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Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018
Division 1.10Services and fees—Non‑Specialist Practitioner after‑hours attendances to which no other item applies
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Division 1.10—Services and fees—Non‑Specialist Practitioner after‑hours attendances to which no other item applies
1.10.1 Application of items in Division 1.10
(1) Clause 2.24.1 of the general medical services table shall have effect as if:
(a) items 733, 745, 766 and 776 were also specified in subclause 2.24.1(1).
(b) all items in Division 1.10 were also specified in subclause 2.24.1(2).
<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:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Item" style="margin-left:0pt; font-size:10pt"><span style="font-weight:bold">Group A7 – Acupuncture and Non</span><span style="font-weight:bold">‑</span><span style="font-weight:bold">Specialist Practitioner Items</span></p></td></tr><tr><td colspan="2" 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="Item" style="margin-left:0pt; font-size:10pt"><span style="font-weight:bold">Subgroup 10 – Prescribed Medical Practitioner after‑hours attendances to which no other item applies</span></p></td><td style="width:17.28%; 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="Item" style="font-size:10pt"><span style="font-weight:bold"></span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span style="font-weight:bold">Item</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span style="font-weight:bold">Description</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; text-align:right; font-size:10pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>733</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance</span></p></td><td style="width:17.28%; 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="Item" style="text-align:right; font-size:10pt"><span>25.50</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>737</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance</span></p></td><td style="width:17.28%; 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="Item" style="text-align:right; font-size:10pt"><span>43.10</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>741</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance</span></p></td><td style="width:17.28%; 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="Item" style="text-align:right; font-size:10pt"><span>73.95</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>745</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance at consulting rooms of more than 45 minutes in duration but not more than 60 minutes (other than a service to which another item applies) by a prescribed medical practitioner—each attendance</span></p></td><td style="width:17.28%; 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="Item" style="text-align:right; font-size:10pt"><span>103.70</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>761</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>763</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>766</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>769</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes, but not more than 60 minutes—an attendance on one or more patients on one occasion—each patient.</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>772</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><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 accommodated in the residential aged care facility (other than accommodation in a self</span><span>‑</span><span>contained unit) of not more than 5 minutes in duration by a prescribed medical 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:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>776</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><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 accommodated in the residential aged care facility (other than accommodation in a self</span><span>‑</span><span>contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a prescribed medical 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:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr style="height:11.6pt"><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>788</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><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 accommodated in the residential aged care facility (other than accommodation in a self</span><span>‑</span><span>contained unit) of more than 25 minutes in duration but not more than 45 minutes by a prescribed medical 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:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>789</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><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 accommodated in the residential aged care facility (other than accommodation in a self</span><span>‑</span><span>contained unit) of more than 45 minutes but not more than 60 minutes in duration by a prescribed medical 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:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>2197</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance at consulting rooms of more than 60 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance.</span></p></td><td style="width:17.28%; 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="Item" style="text-align:right; font-size:10pt"><span>176.20</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>2198</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Professional attendance by a prescribed medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 60 minutes—an attendance on one or more patients on one occasion—each patient.</span></p></td><td style="width:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr><tr><td style="width:14.56%; 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="Item" style="margin-left:0pt; text-align:justify; font-size:10pt"><span>2200</span></p></td><td style="width:68.16%; 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="Item" style="margin-left:0pt; font-size:10pt"><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 accommodated in the residential aged care facility (other than accommodation in a self</span><span>‑</span><span>contained unit) of more than 60 minutes in duration by a prescribed medical 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:17.28%; 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="Item" style="margin-left:0pt; font-size:10pt"><span>Amount under clause</span><span> </span><span>1.1.1</span></p></td></tr></tbody></table>