1.  Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

1 November 2023.

2.  Schedule 1

1 November 2023.

3.  Schedule 2

Immediately after the commencement of the provisions covered by table item 2.

4. Schedule 3

Immediately after the commencement of Schedule 5 of the Health Insurance Legislation Amendment (2023 Measures No. 3) Regulations 2023.

Amendments relating to fees

Item

Table item

Omit

Substitute

1

Item 91794

15.10

15.15

2

Item 91806

32.95

33.10

3

Item 91807

63.75

64.10

4

Item 91808

93.90

94.40

5

Item 91820

81.30

81.70

6

Item 91821

116.30

116.90

7

Item 91844

81.30

81.70

8

Item 91845

116.30

116.90

9

Item 92011

186.00

186.90

10

Item 92055

126.40

127.05

11

Item 92056

100.15

100.70

12

Item 92057

61.70

62.00

13

Item 92058

61.70

62.00

14

Item 92059

63.10

63.45

15

Item 92137

67.10

67.45

16

Item 92139

67.10

67.45

17

Item 92118

62.85

63.15

18

Item 92119

92.50

92.95

19

Item 92120

62.85

63.15

20

Item 92121

62.85

63.15

21

Item 92122

79.75

80.15

22

Item 92123

117.50

118.10

23

Item 92132

62.85

63.15

24

Item 92133

62.85

63.15

25

Item 92150

62.85

63.15

26

Item 92151

92.50

92.95

27

Item 92152

79.75

80.15

28

Item 92153

117.50

118.10

29

Item 92171

62.85

63.15

30

Item 92177

62.85

63.15

31

Item 92186

81.30

81.70

32

Item 92188

116.30

116.90

33

Item 92198

81.30

81.70

34

Item 92200

116.30

116.90

35

Item 92211

133.95

134.60

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 92717

15.10

15.15

2          

Item 92720

32.95

33.10

3          

Item 92723

63.75

64.10

4          

Item 92726

93.90

94.40

5          

Item 92733

15.10

15.15

6          

Item 92736

32.95

33.10

7          

Item 92739

63.75

64.10

8          

Item 92742

93.90

94.40

91920

Telehealth attendance by a general practitioner, lasting at least 60 minutes and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation

191.20

91923

Telehealth attendance by a medical practitioner (not including a general practitioner), of more than 60 minutes in duration and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health related issues, with appropriate documentation

98.40

91926

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 60 minutes in duration and including any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health‑related issues, with appropriate documentation

152.95

91900

Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care;

for one or more health related issues, with appropriate documentation

80.10

91903

Phone attendance by a medical practitioner (not including a general practitioner) to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant:

(a) taking a short patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care;

for one or more health related issues, with appropriate documentation

38.00

91906

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

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health related issues, with appropriate documentation

64.10

91910

Phone attendance by a general practitioner, to a patient registered under MyMedicare with the billing practice, lasting at least 40 minutes, if the attendance includes any of the following that are clinically relevant:

(a) taking an extensive patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventive health care;

for one or more health related issues, with appropriate documentation

118.00

91913

Phone attendance by a medical practitioner, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care;

for one or more health related issues, with appropriate documentation

61.00

91916

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:

(a) taking a detailed patient history;

(b) arranging any necessary investigation;

(c) implementing a management plan;

(d) providing appropriate preventative health care;

for one or more health related issues, with appropriate documentation

94.40

1

92024

(a) In the 3 months before performance of the service, being a service to which items 231, 232, 233, 729, 731 or 732 of the general medical services table, or items 92026, 92027 or 92028 of this instrument applies (for reviewing a GP management plan) 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

(a) In the 3 months before performance of the service, being a service to which items 233 or 732 of the general medical services table, or items 92028 or 93469 of this instrument 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) 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 of the general medical services table applies because of the treatment of the palliative patient by the general practitioner

3

92026

(a) either:

(i) in the 3 months before performance of the service, being a service to which items 232, 233, 731 or 732 of the general medical services table, or items 92027 or 92028 of this instrument, 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 or 92026 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 or 92025; and

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

4

92027

(a) In the 3 months before performance of the service, being a service to which items  229, 230, 231, 233, 721, 723, 729 or 732 general medical services table, or items 92024, 92025, 92026 or 92028 of this instrument, 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

(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 of the general medical services table applies because of the treatment of the palliative patient by the general practitioner

1

92055

(a) In the 3 months before performance of the service, being a service to which item 231, 232, 233, 729, 731 or 732 of the general medical services table, or items 92026, 92027, 92028, 92057, 92058 or 92059 of this instrument, applies (for reviewing a GP management plan) but had not been performed for the patient; and

(b) a service to which items 229 or 721 of the general medical services table or items 92024 or 92055 of this instrument, applies 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 of the general medical services table applies because of the treatment of the palliative patient by the medical practitioner

2

92056

(a) In the 3 months before performance of the service, being a service to which item 233 or 732 of the general medical services table, or items 92028 or 92059, 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 230 or 723 of the general medical services table,  or item 92025 or 92026 of this instrument, applies is performed not more than once in a 12 month period; 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; and

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

3

92057

(a) Either:

(i) in the 3 months before performance of the service, being a service to which item 232, 233, 731 or 732 of the general medical services table, or items 92027, 92028, 92058, 92059 of this instrument, 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 items 231 or 729 of the general medical services table, or items 92026 or 92057 of this instrument, would, but for this item, apply; and

(B) for which a payment has been made under items 229, 230, 721, or 723 of the general medical services table, or items 92024, 92025 of this instrument; and

(b) a service to which item 231 or 729 of the general medical services table, or items 92026, 92057, 92070 or 92101, 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.

4

92058

(a) In the 3 months before performance of the service, being a service to which item 229, 230, 231, 233, 721, 723, 729 or 732 of the general medical services table, or items 92024, 92025, 92026, 92028, 92055, 92056, 92057 or 92059, applies but had not been performed for the patient; and

(b) a service to which item 731 of the general medical services table or item 92027 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.

5

92059

Each service may be performed if a service to which item 732 of the general medical services table, or item 92028 of this instrument 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 of the general medical services table applies because of the treatment of the palliative patient by the general practitioner.

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 235 to 340 or 735 to 758 of the general medical services table apply)

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 235 to 240 or 735 to 758 of the general medical services table apply)

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 235 to 240 or 735 to 758 of the general medical services table apply)

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 235 to 240 or 735 to 758 of the general medical services table apply)

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 229 or 721 of the general medical services table, or item 92024, 92055, 92068 or 92099 applies;

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

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 235 to 240 or 735 to 758 of the general medical services table apply)

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 235 to 240 or 735 to 758 of the general medical services table apply)

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 235 to 240 or 735 to 758 of the general medical services table apply)

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 235 to 240 or 735 to 758 of the general medical services table apply)

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 of the general medical services table 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 items 230 or 723 of the general medical services table or item 92025, 92056, 92069 or 92100 applies

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 items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy

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 items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy

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 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy

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 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy