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This instrument is the Health Insurance (Section 3C General Medical Services – Specialist, Consultant Physician and Consultant Psychiatrist COVID-19 Telehealth Services) Determination 2020.
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Commonwealth legislation
This Act has been repealed and is no longer in force. It is retained for historical reference.
This Determination temporarily adds Medicare items (from 13 March to 30 September 2020) to cover specialist, consultant physician, consultant psychiatrist and certain obstetric attendances delivered by telehealth or phone. It treats those attendances as medical and professional services, sets item-specific fees, and imposes operational conditions (bulk‑billing, referral, clinical appropriateness, duration and non‑admitted status). The instrument targets care where a patient or practitioner is defined as “at risk” of COVID‑19 and limits who can claim which items.
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Direct links to the current provisions in Health Insurance (Section 3C General Medical Services – Specialist, Consultant Physician and Consultant Psychiatrist COVID-19 Telehealth Services) Determination 2020.
This instrument is the Health Insurance (Section 3C General Medical Services – Specialist, Consultant Physician and Consultant Psychiatrist COVID-19 Telehealth Services) Determination 2020.
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr style="height:10.1pt"><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 style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Commencement information</span></p></td></tr><tr style="height:10.45pt"><td style="width:37.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 1</span></p></td><td style="width:40.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 2</span></p></td><td style="width:22.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 3</span></p></td></tr><tr><td style="width:37.7%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Provisions</span></p></td><td style="width:40.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Commencement</span></p></td><td style="width:22.04%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Date/Details</span></p></td></tr></thead><tbody><tr><td style="width:37.7%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt">1.</span><span style="font-size:10pt"> </span><span style="font-size:10pt">The whole of this instrument</span></p></td><td style="width:40.26%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt">13 March 2020</span></p></td><td style="width:22.04%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt"></span></p></td></tr></tbody></table>
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
Unless earlier revoked, this instrument ceases on 30 September 2020.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
(1) In this instrument:
Act means the Health Insurance Act 1973.
admitted patient means a patient who is receiving a service that is provided:
(a) as part of an episode of hospital treatment; or
(b) as part of an episode of hospital substitute treatment in respect of which the person to whom the treatment is provided chooses to receive a benefit from a private health insurer.
Note: hospital treatment and hospital-substitute treatment have the same meaning as defined in the Health Insurance Act 1973.
bulk-billed: a medical service is bulk‑billed if:
(a) a medicare benefit is payable to a person in relation to the service; and
(b) under an agreement entered into under section 20A of the Act:
(i) the person assigns to the medical practitioner by whom, or on whose behalf, the service is provided, the person’s right to the payment of the medicare benefit; and
(ii) the medical practitioner accepts the assignment as full payment of the medical practitioner’s fee for the service provided.
consultant psychiatrist means a consultant physician in the practice of the consultant physician’s specialty of psychiatry.
general medical services table means the table prescribed under subsection 4(1) of the Act.
Health professional at risk of COVID-19 virus means a person that:
(a) has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee.
patient at risk of COVID-19 virus means a person that:
(a) has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or
(c) is considered more susceptible to the COVID-19 virus being a person who is:
(i) at least 70 years old; or
(ii) at least 50 years old and is of Aboriginal or Torres Strait Islander descent; or
(iii) pregnant; or
(iv) a parent of a child under 12 months; or
(v) already under treatment for chronic health conditions or is immune compromised; or
(d) the person meets the current national triage protocol criteria for suspected COVID-19 infection.
phone attendance means a professional attendance by telephone where the health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains an audio link with the patient.
relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.
Schedule means a Schedule to this instrument.
Note: The following terms are defined in subsection 3(1) of the Act:
clinically relevant service;
general medical services table;
item;
medical practitioner;
professional service.
telehealth attendance means a professional attendance by video conference where the health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains a visual and audio link with the patient; and
(d) is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
For subsection 3C(1) of the Act, a relevant service, provided in accordance with this instrument and as a clinically relevant service, is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
i. related to the service; and
ii. specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
An item in a Schedule to this Determination only applies to a service provided on and after 13 March 2020 and before the commencement of the Health Insurance (Section 3C General Medical Services –COVID-19 Services) Determination 2020.
(1) Clause 1.1.5 of the general medical services table shall have effect as if items 91822 to 91826 of this Determination were specified in subclause 1.1.5(1) of the general medical services table. (2) Clause 1.2.2 of the general medical services table shall have effect as if items in Schedule 1 of this Determination were specified in clause 1.2.2. (3) Clause 1.2.4 of the general medical services table shall have effect as if items in Schedule 1 of this Determination were specified in subclause 1.2.4(1).
Schedule 1 – relevant services
Division 1.1 – Services and fees – specialist attendances via video conference
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:13.6pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner telehealth services</span></p></td></tr><tr style="height:13.6pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Subgroup 4 – COVID-19 – specialist attendances telehealth services</span></p></td></tr><tr style="height:13.6pt"><td style="width:13.06%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Item</span></p></td><td style="width:76.32%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Description</span></p></td><td style="width:10.62%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="width:13.06%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91822</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:76.32%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span></span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span></span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.</span></p></td><td style="width:10.62%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>88.25</span></p></td></tr><tr><td style="width:13.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91823</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:76.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(d)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span>(e)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance is after the first attendance as part of a single course of treatment.</span></p></td><td style="width:10.62%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>44.35</span></p></td></tr></tbody></table>
Division 1.2 – Services and fees – consultant physician (other than psychiatry) attendances via video conference
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:13.6pt"><td style="vertical-align:top"></td><td style="border-bottom:1.5pt solid #000000; vertical-align:top"></td><td colspan="6" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner telehealth services</span></p></td><td style="border-bottom:1.5pt solid #000000; vertical-align:top"></td></tr><tr style="height:13.6pt"><td style="vertical-align:top"></td><td colspan="8" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Subgroup 5 – COVID-19 – consultant physician telehealth services</span></p></td></tr><tr style="height:13.6pt"><td style="vertical-align:top"></td><td colspan="4" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Item</span></p></td><td colspan="2" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Description</span></p></td><td colspan="2" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td colspan="2" style="border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-bottom:14pt; line-height:normal"><span>91824</span></p><p style="margin-top:14pt; margin-bottom:14pt; line-height:normal"><span></span></p><p style="margin-top:14pt; line-height:normal"><span></span></p></td><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant physician is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(d)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span>(e)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.</span></p></td><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>155.60</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="Tabletext"><span style="font-size:11pt">91825</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p class="Tabletext"><span style="font-size:11pt"></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"><span style="font-size:11pt">Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant physician is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(d)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span>(e)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p class="Tabletext"><span></span></p><p class="Tabletext"><span style="font-size:11pt">Where the attendance is not a minor attendance after the first as part of a single course of treatment.</span></p></td><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="Tabletext" style="text-align:right"><span style="font-size:11pt">77.90</span></p></td></tr><tr><td colspan="5" 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 style="font-size:11pt">91826</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p class="Tabletext"><span style="font-size:11pt"></span></p></td><td style="width:70.6%; 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 style="font-size:11pt">Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(d)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span>(e)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p class="Tabletext" style="margin-top:0pt; line-height:normal; font-size:11pt"><span></span></p><p class="Tabletext" style="margin-top:0pt; line-height:normal; font-size:11pt"><span>Where the attendance is a minor attendance after the first as part of a single course of treatment.</span></p></td><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="Tabletext" style="text-align:right"><span style="font-size:11pt">44.35</span></p></td></tr><tr style="height:0pt"><td style="width:4.25pt"></td><td style="width:1.95pt"></td><td style="width:52.3pt"></td><td style="width:3.65pt"></td><td style="width:0.5pt"></td><td style="width:301.05pt"></td><td style="width:17.5pt"></td><td style="width:42.8pt"></td><td style="width:2.45pt"></td></tr></tbody></table>
Division 1.3 – Services and fees – Consultant psychiatrist attendances via video conference
<table cellspacing="0" cellpadding="0" style="width:100.52%; border-collapse:collapse"><tbody><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 style="line-height:normal"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner telehealth services</span></p></td></tr><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 style="line-height:normal"><span style="font-weight:bold">Subgroup 6 – COVID-19 – consultant psychiatrist telehealth services</span></p></td></tr><tr><td style="width:14.58%; 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 style="font-size:11pt">91827</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Telehealth attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was not more than 15 minutes duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:15.3%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>44.70</span></p></td></tr><tr><td style="width:14.58%; 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 style="font-size:11pt">91828</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Telehealth attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 15 minutes, but not more than 30 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:15.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>89.15</span></p></td></tr><tr style="height:13.25pt"><td style="width:14.58%; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">91829</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Telehealth attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 30 minutes, but not more than 45 minutes in duration; and</span><span></span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:15.3%; border-top:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>137.25</span></p></td></tr><tr style="height:13.25pt"><td style="width:14.58%; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">91830</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Telehealth attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 45 minutes, but not more than 75 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:15.3%; border-top:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>189.40</span></p></td></tr><tr style="height:13.25pt"><td style="width:14.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt inset #eeeeee; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">91831</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt inset #eeeeee; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Telehealth attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 75 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:15.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt inset #eeeeee; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>219.80</span></p></td></tr></tbody></table>
Division 1.4 Services and fees – specialist attendances via phone services
1.4.1 Application of COVID-19 medical practitioner phone services
Insert:
(1) For items in Subgroups 4, and 7 the rendering practitioner must not perform a service in subgroup 7 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr style="height:13.6pt"><td colspan="3" style="width:399.45pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner phone services</span></p></td></tr><tr style="height:13.6pt"><td colspan="3" style="width:399.45pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Subgroup 7 – COVID-19 – specialist attendances phone services</span></p></td></tr><tr style="height:13.6pt"><td style="width:42.8pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Item</span></p></td><td style="width:302.3pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Description</span></p></td><td style="width:32.75pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="width:42.8pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91832</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:302.3pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(a)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(i)</span><span style="width:31.22pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(ii)</span><span style="width:27.89pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(b)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(c)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(d)</span><span style="width:4.01pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span></span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(e)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span></span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.</span></p></td><td style="width:32.75pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>88.25</span></p></td></tr><tr><td style="width:42.8pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91833</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:302.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(a)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(i)</span><span style="width:31.22pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(ii)</span><span style="width:27.89pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(b)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(c)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(d)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:12pt"><span style="font-size:12pt">(e)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance is after the first attendance as part of a single course of treatment.</span></p></td><td style="width:32.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>44.35</span></p></td></tr></tbody></table>
Division 1.5 – Services and fees – consultant physician (other than psychiatry) attendances via phone services
1.5.1 Application of COVID-19 medical practitioner phone services
Insert:
(1) For items in Subgroups 5, and 8 the rendering practitioner must not perform a service in subgroup 8 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.
<table cellspacing="0" cellpadding="0" style="width:418.55pt; border-collapse:collapse"><tbody><tr style="height:13.6pt"><td style="vertical-align:top"></td><td style="border-bottom:1.5pt solid #000000; vertical-align:top"></td><td colspan="6" style="width:399.25pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner phone services</span></p></td><td style="border-bottom:1.5pt solid #000000; vertical-align:top"></td></tr><tr style="height:13.6pt"><td style="vertical-align:top"></td><td colspan="8" style="width:403.65pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Subgroup 8 – COVID-19 – consultant physician phone services</span></p></td></tr><tr style="height:13.6pt"><td style="vertical-align:top"></td><td colspan="4" style="width:46.55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Item</span></p></td><td colspan="2" style="width:301.85pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Description</span></p></td><td colspan="2" style="width:33.65pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td colspan="2" style="width:42.55pt; border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-bottom:14pt; line-height:normal"><span>91834</span></p><p style="margin-top:14pt; margin-bottom:14pt; line-height:normal"><span></span></p><p style="margin-top:14pt; line-height:normal"><span></span></p></td><td colspan="3" style="width:288.9pt; border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(a)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(i)</span><span style="width:31.22pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(ii)</span><span style="width:27.89pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the consultant physician is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(b)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(c)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(d)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:12pt"><span style="font-size:12pt">(e)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.</span></p></td><td colspan="3" style="width:50.9pt; border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>155.60</span></p></td></tr><tr><td colspan="4" style="width:50.25pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">91835</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p class="Tabletext"><span style="font-size:11pt"></span></p></td><td colspan="2" style="width:285.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(a)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(i)</span><span style="width:31.22pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(ii)</span><span style="width:27.89pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the consultant physician is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(b)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(c)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(d)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span style="font-size:12pt">(e)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p class="Tabletext"><span></span></p><p class="Tabletext"><span style="font-size:11pt">Where the attendance is not a minor attendance after the first as part of a single course of treatment.</span></p></td><td colspan="3" style="width:50.9pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span style="font-size:11pt">77.90</span></p></td></tr><tr><td colspan="5" style="width:50.75pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">91836</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p class="Tabletext"><span style="font-size:11pt"></span></p></td><td style="width:284.8pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span style="font-size:12pt">(a)</span><span style="width:4.68pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(i)</span><span style="width:31.22pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span style="font-size:12pt">(ii)</span><span style="width:27.89pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(b)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(c)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt"><span style="font-size:12pt">(d)</span><span style="width:13.61pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:27.6pt; margin-bottom:3pt; text-indent:-27.6pt; line-height:12pt"><span style="font-size:12pt">(e)</span><span style="width:14.28pt; text-indent:0pt; font-size:12pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p><p class="Tabletext" style="margin-top:0pt; line-height:normal; font-size:11pt"><span></span></p><p class="Tabletext" style="margin-top:0pt; line-height:normal; font-size:11pt"><span>Where the attendance is a minor attendance after the first as part of a single course of treatment.</span></p></td><td colspan="3" style="width:50.9pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p class="Tabletext" style="text-align:right"><span style="font-size:11pt">44.35</span></p></td></tr><tr style="height:0pt"><td style="width:4.1pt"></td><td style="width:1.95pt"></td><td style="width:51.3pt"></td><td style="width:3.6pt"></td><td style="width:0.5pt"></td><td style="width:295.5pt"></td><td style="width:17.15pt"></td><td style="width:42pt"></td><td style="width:2.45pt"></td></tr></tbody></table>
Division 1.6 – Services and fees – Consultant psychiatrist attendances via phone services
1.6.1 Application of COVID-19 medical practitioner phone services
Insert:
(1) For items in Subgroups 6, and 9 the rendering practitioner must not perform a service in subgroup 9 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.
<table cellspacing="0" cellpadding="0" style="width:99.6%; border-collapse:collapse"><tbody><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 style="line-height:normal"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner phone services</span></p></td></tr><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 style="line-height:normal"><span style="font-weight:bold">Subgroup 9 – COVID-19 – consultant psychiatrist phone services</span></p></td></tr><tr><td style="width:12.8%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Item</span></p></td><td style="width:70.14%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Description</span></p></td><td style="width:17.06%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; vertical-align:top"><p style="text-align:right; line-height:normal"><span style="font-weight:bold">Fee($)</span></p></td></tr><tr><td style="width:12.8%; 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"><span style="font-size:11pt">91837</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was not more than 15 minutes duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:17.06%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>44.70</span></p></td></tr><tr><td style="width:12.8%; 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 style="font-size:11pt">91838</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 15 minutes, but not more than 30 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:17.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>89.15</span></p></td></tr><tr><td style="width:12.8%; 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 style="font-size:11pt">91839</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(j)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(jj)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(g)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(h)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 30 minutes, but not more than 45 minutes in duration; and</span><span></span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(i)</span><span style="width:7.62pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(j)</span><span style="width:7.62pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:17.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>137.25</span></p></td></tr><tr><td style="width:12.8%; 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 style="font-size:11pt">91840</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 45 minutes, but not more than 75 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:17.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>189.40</span></p></td></tr><tr><td style="width:12.8%; 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 style="font-size:11pt">91841</span></p><p class="Tabletext"><span style="font-size:11pt"></span></p><p style="margin-top:14pt; line-height:normal"><span style="font-weight:bold"></span></p></td><td style="width:70.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p class="Tabletext"><span style="font-size:11pt">Phone attendance for a person by a consultant psychiatrist; if:</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the consultant psychiatrist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was at least 75 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk-billed.</span></p></td><td style="width:17.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; vertical-align:top"><p style="margin-top:3pt; margin-right:5.65pt; text-align:right; line-height:normal"><span>219.80</span></p></td></tr></tbody></table>
Division 1. 7– Services and Fees – obstetric attendances via telehealth services
1.7.1 – Application of COVID-19 obstetrics telehealth and phone services
(1) For items in Division 1.7, ‘midwife’ has the same meaning as provided in clause 2.41.2 of the Health Insurance (General Medical Services Table) Regulations 2019.
(2) Application of item 91850 and 91855
(a) the midwife, nurse or Aboriginal and Torres Strait Islander health practitioner has the appropriate training and skills to perform an antenatal service; and
(b) the medical practitioner under whose supervision the antenatal service is provided retains responsibility for clinical outcomes and for the health and safety of the patient; and
(c) the midwife, nurse or Aboriginal and Torres Strait Islander health practitioner complies with relevant legislative or regulatory requirements regarding the provision of the antenatal service in the State or Territory where the service is provided.
Item 91850 and 91855 does not apply in conjunction with another antenatal attendance item for the same patient, on the same day by the same practitioner.
Item 91850 and 91855 does not apply in conjunction with items 10990, 10991 or 10992.
For any particular patient, item 91850 and 91855 applies not more than 10 times in a 9 month period.
(3) For items in Subgroups 1 the rendering practitioner must not perform a service in subgroup 2 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.
<table cellspacing="0" cellpadding="0" style="width:98%; border-collapse:collapse"><tbody><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Group T4—Obstetrics</span></p></td></tr><tr style="height:14.95pt"><td style="width:13.74%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Item</span></p></td><td style="width:67.86%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Description</span></p></td><td style="width:18.4%; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td colspan="3" style="border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Subgroup 1 – COVID-19 obstetric telehealth services</span></p></td></tr><tr><td style="width:13.74%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91850</span></p></td><td style="width:67.86%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided on behalf of, and under the supervision of, a medical practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided at, or from, a practice location in a regional, rural or remote area; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is not provided for an admitted patient of a hospital or approved day facility; and</span></p><p style="margin-left:25.5pt; margin-bottom:3pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>The services is bulk billed.</span></p></td><td style="width:18.4%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>27.70</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91851</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>is between 4 and 8 weeks after the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>lasts at least 20 minutes in duration; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is for a pregnancy in relation to which a service to which item</span><span> </span><span>82140 applies is not provided; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span><span></span></p><p style="line-height:normal"><span>Applicable once for a pregnancy</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>72.85</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91852</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is rendered by:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>an obstetrician; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(iii)</span><span style="width:19.51pt; text-indent:0pt; display:inline-block"> </span><span>a general practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is between 1 week and 4 weeks after the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>lasts at least 20 minutes; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is for a patient who was privately admitted for the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>is for a pregnancy in relation to which a service to which item</span><span> </span><span>82130, 82135 or 82140 applies is not provided; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(g)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span></p><p style="line-height:normal"><span>Applicable once for a pregnancy</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>54.25</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><a id="CU_9435286"></a><a id="CU_9432794"></a><span>91853</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Antenatal telehealth attendance if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; margin-bottom:3pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>47.90</span></p></td></tr><tr><td colspan="3" style="border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span style="font-weight:bold">Subgroup 2 – COVID-19 obstetric phone services</span></p></td></tr><tr><td style="width:13.74%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91855</span></p></td><td style="width:67.86%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided on behalf of, and under the supervision of, a medical practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided at, or from, a practice location in a regional, rural or remote area; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is not provided for an admitted patient of a hospital or approved day facility; and</span></p><p style="margin-left:25.5pt; margin-bottom:3pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>The services is bulk billed.</span></p></td><td style="width:18.4%; border-top:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>27.70</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91856</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>is between 4 and 8 weeks after the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>lasts at least 20 minutes in duration; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is for a pregnancy in relation to which a service to which item</span><span> </span><span>82140 applies is not provided; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span><span></span></p><p style="line-height:normal"><span>Applicable once for a pregnancy</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>72.85</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91857</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is rendered by:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>an obstetrician; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(iii)</span><span style="width:19.51pt; text-indent:0pt; display:inline-block"> </span><span>a general practitioner; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is between 1 week and 4 weeks after the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>lasts at least 20 minutes; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>is for a patient who was privately admitted for the birth; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>is for a pregnancy in relation to which a service to which item</span><span> </span><span>82130, 82135 or 82140 applies is not provided; and</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(g)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span></p><p style="line-height:normal"><span>Applicable once for a pregnancy</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>54.25</span></p></td></tr><tr><td style="width:13.74%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>91858</span></p></td><td style="width:67.86%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>Antenatal phone attendance if:</span></p><p style="margin-left:25.5pt; text-indent:-18pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(i)</span><span style="width:25.62pt; text-indent:0pt; display:inline-block"> </span><span>the person is at risk of COVID-19 virus; or</span></p><p style="margin-left:66pt; text-indent:-36pt"><span>(ii)</span><span style="width:22.56pt; text-indent:0pt; display:inline-block"> </span><span>the practitioner rendering the service is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:25.5pt; margin-bottom:3pt; text-indent:-18pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is bulk billed.</span></p></td><td style="width:18.4%; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>47.90</span></p></td></tr></tbody></table>
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
This instrument is the Health Insurance (Section 3C General Medical Services – Specialist, Consultant Physician and Consultant Psychiatrist COVID-19 Telehealth Services) Determination 2020.
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr style="height:10.1pt"><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 style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Commencement information</span></p></td></tr><tr style="height:10.45pt"><td style="width:37.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 1</span></p></td><td style="width:40.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 2</span></p></td><td style="width:22.04%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Column 3</span></p></td></tr><tr><td style="width:37.7%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Provisions</span></p></td><td style="width:40.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Commencement</span></p></td><td style="width:22.04%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt; font-weight:bold">Date/Details</span></p></td></tr></thead><tbody><tr><td style="width:37.7%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt">1.</span><span style="font-size:10pt"> </span><span style="font-size:10pt">The whole of this instrument</span></p></td><td style="width:40.26%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt">13 March 2020</span></p></td><td style="width:22.04%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; page-break-after:avoid; line-height:12pt"><span style="font-size:10pt"></span></p></td></tr></tbody></table>
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
Unless earlier revoked, this instrument ceases on 30 September 2020.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
(1) In this instrument:
Act means the Health Insurance Act 1973.
admitted patient means a patient who is receiving a service that is provided:
(a) as part of an episode of hospital treatment; or
(b) as part of an episode of hospital substitute treatment in respect of which the person to whom the treatment is provided chooses to receive a benefit from a private health insurer.
Note: hospital treatment and hospital-substitute treatment have the same meaning as defined in the Health Insurance Act 1973.
bulk-billed: a medical service is bulk‑billed if:
(a) a medicare benefit is payable to a person in relation to the service; and
(b) under an agreement entered into under section 20A of the Act:
(i) the person assigns to the medical practitioner by whom, or on whose behalf, the service is provided, the person’s right to the payment of the medicare benefit; and
(ii) the medical practitioner accepts the assignment as full payment of the medical practitioner’s fee for the service provided.
consultant psychiatrist means a consultant physician in the practice of the consultant physician’s specialty of psychiatry.
general medical services table means the table prescribed under subsection 4(1) of the Act.
Health professional at risk of COVID-19 virus means a person that:
(a) has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee.
patient at risk of COVID-19 virus means a person that:
(a) has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or
(c) is considered more susceptible to the COVID-19 virus being a person who is:
(i) at least 70 years old; or
(ii) at least 50 years old and is of Aboriginal or Torres Strait Islander descent; or
(iii) pregnant; or
(iv) a parent of a child under 12 months; or
(v) already under treatment for chronic health conditions or is immune compromised; or
(d) the person meets the current national triage protocol criteria for suspected COVID-19 infection.
phone attendance means a professional attendance by telephone where the health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains an audio link with the patient.
relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.
Schedule means a Schedule to this instrument.
Note: The following terms are defined in subsection 3(1) of the Act:
clinically relevant service;
general medical services table;
item;
medical practitioner;
professional service.
telehealth attendance means a professional attendance by video conference where the health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains a visual and audio link with the patient; and
(d) is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
For subsection 3C(1) of the Act, a relevant service, provided in accordance with this instrument and as a clinically relevant service, is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
i. related to the service; and
ii. specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
An item in a Schedule to this Determination only applies to a service provided on and after 13 March 2020 and before the commencement of the Health Insurance (Section 3C General Medical Services –COVID-19 Services) Determination 2020.
(1) Clause 1.1.5 of the general medical services table shall have effect as if items 91822 to 91826 of this Determination were specified in subclause 1.1.5(1) of the general medical services table. (2) Clause 1.2.2 of the general medical services table shall have effect as if items in Schedule 1 of this Determination were specified in clause 1.2.2. (3) Clause 1.2.4 of the general medical services table shall have effect as if items in Schedule 1 of this Determination were specified in subclause 1.2.4(1).
Schedule 1 – relevant services
Division 1.1 – Services and fees – specialist attendances via video conference
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr style="height:13.6pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Group A40 – COVID-19 – medical practitioner telehealth services</span></p></td></tr><tr style="height:13.6pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Subgroup 4 – COVID-19 – specialist attendances telehealth services</span></p></td></tr><tr style="height:13.6pt"><td style="width:13.06%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Item</span></p></td><td style="width:76.32%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; line-height:12pt"><span style="font-weight:bold">Description</span></p></td><td style="width:10.62%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:right; line-height:12pt"><span style="font-weight:bold">Fee ($)</span></p></td></tr><tr><td style="width:13.06%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91822</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:76.32%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the specialist is a health professional at risk of COVID-19 virus; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(b)</span><span style="width:14.77pt; text-indent:0pt; display:inline-block"> </span><span>the attendance follows referral of the patient to the specialist; and</span></p><p style="margin-left:27.6pt; text-indent:-27.6pt; line-height:normal"><span>(c)</span><span style="width:15.39pt; text-indent:0pt; display:inline-block"> </span><span>the attendance was of more than 5 minutes in duration; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span></span><span>the patient is not an admitted patient; and</span></p><p style="margin-left:18pt; text-indent:-18pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span></span><span>the service is bulk-billed.</span></p><p style="line-height:normal"><span></span></p><p style="line-height:normal"><span>Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.</span></p></td><td style="width:10.62%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span>88.25</span></p></td></tr><tr><td style="width:13.06%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>91823</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span></span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt"></span></p></td><td style="width:76.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-bottom:3pt; line-height:12pt"><span>Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:</span></p><p style="margin-left:18pt; text-indent:-18pt; line-height:normal"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the attendance is where:</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(i)</span><span style="width:32.17pt; text-indent:0pt; display:inline-block"> </span><span>the person is a patient at risk of COVID-19 virus; or</span></p><p style="margin-left:91.05pt; text-indent:-42.55pt; line-height:normal"><span>(ii)</span><span style="width:29.11pt; text-indent:0pt; display:inline-block"> </span><span>the specialist is a health
This is an opening excerpt, not the complete document.