1.  The whole of this instrument

30 March 2020

30 March 2020

1

92024 and 92068

(a) In the 3 months before performance of the service, being a service to which item 729, 731, 732, 231, 731, 233, 92026, 92027, 92028, 92070, 92071 or 92072 (for reviewing a GP management plan) applies but had not been performed for the patient; and

(b) the service is not performed more than once in a 12 month period; and

(c) the service is not performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner

2

92025 and 92069

(a) In the 3 months before performance of the service, being a service to which item 732, 233, 92028 or 92072 (for coordinating a review of team care arrangements, a multi‑disciplinary community care plan or a multi‑disciplinary discharge care plan) applies but had not been performed for the patient; and

(b) the service is performed not more than once in a 12 month period; and

(c) the service is not performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner

3

92026 and 92070

(a) either:

(i) in the 3 months before performance of the service, being a service to which item 731, 732, 232, 233, 92027, 92028, 92071, 92072 applies but had not been performed for the patient; or

(ii) in the 12 months before performance of the service, being a service that has not been performed for the patient:

(A) by the general practitioner who performs the service to which item 729, 92026 or 92070 would, but for this item, apply; and

(B) for which a payment has been made under item 721 or 723 of the general medical services table or 92024, 92025, 92068, 92069; and

(b) the service is performed not more than once in a 3 month period

4

92027 and 92071

(a) In the 3 months before performance of the service, being a service to which item 721, 723, 729, 732, 229, 230, 231, 233, 92024, 92025, 92026, 92028, 92068, 92069, 92070 or 92070 applies but had not been performed for the patient; and

(b) the service is performed not more than once in a 3 month period

5

92028 and 92072

Each service may be performed:

(a) once in a 3 month period; and

(b) on the same day; but

(c) may not be performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner

1

92055 and 92099

1.      In the 3 months before performance of the service, being a service to which item 729, 731 or 732*, item  231, 232 or 233** or item 92026, 92027, 92028, 92057, 92058, 92059, 92070, 92071, 92072, 92101, 92102 or 92103 applies (for reviewing a GP management plan) but had not been performed for the patient; and

(b) a service to which item 721* or 229** or items 92024 or 92026 apply has not been performed in the past 12 months; and

(c) the service is not performed more than once in a 12 month period; and

(d) the service is not performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the medical practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24** applies because of the treatment of the palliative patient by the medical practitioner.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

2

92056 and 92100

(a) In the 3 months before performance of the service, being a service to which item 732* or item 233** or item 92028, 92059, 92072 or 92103 applies (for coordinating a review of team care arrangements, a multi‑disciplinary community care plan or a multi‑disciplinary discharge care plan)  but had not been performed for the patient; and

(b) a service to which item 723* or 230** or items 92025 or 92069 applies is performed not more than once in a 12 months; and

(c) the service is performed not more than once in a 12 month period; and

(d) the service is not performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the medical practitioner practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24** applies because of the treatment of the palliative patient by the general practitioner

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

3

92057 and 92101

(a) either:

(i) in the 3 months before performance of the service, being a service to which item 731 or 732* or item 232 or 233** or item 92027, 92028, 92058, 92059, 92071, 92072, 92102 or 92103 applies but had not been performed for the patient; or

(ii) in the 12 months before performance of the service, being a service that has not been performed for the patient:

(A) by the medical practitioner who performs the service to which item 729* or item 231** or item 92026, 92057, 92070 or 92101 would, but for this item, apply; and

(B) for which a payment has been made under item 721 or 723* or item 229 or 230** or item 92024, 92025, 92055, 92066, 92068, 92069, 92099 or 92100; and

(b) a service to which item 729* or 231** or item 92026 or 92070 applies is performed not more than once in a 3 month period; and

(c) the service is performed not more than once in a 3 month period.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

4

92058 and 92102

(a) In the 3 months before performance of the service, being a service to which item 721, 723, 729 or 732* or item 229, 230, 231 or 233** or item 92024, 92025, 92026, 92028, 92055, 92056, 92057, 92059, 92068, 92069, 92070, 92072, 92099, 92100, 92101, 92103 applies but had not been performed for the patient; and

(b) a service to which item 731* or item 92027 or 92071 applies is performed not more than once in a 3 month period; and

(c) the service is performed not more than once in a 3 month period.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

5

92059 and 92103

Each service may be performed if a service to which item 732* or item 92028 or 92072 has not been claimed in the past three months;

(a) once in a 3 month period; and

(b) on the same day; but

(c) may not be performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24** applies because of the treatment of the palliative patient by the general practitioner.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

Group A40 – COVID-19 general practice telehealth services

Item

Description

Fee ($)

Subgroup 1 – COVID-19 general practice telehealth services

91790

Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.

20.55

91800

Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

44.90

91801

Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

87.00

91802

Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

128.05

91792

Telehealth attendance by a medical practitioner of not more than 5  minutes.

12.90

91803

Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

24.70

91804

Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

44.70

91805

Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

71.75

91794

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes.

16.45

91806

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

35.90

91807

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

69.55

91808

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

102.45

Subgroup 2 – COVID-19 general practice phone services

91795

Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.

20.55

91809

Phone attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

44.90

91810

Phone attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

87.00

91811

Phone attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

128.05

91797

Phone attendance by a medical practitioner of not more than 5 minutes.

12.90

91812

Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

24.70

91813

Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

44.70

91814

Phone attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

71.75

91799

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes.

16.45

91815

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a short patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

35.90

91816

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant:

1.      taking a detailed patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

69.55

91817

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 minutes in duration if the attendance includes any of the following that are clinically relevant:

1.      taking an extensive patient history;
2.     arranging any necessary investigation;
3.      implementing a management plan;
4.     providing appropriate preventative health care.

102.45

Subgroup 3 – COVID-19 Focussed Psychological Strategies telehealth services

91818

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 30 minutes, but less than 40 minutes.

110.85

91819

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 40 minutes.

158.60

91820

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 30 minutes, but less than 40 minutes.

88.70

91821

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 40 minutes.

126.90

Subgroup  10 – COVID-19 Focussed Psychological Strategies phone services

91842

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 30 minutes, but less than 40 minutes.

110.85

91843

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 40 minutes.

158.60

91844

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.        the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.        the service lasts at least 30 minutes, but less than 40 minutes.

88.70

91845

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

1.      the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and
2.     the service lasts at least 40 minutes.

126.90

Subgroup 11— Health Assessments for Aboriginal and Torres Strait Islander People - Telehealth Service

92004

Telehealth attendance by a general practitioner for a health assessment of a patient.

253.70

92011

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) for a health assessment.

202.90

Subgroup 12 —Health Assessments for Aboriginal and Torres Strait Islander People - Phone Service

92016

Phone attendance by a general practitioner for a health assessment of a patient.

 253.70

92023

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) for a health assessment of a patient.

202.90

Subgroup 13 —GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance 

92024

Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

172.40

92025

Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

136.60

92026

Contribution by a general practitioner by telehealth, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

84.15

92027

Contribution by a general practitioner by telehealth to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.

(other than a service associated with a service to which items 735 to 758 or items 92074 to 92078 or 92030 to 92034 apply).

84.15

92028

Telehealth attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 721, 229, or item 92024 or 92068 applies; or

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, item 230, or item 92025 or 92069 or items applies.

86.10

92055

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply).

137.90

92056

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034 or items 235 to 240 apply).

109.25

92057

Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table,  items 92074 to 92078 or 92030 to 92034, or items 235 to 240 apply).

67.35

92058

Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider

(other than a service associated with a service to which items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034, or items 235 to 240 apply).

67.35

92059

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review or coordinate a review of:

(a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721* or item 229** or item 92024, 92055, 92068 or 92099 applies; or

(b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723* or item 230** or item 92025, 92056, 92069 or 92100 applies.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

68.55

Subgroup 14 —GP management plans, team care arrangements and multidisciplinary care plans via phone attendance

92068

Phone attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

172.40

92069

Phone attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

136.60

92070

Contribution by a general practitioner by phone to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

84.15

92071

Contribution by a general practitioner by phone, to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider

(other than a service associated with a service to which items 735 to 758, items 235 to 240, or items 92074 to 92078 or 92030 to 92034 apply).

84.15

92072

Phone attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 of the general medical services table, item 229, or items 92074 to 92078 or 92030 to 92034, or items 92024 or 92068 applies; or

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table or item 92025 or 92069 or items applies.

86.10

92099

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply).

137.90

92100

Attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply).

109.25

92101

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table,  items 92074 to 92078 or 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply).

67.35

92102

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.

(other than a service associated with a service to which items 735 to 758 of the general medical services table, items 92074 to 92078 or 92030 to 92034 or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply).

67.35

92103

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review or coordinate a review of:

(a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721* or item 229** or item 92024, 92055, 92068 or 92099 applies; or

(b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723* or item 230** or item 92025, 92056, 92069 or 92100 applies.

[* in the general medical services table]

[** in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018]

68.55

Subgroup 15 - GP Pregnancy Support Counselling - Telehealth Service

92136

Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92138, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act

91.55

92137

Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92139, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act.

73.25

Subgroup 16 - GP Pregnancy Support Counselling - Phone Service

92138

Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 792, 92139, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act.

91.55

92139

Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001, 92136, 92138, 792, 92137, 81000, 81005, 81010, 93029 or 93026 applies in relation to that pregnancy.

Note: For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act.

73.25

Subgroup 17 - GP, Specialist and Consultant Physician Autism Service - Telehealth Service

92142

Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

160.75

Subgroup 18 - GP, Specialist and Consultant Physician Autism Service - Phone Service

92145

Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

160.75

Subgroup 19— GP Mental Health Treatment Plan - Telehealth Service

92112

Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

85.70

92113

Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

126.15

92114

Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

85.70

92115

Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

85.70

92116

Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

108.80

92117

Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

160.25

92118

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

68.55

92119

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),  who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

100.90

92120

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

68.55

92121

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

68.55

92122

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

87.05

92123

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

128.20

Subgroup 20 — GP Mental Health Treatment Plan - Phone Service

92124

Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

85.70

92125

Phone attendance, by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

126.15

92126

Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

85.70

92127

Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

85.70

92128

Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

108.80

92129

Phone attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

160.25

92130

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

68.55

92131

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

100.90

92132

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan.

68.55

92133

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation.

68.55

92134

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

87.05

92135

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient.

128.20

Subgroup 21— GP Eating Disorder Treatment and Management Plan – Telehealth Service

92146

Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

85.70

92147

Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

126.15

92148

Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

108.80

92149

Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

160.25

92150

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

68.55

92151 

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

100.90

92152

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

87.05

92153

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

128.20

Subgroup 22—GP Eating Disorder Treatment and Management Plans - Phone Service

92154

Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

85.70

92155

Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder

126.15

92156

Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

108.80

92157

Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

160.25

92158

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

68.55

92159 

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

100.90

92160

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

87.05

92161

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

1.      the plan includes an opinion on diagnosis of the patient’s eating disorder; and
2.     the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and
3.      the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and
4.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

128.20

Subgroup 25— Review of an Eating Disorder Plan - Telehealth Service

92170

Telehealth attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

1.      the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
2.     modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

1.       recommendations to continue with treatment options detailed in the plan; or
2.     recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

1.     the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

85.70

92171

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

1.      the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
2.     modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

1.       recommendations to continue with treatment options detailed in the plan; or
2.     recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

1.     the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

68.55

Subgroup 26—Review of an Eating Disorder Plan – Phone Service

92176

Phone attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

1.      the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
2.     modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

1.   recommendations to continue with treatment options detailed in the plan; or
2.   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

1.      the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

85.70

92177

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

1.      the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and
2.     modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

1.   recommendations to continue with treatment options detailed in the plan; or
2.   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

1.      the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

68.55

Subgroup 27— GP - Eating Disorder Focussed Psychological Strategies – Telehealth Service

92182

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

110.85

92184

Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

158.60

92186

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

88.70

92188

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

126.90

Subgroup 28— GP - Eating Disorder Focussed Psychological Strategies – Phone Service

92194

Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

110.85

92196

Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

158.60

92198

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

88.70

92200

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan.

126.90

Subgroup 29 - GP and Other Medical Practitioner - Urgent After Hours Service in Unsociable Hours - Telehealth Service

92210

Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

182.85

92211

Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

146.15

Subgroup 30 - GP and Other Medical Practitioner - Urgent After Hours Service in Unsociable Hours - Phone Service

92216

Phone attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

182.85

92217

Phone attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

146.15

Group A40 – COVID-19 – medical practitioner telehealth services

Subgroup 4 – COVID-19 – specialist attendances telehealth services

Item

Description

Fee ($)

91822

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration.

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

88.25

91823

Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration.

Where the attendance is after the first attendance as part of a single course of treatment.

44.35

Subgroup 5 – COVID-19 – consultant physician telehealth services

91824

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration;

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

155.60

91825

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.          the attendance was of more than 5 minutes in duration;

Where the attendance is not a minor attendance after the first as part of a single course of treatment.

77.90

91826

Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.          the attendance was of more than 5 minutes in duration;

Where the attendance is a minor attendance after the first as part of a single course of treatment.

44.35

Subgroup 6 – COVID-19 – consultant psychiatrist telehealth services

91827

Telehealth attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was not more than 15 minutes duration.

44.70

91828

Telehealth attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 15 minutes, but not more than 30 minutes in duration.

89.15

91829

Telehealth attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 30 minutes, but not more than 45 minutes in duration.

137.25

91830

Telehealth attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 45 minutes, but not more than 75 minutes in duration.

189.40

91831

Telehealth attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 75 minutes in duration.

219.80

Subgroup 7 – COVID-19 – specialist attendances phone services

91832

Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:

1.       the attendance follows referral of the patient to the specialist; and
2.     the attendance was of more than 5 minutes in duration;

Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

88.25

91833

Phone attendance for a person by a specialist in the practice of the specialist’s specialty if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration;

Where the attendance is after the first attendance as part of a single course of treatment.

44.35

Subgroup 8 – COVID-19 – consultant physician phone services

91834

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.              the attendance was of more than 5 minutes in duration; Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.

155.60

91835

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration;

Where the attendance is not a minor attendance after the first as part of a single course of treatment.

77.90

91836

Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if:

1.            the attendance follows referral of the patient to the specialist; and
2.            the attendance was of more than 5 minutes in duration;

Where the attendance is a minor attendance after the first as part of a single course of treatment.

44.35

Subgroup 9 – COVID-19 – consultant psychiatrist phone services

91837

Phone attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was not more than 15 minutes duration;

44.70

91838

Phone attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 15 minutes, but not more than 30 minutes in duration; and
3.      the patient is not an admitted patient.

89.15

91839

Phone attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 30 minutes, but not more than 45 minutes in duration.

137.25

91840

Phone attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 45 minutes, but not more than 75 minutes in duration.

189.40

91841

Phone attendance for a person by a consultant psychiatrist; if:

1.      the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and
2.     the attendance was at least 75 minutes in duration.

219.80

Subgroup 17 - GP, Specialist and Consultant Physician Autism Service - Telehealth Service

92140

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medical recommendations;

(c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient.

272.15

92141

Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician  following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

272.15

Subgroup 18 - GP, Specialist and Consultant Physician Autism Service - Phone Service

92143

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medical recommendations;

(c) provides a copy of the treatment and management plan to:

(i) the referring practitioner; and

(ii) one or more allied health providers, if appropriate, for the treatment of the patient.

272.15

92144

Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

272.15

Subgroup 23— Consultant Physician and Psychiatrist - Eating Disorder Treatment and Management Plan – Telehealth Service

92162

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that:

(A) covers the next 12 months; and

(B) is appropriate to the patient’s diagnosis; and

(C) comprehensively evaluates the patient’s biological, psychological and social issues; and

(D) addresses the patient’s diagnostic psychiatric issues; and

(E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

(iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees

466.80

92163

Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

1.      the patient has been referred by a referring practitioner; and
2.     during the attendance, the consultant paediatrician undertakes an assessment that covers:

1.    a comprehensive history, including psychosocial history and medication review; and
2. comprehensive multi or detailed single organ system assessment; and
3.   the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that involves:

(A) an opinion on diagnosis and risk assessment; and

(B) treatment options and decisions; and

(C) medication recommendations; and

(iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

272.15

Subgroup 24— Consultant Physician and Psychiatrist - Eating Disorder Treatment and Management Plan – Phone Service

92166

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

(a)  the patient has been referred by a referring practitioner; and

(b)  during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(c)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that:

(A) covers the next 12 months; and

(B) is appropriate to the patient’s diagnosis; and

(C) comprehensively evaluates the patient’s biological, psychological and social issues; and

(D) addresses the patient’s diagnostic psychiatric issues; and

(E) makes management recommendations addressing the patient’s biological, psychological and social issues; and

(iii) gives the referring practitioner a copy of the diagnosis and     the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

466.80

92167

Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if:

1.      the patient has been referred by a referring practitioner; and
2.     during the attendance, the consultant paediatrician undertakes an assessment that covers:

1.       a comprehensive history, including psychosocial history and medication review; and
2. comprehensive multi or detailed single organ system assessment; and
3.   the formulation of diagnoses; and

(c)  within 2 weeks after the attendance, the consultant paediatrician:

(i)  prepares a written diagnosis of the patient; and

(ii) prepares a written management plan for the patient that involves:

(A) an opinion on diagnosis and risk assessment; and

(B) treatment options and decisions; and

(C) medication recommendations; and

(iii) gives the referring practitioner a copy of the diagnosis and the management plan; and

(iv) if clinically appropriate, explains the diagnosis and  management plan, and a gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

272.15

Subgroup 25— Review of an Eating Disorder Plan - Telehealth Service

92172

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii)  revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

291.80

92173

Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a)  the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant paediatrician:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant paediatrician:

(i)  prepares a written diagnosis of the patient; and

(ii)  revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

136.25

Subgroup 26—Review of an Eating Disorder Plan – Phone Service

92178

Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if:

(a)  the consultant psychiatrist reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

(c)  during the attendance, the consultant psychiatrist:

(i) uses an outcome tool (if clinically appropriate); and

(ii) carries out a mental state examination; and

(iii) makes a psychiatric diagnosis; and

(iv) reviews the eating disorder treatment and management plan; and

(d)  within 2 weeks after the attendance, the consultant psychiatrist:

(i)  prepares a written diagnosis of the patient; and

(ii)  revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

291.80

92179

Phone attendance of at least 20 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if:

(a)  the consultant paediatrician reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)  the patient has been referred by a referring practitioner; and

1.      during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a:

1.         review of initial presenting problems and results of diagnostic investigations; and
2.       review of responses to treatment and medication plans initiated at time of initial consultation; and
3.     comprehensive multi or detailed single organ system assessment; and
4.      review of original and differential diagnoses; and

(d)  within 2 weeks after the attendance, the consultant paediatrician:

(i)  prepares a written diagnosis of the patient; and

(ii)  revises the eating disorder treatment and management; and

(iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and

(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to:

(A) the patient; and

(B) the patient’s carer (if any), if the patient agrees.

136.25

Group T4—Obstetrics

Item

Description

Fee ($)

Subgroup 1 – COVID-19 obstetric telehealth services

91850

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:

1.      the service is provided on behalf of, and under the supervision of, a medical practitioner; and
2.     the service is provided at, or from, a practice location in a regional, rural or remote area; and
3.      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.

27.70

91851

Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

1.      is between 4 and 8 weeks after the birth; and
2.     lasts at least 20 minutes in duration; and
3.      includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and
4.     is for a pregnancy in relation to which a service to which item 82140 applies is not provided. 

Applicable once for a pregnancy.

72.85

91852

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:

1.      the attendance is rendered by:

1.                   a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or
2.                 an obstetrician; or
3.               a general practitioner; and

1.     is between 1 week and 4 weeks after the birth; and
2.      lasts at least 20 minutes; and
3.     is for a patient who was privately admitted for the birth; and
4.      is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided.

Applicable once for a pregnancy.

54.25

91853

Antenatal telehealth attendance.

47.90

Subgroup 2 – COVID-19 obstetric phone services

91855

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:

1.      the service is provided on behalf of, and under the supervision of, a medical practitioner; and
2.     the service is provided at, or from, a practice location in a regional, rural or remote area; and
3.      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.

27.70

91856

Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if:

1.      is between 4 and 8 weeks after the birth; and
2.     lasts at least 20 minutes in duration; and
3.      includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and
4.     is for a pregnancy in relation to which a service to which item 82140 applies is not provided.

Applicable once for a pregnancy.

72.85

91857

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:

1.      the attendance is rendered by:

1.                   a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or
2.                 an obstetrician; or
3.               a general practitioner; and

1.     is between 1 week and 4 weeks after the birth; and
2.      lasts at least 20 minutes; and
3.     is for a patient who was privately admitted for the birth; and
4.      is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided.

Applicable once for a pregnancy.

54.25

91858

Antenatal phone attendance.

47.90

Group M18 - COVID-19 allied health telehealth services

Item

Service

Fee ($)

Subgroup 1 – COVID-19 psychological therapies telehealth services

91166

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the person is referred by:

(i)     a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)    a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b) the service is provided to the person individually; and

(c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e) the service is at least 30 minutes but less than 50 minutes duration.

101.35

91167

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)  a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

(b) the service is provided to the person individually; and

(c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e) the service is at least 50 minutes duration.

148.80

Subgroup 2 – COVID-19 psychologist focussed psychological strategies telehealth services

Subgroup 3 – COVID-19 occupational therapist focussed psychological strategies telehealth services

Subgroup 4 – COVID-19 social worker focussed psychological strategies telehealth services

Subgroup 17 - telehealth attendance to person of Aboriginal and Torres Strait Islander descent

93048

Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if:

 (a) either:

(i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(ii) the person’s shared care plan identifies the need for follow-up allied health services; and

 (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and

 (c) the service is provided to the person individually; and

 (d) the service is of at least 20 minutes duration; and

 (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b):

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or the last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters;

to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year.

This item is subject to clauses 3.1.2 and 3.1.3.

63.25

Subgroup 18 - telephone attendance to person of Aboriginal and Torres Strait Islander descent

93061

Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if:

 (a) either:

(i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or

(ii) the person’s shared care plan identifies the need for follow-up allied health services; and

 (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and

 (c) the service is provided to the person individually; and

 (d) the service is of at least 20 minutes duration; and

 (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b):

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or the last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters;

to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014applies) in a calendar year.

This item is subject to clauses 3.1.2 and 3.1.3.

63.25

Subgroup 19 – eating disorder dietetics telehealth services

93074

Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian:

 (a) the service is recommended in the patient’s eating        disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is of at least 20 minutes in duration.    

63.25

Subgroup 20 - eating disorder psychological treatment services telehealth services

93076

Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if:

 (a) the service is recommended in the patient’s eating        disorder treatment and management plan; and

(b) the service is provided to the patient individually; and

(c) the service is at least 30 minutes but less than 50 minutes in duration.

101.35