254</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.15</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90255</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>92.95</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90256</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>80.15</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90257</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>118.10</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Preparation of eating disorder treatment and management plans: consultant physicians</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90260</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if:</span></p><p class="Tablea"><span>(a) the patient is referred; and</span></p><p class="Tablea"><span>(b) the attendance lasts at least 45 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>478.05</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90261</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if:</span></p><p class="Tablea"><span>(a) the patient is referred; and</span></p><p class="Tablea"><span>(b) the attendance lasts at least 45 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>278.75</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Review of eating disorder treatment and management plans</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90264</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a general practitioner to review an eating disorder treatment and management plan</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>74.60</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90265</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.15</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90266</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if:</span></p><p class="Tablea"><span>(a) the patient is referred; and</span></p><p class="Tablea"><span>(b) the attendance lasts at least 30 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>298.85</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90267</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if:</span></p><p class="Tablea"><span>(a) the patient is referred; and</span></p><p class="Tablea"><span>(b) the attendance lasts at least 20 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>139.55</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 4—Providing treatments under eating disorder treatment and management plans</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90271</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner to provide treatment</span><span style="font-style:italic"> </span><span>under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>96.50</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90272</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment</span><span style="font-style:italic"> </span><span>under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90273</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>138.10</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90274</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90275</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>81.70</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90276</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90277</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.90</span></p></td></tr><tr><td style="width:13.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90278</span></p></td><td style="width:73.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes</span></p></td><td style="width:13.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Amount under clause</span><span> </span><span>2.1.1</span></p></td></tr></tbody></table>
Division 2.32—Group A37: Cardiothoracic surgeon attendance for lead extraction
2.32.1 Items in Group A37
This clause sets out items in Group A37.
Note: The fees in Group A37 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group A37—Cardiothoracic surgeon attendance for lead extraction</span></p></td></tr><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:17%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>90300</span></p></td><td style="width:69.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151802612"><span>Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if:</span></a></p><p class="Tablea"><span>(a) the service is:</span></p><p class="Tablei"><span>(i) performed in conjunction with a service (the </span><span style="font-weight:bold; font-style:italic">lead extraction service</span><span>) to which item</span><span> </span><span>38358 applies; or</span></p><p class="Tablei"><span>(ii) </span><span style="width:0pt; text-indent:0pt; display:inline-block"></span><span>performed in conjunction with a service (the </span><span style="font-weight:bold; font-style:italic">leadless pacemaker extraction service</span><span>) to which item</span><span> </span><span>38373 or 38374 applies; or</span></p><p class="Tablei"><span>(iii) performed in conjunction with a service (the </span><span style="font-weight:bold; font-style:italic">TAVI intermediate or low surgical risk service</span><span>) to which item</span><span> </span><span>38514 or 38522 applies); and</span></p><p class="Tablea"><span>(b) the surgeon:</span></p><p class="Tablei"><span>(i) is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service; and</span></p><p class="Tablei"><span>(ii) is present for the duration of the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service, other than during the low risk pre and post extraction or transcatheter aortic valve implantation phases; and</span></p><p class="Tablei"><span>(iii) is able to immediately scrub in and perform a thoracotomy if major complications occur</span></p><p class="Tabletext"><span>(H)</span></p></td><td style="width:13.34%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>895.25</span></p></td></tr></tbody></table>
Part 3—Miscellaneous services
Division 3.1—Group M12: Services provided by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner
3.1.1 Definitions for item 10997
In item 10997:
GP chronic condition management plan means a plan under item 392, 965, 92029 or 92060.
GP management plan means a plan under item 229, 721, 92024 or 92055.
multidisciplinary care plan means a plan under item 729 or 731.
person with a chronic condition means:
(a) a person who has a plan under item 231, 232, 392, 729, 731, 965, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061; or
(b) until the end of 30 June 2027—a person who has a plan under item 229, 230, 721, 723, 92024, 92025, 92028, 92055, 92056 or 92059 that was prepared before 1 July 2025.
3.1.2 Restrictions on item 10988
(1) Item 10988 applies to an immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner only if:
(a) the Aboriginal and Torres Strait Islander health practitioner is appropriately qualified and trained to provide immunisations to persons; and
(b) the medical practitioner under whose supervision the immunisation is provided retains responsibility for the health, safety and clinical outcomes of the person.
(2) If the cost of the vaccine supplied in connection with a service described in item 10988 is not subsidised by the Commonwealth or a State, the service is taken not to include the supply of that vaccine.
3.1.3 Restrictions on item 10989
Item 10989 applies to an Aboriginal and Torres Strait Islander health practitioner if:
(a) the health practitioner is appropriately qualified and trained to treat wounds; and
(b) a medical practitioner under whose supervision the health practitioner provides the treatment has conducted an initial assessment of the person; and
(c) the health practitioner has been instructed by the medical practitioner about the treatment of the wound; and
(d) the medical practitioner retains responsibility for the health, safety and clinical outcomes of the person.
3.1.4 Items in Group M12
This clause sets out items in Group M12.
Note: The fees in Group M12 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Group M12—Services provided by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Video conferencing consultation support service provided by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>10983</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who:</span></p><p class="Tablea"><span>(a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and</span></p><p class="Tablea"><span>(b) is not an admitted patient</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>33.70</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><a id="CU_8317233"></a><a id="CU_8319280"></a><span>10987</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Follow</span><span>‑</span><span>up service, to a maximum of 10 services per patient in a calendar year, 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:</span></p><p class="Tablea"><span>(a) the service is provided on behalf of and under the supervision of a medical practitioner; and</span></p><p class="Tablea"><span>(b) the person is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the service is consistent with the needs identified through the health assessment</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>24.95</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>10988</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if:</span></p><p class="Tablea"><span>(a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and</span></p><p class="Tablea"><span>(b) the person is not an admitted patient of a hospital</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>12.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>10989</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Treatment of a person’s wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if:</span></p><p class="Tablea"><span>(a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and</span></p><p class="Tablea"><span>(b) the person is not an admitted patient of a hospital</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>12.50</span></p></td></tr><tr><td style="width:13.88%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><a id="CU_12318862"></a><a id="CU_12320909"></a><span>10997</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Service provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if:</span></p><p class="Tablea"><span>(a) the service is provided on behalf of and under the supervision of a medical practitioner; and</span></p><p class="Tablea"><span>(b) the person is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the person has in place:</span></p><p class="Tablei"><span>(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or</span></p><p class="Tablei"><span>(ii) until the end of 30</span><span> </span><span>June 2027—a GP management plan, or team care arrangements, prepared before 1</span><span> </span><span>July 2025; or</span></p><p class="Tablei"><span>(iii) a multidisciplinary care plan; and</span></p><p class="Tablea"><span>(d) the service is consistent with the plan or arrangements</span></p><p class="Tabletext"><span>Applicable up to a total of 5 services to which this item, item</span><span> </span><span>92301 or item</span><span> </span><span>93203 applies in a calendar year</span></p></td><td style="width:16.68%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>12.50</span></p></td></tr></tbody></table>
Division 3.2—Group M1: Management of bulk‑billed services
3.2.1 Definitions
In this Division:
general practice support service means a service to which an item specified in subclause 3.2.2A(2) applies.
MyMedicare service means a service to which an item specified in subclause 3.2.2B(2) applies that is provided:
(a) to a person enrolled in MyMedicare; and
(b) at the general practice at which the person is so enrolled.
unreferred service means a medical service provided by, or on behalf of, a medical practitioner to a patient who has not been referred to the practitioner for the service.
3.2.2 Application of items 10990, 10991, 10992, 75855, 75856, 75857 and 75858
If item 10990, 10991, 10992, 75855, 75856, 75857 or 75858 applies to a medical service, the fee mentioned in that item applies in addition to the fee mentioned in another item in this Schedule that applies to the service.
3.2.2A Application of items 75870, 75871, 75872, 75873, 75874, 75875 and 75876
(1) If item 75870, 75871, 75872, 75873, 75874, 75875 or 75876 applies to a medical service, the fee mentioned in that item applies in addition to the fee mentioned in an item specified in subclause (2) that applies to the service.
(2) For the purposes of subclause (1), items 23, 24, 36, 37, 44, 47, 53, 54, 57, 59, 60, 65, 123, 124, 151, 165, 185, 187, 189, 191, 203, 206, 301, 303, 737, 741, 745, 763, 766, 769, 776, 788, 789, 2197, 2198, 2200, 5020, 5023, 5028, 5040, 5043, 5049, 5060, 5063, 5067, 5071, 5076, 5077, 5203, 5207, 5208, 5209, 5223, 5227, 5228, 5261, 5262, 5263, 5265, 5267, 90035, 90043, 90051, 90054, 90093, 90095, 90096, 90098, 90188, 90202, 90212, 90215, 91800, 91803, 91806, 91891 and 91893 are specified.
3.2.2B Application of items 75880, 75881, 75882, 75883, 75884 and 75885
(1) If item 75880, 75881, 75882, 75883, 75884 or 75885 applies to a medical service, the fee mentioned in that item applies in addition to the fee mentioned in an item specified in subclause (2) that applies to the service.
(2) For the purposes of subclause (1), items 91801, 91802, 91804, 91805, 91807, 91808, 91900, 91903, 91906, 91910, 91913, 91916, 91920, 91923 and 91926 are specified.
3.2.3 Items in Group M1
This clause sets out items in Group M1.
Note: The fees in Group M1 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100.62%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="_Hlk151792543"><span>Group M1—Management of bulk</span><span>‑</span><span>billed services</span></a></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td><td style="vertical-align:top"></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="_Hlk137806518"><span>Subgroup 1—Management of general bulk</span><span>‑</span><span>billed services</span></a></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>10990</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151792591"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(e) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(f) that is a general practice support service; or</span></p><p class="Tablea"><span>(g) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>7.65</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_4323050"></a><a id="CU_4325097"></a><span>10991</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151792938"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service; and</span></p><p class="Tablea"><span>(e) the service is provided at, or from, a practice location in a Modified Monash 2 area;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(f) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(g) that is a general practice support service; or</span></p><p class="Tablea"><span>(h) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>11.60</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_5323614"></a><a id="CU_5325661"></a><span>10992</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>A medical service to which:</span></p><p class="Tablea"><span>(a) item</span><span> </span><span>585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or</span></p><p class="Tablea"><span>(b) item</span><span> </span><span>761 or 772 applies (see the </span><span style="font-style:italic">Health Insurance (Section</span><span style="font-style:italic"> </span><span style="font-style:italic">3C General Medical Services – Other Medical Practitioner) Determination</span><span style="font-style:italic"> </span><span style="font-style:italic">2018</span><span>);</span></p><p class="Tabletext"><span>if:</span></p><p class="Tabletext"><span>(c) the service is an unreferred service; and</span></p><p class="Tablea"><span>(d) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(f) the service is not provided in consulting rooms; and</span></p><p class="Tablea"><span>(g) the service is provided in any of the following areas:</span></p><p class="Tablei"><span>(i) a Modified Monash 2 area;</span></p><p class="Tablei"><span>(ii) a Modified Monash 3 area;</span></p><p class="Tablei"><span>(iii) a Modified Monash 4 area;</span></p><p class="Tablei"><span>(iv) a Modified Monash 5 area;</span></p><p class="Tablei"><span>(v) a Modified Monash 6 area;</span></p><p class="Tablei"><span>(vi) a Modified Monash 7 area; and</span></p><p class="Tablea"><span>(h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in</span><span> </span><span>an area mentioned in paragraph</span><span> </span><span>(g); and</span></p><p class="Tablea"><a id="_Hlk86334211"><span>(i) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></a></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the other item mentioned in paragraph</span><span> </span><span>(a) or (b) applying to the service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>11.60</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75855</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151793017"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service; and</span></p><p class="Tablea"><span>(e) the service is provided at, or from, a practice location in:</span></p><p class="Tablei"><span>(i) a Modified Monash 3 area; or</span></p><p class="Tablei"><span>(ii) a Modified Monash 4 area;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(f) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(g) that is a general practice support service; or</span></p><p class="Tablei"><span>(h) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>12.30</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75856</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151793053"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service; and</span></p><p class="Tablea"><span>(e) the service is provided at, or from, a practice location in a Modified Monash 5 area;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(f) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(g) that is a general practice support service; or</span></p><p class="Tablea"><span>(h) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>13.10</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75857</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151793099"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service; and</span></p><p class="Tablea"><span>(e) the service is provided at, or from, a practice location in a Modified Monash 6 area;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(f) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(g) that is a general practice support service; or</span></p><p class="Tablea"><span>(h) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>13.85</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75858</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="_Hlk151793139"><span>A medical service to which an item in this Schedule (other than this item) applies, if:</span></a></p><p class="Tablea"><span>(a) the service is an unreferred service; and</span></p><p class="Tablea"><span>(b) the service is provided to a person who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(d) the service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) any other item in this Schedule applying to the service; and</span></p><p class="Tablea"><span>(e) the service is provided at, or from, a practice location in a Modified Monash 7 area;</span></p><p class="Tabletext"><span>other than a service associated with a service:</span></p><p class="Tablea"><span>(f) to which another item in this Group applies; or</span></p><p class="Tablea"><span>(g) that is a general practice support service; or</span></p><p class="Tablea"><span>(h) that is a MyMedicare service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>14.65</span></p></td><td style="vertical-align:top"></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—General support service</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75870</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>24.25</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75871</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d)</span><span> </span><span>the attendance service is provided at, or from, a practice location in</span><span> </span><span>a Modified Monash 2 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.90</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75872</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance</span><span> </span><span style="font-weight:bold; font-style:italic">service</span><span>) if:</span></p><p class="Tablea"><span>(a) item</span><span> </span><span>763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and</span></p><p class="Tablea"><span>(b) the attendance service is an unreferred service; and</span></p><p class="Tablea"><span>(c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(e) the attendance service is not provided in consulting rooms; and</span></p><p class="Tablea"><span>(f) the attendance service is provided in any of the following areas:</span></p><p class="Tablei"><span>(i) a Modified Monash 2 area;</span></p><p class="Tablei"><span>(ii) a Modified Monash 3 area;</span></p><p class="Tablei"><span>(iii) a Modified Monash 4 area;</span></p><p class="Tablei"><span>(iv) a Modified Monash 5 area;</span></p><p class="Tablei"><span>(v) a Modified Monash 6 area;</span></p><p class="Tablei"><span>(vi) a Modified Monash 7 area; and</span></p><p class="Tablea"><span>(g)</span><span> </span><span>the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in</span><span> </span><span>an area mentioned in paragraph</span><span> </span><span>(f); and</span></p><p class="Tablea"><span>(h) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) an item mentioned in paragraph</span><span> </span><span>(a) that applies to the service</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.90</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75873</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in:</span></p><p class="Tablei"><span>(i) a Modified Monash 3 area; or</span></p><p class="Tablei"><span>(ii) a Modified Monash 4 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>39.20</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75874</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in</span><span> </span><span>a Modified Monash 5 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>41.65</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75875</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tabletext"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in</span><span> </span><span>a Modified Monash 6 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>43.95</span></p></td><td style="vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75876</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the general practice support service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in</span><span> </span><span>a Modified Monash 7 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td style="width:15.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>46.65</span></p></td><td style="vertical-align:top"></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Patients enrolled in MyMedicare</span></p></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75880</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b)</span><span> </span><span>the patient</span><span> </span><span>is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>24.25</span></p></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75881</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.90</span></p></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75882</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in:</span></p><p class="Tablei"><span>(i) a Modified Monash 3 area; or</span></p><p class="Tablei"><span>(ii) a Modified Monash 4 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>39.20</span></p></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75883</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75884 or 75885 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>41.65</span></p></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75884</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75885 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>43.95</span></p></td></tr><tr><td style="width:15.32%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>75885</span></p></td><td style="width:68.46%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Professional attendance (the </span><span style="font-weight:bold; font-style:italic">attendance service</span><span>) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:</span></p><p class="Tablea"><span>(a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and</span></p><p class="Tablea"><span>(b) the patient is not an admitted patient of a hospital; and</span></p><p class="Tablea"><span>(c) the attendance service is bulk</span><span>‑</span><span>billed in relation to the fees for:</span></p><p class="Tablei"><span>(i) this item; and</span></p><p class="Tablei"><span>(ii) the MyMedicare service item applying to the attendance service; and</span></p><p class="Tablea"><span>(d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area;</span></p><p class="Tabletext"><span>other than an attendance service associated with a service to which item</span><span> </span><span>10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75884 applies</span></p></td><td colspan="2" style="border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>46.65</span></p></td></tr><tr style="height:0pt"><td style="width:65.7pt"></td><td style="width:293.7pt"></td><td style="width:67.2pt"></td><td style="width:2.4pt"></td></tr></tbody></table>
Part 4—Diagnostic procedures and investigations
Division 4.1—Group D1: Miscellaneous diagnostic procedures and investigations
4.1.1 Meaning of report
In this Division:
report means a report prepared by a medical practitioner.
4.1.2 Meaning of qualified adult sleep medicine practitioner, qualified paediatric sleep medicine practitioner and qualified sleep medicine practitioner
(1) In this Schedule:
qualified adult sleep medicine practitioner means a person who meets the conditions in one of subclauses (2), (3), (4) and (5) relating to:
(a) the field (the relevant field) of adult sleep medicine; or
(b) the training program (the relevant training program) of the Thoracic Society of Australia and New Zealand and the Australasian Sleep Association known as the Advanced Training Program in Adult Sleep Medicine.
qualified paediatric sleep medicine practitioner means a person who meets the conditions in one of subclauses (2), (3), (4) and (5) relating to:
(a) the field (the relevant field) of paediatric sleep medicine; or
(b) the training program (the relevant training program) of the Thoracic Society of Australia and New Zealand and the Australasian Sleep Association known as the Advanced Training Program in Paediatric Sleep Medicine.
qualified sleep medicine practitioner means a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner.
RACP Advisory Committee means the Specialist Advisory Committee in Thoracic and Sleep Medicine of the Royal Australasian College of Physicians.
RACP Appeal Committee means the Appeal Committee of the Royal Australasian College of Physicians.
RACP Credentialling Subcommittee means the Credentialling Subcommittee of the RACP Advisory Committee.
Conditions for being a qualified sleep medicine practitioner
(2) A person meets the conditions in this subclause if the person has been assessed by the RACP Credentialling Subcommittee or the RACP Appeal Committee as having had, before 1 March 1999, sufficient training and experience in the relevant field to be competent in:
(a) independent clinical assessment and management of patients with respiratory sleep disorders; and
(b) reporting sleep studies.
(3) A person meets the conditions in this subclause if:
(a) the person has been assessed by the RACP Credentialling Subcommittee or the RACP Appeal Committee as having had, before 1 March 1999, substantial training or experience in sleep medicine, but requiring further specified training or experience in the relevant field to be competent in:
(i) independent clinical assessment and management of patients with respiratory sleep disorders; and
(ii) reporting sleep studies; and
(b) either:
(i) the person has been assessed by the RACP Credentialling Subcommittee as having satisfactorily finished the further specified training or gained the further specified experience; or
(ii) where an assessment mentioned in paragraph (a) has been carried out, less than 2 years has passed since the assessment.
(4) A person meets the conditions in this subclause if the person has attained Level I or Level II of the relevant training program after completing at least 12 months core training, including clinical practice in the relevant field and in reporting sleep studies.
(5) A person meets the conditions in this subclause if the RACP Advisory Committee has recognised the person, in writing, as having training equivalent to the training mentioned in subclause (4).
4.1.3 Restriction on item 11801—service provided in association with other services
Item 11801 does not apply to a service described in the item if the service is provided in association with a service described in item 11800, 11810, 11820, 11823, 11830 or 11833.
4.1.3A Restriction on items 11704, 11705, 11716, 11717, 11723 and 11735—reports
(1) Items 11704, 11705, 11716, 11717, 11723 and 11735 apply to a service only if:
(a) the report required for the service complies with subclause (2); and
(b) if the service was requested—a copy of the report is provided to the requesting practitioner.
(2) The report must:
(a) be in writing; and
(b) be prepared by a specialist or consultant physician; and
(c) include an interpretation of the trace, including the indicators for the investigation; and
(d) include comments on the significance of:
(i) the trace findings; and
(ii) the relationship of the trace findings to clinical decision making for the patient in the clinical context; and
(e) if appropriate—include a copy of the trace and any measurements taken or automatically generated; and
(f) for item 11705—be a report of a trace from a twelve‑lead electrocardiography for the patient:
(i) provided with the request by the requesting practitioner; and
(ii) that has not previously been reported on.
4.1.3B Restriction on item 11714—clinical notes
(1) Item 11714 applies to a service only if:
(a) the clinical note required for the service complies with subclause (2); and
(b) if appropriate, a copy of the clinical note is provided to the requesting practitioner.
(2) The clinical note must include:
(a) comments on the significance of:
(i) the trace findings; and
(ii) the relationship of the trace findings to clinical decision making for the patient in the clinical context; and
(b) an interpretation that is not based solely on measurements or diagnoses automatically generated from the trace.
4.1.3C Restriction on items 11704 and 11705—financial relationship
Items 11704 and 11705 apply to a service only if the medical practitioner providing the service does not have a financial relationship with the medical practitioner who has requested the service.
4.1.3D Restrictions on items 11729, 11730 and 11732—patient limitations
(1) Items 11729, 11730 and 11732 apply to a service provided to a patient only if:
(a) the patient’s body habitus, or other physical condition, is suitable for exercise stress testing or pharmacological induced stress testing; and
(b) the patient can complete the exercise sufficiently, or respond adequately to pharmacological induced stress, for the required measurements to be taken.
(2) Despite subclause (1), item 11729 does not apply to a service if:
(a) the patient is asymptomatic and has a normal cardiac examination; or
(b) the service is to monitor a patient who has a known cardiac disease, but the absence of symptom evolution suggests the disease has not progressed; or
(c) the patient has an abnormal resting electrocardiography result which would prevent the interpretation of results.
(3) Despite subclause (1), item 11730 does not apply to a service if the patient is asymptomatic and has a normal cardiac examination.
4.1.3E Restriction on items 11729, 11730 and 11732—safety requirements
(1) Items 11729, 11730 and 11732 apply to a service provided to a patient only if:
(a) the service is performed on premises equipped with resuscitation equipment, including a defibrillator; and
(b) a person trained in the matters mentioned in subclause (2) and cardiopulmonary resuscitation is in continuous personal attendance during the monitoring and recording; and
(c) at the time the service is performed, a second person trained in cardiopulmonary resuscitation is located at the premises and is immediately available to respond if required; and
(d) at least one of the persons mentioned in paragraphs (b) and (c) is a medical practitioner.
(2) For the purposes of paragraph (1)(b), the matters are:
(a) how to safely perform exercise or pharmacological stress monitoring and recording; and
(b) how to recognise the symptoms and signs of cardiac disease.
4.1.3F Restriction on certain items—patients receiving hospital treatment or hospital‑substitute treatment
Items 11704, 11707, 11714, 11716, 11717, 11723 and 11735 do not apply to a service provided to a patient if the patient is being provided with the service as part of an episode of:
(a) hospital treatment; or
(b) hospital‑substitute treatment in respect of which the patient chooses to receive a benefit from a private health insurer.
4.1.3G Restriction on certain items—other services on the same day
(1) Item 11704 does not apply to a service if the specialist or consultant physician providing the service provides to the patient, on the same day, another service to which another item in Part 2 (attendances) applies.
(2) Item 11705 does not apply to a service if the specialist or consultant physician providing the service provides to the patient, on the same day, another service to which another item in Part 2 (attendances) applies, unless there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the providing of the service.
4.1.4 Restrictions on items 12306 to 12322
(1) Items 12306 to 12322 apply to a service for a patient only as set out in this clause.
(2) The items apply to a service that is provided by a specialist or consultant physician to whom the patient has been referred by another medical practitioner.
(3) The items also apply to a service that is provided as follows:
(a) a person (the radiation licence holder) who holds a radiation licence under a law of a State or Territory performs the service (other than interpretation and reporting) under the supervision of a specialist or consultant physician;
(b) the specialist or consultant physician performs the interpretation and reporting for the service;
(c) the radiation licence authorises the radiation licence holder to undertake the activities involved in performing the service (other than interpretation and reporting);
(d) the patient has been referred to the specialist or consultant physician by another medical practitioner;
(e) for items 12320 and 12322—if the service is performed using quantitative computed tomography:
(i) the radiation licence holder is registered as a medical radiation practitioner under a law of a State or Territory; and
(ii) the specialist or consultant physician is available to monitor and influence the conduct and diagnostic quality of the examination and, if necessary, to attend on the patient personally.
4.1.5 Items in Group D1
This clause sets out items in Group D1.
Note: The fees in Group D1 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group D1—Miscellaneous diagnostic procedures and investigations</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 1—Neurology</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11000</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electroencephalography, other than a service:</span></p><p class="Tablea"><span>(a) associated with a service to which item</span><span> </span><span>11003, 11009 or 11205 applies; or</span></p><p class="Tablea"><span>(b) involving quantitative topographic mapping using neurometrics or similar devices</span></p><p class="Tabletext"><span>(Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>128.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_5328498"></a><span>11003</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electroencephalography, prolonged recording lasting at least 3 hours, that requires multi</span><span>‑</span><span>channel recording using:</span></p><p class="Tablea"><span>(a) for a service not associated with a service to which an item in Group T8 applies—standard 10</span><span>‑</span><span>20 electrode placement; or</span></p><p class="Tablea"><span>(b) for a service associated with a service to which an item in Group T8 applies—either standard 10</span><span>‑</span><span>20 electrode placement or a different electrode placement and number of recorded channels;</span></p><p class="Tabletext"><span>other than a service:</span></p><p class="Tablea"><span>(c) associated with a service to which item</span><span> </span><span>11000, 11004 or 11005 applies; or</span></p><p class="Tablea"><span>(d) involving quantitative topographic mapping using neurometrics or similar devices</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>338.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_6330635"></a><span>11004</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi</span><span>‑</span><span>channel recording using standard</span><span style="font-style:italic"> </span><span>10</span><span>‑</span><span>20 electrode placement, first day, other than a service:</span></p><p class="Tablea"><span>(a) associated with a service to which item</span><span> </span><span>11000, 11003 or 11005 applies; or</span></p><p class="Tablea"><span>(b) involving quantitative topographic mapping using neurometrics or similar devices</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>338.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11005</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi</span><span>‑</span><span>channel recording using standard 10</span><span>‑</span><span>20 electrode placement, each day after the first day, other than a service:</span></p><p class="Tablea"><span>(a) associated with a service to which item</span><span> </span><span>11000, 11003 or 11004 applies; or</span></p><p class="Tablea"><span>(b) involving quantitative topographic mapping using neurometrics or similar devices</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>338.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11009</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electrocorticography</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>338.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11012</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Neuromuscular electrodiagnosis—conduction studies on one nerve or electromyography of one or more muscles using concentric needle electrodes or both these examinations (other than a service associated with a service to which item</span><span> </span><span>11015 or 11018 applies)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11015</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Neuromuscular electrodiagnosis—conduction studies on 2 or 3 nerves with or without electromyography (other than a service associated with a service to which item</span><span> </span><span>11012 or 11018 applies)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>156.00</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_12330197"></a><span>11018</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Neuromuscular electrodiagnosis—conduction studies on 4 or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (other than a service associated with a service to which item</span><span> </span><span>11012 or 11015 applies)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>233.05</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11021</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>156.00</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11024</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Central nervous system evoked responses, investigation of, by computerised averaging techniques, other than a service involving quantitative topographic mapping of event</span><span>‑</span><span>related potentials or involving multifocal multichannel objective perimetry—one or 2 studies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>118.45</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_15332805"></a><span>11027</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Central nervous system evoked responses, investigation of, by computerised averaging techniques, other than a service involving quantitative topographic mapping of event</span><span>‑</span><span>related potentials or involving multifocal multichannel objective perimetry—3 or more studies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>175.70</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 2—Ophthalmology</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11200</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Provocative test or tests for open angle glaucoma, including water drinking</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>42.45</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11204</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electroretinography of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s speciality</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>112.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11205</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electrooculography of one or both eyes performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s speciality, other than a service associated with a service to which item</span><span> </span><span>11000, 11340, 11341 or 11343 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>112.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11210</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Pattern electroretinography of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s speciality</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>112.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11211</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Dark adaptometry of one or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations, performed by or on behalf of a specialist in the practice of the specialist’s specialty of ophthalmology</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>112.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11215</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Retinal angiography, multiple exposures, of one eye with intravenous dye injection</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>127.95</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11218</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Retinal angiography, multiple exposures of both eyes with intravenous dye injection</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>158.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11219</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Optical coherence tomography for diagnosis of an ocular condition for the treatment of which there is a medication that is:</span></p><p class="Tablea"><span>(a) listed on the pharmaceutical benefits scheme; and</span></p><p class="Tablea"><span>(b) indicated for intraocular administration</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>41.60</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11220</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Optical coherence tomography, to a maximum of one service per eye per lifetime, for the assessment of the need for treatment following provision of pharmaceutical benefits scheme</span><span>‑</span><span>subsidised ocriplasmin</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>41.60</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11221</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of the specialist’s specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 3 examinations (including examinations to which item</span><span> </span><span>11224 applies) in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>70.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11224</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of the specialist’s specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 3 examinations (including examinations to which item</span><span> </span><span>11221 applies) in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>42.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11235</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Examination of the eye by impression cytology of cornea for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of a report</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>127.70</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11237</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Ocular contents, simultaneous ultrasonic echography by both unidimensional and bidimensional techniques, for the diagnosis, monitoring or measurement of choroidal and ciliary body melanomas, retinoblastoma or suspicious naevi or simulating lesions, one eye, other than a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11240</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of one eye before lens surgery on that eye, other than a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>84.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11241</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, for bilateral eye measurement before lens surgery on both eyes, other than a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>107.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11242</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of an eye previously measured and on which lens surgery has been performed, and if further lens surgery is contemplated in that eye, other than a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>83.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11243</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of a second eye if:</span></p><p class="Tablea"><span>(a) surgery for the first eye has resulted in more than one dioptre of error; or</span></p><p class="Tablea"><span>(b) more than 3 years have elapsed since the surgery for the first eye;</span></p><p class="Tabletext"><span>other than a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>83.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11244</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Orbital contents, diagnostic B</span><span>‑</span><span>scan of, by a specialist practising in the specialist’s specialty of ophthalmology, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>80.10</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 3—Otolaryngology</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11300</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Brain stem evoked response audiometry, if:</span></p><p class="Tablea"><span>(a) the service is not for the purposes of programming either an auditory implant or the sound processor of an auditory implant; and</span></p><p class="Tablea"><span>(b) a service to which item</span><span> </span><span>82300 applies has not been performed on the patient on the same day</span></p><p class="Tabletext"><span>(Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>200.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11302</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Programming an auditory implant or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which item</span><span> </span><span>82301, 82302 or 82304 applies has not been performed on the patient on the same day</span></p><p class="Tabletext"><span>Applicable up to a total of 4 services to which this item, item</span><span> </span><span>11342 or item</span><span> </span><span>11345 applies on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>203.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11303</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electrocochleography, extratympanic method, one or both ears</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>200.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11304</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Electrocochleography, transtympanic membrane insertion technique, one or both ears</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>329.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11306</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Non</span><span>‑</span><span>determinate audiometry, if a service to which item</span><span> </span><span>82306 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>22.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11309</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Audiogram, air conduction, if a service to which item</span><span> </span><span>82309 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>27.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11312</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Audiogram, air and bone conduction or air conduction and speech discrimination, if a service to which item</span><span> </span><span>82312 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>38.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_42337859"></a><span>11315</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Audiogram, air and bone conduction and speech, if a service to which item</span><span> </span><span>82315 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>51.20</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11318</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Audiogram, air and bone conduction and speech, with other cochlear tests, if a service to which item</span><span> </span><span>82318 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>63.20</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11324</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a medical practitioner, if a service to which item</span><span> </span><span>82324 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>21.00</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_47338846"></a><a id="CU_47340693"></a><span>11332</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Oto</span><span>‑</span><span>acoustic emission audiometry for the detection of outer hair cell functioning in the cochlea, performed by or on behalf of a specialist or consultant physician, when middle ear pathology has been excluded, if:</span></p><p class="Tablea"><span>(a) the service is performed:</span></p><p class="Tablei"><span>(i) on an infant or child who is at risk of permanent hearing impairment; or</span></p><p class="Tablei"><span>(ii) on an individual who is at risk of oto</span><span>‑</span><span>toxicity due to medications or medical intervention; or</span></p><p class="Tablei"><span>(iii) on an individual at risk of noise induced hearing loss; or</span></p><p class="Tablei"><span>(iv) to assist in the diagnosis of auditory neuropathy; and</span></p><p class="Tablea"><span>(b) a service to which item</span><span> </span><span>82332 applies has not been performed on the patient on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>60.95</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11340</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of the vestibular function to assist in the diagnosis, treatment or management of a vestibular or related disorder, performed by or on behalf of a medical practitioner:</span></p><p class="Tablea"><span>(a) to assess one or more of the following:</span></p><p class="Tablei"><span>(i) the organs of the peripheral vestibular system (utricle, saccule, lateral, superior and posterior semicircular canals, and vestibular nerve);</span></p><p class="Tablei"><span>(ii) muscular or eye movement responses elicited by vestibular stimulation;</span></p><p class="Tablei"><span>(iii) static signs of vestibular dysfunction;</span></p><p class="Tablei"><span>(iv) the central ocular</span><span>‑</span><span>motor function; and</span></p><p class="Tablea"><span>(b) using up to 2 clinically recognised tests;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>11015, 11021, 11024, 11027 or 11205 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>196.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11341</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of the vestibular function to assist in the diagnosis, treatment or management of a vestibular or related disorder, performed by or on behalf of a medical practitioner:</span></p><p class="Tablea"><span>(a) to assess one or more of the following:</span></p><p class="Tablei"><span>(i) the organs of the peripheral vestibular system (utricle, saccule, lateral, superior and posterior semicircular canals, and vestibular nerve);</span></p><p class="Tablei"><span>(ii) muscular or eye movement responses elicited by vestibular stimulation;</span></p><p class="Tablei"><span>(iii) static signs of vestibular dysfunction;</span></p><p class="Tablei"><span>(iv) the central ocular</span><span>‑</span><span>motor function; and</span></p><p class="Tablea"><span>(b) using 3 or 4 clinically recognised tests;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>11015, 11021, 11024, 11027 or 11205 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>394.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11343</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of the vestibular function to assist in the diagnosis, treatment or management of a vestibular or related disorder, performed by or on behalf of a medical practitioner:</span></p><p class="Tablea"><span>(a) to assess one or more of the following:</span></p><p class="Tablei"><span>(i) the organs of the peripheral vestibular system (utricle, saccule, lateral, superior and posterior semicircular canals, and vestibular nerve);</span></p><p class="Tablei"><span>(ii) muscular or eye movement responses elicited by vestibular stimulation;</span></p><p class="Tablei"><span>(iii) static signs of vestibular dysfunction;</span></p><p class="Tablei"><span>(iv) the central ocular</span><span>‑</span><span>motor function; and</span></p><p class="Tablea"><span>(b) using 5 or more clinically recognised tests;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>11015, 11021, 11024, 11027 or 11205 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>590.25</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 4—Respiratory</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_53341845"></a><span>11503</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Complex measurement of properties of the respiratory system, including the lungs and respiratory muscles, that is performed:</span></p><p class="Tablea"><span>(a) in a respiratory laboratory; and</span></p><p class="Tablea"><span>(b) under the supervision of a specialist or consultant physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports on tests performed; and</span></p><p class="Tablea"><span>(c) using any of the following tests:</span></p><p class="Tablei"><span>(i) measurement of absolute lung volumes by any method;</span></p><p class="Tablei"><span>(ii) measurement of carbon monoxide diffusing capacity by any method;</span></p><p class="Tablei"><span>(iii) measurement of airway or pulmonary resistance by any method;</span></p><p class="Tablei"><span>(iv) inhalation provocation testing, including pre</span><span>‑</span><span>provocation spirometry and the construction of a dose response curve, using a recognised direct or indirect bronchoprovocation agent and post</span><span>‑</span><span>bronchodilator spirometry;</span></p><p class="Tablei"><span>(v) provocation testing involving sequential measurement of lung function at baseline and after exposure to specific sensitising agents, including drugs, or occupational asthma triggers;</span></p><p class="Tablei"><span>(vi) spirometry performed before and after simple exercise testing undertaken as a provocation test for the investigation of asthma, in premises equipped with resuscitation equipment and personnel trained in Advanced Life Support;</span></p><p class="Tablei"><span>(vii) measurement of the strength of inspiratory and expiratory muscles at multiple lung volumes;</span></p><p class="Tablei"><span>(viii) simulated altitude test involving exposure to hypoxic gas mixtures and oxygen saturation at rest and/or during exercise with or without an observation of the effect of supplemental oxygen;</span></p><p class="Tablei"><span>(ix) calculation of pulmonary or cardiac shunt by measurement of arterial oxygen partial pressure and haemoglobin concentration following the breathing of an inspired oxygen concentration of 100% for 15 minutes or greater;</span></p><p class="Tablei"><span>(x) if the measurement is for the purpose of determining eligibility for pulmonary arterial hypertension medications subsidised under the Pharmaceutical Benefits Scheme or eligibility for the provision of portable oxygen—functional exercise test by any method (including 6 minute walk test and shuttle walk test);</span></p><p class="Tabletext"><span>each occasion at which one or more tests are performed</span></p><p class="Tabletext"><span>Not applicable to a service performed in association with a spirometry or sleep study service to which item</span><span> </span><span>11505, 11506, 11507, 11508, 11512, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Not applicable to a service to which item</span><span> </span><span>11507 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>144.25</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11505</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of spirometry, that:</span></p><p class="Tablea"><span>(a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and</span></p><p class="Tablea"><span>(b) is performed to confirm diagnosis of:</span></p><p class="Tablei"><span>(i) asthma; or</span></p><p class="Tablei"><span>(ii) chronic obstructive pulmonary disease (COPD); or</span></p><p class="Tablei"><span>(iii) another cause of airflow limitation;</span></p><p class="Tabletext"><span>each occasion at which 3 or more recordings are made</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>42.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_55340729"></a><span>11506</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of spirometry, that:</span></p><p class="Tablea"><span>(a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and</span></p><p class="Tablea"><span>(b) is performed to:</span></p><p class="Tablei"><span>(i) confirm diagnosis of chronic obstructive pulmonary disease (COPD); or</span></p><p class="Tablei"><span>(ii) assess acute exacerbations of asthma; or</span></p><p class="Tablei"><span>(iii) monitor asthma and COPD; or</span></p><p class="Tablei"><span>(iv) assess other causes of obstructive lung disease or the presence of restrictive lung disease;</span></p><p class="Tabletext"><span>each occasion at which recordings are made</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>21.40</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11507</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of spirometry:</span></p><p class="Tablea"><span>(a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and</span></p><p class="Tablea"><span>(b) fractional exhaled nitric oxide (FeNO) concentration in exhaled breath;</span></p><p class="Tabletext"><span>if:</span></p><p class="Tablea"><span>(c) the measurement is performed:</span></p><p class="Tablei"><span>(i) under the supervision of a specialist or consultant physician; and</span></p><p class="Tablei"><span>(ii) with continuous attendance by a respiratory scientist; and</span></p><p class="Tablei"><span>(iii) in a respiratory laboratory equipped to perform complex lung function tests; and</span></p><p class="Tablea"><span>(d) a permanently recorded tracing and written report is provided; and</span></p><p class="Tablea"><span>(e) 3 or more spirometry recordings are performed unless difficult to achieve for clinical reasons;</span></p><p class="Tabletext"><span>each occasion at which one or more such tests are performed</span></p><p class="Tabletext"><span>Not applicable to a service associated with a service to which item</span><span> </span><span>11503 or 11512 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>104.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11508</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Maximal symptom</span><span>‑</span><span>limited incremental exercise test using a calibrated cycle ergometer or treadmill, if:</span></p><p class="Tablea"><span>(a) the test is performed for the evaluation of:</span></p><p class="Tablei"><span>(i) breathlessness of uncertain cause from tests performed at rest; or</span></p><p class="Tablei"><span>(ii) breathlessness out of proportion with impairment due to known conditions; or</span></p><p class="Tablei"><span>(iii) functional status and prognosis in a patient with significant cardiac or pulmonary disease for whom complex procedures such as organ transplantation are considered; or</span></p><p class="Tablei"><span>(iv) anaesthetic and perioperative risks in a patient undergoing major surgery who is assessed as substantially above average risk after standard evaluation; and</span></p><p class="Tablea"><span>(b) the test has been requested by a specialist or consultant physician following professional attendance on the patient by the specialist or consultant physician; and</span></p><p class="Tablea"><span>(c) a respiratory scientist and a medical practitioner are in constant attendance during the test; and</span></p><p class="Tablea"><span>(d) the test is performed in a respiratory laboratory equipped with airway management and defibrillator equipment; and</span></p><p class="Tablea"><span>(e) there is continuous measurement of at least the following:</span></p><p class="Tablei"><span>(i) work rate;</span></p><p class="Tablei"><span>(ii) pulse oximetry;</span></p><p class="Tablei"><span>(iii) respired oxygen and carbon dioxide partial pressures and respired volumes;</span></p><p class="Tablei"><span>(iv) ECG;</span></p><p class="Tablei"><span>(v) heart rate and blood pressure; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a specialist or consultant physician who is also responsible for the supervision of technical staff and quality assurance</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>302.60</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11512</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of spirometry:</span></p><p class="Tablea"><span>(a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and</span></p><p class="Tablea"><span>(b) that is performed with a respiratory scientist in continuous attendance; and</span></p><p class="Tablea"><span>(c) that is performed in a respiratory laboratory equipped to perform complex lung function tests; and</span></p><p class="Tablea"><span>(d) that is performed under the supervision of a specialist or consultant physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports; and</span></p><p class="Tablea"><span>(e) for which a permanently recorded tracing and written report is provided; and</span></p><p class="Tablea"><span>(f) for which 3 or more spirometry recordings are performed;</span></p><p class="Tabletext"><span>each occasion at which one or more such tests are performed</span></p><p class="Tabletext"><span>Not applicable for a service associated with a service to which item</span><span> </span><span>11503 or 11507 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>64.25</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><a id="CU_58343785"></a><span>Subgroup 5—Vascular</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11600</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Central venous, pulmonary arterial, systemic arterial or cardiac intracavity blood pressure monitoring by indwelling catheter—once per day for each type of pressure for a patient, other than a service:</span></p><p class="Tablea"><span>(a) associated with the management of general anaesthesia; and</span></p><p class="Tablea"><span>(b) to which item</span><span> </span><span>13876 applies</span></p><p class="Tablea"><span>(H)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>72.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_60342284"></a><span>11602</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of venous reflux or obstruction in one or more limbs at rest by CW Doppler or pulsed Doppler involving examination at multiple sites along each limb using intermittent limb compression or Valsalva manoeuvres, or both, to detect prograde and retrograde flow, other than a service associated with a service to which item</span><span> </span><span>32500 applies—hard copy trace and written report, the report component of which must be performed by a medical practitioner, maximum of 2 examinations in a 12 month period, not to be used in conjunction with sclerotherapy</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>60.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11604</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of chronic venous disease in the upper and lower extremities, one or more limbs, by plethysmography (excluding photoplethysmography)—examination, hard copy trace and written report, not being a service associated with a service to which item</span><span> </span><span>32500 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11605</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Investigation of complex chronic lower limb reflux or obstruction, in one or more limbs, by infrared photoplethysmography, during and following exercise to determine surgical intervention or the conservative management of deep venous thrombotic disease—hard copy trace, calculation of 90% recovery time and written report, not being a service associated with a service to which item</span><span> </span><span>32500 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11607</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Continuous ambulatory blood pressure recording for 24 hours or more for a patient if:</span></p><p class="Tablea"><span>(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:</span></p><p class="Tablei"><span>(i) systolic blood pressure greater than or equal to 140 mmHg and less than or equal to 180 mmHg;</span></p><p class="Tablei"><span>(ii) diastolic blood pressure greater than or equal to 90 mmHg and less than or equal to 110 mmHg; and</span></p><p class="Tablea"><span>(b) the patient has not commenced anti</span><span>‑</span><span>hypertensive therapy; and</span></p><p class="Tablea"><span>(c) the recording includes the patient’s resting blood pressure; and</span></p><p class="Tablea"><span>(d) the recording is conducted using microprocessor</span><span>‑</span><span>based analysis equipment; and</span></p><p class="Tablea"><span>(e) the recording is interpreted by a medical practitioner and a report is prepared by the same medical practitioner; and</span></p><p class="Tablea"><span>(f) a treatment plan is provided for the patient; and</span></p><p class="Tablea"><span>(g) the service:</span></p><p class="Tablei"><span>(i) is not provided in association with ambulatory electrocardiogram recording; and</span></p><p class="Tablei"><span>(ii) is not associated with a service to which any of the following items apply:</span></p><p class="TableAA"><span>(A) 177;</span></p><p class="TableAA"><span>(B) 224 to 228;</span></p><p class="TableAA"><span>(C) 231 to 244;</span></p><p class="TableAA"><span>(D) 392 or 393;</span></p><p class="TableAA"><span>(E) 699;</span></p><p class="TableAA"><span>(F) 701 to 707;</span></p><p class="TableAA"><span>(G) 715;</span></p><p class="TableAA"><span>(H) 729, 731, 965 or 967;</span></p><p class="TableAA"><span>(I) 735 to 758;</span></p><p class="TableAA"><span>(J) 92004, 92011, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061.</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>107.20</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_63345419"></a><span>11610</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of ankle—brachial indices and arterial waveform analysis, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of lower extremity arterial disease—examination, hard copy trace and report</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>66.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11611</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of wrist—brachial indices and arterial waveform analysis, measurement of radial and ulnar (or finger) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of the wrist (or finger) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of upper extremity arterial disease—examination, hard copy trace and report</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>66.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_65344431"></a><span>11612</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Exercise study for the evaluation of lower extremity arterial disease, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices for the evaluation of lower extremity arterial disease at rest and following exercise using a treadmill or bicycle ergometer or other such equipment, if the exercise workload is quantifiably documented—examination and report</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>116.95</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11614</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Transcranial doppler, examination of the intracranial arterial circulation using CW Doppler or pulsed Doppler with hard copy recording of waveforms, examination and report, other than a service associated with a service to which item</span><span> </span><span>55280 of the diagnostic imaging services table applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11615</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Measurement of digital temperature, one or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>78.95</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11627</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Pulmonary artery pressure monitoring during open heart surgery, in a patient under 12 years of age (H)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>237.90</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 6—Cardiovascular</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11704</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Twelve</span><span>‑</span><span>lead electrocardiography, trace and formal report, by a specialist or a consultant physician, if the service:</span></p><p class="Tablea"><span>(a) is requested by a requesting practitioner; and</span></p><p class="Tablea"><span>(b) is not associated with a service to which item</span><span> </span><span>12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>32.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11705</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Twelve</span><span>‑</span><span>lead electrocardiography, formal report only, by a specialist or a consultant physician, if the service:</span></p><p class="Tablea"><span>(a) is requested by a requesting practitioner; and</span></p><p class="Tablea"><span>(b) is not associated with a service to which item</span><span> </span><span>12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable not more than twice on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>19.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11707</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Twelve</span><span>‑</span><span>lead electrocardiography, trace only, by a medical practitioner, if:</span></p><p class="Tablea"><span>(a) the trace is provided to a specialist or consultant physician for a formal report; and</span></p><p class="Tablea"><span>(b) the service is not associated with a service to which item</span><span> </span><span>12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable not more than twice on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>19.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_72347714"></a><a id="CU_73345926"></a><a id="CU_77349839"></a><span>11713</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>72.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11714</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Twelve</span><span>‑</span><span>lead electrocardiography, trace and clinical note, by a medical practitioner, if:</span></p><p class="Tablea"><span>(a) the trace is required to inform clinical decision making during or following an attendance by the medical practitioner; and</span></p><p class="Tablea"><span>(b) the clinical note details the clinical indication for the service; and</span></p><p class="Tablea"><span>(c) the clinical note includes the interpretation in the context of the indication for the service; and</span></p><p class="Tablea"><span>(d) the service is not associated with a service to which item</span><span> </span><span>12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable not more than twice on the same day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>25.20</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_79348742"></a><span>11716</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Continuous ambulatory electrocardiogram recording for 12 or more hours, by a specialist or consultant physician, if the service:</span></p><p class="Tablea"><span>(a) is indicated for the evaluation of any of the following:</span></p><p class="Tablei"><span>(i) syncope;</span></p><p class="Tablei"><span>(ii) pre</span><span>‑</span><span>syncopal episodes;</span></p><p class="Tablei"><span>(iii) palpitations where episodes are occurring more than once a week;</span></p><p class="Tablei"><span>(iv) another asymptomatic arrhythmia is suspected with an expected frequency of greater than once a week;</span></p><p class="Tablei"><span>(v) surveillance following cardiac surgical procedures that have an established risk of causing dysrhythmia; and</span></p><p class="Tablea"><span>(b) utilises a system capable of superimposition and full disclosure printout of at least 12 hours of recorded electrocardiogram data (including resting electrocardiogram and the recording of parameters)</span><span style="font-style:italic"> </span><span>and</span><span style="font-style:italic"> </span><span>microprocessor based scanning analysis; and</span></p><p class="Tablea"><span>(c) includes interpretation and report; and</span></p><p class="Tablea"><span>(d) is not provided in association with ambulatory blood pressure monitoring; and</span></p><p class="Tablea"><span>(e) is not associated with a service to which item</span><span> </span><span>11704, 11705, 11707, 11714, 11717, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable only once in any 4 week period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>174.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11717</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service:</span></p><p class="Tablea"><span>(a) utilises a patient activated, single or multiple event memory recording device that:</span></p><p class="Tablei"><span>(i) is connected continuously to the patient for between 7 and 30 days; and</span></p><p class="Tablei"><span>(ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and</span></p><p class="Tablea"><span>(b) includes transmission, analysis, interpretation and reporting (including the indication for the investigation); and</span></p><p class="Tablea"><span>(c) is for the investigation of recurrent episodes of:</span></p><p class="Tablei"><span>(i) unexplained syncope; or</span></p><p class="Tablei"><span>(ii) palpitation; or</span></p><p class="Tablei"><span>(iii) other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and</span></p><p class="Tablea"><span>(d) is not associated with a service to which item</span><span> </span><span>11716, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable only once in any 3 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>102.40</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11719</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted pacemaker (including cardiac resynchronisation pacemaker) remote monitoring involving reviews (without patient attendance) of arrhythmias, lead and device parameters, if at least one remote review is provided in a 12 month period</span></p><p class="Tabletext"><span>Applicable once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>69.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11720</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted pacemaker testing, with patient attendance, following detection of abnormality by remote monitoring involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not being a service associated with a service to which item</span><span> </span><span>11721 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>69.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11721</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, other than a service associated with a service to which item</span><span> </span><span>11704, 11719, 11720, 11725 or 11726 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>72.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11723</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service:</span></p><p class="Tablea"><span>(a) utilises a patient activated, single or multiple event recording, on a memory recording device that:</span></p><p class="Tablei"><span>(i) is connected continuously to the patient for up to 7 days; and</span></p><p class="Tablei"><span>(ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and</span></p><p class="Tablea"><span>(b) includes transmission, analysis, interpretation and formal report (including the indication for the investigation); and</span></p><p class="Tablea"><span>(c) is for the investigation of recurrent episodes of:</span></p><p class="Tablei"><span>(i) unexplained syncope; or</span></p><p class="Tablei"><span>(ii) palpitation; or</span></p><p class="Tablei"><span>(iii) other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and</span></p><p class="Tablea"><span>(d) is not associated with a service to which item</span><span> </span><span>11716, 11717, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable only once in any 3 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>54.05</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_83351667"></a><span>11724</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Upright tilt table testing for the investigation of syncope of suspected cardiothoracic origin, including blood pressure monitoring, continuous ECG monitoring and the recording of the parameters, and involving an established intravenous line and the continuous attendance of a specialist or consultant physician—on premises equipped with a mechanical respirator and defibrillator</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>175.70</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11725</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted defibrillator (including cardiac resynchronisation defibrillator) remote monitoring involving reviews (without patient attendance) of arrhythmias, lead and device parameters, if at least 2 remote reviews are provided in a 12 month period</span></p><p class="Tabletext"><span>Applicable once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>197.20</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11726</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted defibrillator testing, with patient attendance, following detection of abnormality by remote monitoring involving electrocardiography, measurement of rate, width and amplitude of stimulus, not being a service associated with a service to which item</span><span> </span><span>11727 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>98.60</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11727</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted defibrillator testing involving electrocardiography, assessment of pacing and sensing thresholds for pacing and defibrillation electrodes, download and interpretation of stored events and electrograms, including programming when required, other than a service associated with a service to which item</span><span> </span><span>11719, 11720, 11721, 11725 or 11726 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>98.60</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11728</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted loop recording for the investigation of atrial fibrillation if the patient to whom the service is provided has been diagnosed as having had an embolic stroke of undetermined source, including reprogramming when required, retrieval of stored data, analysis, interpretation and report, other than a service to which item</span><span> </span><span>38288 applies</span></p><p class="Tabletext"><span>For any particular patient—applicable not more than 4 times in any 12 months</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11729</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multi channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts) or pharmacological stress, if:</span></p><p class="Tablea"><span>(a) the patient is 17 years or more; and</span></p><p class="Tablea"><span>(b) the patient:</span></p><p class="Tablei"><span>(i) has symptoms consistent with cardiac ischemia; or</span></p><p class="Tablei"><span>(ii) has other cardiac disease which may be exacerbated by exercise; or</span></p><p class="Tablei"><span>(iii) has a first degree relative with suspected heritable arrhythmia; and</span></p><p class="Tablea"><span>(c) the monitoring and recording:</span></p><p class="Tablei"><span>(i) is not less than 20 minutes; and</span></p><p class="Tablei"><span>(ii) includes resting electrocardiogram; and</span></p><p class="Tablea"><span>(d) a written report is produced by a medical practitioner that includes interpretation of the monitoring and recording data, commenting on the significance of the data, and the relationship of the data to clinical decision making for the patient in the</span><span style="font-style:italic"> </span><span>clinical context; and</span></p><p class="Tablea"><span>(e) the service is not a service:</span></p><p class="Tablei"><span>(i) provided on the same occasion as a service to which item</span><span> </span><span>11704, 11705, 11707 or 11714 applies; or</span></p><p class="Tablei"><span>(ii) performed within 24 months of a service to which item</span><span> </span><span>55141, 55143, 55145, 55146, 61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406, 61410 or 61414 applies</span></p><p class="Tabletext"><span>Applicable only once in any 24 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>158.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11730</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multi channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts), if:</span></p><p class="Tablea"><span>(a) the patient is less than 17 years; and</span></p><p class="Tablea"><span>(b) the patient:</span></p><p class="Tablei"><span>(i) has symptoms consistent with cardiac ischemia; or</span></p><p class="Tablei"><span>(ii) has other cardiac disease which may be exacerbated by exercise; or</span></p><p class="Tablei"><span>(iii) has a first degree relative with suspected heritable arrhythmia; and</span></p><p class="Tablea"><span>(c) the monitoring and recording:</span></p><p class="Tablei"><span>(i) is not less than 20 minutes in duration; and</span></p><p class="Tablei"><span>(ii) includes resting electrocardiogram; and</span></p><p class="Tablea"><span>(d) a written report is produced by a medical practitioner that includes interpretation of the monitoring and recording data, commenting on the significance of the data, and the relationship of the data to clinical decision making for the patient in the clinical context; and</span></p><p class="Tablea"><span>(e) the service is not a service:</span></p><p class="Tablei"><span>(i) provided on the same occasion as a service to which item</span><span> </span><span>11704, 11705, 11707 or 11714 applies; or</span></p><p class="Tablei"><span>(ii) performed within 24 months of a service to which item</span><span> </span><span>55141, 55143, 55145, 55146, 61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406, 61410 or 61414 applies</span></p><p class="Tabletext"><span>Applicable only once in any 24 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>158.35</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11731</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted electrocardiogram loop recording, by a medical practitioner, including reprogramming (if required), retrieval of stored data, analysis, interpretation and report, if the service is:</span></p><p class="Tablea"><span>(a) an investigation for a patient with:</span></p><p class="Tablei"><span>(i) cryptogenic stroke; or</span></p><p class="Tablei"><span>(ii) recurrent unexplained syncope; and</span></p><p class="Tablea"><span>(b) not a service to which item</span><span> </span><span>38285 applies</span></p><p class="Tabletext"><span>Applicable only once in any 4 week period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11732</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multi</span><span>‑</span><span>channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts), performed by a cardiologist with relevant expertise in genetic heart disease, if:</span></p><p class="Tablea"><span>(a) the patient is:</span></p><p class="Tablei"><span>(i) under investigation or treatment for long QT syndrome, catecholaminergic polymorphic ventricular tachycardia or arrhythmogenic cardiomyopathy; or</span></p><p class="Tablei"><span>(ii) a first degree relative of a person with confirmed long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, arrhythmogenic cardiomyopathy or unexplained sudden cardiac death at 40 years of age or younger; and</span></p><p class="Tablea"><span>(b) the monitoring and recording:</span></p><p class="Tablei"><span>(i) is for at least 20 minutes; and</span></p><p class="Tablei"><span>(ii) includes resting electrocardiogram; and</span></p><p class="Tablea"><a id="_Hlk152849861"><span>(c) the cardiologist produces a report that includes interpretation of the monitoring and recording data (commenting on the significance of the data) and discussion of the relationship of the data to clinical decision making for the patient in the clinical context; and</span></a></p><p class="Tablea"><span>(d) the service is not provided on the same occasion as a service to which item</span><span> </span><span>11704, 11705, 11707, 11714, 11729 or 11730 applies</span></p><p class="Tabletext"><span>Applicable once per day</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>167.55</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11735</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Continuous ambulatory electrocardiogram recording for 7 days, by a specialist or consultant physician, if the service:</span></p><p class="Tablea"><span>(a) utilises intelligent microprocessor based monitoring, with patient triggered recording and symptom reporting capability, real time analysis of electrocardiograms and alerts and daily or live data uploads; and</span></p><p class="Tablea"><span>(b) is for the investigation of:</span></p><p class="Tablei"><span>(i) episodes of suspected intermittent cardiac arrhythmia or episodes of syncope; or</span></p><p class="Tablei"><span>(ii) suspected intermittent cardiac arrhythmia in a patient who has had a previous cerebrovascular accident, is at risk of cerebrovascular accident or has had one or more previous transient ischemic attacks; and</span></p><p class="Tablea"><span>(c) includes interpretation and report; and</span></p><p class="Tablea"><span>(d) is not a service:</span></p><p class="Tablei"><span>(i) provided in association with ambulatory blood pressure monitoring; or</span></p><p class="Tablei"><span>(ii) associated with a service to which item</span><span> </span><span>11716, 11717, 11723, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies</span></p><p class="Tabletext"><span>Applicable not more than 4 times in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>133.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11736</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted loop recording via remote monitoring (including reprogramming (if required), retrieval of stored data, analysis, interpretation and report), for the investigation of atrial fibrillation, if the service:</span></p><p class="Tablea"><span>(a) is provided to a patient who has been diagnosed as having had an embolic stroke of undetermined source; and</span></p><p class="Tablea"><span>(b) is not a service to which item</span><span> </span><span>38288 applies</span></p><p class="Tabletext"><span>Applicable not more than 4 times in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11737</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Implanted electrocardiogram loop recording via remote monitoring (including reprogramming (if required), retrieval of stored data, analysis, interpretation and report), by a medical practitioner, if the service is:</span></p><p class="Tablea"><span>(a) an investigation for a patient with:</span></p><p class="Tablei"><span>(i) cryptogenic stroke; or</span></p><p class="Tablei"><span>(ii) recurrent unexplained syncope; and</span></p><p class="Tablea"><span>(b) not a service to which item</span><span> </span><span>38285 applies</span></p><p class="Tabletext"><span>Applicable only once in any 4 week period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>36.75</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 7—Gastroenterology and colorectal</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_86350611"></a><span>11800</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Oesophageal motility test, manometric</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>181.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11801</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Clinical assessment of gastro</span><span>‑</span><span>oesophageal reflux disease that involves 48</span><span>‑</span><span>hour catheter</span><span>‑</span><span>free wireless ambulatory oesophageal pH monitoring, including administration of the device and associated endoscopy procedure for placement, analysis and interpretation of the data and all attendances for providing the service, if:</span></p><p class="Tablea"><span>(a) a catheter</span><span>‑</span><span>based ambulatory oesophageal pH monitoring:</span></p><p class="Tablei"><span>(i) has been attempted on the patient but failed due to clinical complications; or</span></p><p class="Tablei"><span>(ii) is not clinically appropriate for the patient due to anatomical reasons (nasopharyngeal anatomy) preventing the use of catheter</span><span>‑</span><span>based pH monitoring; and</span></p><p class="Tablea"><span>(b) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy (H) (Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>273.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11810</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Clinical assessment of gastro</span><span>‑</span><span>oesophageal reflux disease involving 24</span><span>‑</span><span>hour pH monitoring, including analysis, interpretation and report and including any associated consultation</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>181.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_88352702"></a><span>11820</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Capsule endoscopy to investigate an episode of obscure gastrointestinal bleeding, using a capsule endoscopy device (including administration of the capsule, associated endoscopy procedure if required for placement, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:</span></p><p class="Tablea"><span>(a) the service is provided to a patient who:</span></p><p class="Tablei"><span>(i) has overt gastrointestinal bleeding; or</span></p><p class="Tablei"><span>(ii) has gastrointestinal bleeding that is recurrent or persistent, and iron deficiency anaemia that is not due to coeliac disease, and, if the patient also has menorrhagia, has had the menorrhagia considered and managed; and</span></p><p class="Tablea"><span>(b) an upper gastrointestinal endoscopy and a colonoscopy have been performed on the patient and have not identified the cause of the bleeding; and</span></p><p class="Tablea"><span>(c) the service has not been provided to the same patient on more than 2 occasions in the preceding 12 months; and</span></p><p class="Tablea"><span>(d) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and</span></p><p class="Tablea"><span>(e) the service is not associated with a service to which item</span><span> </span><span>30680, 30682, 30684 or 30686 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>1,279.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><a id="CU_89351882"></a><span>11823</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext"><span>Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz</span><span>‑</span><span>Jeghers Syndrome, using a capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if:</span></p><p class="Tablea"><span>(a) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and</span></p><p class="Tablea"><span>(b) the item is performed only once in any 2 year period; and</span></p><p class="Tablea"><span>(c) the service is not associated with balloon enteroscopy</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>1,279.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11830</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>194.40</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11833</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>259.85</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 8—Genito</span><span>‑</span><span>urinary physiological investigations</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11900</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Urine flow study, including peak urine flow measurement, not being a service associated with a service to which item</span><span> </span><span>11912, 11917 or 11919 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>28.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_97355707"></a><span>11912</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Cystometrography:</span></p><p class="Tablea"><span>(a) with measurement of any one or more of the following:</span></p><p class="Tablei"><span>(i) urine flow rate;</span></p><p class="Tablei"><span>(ii) urethral pressure profile;</span></p><p class="Tablei"><span>(iii) urethral sphincter electromyography; and</span></p><p class="Tablea"><span>(b) with simultaneous measurement of:</span></p><p class="Tablei"><span>(i) rectal pressure; or</span></p><p class="Tablei"><span>(ii) stomal or vaginal pressure if rectal pressure is not possible;</span></p><p class="Tabletext"><span>not being a service associated with a service to which any of items</span><span> </span><span>11012 to 11027, 11900, 11917, 11919 and 36800 or an item in Group I3 of the diagnostic imaging services table applies (Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>205.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_98354144"></a><span>11917</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Cystometrography, in conjunction with real time ultrasound of one or more components of the urinary tract:</span></p><p class="Tablea"><span>(a) with measurement of any one or more of the following:</span></p><p class="Tablei"><span>(i) urine flow rate;</span></p><p class="Tablei"><span>(ii) urethral pressure profile;</span></p><p class="Tablei"><span>(iii) urethral sphincter electromyography; and</span></p><p class="Tablea"><span>(b) with simultaneous measurement of:</span></p><p class="Tablei"><span>(i) rectal pressure; or</span></p><p class="Tablei"><span>(ii) stomal or vaginal pressure if rectal pressure is not possible;</span></p><p class="Tabletext"><span>including all imaging associated with cystometrography, not being a service associated with a service to which any of items</span><span> </span><span>11012 to 11027, 11900, 11912, 11919 and 36800 or an item in Group I3 of the diagnostic imaging services table applies (Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>445.75</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>11919</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Cystometrography in conjunction with contrast micturating cystourethrography, with measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography, being a service associated with a service to which item</span><span> </span><span>60506 or 60509 applies, other than a service associated with a service to which any of items</span><span> </span><span>11012 to 11027, 11900 to 11917 and 36800 applies (Anaes.)</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>445.75</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 9—Allergy testing</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12000</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Skin prick testing for aeroallergens by a specialist or consultant physician in the practice of the specialist or consultant physician’s specialty, including all allergens tested on the same day, not being a service associated with a service to which item</span><span> </span><span>12001, 12002, 12005, 12012, 12017, 12021, 12022 or 12024 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>40.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12001</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Skin prick testing for aeroallergens, including all allergens tested on the same day, not being a service associated with a service to which item</span><span> </span><span>12000, 12002, 12005, 12012, 12017, 12021, 12022 or 12024 applies</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>40.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12002</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Repeat skin prick testing of a patient for aeroallergens, including all allergens tested on the same day, if:</span></p><p class="Tablea"><span>(a) further testing for aeroallergens is indicated in the same 12 month period to which item</span><span> </span><span>12001 applies to a service for the patient; and</span></p><p class="Tablea"><span>(b) the service is not associated with a service to which item</span><span> </span><span>12000, 12001, 12005, 12012, 12017, 12021, 12022 or 12024 applies</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>40.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12003</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Skin prick testing for food and latex allergens, including all allergens tested on the same day, not being a service associated with a service to which item</span><span> </span><span>12012, 12017, 12021, 12022 or 12024 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>40.50</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12004</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Skin testing for medication allergens (antibiotics or non</span><span>‑</span><span>general anaesthetics agents) and venoms (including prick testing and intradermal testing with a number of dilutions), including all allergens tested on the same day, not being a service associated with a service to which item</span><span> </span><span>12012, 12017, 12021, 12022 or 12024 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>61.25</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12005</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Skin testing:</span></p><p class="Tablea"><span>(a) performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s specialty; and</span></p><p class="Tablea"><span>(b) for agents used in the perioperative period (including prick testing and intradermal testing with a number of dilutions), to investigate anaphylaxis in a patient with a history of prior anaphylactic reaction or cardiovascular collapse associated with the administration of an anaesthetic; and</span></p><p class="Tablea"><span>(c) including all allergens tested on the same day; and</span></p><p class="Tablea"><span>(d) not being a service associated with a service to which item</span><span> </span><span>12000, 12001, 12002, 12003, 12012, 12017, 12021, 12022 or 12024 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>82.40</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12012</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Epicutaneous patch testing in the investigation of allergic dermatitis using not more than 25 allergens</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>21.65</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12017</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Epicutaneous patch testing in the investigation of allergic dermatitis using more than 25 allergens but not more than 50 allergens</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>73.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12021</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty, using more than 50 allergens but not more than 75 allergens</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>120.15</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12022</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty, using more than 75 allergens but not more than 100 allergens</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>141.10</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12024</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty, using more than 100 allergens</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>160.75</span></p></td></tr><tr><td colspan="3" style="border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Subgroup 10—Other diagnostic procedures and investigations</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_110356619"></a><span>12200</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Collection of specimen of sweat by iontophoresis</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>38.70</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_111356681"></a><a id="CU_111358528"></a><span>12201</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Administration, by a specialist or consultant physician in the practice of the specialist’s or consultant physician’s specialty, of thyrotropin alfa</span><span>‑</span><span>rch (recombinant human thyroid</span><span>‑</span><span>stimulating hormone), and arranging services to which items</span><span> </span><span>61426 and 66650 apply, for the detection of recurrent well</span><span>‑</span><span>differentiated thyroid cancer in a patient if:</span></p><p class="Tablea"><span>(a) the patient has had a total thyroidectomy and one ablative dose of radioactive iodine; and</span></p><p class="Tablea"><span>(b) the patient is maintained on thyroid hormone therapy; and</span></p><p class="Tablea"><span>(c) the patient is at risk of recurrence; and</span></p><p class="Tablea"><span>(d) on at least one previous whole body scan or serum thyroglobulin test when withdrawn from thyroid hormone therapy, the patient did not have evidence of well</span><span>‑</span><span>differentiated thyroid cancer; and</span></p><p class="Tablea"><span>(e) either:</span></p><p class="Tablei"><span>(i) withdrawal from thyroid hormone therapy resulted in severe psychiatric disturbances when hypothyroid; or</span></p><p class="Tablei"><span>(ii) withdrawal is medically contra</span><span>‑</span><span>indicated because the patient has:</span></p><p class="TableAA"><span>(A) unstable coronary artery disease; or</span></p><p class="TableAA"><span>(B) hypopituitarism; or</span></p><p class="TableAA"><span>(C) a high risk of relapse or exacerbation of a previous severe psychiatric illness</span></p><p class="Tablea"><span>Applicable once only in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>2,489.85</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_112357795"></a><a id="CU_112359642"></a><span>12203</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight diagnostic assessment of sleep, for at least 8 hours, for a patient aged 18 years or more, to confirm diagnosis of a sleep disorder, if:</span></p><p class="Tablea"><span>(a) either:</span></p><p class="Tablei"><span>(i) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea based on clinical screening tool results; or</span></p><p class="Tablei"><span>(ii) following professional attendance on the patient (either face</span><span>‑</span><span>to</span><span>‑</span><span>face or by video conference) by a qualified adult sleep medicine practitioner or a consultant respiratory physician, the qualified adult sleep medicine practitioner or consultant respiratory physician determines that assessment is necessary to confirm the diagnosis of a sleep disorder; and</span></p><p class="Tabletext"><span>(b) the overnight diagnostic assessment is performed to investigate:</span></p><p class="Tablei"><span>(i) suspected obstructive sleep apnoea syndrome where the patient is assessed as not suitable for an unattended sleep study; or</span></p><p class="Tablei"><span>(ii) suspected central sleep apnoea syndrome; or</span></p><p class="Tablei"><span>(iii) suspected sleep hypoventilation syndrome; or</span></p><p class="Tablei"><span>(iv) suspected sleep</span><span>‑</span><span>related breathing disorders in association with non</span><span>‑</span><span>respiratory co</span><span>‑</span><span>morbid conditions including heart failure, significant cardiac arrhythmias, neurological disease, acromegaly or hypothyroidism; or</span></p><p class="Tablei"><span>(v) unexplained hypersomnolence which is not attributed to inadequate sleep hygiene or environmental factors; or</span></p><p class="Tablei"><span>(vi) suspected parasomnia or seizure disorder where clinical diagnosis cannot be established on clinical features alone (including associated atypical features, vigilance behaviours or failure to respond to conventional therapy); or</span></p><p class="Tablei"><span>(vii) suspected sleep related movement disorder, where the diagnosis of restless legs syndrome is not evident on clinical assessment; and</span></p><p class="Tablea"><span>(c) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(d) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the overnight diagnostic assessment is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>611.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12204</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight assessment of positive airway pressure, for at least 8 hours, for a patient aged 18 years or more, if:</span></p><p class="Tablea"><span>(a) the necessity for an intervention sleep study is determined by a qualified adult sleep medicine practitioner or consultant respiratory physician where a diagnosis of a sleep</span><span>‑</span><span>related breathing disorder has been made; and</span></p><p class="Tablea"><span>(b) the patient has not undergone positive airway pressure therapy in the previous 6 months; and</span></p><p class="Tablea"><span>(c) following professional attendance on the patient by a qualified adult sleep medicine practitioner or a consultant respiratory physician (either face</span><span>‑</span><span>to</span><span>‑</span><span>face or by video conference), the qualified adult sleep medicine practitioner or consultant respiratory physician establishes that the sleep</span><span>‑</span><span>related breathing disorder is responsible for the patient’s symptoms; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement;</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(f) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(g) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(h) the overnight assessment is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>611.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12205</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Follow</span><span>‑</span><span>up study for a patient aged 18 years or more with a sleep</span><span>‑</span><span>related breathing disorder, following professional attendance on the patient by a qualified adult sleep medicine practitioner or consultant respiratory physician, if:</span></p><p class="Tablea"><span>(a) any of the following subparagraphs applies:</span></p><p class="Tablei"><span>(i) there has been a recurrence of symptoms not explained by known or identifiable factors such as inadequate usage of treatment, sleep duration or significant recent illness;</span></p><p class="Tablei"><span>(ii) there has been a significant change in weight or changes in co</span><span>‑</span><span>morbid conditions that could affect sleep</span><span>‑</span><span>related breathing disorders, and other means of assessing treatment efficacy (including review of data stored by a therapy device used by the patient) are unavailable or have been equivocal;</span></p><p class="Tablea" style="margin-left:41.4pt"><span>(iii) the patient has undergone a therapeutic intervention (including, but not limited to, positive airway pressure, upper airway surgery, positional therapy, appropriate oral appliance, weight loss of more than 10% in the previous 6 months or oxygen therapy), and there is either clinical evidence of sub</span><span>‑</span><span>optimal response or uncertainty about control of sleep</span><span>‑</span><span>disordered breathing; and</span></p><p class="Tablea"><span>(b) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(d) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(e) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(f) the follow</span><span>‑</span><span>up study is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>611.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_113360993"></a><span>12207</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight investigation, for a patient aged 18 years or more, for a sleep</span><span>‑</span><span>related breathing disorder, following professional attendance by a qualified adult sleep medicine practitioner or a consultant respiratory physician (either face</span><span>‑</span><span>to</span><span>‑</span><span>face or by video conference), if:</span></p><p class="Tablea"><span>(a) the patient is referred by a medical practitioner; and</span></p><p class="Tablea"><span>(b) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner before the investigation; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the investigation is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient; and</span></p><p class="Tablea"><span>(h) previous studies have demonstrated failure of continuous positive airway pressure or oxygen; and</span></p><p class="Tablea"><span>(i) if the patient has severe respiratory failure—a further investigation is indicated in the same 12 month period to which items</span><span> </span><span>12204 and 12205 apply to a service for the patient, for the adjustment or testing, or both, of the effectiveness of a positive pressure ventilatory support device (other than continuous positive airway pressure) in sleep</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>611.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12208</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight investigation for sleep apnoea for at least 8 hours, for a patient aged 18 years or more, if:</span></p><p class="Tablea"><span>(a) a qualified adult sleep medicine practitioner or consultant respiratory physician has determined that the investigation is necessary to confirm the diagnosis of a sleep disorder; and</span></p><p class="Tablea"><span>(b) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(d) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(e) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(f) a further investigation is indicated in the same 12 month period to which item</span><span> </span><span>12203 applies to a service for the patient because insufficient sleep was acquired, as evidenced by a sleep efficiency of 25% or less, during the previous investigation to which that item applied; and</span></p><p class="Tablea"><span>(g) the investigation is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>611.80</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_114360838"></a><a id="CU_114362685"></a><span>12210</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight paediatric investigation, for at least 8 hours, for a patient less than 12 years of age, if:</span></p><p class="Tablea"><span>(a) the patient is referred by a medical practitioner; and</span></p><p class="Tablea"><span>(b) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner before the investigation; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the investigation is not provided to the patient on the same occasion that a service to which item</span><span> </span><span>11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient</span></p><p class="Tabletext"><span>For each particular patient—applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>730.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_115362516"></a><a id="CU_115364363"></a><span>12213</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight paediatric investigation, for at least 8 hours, for a patient aged at least 12 years but less than 18 years, if:</span></p><p class="Tablea"><span>(a) the patient is referred by a medical practitioner; and</span></p><p class="Tablea"><span>(b) the necessity for the investigation is determined by a qualified sleep medicine practitioner before the investigation; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the investigation is not provided to the patient on the same occasion that a service to which item</span><span> </span><span>11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient</span></p><p class="Tabletext"><span>For each particular patient—applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>657.90</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_116364107"></a><a id="CU_116365954"></a><span>12215</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight paediatric investigation, for at least 8 hours, for a patient less than 12 years of age, if:</span></p><p class="Tablea"><span>(a) the patient is referred by a medical practitioner; and</span></p><p class="Tablea"><span>(b) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner before the investigation; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) a further investigation is indicated in the same 12 month period to which item</span><span> </span><span>12210 applies to a service for the patient, for a patient using Continuous Positive Airway Pressure (CPAP) or non</span><span>‑</span><span>invasive or invasive ventilation, or supplemental oxygen, in either or both of the following circumstances:</span></p><p class="Tablei"><span>(i) there is ongoing hypoxia or hypoventilation on the third study to which item</span><span> </span><span>12210 applied for the patient, and further titration of respiratory support is needed to optimise therapy;</span></p><p class="Tablei"><span>(ii) there is clear and significant change in clinical status (for example lung function or functional status) or an intervening treatment that may affect ventilation in the period since the third study to which item</span><span> </span><span>12210 applied for the patient, and repeat study is therefore required to determine the need for or the adequacy of respiratory support; and</span></p><p class="Tablea"><span>(h) the investigation is not provided to the patient on the same occasion that a service to which item</span><span> </span><span>11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in the same 12 month period to which item</span><span> </span><span>12210 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>730.30</span></p></td></tr><tr><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_117366034"></a><a id="CU_117367881"></a><span>12217</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight paediatric investigation for at least 8 hours for a patient aged at least 12 years but less than 18 years, if:</span></p><p class="Tablea"><span>(a) the patient is referred by a medical practitioner; and</span></p><p class="Tablea"><span>(b) the necessity for the investigation is determined by a qualified sleep medicine practitioner before the investigation; and</span></p><p class="Tablea"><span>(c) there is continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following are made, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) a further investigation is indicated in the same 12 month period to which item</span><span> </span><span>12213 applies to a service for the patient, for a patient using Continuous Positive Airway Pressure (CPAP) or non</span><span>‑</span><span>invasive or invasive ventilation, or supplemental oxygen, in either or both of the following circumstances:</span></p><p class="Tablei"><span>(i) there is ongoing hypoxia or hypoventilation on the third study to which item</span><span> </span><span>12213 applied for the patient, and further titration is needed to optimise therapy;</span></p><p class="Tablei"><span>(ii) there is clear and significant change in clinical status (for example lung function or functional status) or an intervening treatment that may affect ventilation in the period since the third study to which item</span><span> </span><span>12213 applied for the patient, and repeat study is therefore required to determine the need for or the adequacy of respiratory support; and</span></p><p class="Tablea"><span>(h) the investigation is not provided to the patient on the same occasion that a service to which item</span><span> </span><span>11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in the same 12 month period to which item</span><span> </span><span>12213 applies</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>657.90</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_118367972"></a><span>12250</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Overnight investigation of sleep for at least 8 hours of a patient aged 18 years or more to confirm diagnosis of obstructive sleep apnoea, if:</span></p><p class="Tablea"><span>(a) either:</span></p><p class="Tablei"><span>(i) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea based on clinical screening tool results; or</span></p><p class="Tablei"><span>(ii) following professional attendance on the patient (either face</span><span>‑</span><span>to</span><span>‑</span><span>face or by video conference) by a qualified adult sleep medicine practitioner or a consultant respiratory physician, the qualified adult sleep medicine practitioner or consultant respiratory physician determines that investigation is necessary to confirm the diagnosis of obstructive sleep apnoea; and</span></p><p class="Tablea"><span>(b) during a period of sleep, there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) continuous ECG;</span></p><p class="Tablei"><span>(iv) continuous EEG;</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory effort; and</span></p><p class="Tablea"><span>(c) the investigation is performed under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(d) either:</span></p><p class="Tablei"><span>(i) the equipment is applied to the patient by a sleep technician; or</span></p><p class="Tablei"><span>(ii) if this is not possible—the reason it is not possible for the sleep technician to apply the equipment to the patient is documented and the patient is given instructions on how to apply the equipment by a sleep technician supported by written instructions; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events and cardiac abnormalities) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the investigation is not provided to the patient on the same occasion that a service described in any of items</span><span> </span><span>11000 to 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 and 12203 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in any 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>348.85</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><a id="CU_119371381"></a><span>12254</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multiple sleep latency test for the assessment of unexplained hypersomnolence in a patient aged 18 years or more, if:</span></p><p class="Tablea"><span>(a) a qualified adult sleep medicine practitioner or neurologist determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 nap periods are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12203, 12204, 12205, 12208, 12250 or 12258 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>950.70</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12258</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness in a patient aged 18 years or more, if:</span></p><p class="Tablea"><span>(a) a qualified adult sleep medicine practitioner or neurologist determines that testing is necessary to objectively confirm the ability to maintain wakefulness; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring and recording, in accordance with current professional guidelines, of the following measures:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) anterior tibial EMG;</span></p><p class="Tablei"><span>(iv) continuous ECG;</span></p><p class="Tablei"><span>(v) continuous EEG;</span></p><p class="Tablei"><span>(vi) EOG;</span></p><p class="Tablei"><span>(vii) oxygen saturation;</span></p><p class="Tablei"><span>(viii) respiratory movement (chest and abdomen);</span></p><p class="Tablei"><span>(ix) position; and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12203, 12204, 12205, 12208, 12250 or 12254 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>950.70</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12261</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multiple sleep latency test for the assessment of unexplained hypersomnolence in a patient aged at least 12 years but less than 18 years, if:</span></p><p class="Tablea"><span>(a) a qualified sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 nap periods are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12213, 12217 or 12265 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>996.85</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12265</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness in a patient aged at least 12 years but less than 18 years, if:</span></p><p class="Tablea"><span>(a) a qualified sleep medicine practitioner determines that testing to objectively confirm the ability to maintain wakefulness is necessary; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12213, 12217 or 12261 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>996.85</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12268</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Multiple sleep latency test for the assessment of unexplained hypersomnolence for a patient less than 12 years of age, if:</span></p><p class="Tablea"><span>(a) a qualified paediatric sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 nap periods are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified paediatric sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12210, 12215 or 12272 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>1,069.20</span></p></td></tr><tr style="height:23.85pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12272</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness for a patient less than 12 years of age, if:</span></p><p class="Tablea"><span>(a) a qualified paediatric sleep medicine practitioner determines that testing to objectively confirm the ability to maintain wakefulness is necessary; and</span></p><p class="Tablea"><span>(b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi</span><span>‑</span><span>channel polygraph, and recordings of the following, in accordance with current professional guidelines:</span></p><p class="Tablei"><span>(i) airflow;</span></p><p class="Tablei"><span>(ii) continuous EMG;</span></p><p class="Tablei"><span>(iii) ECG;</span></p><p class="Tablei"><span>(iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads);</span></p><p class="Tablei"><span>(v) EOG;</span></p><p class="Tablei"><span>(vi) oxygen saturation;</span></p><p class="Tablei"><span>(vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen);</span></p><p class="Tablei"><span>(viii) measurement of carbon dioxide (either end</span><span>‑</span><span>tidal or transcutaneous); and</span></p><p class="Tablea"><span>(c) immediately following the overnight assessment, a daytime assessment is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EMG, ECG, EEG and EOG; and</span></p><p class="Tablea"><span>(d) a sleep technician is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and</span></p><p class="Tablea"><span>(e) polygraphic records are:</span></p><p class="Tablei"><span>(i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and</span></p><p class="Tablei"><span>(ii) stored for interpretation and preparation of a report; and</span></p><p class="Tablea"><span>(f) interpretation and preparation of a permanent report is provided by a qualified paediatric sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and</span></p><p class="Tablea"><span>(g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item</span><span> </span><span>11003, 12210, 12215 or 12268 is provided to the patient</span></p><p class="Tabletext"><span>Applicable only once in a 12 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>1,069.20</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12306</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting), for:</span></p><p class="Tablea"><span>(a) confirmation of a presumptive diagnosis of low bone mineral density made on the basis of one or more fractures occurring after minimal trauma; or</span></p><p class="Tablea"><span>(b) monitoring of low bone mineral density proven by bone densitometry at least 12 months previously;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12312, 12315 or 12321 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 24 month period</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12312</span></p></td><td style="width:71.28%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting) for diagnosis and monitoring of bone loss associated with one or more of the following:</span></p><p class="Tablea"><span>(a) prolonged glucocorticoid therapy;</span></p><p class="Tablea"><span>(b) any condition associated with excess glucocorticoid secretion;</span></p><p class="Tablea"><span>(c) male hypogonadism;</span></p><p class="Tablea"><span>(d) female hypogonadism lasting more than 6 months before the age of 45;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12306, 12315 or 12321 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 12 month period</span></p></td><td style="width:14.98%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12315</span></p></td><td style="width:71.28%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting) for diagnosis and monitoring of bone loss associated with one or more of the following conditions:</span></p><p class="Tablea"><span>(a) primary hyperparathyroidism;</span></p><p class="Tablea"><span>(b) chronic liver disease;</span></p><p class="Tablea"><span>(c) chronic renal disease;</span></p><p class="Tablea"><span>(d) any proven malabsorptive disorder;</span></p><p class="Tablea"><span>(e) rheumatoid arthritis;</span></p><p class="Tablea"><span>(f) any condition associated with thyroxine excess;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12306, 12312 or 12321 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 24 month period</span></p></td><td style="width:14.98%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12320</span></p></td><td style="width:71.28%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting) for the measurement of bone mineral density, if:</span></p><p class="Tablea"><span>(a) the patient is 70 years of age or over; and</span></p><p class="Tablea"><span>(b) either:</span></p><p class="Tablei"><span>(i) the patient has not previously had bone densitometry; or</span></p><p class="Tablei"><span>(ii) the t</span><span>‑</span><span>score for the patient’s bone mineral density is </span><span>‑</span><span>1.5 or more;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12306, 12312, 12315, 12321 or 12322 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 5 year period</span></p></td><td style="width:14.98%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12321</span></p></td><td style="width:71.28%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry, involving the measurement of 2 or more sites at least 12 months after a significant change in therapy (including interpretation and reporting), for:</span></p><p class="Tablea"><span>(a) established low bone mineral density; or</span></p><p class="Tablea"><span>(b) confirming a presumptive diagnosis of low bone mineral density made on the basis of one or more fractures occurring after minimal trauma;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12306, 12312 or 12315 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 12 month period</span></p></td><td style="width:14.98%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12322</span></p></td><td style="width:71.28%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Bone densitometry, using dual energy X</span><span>‑</span><span>ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting) for measurement of bone mineral density, if:</span></p><p class="Tablea"><span>(a) the patient is 70 years of age or over; and</span></p><p class="Tablea"><span>(b) the t</span><span>‑</span><span>score for the patient’s bone mineral density is less than </span><span>‑</span><span>1.5 but more than </span><span>‑</span><span>2.5;</span></p><p class="Tabletext"><span>other than a service associated with a service to which item</span><span> </span><span>12306, 12312, 12315, 12320 or 12321 applies</span></p><p class="Tabletext"><span>For any particular patient, once only in a 2 year period</span></p></td><td style="width:14.98%; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>106.55</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12325</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Assessment of visual acuity and bilateral retinal photography with a non</span><span>‑</span><span>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:</span></p><p class="Tablea"><span>(a) the patient is of Aboriginal and Torres Strait Islander descent; and</span></p><p class="Tablea"><span>(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</span></p><p class="Tablea"><span>(c) this item and item</span><span> </span><span>12326 have not applied to the patient in the preceding 12 months; and</span></p><p class="Tablea"><span>(d) the patient does not have:</span></p><p class="Tablei"><span>(i) an existing diagnosis of diabetic retinopathy; or</span></p><p class="Tablei"><span>(ii) visual acuity of less than 6/12 in either eye; or</span></p><p class="Tablei"><span>(iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>52.00</span></p></td></tr><tr style="height:13.5pt"><td style="width:13.74%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12326</span></p></td><td style="width:71.28%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Assessment of visual acuity and bilateral retinal photography with a non</span><span>‑</span><span>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:</span></p><p class="Tablea"><span>(a) 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</span></p><p class="Tablea"><span>(b) this item and item</span><span> </span><span>12325 have not applied to the patient in the preceding 24 months; and</span></p><p class="Tablea"><span>(c) the patient does not have:</span></p><p class="Tablei"><span>(i) an existing diagnosis of diabetic retinopathy; or</span></p><p class="Tablei"><span>(ii) visual acuity of less than 6/12 in either eye; or</span></p><p class="Tablei"><span>(iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation</span></p></td><td style="width:14.98%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>52.00</span></p></td></tr></tbody></table>
Division 4.2—Group D2: Nuclear medicine (non‑imaging)
4.2.1 Restriction on items in Group D2—services connected with services in item 12250
An item in Group D2 does not apply to a service described in the item if the service is provided at the same time as, or in connection with, the service described in item 12250.
4.2.2 Items in Group D2
This clause sets out items in Group D2.
Note: The fees in Group D2 are indexed in accordance with clause 1.3.1.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Group D2—Nuclear medicine (non</span><span>‑</span><span>imaging)</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p><p class="TableHeading"><span>Item</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading"><span>Column 2</span></p><p class="TableHeading"><span>Description</span></p></td><td style="width:16.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="TableHeading" style="text-align:right"><span>Column 3</span></p><p class="TableHeading" style="text-align:right"><span>Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:13.72%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12500</span></p></td><td style="width:69.44%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Blood volume estimation</span></p></td><td style="width:16.84%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>225.40</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12524</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Renal function test (without imaging procedure)</span></p></td><td style="width:16.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>164.75</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12527</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Renal function test (with imaging and at least 2 blood samples)</span></p></td><td style="width:16.84%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>88.40</span></p></td></tr><tr><td style="width:13.72%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>12533</span></p></td><td style="width:69.44%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span>Carbon</span><span>‑</span><span>labelled urea breath test using oral C</span><span>‑</span><span>13 or C</span><span>‑</span><span>14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO</span><span style="font-size:6.67pt; vertical-align:super">2</span><span> or 14CO</span><span style="font-size:6.67pt; vertical-align:super">2</span><span>, for either:</span></p><p class="Tablea"><span>(a) the confirmation of </span><span style="font-style:italic">Helicobacter pylori</span><span> colonisation; or</span></p><p class="Tablea"><span>(b) the monitoring of the success of eradication of </span><span style="font-style:italic">Helicobacter pylori</span><span> in patients with peptic ulcer disease;</span></p><p class="Tabletext"><span>(other than a service associated with a service to which item</span><span> </span><span>66900 applies)</span></p></td><td style="width:16.84%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span>88.10</span></p></td></tr></tbody></table>