Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021 (Cth)
Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021
made under subsection 3C(1) of the
Health Insurance Act 1973
Compilation No. 11
Compilation date: 29 June 2023
Includes amendments up to: F2023L00818
Registered: 10 July 2023
This compilation includes a commenced amendment made by F2023L00731
About this compilation
This compilation
This is a compilation of the Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021 that shows the text of the law as amended and in force on 29 June 2023 (the compilation date).
The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.
Uncommenced amendments
The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the Register for the compiled law.
Application, saving and transitional provisions for provisions and amendments
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
Editorial changes
For more information about any editorial changes made in this compilation, see the endnotes.
Modifications
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the Register for the compiled law.
Self‑repealing provisions
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Contents
Part 1—Preliminary 1
1............ Name............................................................................................................................. 1
3............ Authority....................................................................................................................... 1
4............ Cessation....................................................................................................................... 1
5............ Definitions..................................................................................................................... 1
6............ Treatment of relevant services....................................................................................... 6
7............ Application of items – general....................................................................................... 6
8............ Indexation...................................................................................................................... 7
Schedule 1 – GP and other medical practitioner services 9
Division 1.1 – Services and fees – Medical practitioner attendances via telehealth and phone 9
Schedule 2 – Specialist, consultant physician and consultant psychiatrist services 43
Division 2.1 – Services and fees – specialist attendances via telehealth and phone 43
Division 2.2– Services and Fees – obstetric attendances 58
Schedule 3 – Allied health services 61
Division 3.1 – Services and fees – Allied health telehealth and phone services 61
Schedule 4 – Nurse practitioner, midwife Aboriginal and Torres Strait Islander health practitioner and dental practitioner services 90
Division 4.1 ‑ Services and fees – Nurse practitioner telehealth and phone services 90
Division 4.2 ‑ Services and fees – midwifery telehealth and phone services 94
Division 4.3 ‑ Services and fees – dental practitioner services 95
Schedule 4A – Audiometry programming services 96
Division 4A.1– Services and Fees – audiometry programming services 96
Schedule 5 – Temporary GP and medical practitioner telehealth and phone services 98
Division 5.1 – Services and fees – Medical practitioner attendances via telehealth and phone 98
Schedule 6 – Specialist in‑hospital services 104
Division 6.1 – Services and fees – in‑hospital specialist attendances 104
Division 6.2 – Services and fees – in‑hospital dental practitioner attendances 111
Schedule 7 – Specialist initial Phone Services 113
Division 7.1 – Services and fees – initial specialist phone attendances 113
Division 7.2 – Services and fees – initial dental practitioner attendances 125
Schedule 8 – COVID‑19 impacted GP phone services 126
Division 8.1 – Services and fees – COVID‑19 impacted GP phone attendances 126
Endnotes127
Endnote 1—About the endnotes 127
Endnote 2—Abbreviation key 128
Endnote 3—Legislation history 129
Endnote 4—Amendment history 131
Part 1—Preliminary
1 Name
This instrument is the Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021.
3 Authority
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
4Cessation
Unless earlier revoked:
(a) Schedules 6 to 8 of this instrument cease as if revoked on 30 June 2022 at 11.59pm; and
(b) Schedule 5 of this instrument ceases as if revoked on 31 December 2023 at 11.59pm.
5 Definitions
Note: The following terms are defined in subsection 3(1) of the Act:
· clinically relevant service
· consultant physician
· dental practitioner
· general medical services table
· hospital‑substitute treatment
· hospital treatment
· item
· participating midwife
· participating nurse practitioner
· professional service
(1) In this instrument:
Aboriginal and Torres Strait Islander health practitioner has the meaning given by Part 7 of the general medical services table.
Act means the Health Insurance Act 1973.
admitted patient means a patient who is receiving a service that is provided:
(a) as part of an episode of hospital treatment; or
(b) as part of an episode of hospital‑substitute treatment in respect of which the person to whom the treatment is provided chooses to receive a benefit from a private health insurer.
admitting dental practitioner means the dental practitioner responsible for the patient’s treatment at the time the patient is admitted to hospital.
admitting medical practitioner means the medical practitioner responsible for the patient’s treatment at the time the patient is admitted to hospital.
Allied Health Determination means the Health Insurance (Allied Health Services) Determination 2014.
consultant psychiatrist means a consultant physician in the practice of the consultant physician’s specialty of psychiatry.
contribute to a multidisciplinary care plan has the meaning given by clause 2.16.3 of the general medical services table.
coordinating a review of team care arrangements has the meaning given by clause 2.16.5 of the general medical services table.
coordinating the development of team care arrangements has the meaning given by clause 2.16.4 of the general medical services table.
eating disorder treatment and management plan has the same meaning as in the general medical services table.
eligible Aboriginal health worker has the meaning given by section 4 of the Allied Health Determination.
eligible Aboriginal and Torres Strait Islander health practitioner has the meaning given by section 4 of the Allied Health Determination.
eligible allied health practitioner means:
(a) an eligible Aboriginal health worker;
(b) an eligible Aboriginal and Torres Strait Islander health practitioner;
(c) an eligible diabetes educator;
(d) an eligible audiologist;
(e) an eligible dietitian;
(f) an eligible mental health worker;
(g) an eligible occupational therapist;
(h) an eligible exercise physiologist;
(i) an eligible physiotherapist;
(j) an eligible podiatrist;
(k) an eligible chiropractor;
(l) an eligible osteopath;
(m) an eligible psychologist; or
(n) an eligible speech pathologist.
eligible audiologist has the meaning given by section 4 of the Allied Health Determination.
eligible chiropractor has the meaning given by section 4 of the Allied Health Determination.
eligible clinical psychologist has the meaning given by section 4 of the Allied Health Determination.
eligible diabetes educator has the meaning given by section 4 of the Allied Health Determination.
eligible dietitian has the meaning given by section 4 of the Allied Health Determination.
eligible exercise physiologist has the meaning given by section 4 of the Allied Health Determination.
eligible mental health worker has the meaning given by section 4 of the Allied Health Determination.
eligible occupational therapist has the meaning given by section 4 of the Allied Health Determination.
eligible orthoptist has the meaning given by section 4 of the Allied Health Determination.
eligible osteopath has the meaning given by section 4 of the Allied Health Determination.
eligible physiotherapist has the meaning given by section 4 of the Allied Health Determination.
eligible psychologist has the meaning given by section 4 of the Allied Health Determination.
eligible podiatrist has the meaning given by section 4 of the Allied Health Determination.
eligible social worker has the meaning given by section 4 of the Allied Health Determination.
eligible speech pathologist has the meaning given by section 4 of the Allied Health Determination.
focussed psychological strategies has the meaning given by clause 2.20.1 of the general medical services table.
GP mental health treatment plan has the meaning given by section 4 of the Allied Health Determination.
multidisciplinary care plan:
(a) for items 92026, 92027, 92070, 92071, 92057, 92058, 92101 and 92102—has the meaning given by clause 2.16.6 of the general medical services table; and
(b) for items 93201 and 93203—has the meaning given by clause 3.1.1 of the general medical services table.
non‑directive pregnancy support counselling means counselling provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, by a health professional in which:
(a) information and issues relating to pregnancy are discussed; but
(b) the health professional does not impose his or her views or values about what the person should or should not do in relation to the pregnancy.
Other Medical Practitioner Determination means the Health Insurance (Section 3C General Medical Services ‑ Other Medical Practitioner) Determination 2018.
person who has tested positive for COVID‑19 means a patient who has received a positive COVID‑19 test result within the last 7 days, confirmed by either:
(a) Laboratory testing (PCR); or
(b) A COVID‑19 rapid antigen self test (RAT) which has been approved for supply in Australia by the Therapeutic Goods Administration.
person who is experiencing homelessness means when a person does not have suitable accommodation alternatives they are considered homeless if their current living arrangement:
(a) is in a dwelling that is inadequate; or
(b) has no tenure, or if their initial tenure is short and not extendable; or
(c) does not allow them to have control of, and access to space for social relations.
person who is in a natural disaster affected area means a patient who, at the time of accessing the telehealth or telephone service, is located within a State or Territory local government area which is declared as a natural disaster area by a State or Territory Government.
person who meets the PBS criteria for COVID‑19 antiviral therapy means a person who is:
(a) 70 years of age or older;
(b) 60 years of age or older with at least one additional risk factor;
(c) 50 years of age or older with at least two additional risk factors;
(d) of First Nations descent, who is 30 years of age or older and with at least one additional risk factor;
(e) 18 years of age or older and who is moderately to severely immunocompromised; or
(f) 18 years of age or older who has been previously hospitalised from COVID‑19 disease.
phone attendance means a professional attendance by telephone where the health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains an audio link with the patient.
preparing a GP management plan, for items 92024 and 92068, has the meaning given by clause 2.16.7 of the general medical services table.
psychiatrist assessment and management plan means a psychiatrist assessment and management plan prepared by a consultant physician in the practice of the consultant physician’s specialty of psychiatry in accordance with item 92435, 92475 or item 291 of the general medical services table.
referring practitioner, in relation to a referral, means the person making the referral.
relevant provisions means all provisions of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.
residential aged care facility has the meaning given in Part 7 of the general medical services table.
reviewing a GP management plan, for items 92028 and 92072, has the meaning given by clause 2.16.8 of the general medical services table.
Schedule means a Schedule to this instrument.
single course of treatment has the meaning given by clause 1.1.6 of the general medical services table.
telehealth attendance means a professional attendance by video conference where the rendering health practitioner:
(a) has the capacity to provide the full service through this means safely and in accordance with relevant professional standards; and
(b) is satisfied that it is clinically appropriate to provide the service to the patient; and
(c) maintains a visual and audio link with the patient; and
(d) is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or a legislative instrument made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or instrument is a reference to those provisions as in force from time to time.
(3) In this instrument, a general practitioner includes a kind of medical practitioner specified in clause 1.1.3 of the general medical services table.
6 Treatment of relevant services
A health service provided in accordance with this Determination is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the item in the Schedule relating to the service.
Note: For this Determination, an internal Territory is deemed to form part of the State of New South Wales—see subsection 3C(7) of the Act.
7 Application of items – general
(1) An item in a Schedule does not apply to a service mentioned in the item if the person is an admitted patient.
(1A)Subsection (1) does not apply to an item in Schedule 6 of this Determination.
(2) An item in Subgroup 3 or 10 of Group A40, Subgroups 1 to 4 of Group M18 or Subgroups 6 to 9 of Group M18 does not apply to a service provided to a patient, or to a person other than the patient as part of the patient’s treatment, who has already been provided, in the calendar year, with 10 services to which any of those items or the following items apply:
(a) an item in Subgroup 2 of Group A20 of the general medical services table;
(b) items 283, 285, 286, 287, 309, 311, 313 or 315 of the Other Medical Practitioner Determination; or
(c) items 80000 to 80016, 80100 to 80116, 80125 to 80141 or 80150 to 80166 of the Allied Health Determination.
(3) Subject to subsection (4), an item in a Schedule only applies to a service that is an attendance by a single health professional on a single person.
Note: Health professionals who can provide services under this instrument include general practitioners, medical practitioners, specialists and consultant physicians, allied health professionals and participating nurses and midwives.
(4) Subsection (3) does not apply to items 92455 to 92457 and 92495 to 92497.
(5) An item in Schedule 1 or 8 applies to a service performed by the patient’s usual medical practitioner.
(6) Subsection (5) does not apply to:
(a) a service provided to:
(i) a person who is under the age of 12 months; or
(ii) a person who is experiencing homelessness; or
(iii) a person who is in COVID‑19 isolation because of a State or Territory public health order; or
(iv) a person who is in COVID‑19 quarantine because of a State or Territory public health order; or
(v) a person who receives the service from a medical practitioner located at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service; or
(vi) a person who is in a natural disaster affected area; or
(vii) a person who has tested positive for COVID‑19; or
(viii) a person who meets the PBS criteria for COVID‑19 antiviral therapy who is experiencing acute respiratory symptoms; or
(b) a service to which an item in Subgroup 3, 10, 15, 16, 19, 20, 21, 25, 26, 27, 28 or 29 of Group A40 applies.
(7) For the purpose of subsection (5):
patient’s usual medical practitioner means a medical practitioner (other than a specialist or consultant physician) who:
(a) has provided at least one service to the patient in the past 12 months; or
(b) is located at a medical practice at which at least one service to the patient was provided, or arranged by, in the past 12 months.
For the purpose of this subsection, service means a personal attendance on the patient and excludes telehealth and phone attendances.
(8) Subsection 2.31.7(2) of the general medical services table shall have effect as if a service to which an item in Subgroups 21 or 23 of Group A40 applies.
(9) A service to which an item in Subgroup 17 of Group A40 or item 92434 applies must not be provided to a person if a service under any of the following items has previously been provided to the person:
(a) an item in Subgroup 17 of Group A40; or
(b) item 92434; or
(c) items 135, 137, 139 or 289 of the general medical services table.
8 Indexation
(1) On 1 July 2022 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in this Determination, other than the fee for the following:
(a) items 91792, 91803, 91804, 91805, 91794, 91806, 91807, 91808, 91892, 91893, 91895, 91820, 91821, 91844, 91845, 92011, 92055, 92056, 92057, 92058, 92059, 92137, 92139, 92118, 92119, 92120, 92121, 92122, 92123, 92132, 92133, 92150, 92151, 92152, 92153, 92171, 92177, 92186, 92188, 92198, 92200, 92211, 92716, 92717, 92719, 92720, 92722, 92723, 92725, 92726, 92732, 92733, 92735, 92736, 92738, 92739, 92741, 92742, 92747 in Group A40.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
Schedule 1 – GP and other medical practitioner services
Division 1.1 – Services and fees – Medical practitioner attendances via telehealth and phone
1.1.01 Meaning of eligible area
(1) For items 91794, 91806, 91807 and 91808, eligible area has the meaning given by section 4 of the Other Medical Practitioner Determination.
1.1.02 Application of items in Subgroups 3 and 10 of Group A40 – Focussed Psychological Strategies services
(1) An item in Subgroup 3 or 10 of Group A40 only applies to a service which:
(a) is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and
(b) is provided by a medical practitioner who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which Subgroup 2 of Group A20 of the general medical services table or items 283, 285, 286, 287, 309, 311, 313 or 315 of the Other Medical Practitioner Determination applies.
(2) Paragraph 2.20.7(2)(a) of the general medical services table shall have effect as if items 91818, 91819, 91842, 91843, 91859, 91861, 91864 and 91865 were also specified in subparagraph 2.20.7(2)(a)(i).
1.1.03 Application of items in Subgroup 11 of Group A40
(1) A health assessment (the current assessment) may be performed under an item in Subgroup 11 of Group A40 for a patient who:
(a) has not been provided a health assessment under item 715 of the general medical services table or item 228 of the Other Medical Practitioner Determination within 9 months of the current assessment; and
(b) has not been provided a health assessment under an item in Subgroup 11 of Group A40 within 9 months of the current assessment; and
(c) identifies as being of Aboriginal or Torres Strait Islander descent.
(2) A health assessment mentioned in an item in Subgroup 11 of Group A40 must not include a health screening service.
Note: health screening service is defined in subsection 19(5) of the Act.
(3) A separate consultation must not be performed in conjunction with a health assessment, unless clinically necessary.
(4) Practice nurses, Aboriginal health workers and Aboriginal and Torres Strait Islander health practitioners may assist practitioners in performing a health assessment, in accordance with accepted medical practice, and under the supervision of the practitioner.
(5) For the purposes of subclause (4), assistance may include activities associated with:
(a) information collection; and
(b) at the direction of the practitioner—provision to patients of information on recommended interventions.
(6) A health assessment must also include:
(a) keeping a record of the health assessment; and
(b) offering the patient a written report on the health assessment, with recommendations on matters covered by the health assessment (including a simple strategy for the good health of the patient).
1.1.04 Application of items 92024 to 92028
(1) Item 92024 applies only to a service for a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal.
(2) Items 92025 to 92028 apply only to a service for a patient who suffers from at least one medical condition that:
(a) has been (or is likely to be) present for at least 6 months or is terminal; and
(b) requires ongoing care from at least 3 persons who provide treatment or a service to the patient but who are not family carers of the patient, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner.
1.1.05 Application of items in relation to items 92024, 92025 and 92028
(1) The following items do not apply to a service mentioned in the item that is provided by a general practitioner or medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service mentioned in item 92024, 92025 or 92028:
(a) any items specified in paragraphs 2.16.11(a), (b), (c), and (d) of the general medical services table;
(b) any items in Division 1.2 or Division 1.10 of the Other Medical Practitioner Determination; and
(c) items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210 or 92211.
.1.06 Limitation on items 92024 to 92028
(1) This clause applies to the performances of services for a patient for whom exceptional circumstances do not exist.
(2) Items 92024 to 92028 apply in the circumstances mentioned in table below.
| Limitation on items 92024 to 92028 | ||
| Item | Column 1 Item of the table | Column 2 Circumstances |
| 1 | 92024 | (a) In the 3 months before performance of the service, being a service to which items 729, 731 or 732 of the general medical services table, items 231, 232 or 233 of the Other Medical Practitioner Determination, items 92026, 92027 or 92028 of this instrument, or items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, applies (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 | (a) In the 3 months before performance of the service, being a service to which item 732 of the general medical services table, 233 of the Other Medical Practitioner Determination, 92028, item 93469 of this instrument, or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, applies (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 | (a) either: (i) in the 3 months before performance of the service, being a service to which items 731 or 732 of the general medical services table, items 232 or 233 of the Other Medical Practitioner Determination, item 92027 or 92028 of this instrument, or items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, 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 721, 723, 729 or 732 general medical services table, items 229, 230, 231 or 233 of the Other Medical Practitioner Determination, items 92024, 92025, 92026 or 92028 of this instrument, items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, 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) In the 3 months before performance of the service, being a service to which items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020 applies but had not been performed for the patient; and (b) once in a 3 month period; and (c) on the same day; but (d) 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 |
(3) In this clause exceptional circumstances, for a patient, means there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the performance of the service for the patient.
1.1.07 Meaning of item descriptors for items 92055 to 92059
(1) For items 92055 to 92059, the following terms have the same meaning as in Division 2.16 of the general medical services table as if the reference to a general practitioner were a reference to a medical practitioner:
(a) preparation of a GP management plan;
(b) coordinate the development of team care arrangements;
(c) multidisciplinary care plan;
(d) contribute to a multidisciplinary care plan;
(e) coordinating a review of team care arrangements; and
(f) reviewing a GP management plan.
(2) For items 92059 associated medical practitioner means a medical practitioner who, if not engaged in the same general practice as the medical practitioner mentioned in the item, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).
1.1.08 Application of items 92055 to 92059
(1) Items 92055, 92056 or 92059 do not apply to a service mentioned in those items that is provided by a medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service mentioned in the following items:
(a) any items specified in paragraphs 2.16.11(a), (b), (c), and (d) of the general medical services table;
(b) any items in Division 1.2 or Division 1.10 of the Other Medical Practitioner Determination; and
(c) items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210 or 92211.
(2) Item 92055 applies only to a service for a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal.
(3) Items 92056 to 92059 apply only to a service for a patient who suffers from at least one medical condition that:
(a) has been (or is likely to be) present for at least 6 months or is terminal; and
(b) requires ongoing care from at least 3 persons who provide treatment or a service to the patient but who are not family carers of the patient, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner.
1.1.09 Limitation on 92055 to 92059
(1) This clause applies to the performances of services for a patient for whom exceptional circumstances do not exist.
(2) Items 92055 to 92059 apply in the circumstances mentioned in table below.
(3) In this clause, exceptional circumstances, for a patient, means there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the performance of the service for the patient.
| Limitation on items 92055 to 92059 | ||
| Item | Column 1 Item of the table | Column 2 Circumstances |
| 1 | 92055 | (a) In the 3 months before performance of the service, being a service to which item 729, 731 or 732 of the general medical services table, item 231, 232 or 233 of the Other Medical Practitioner Determination, item 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020 or item 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 item 721 of the general medical services table or 229 of the Other Medical Practitioner Determination or items 92024, 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 Other Medical Practitioner Determination 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 732 of the general medical services table, item 233 of the Other Medical Practitioner Determination, items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, 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 723 of the general medical services table, item 230 of the Other Medical Practitioner Determination, or items 92025 or 92026 of this instrument, 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; and (iii) to which an item in Subgroup 3 or 4 of Group A24 of the Other Medical Practitioner Determination 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 731 or 732 of the general medical services table, or item 232 or 233 of the Other Medical Practitioner Determination, item 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, 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 item 729 of the general medical services table, or item 231 of the Other Medical Practitioner Determination, or item 92026 or 92057 of this instrument, 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 item 229 or 230 of the Other Medical Practitioner Determination or items 92024, 92025 of this instrument; and (b) a service to which item 729 of the general medical services table, item 231 of the Other Medical Practitioner Determination, 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 items 721, 723, 729 or 732 of the general medical services table, or items 229, 230, 231 or 233 of the Other Medical Practitioner Determination, items 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020, 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, item 93469 or 93475 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020 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 Other Medical Practitioner Determination applies because of the treatment of the palliative patient by the general practitioner |
1.1.10 Application of items in Subgroup 15 of Group A40
(1) A service to which an item in subgroups 15 of Group A40 applies:
(a) must not be provided by a general practitioner or medical practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and
(b) may be used to address any pregnancy related issue.
(2) An item in Subgroup 15 of Group A40 does not apply if a patient has already been provided, for the same pregnancy, with 3 services to which any of the following items apply:
(a) an item in Subgroup 15 of Group A40; or
(b) item 792 of the Other Medical Practitioner Determination, item 4001 of the general medical services table, item 81000, 81005 or 81010 of the Allied Health Determination or item 93026 or 93029.
1.1.11 Application of items in Subgroup 17 of Group A40
(1) In an item in Subgroup 17 of Group A40:
eligible allied health provider has the meaning given in Part 7 of the general medical service table.
risk assessment has the meaning given in clause 2.6.2 of the general medical service table.
eligible disability has the meaning given in clause 2.6.1 of the general medical services table.
1.1.12 Application of items in Subgroup 19 and 20 of Group A40
(1) Subject to subclause (2), for an item in Subgroup 19 or 20 of Group A40:
associated focussed psychological strategies has the meaning given in clause 2.20.1 of the general medical services table.
associated general practitioner has the meaning given in clause 2.20.5 of the general medical services table.
mental disorder has the meaning given in clause 2.20.1 of the general medical services table.
preparation of a GP mental health treatment plan has the meaning given in clause 2.20.3 of the general medical services table.
(2) In items 92118 to 92133:
associated medical practitioner means a medical practitioner (not including a specialist or consultant physician) who, if not engaged in the same general practice as the medical practitioner mentioned in items 92118 to 92133, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).
preparation of a GP mental health treatment plan has the meaning given in clause 2.20.3 of the general medical services table, as if the reference to the term “general practitioner” were a reference to the term “medical practitioner”.
review of a GP mental health treatment plan has the meaning given in clause 2.20.4 of the general medical services table, as if the reference to the term “general practitioner” were a reference to the term “medical practitioner”.
(3) For the purpose of Subgroups 19 and 20 in Group A40, the preparation of a GP mental health treatment plan includes the preparation of a written plan by a general practitioner for the patient that includes referral and treatment options, including, subject to the applicable limitations:
(a) psychological therapies provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a clinical psychologist (items 91166, 91167, 91168, 91171, 91181, 91182, 91198 and 91199 and items in Group M6 of the Allied Health Determination); and
(b) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a general practitioner mentioned in paragraph 2.20.7(1)(b) of the general medical services table to provide those services (items 2721 to 2745, 91818, 91819, 91842, 91843, 91859, 91861, 91864 and 91865); and
(c) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by an allied mental health professional (items 91169 to 91177, 91183 to 91188, 91194, 91195, 91196, 91197, 91200, 91201, 91202, 91203, 91204 and 91205 and items 80100 to 80175 of the Allied Health Determination); and
(d) focussed psychological strategies services provided to the patient, or to a person other than the patient as part of the patient’s treatment, by a medical practitioner mentioned in paragraph 1.9.4(1)(b) of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 to provide those services (items 283, 285, 286, 287, 309, 311, 313, 315, 91820, 91821, 91844, 91845, 91862, 91863, 91866, 91867).
(4) Items in Subgroups 19 and 20 of Group A40 apply only to a patient with a mental disorder.
(5) Items 92112, 92113, 92114, 92116, 92117, 92118, 92119, 92120, 92122, 92123, 92126 or 92132 apply only to a patient in the community.
(6) Unless exceptional circumstances exist, items 92112, 92113, 92116, 92117, 92118, 92119, 92122 or 92123 cannot be claimed:
(a) with a service to which the following items apply:
(i) items 735 to 758 or 2713 of the general medical services table; or
(ii) items 92115, 92121, 92127 or 92133; or
(iii) items 235 to 240 or 279 of the Other Medical Practitioner Determination; or
(b) more than once in a 12 month period from the provision of any of the items for a particular patient.
(7) Items 92114, 92126, 92120 and 92132 apply only if one of the following services has been provided to the patient:
(a) the preparation of a GP mental health treatment plan under:
(i) items 2700, 2701, 2715 or 2717 of the general medical services table; or
(ii) items 272, 276, 281, 282 of the Other Medical Practitioner Determination; or
(iii) items 92112, 92113, 92116, 92117, 92124, 92125, 92128, 92129, 92118, 92119, 92122, 92123, 92130, 92131, 92134 or 92135; or
(b) a psychiatrist assessment and management plan.
(8) Items 92114, 92126, 92120 and 92132 do not apply:
(a) to a service to which the following items apply:
(i) items 735 to 758 of the general medical services table; or
(ii) items 92133 or 92121; or
(iii) items 92115, 92127, 92121 and 92133; or
(iv) items 235 to 240 or 279 of the Other Medical Practitioners Determination.
(b) unless exceptional circumstances exist for the provision of the service:
(i) more than once in a 3 month period; or
(ii) within 4 weeks following the preparation of a GP mental health treatment plan under:
(A) items 2700, 2701, 2715 or 2717 of the general medical services table; or
(B) items 272, 276, 281 or 282 of the Other Medical Practitioner Determination; or
(C) items 92112, 92113, 92116, 92117, 92124, 92125, 92128, 92129, 92118, 92119, 92122 or 92123; or
(iii) within 3 months following the provision of a service under item 2712 of the general medical services table, item 277 of the Other Medical Practitioner Determination or items 92114, 92126, 92120 or 92132.
(9) Items 92115, 92127, 92121 and 92133 do not apply in association with a service to which the following items apply:
(a) items 2700, 2701, 2712, 2715, 2717 of the general medical service table; or
(b) items 272, 276, 277, 281, 282 of the Other Medical Practitioner Determination; or
(c) items 92112, 92113, 92114, 92116, 92117, 92132, 92118, 92119, 92120, 92122 or 92123.
(10) Items 92116, 92117, 92122, 92123, 92148, 92149, 92152 and 92153 apply only if the general practitioner or medical practitioner providing the service has successfully completed mental health skills training accredited by the General Practice Mental Health Standards Collaboration.
Note: The General Practice Mental Health Standards Collaboration operates under the auspices of the Royal Australian College of General Practitioners.
(11) In this clause:
exceptional circumstances means a significant change in:
(a) the patient’s clinical condition; or
(b) the patient’s care circumstances.
1.1.13 Limitations on eating disorder services
(1) Items in Subgroups 21, 22, 25 and 26 of Group A40 do not apply if performed in association with a service to which items 279 of the Other Medical Practitioner Determination, 2713 of the general medical services table or items 92115, 92121, 92127 or 92133 applies.
1.1.14 Application of items in Subgroup 21 of Group A40
(1) For any particular patient:
(a) items in Subgroup 21 of Group A40 do not apply in association with a service to which items 735 to 758 of the general medical services table apply; and
(b) items in Subgroups 21 of Group A40 do not apply in association with a service to which items 235 to 244 of the Other Medical Practitioner Determination apply.
1.1.15 Application of items in Subgroups 25 and 26 of Group A40
(1) In items 92170, 92171, 92176 and 92177:
associated medical practitioner working in general practice means a medical practitioner (not including a specialist or consultant physician) who, if not engaged in the same general practice as the medical practitioner mentioned in that item, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).
1.1.16 Eligible patients for eating disorders items
(1) For an item in Subgroup 27 or 28 of Group A40, a patient is an eligible patient if the patient meets the requirements for a patient specified in clause 2.31.2 of the general medical services table.
1.1.17 Application of items in Subgroups 27 and 28 of Group A40
(1) For an item in Subgroup 27 or 28 of Group A40, the service must involve the provision of any of the following mental health care management strategies:
(a) family based treatment (including whole family, parent based therapy, parent only or separated therapy)
(b) adolescent focused therapy;
(c) cognitive behavioural therapy;
(d) cognitive behavioural therapy‑anorexia nervosa;
(e) cognitive behavioural therapy for bulimia nervosa and binge‑eating disorder;
(f) specialist supportive clinical management;
(g) maudsley model of anorexia treatment in adults;
(h) interpersonal therapy for bulimia nervosa and binge‑eating disorder;
(i) dialectical behavioural therapy for bulimia nervosa and binge‑eating disorder;
(j) focal psychodynamic therapy.
(2) An item in Subgroup 27 or 28 of Group A40 applies to a service which is provided by a medical practitioner:
(a) whose name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
(b) who is identified in the register as a medical practitioner who can provide services to which Subgroup 2 of Group A20 of the general medical services table applies, items 283, 285, 286 and 287 of the Other Medical Practitioner Determination or items 91820, 91821, 91844 and 91845 applies; and
(c) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration for providing services to which Subgroup 2 of Group A20 of the general medical services table applies or items 283, 285, 286 and 287 of the Other Medical Practitioner Determination or items 91820, 91821, 91844 and 91845 applies.
(3) An item in Subgroup 27 or 28 of Group A40 does not apply to a service providing a treatment to a patient under an eating disorder treatment and management plan if:
(a) the service is provided more than 12 months after the plan is prepared; or
(b) the patient has already been provided with 40 services under the plan; or
(c) the service is provided after the patient has already been provided with 10 services under the plan but before a recommendation by a reviewing practitioner is given that additional services should be provided under the plan; or
(d) the service is provided after the patient has already been provided with 20 services under the plan but before recommendations that additional services should be provided under the plan are given by each of the following:
(i) a medical practitioner (other than a specialist or consultant physician);
(ii) a consultant physician practising in the specialty of psychiatry or paediatrics; or
(e) the service is provided after the patient has already been provided with 30 services under the plan but before a recommendation is given by a reviewing practitioner that additional services should be provided.
(4) A reviewing practitioner may recommend that additional services be provided under a plan only if:
(a) the recommendation is made as part of a service to which an item in Subgroup 3 of Group A36 of the general medical services table or Subgroups 25 or 26 of Group A40 apply; and
(b) the service is provided:
(i) for the purposes of paragraph (3)(c)—after the patient has been provided with 10 services under the plan; and
(ii) for the purposes of paragraph (3)(d)—after the patient has been provided with 20 services under the plan; and
(iii) for the purposes of paragraph (3)(e)—after the patient has been provided with 30 services under the plan; and
(c) the practitioner records the recommendation in the patient’s records.
(5) For the purposes of this clause, in counting the services providing treatments under a plan, only count the services to which any of the following apply:
(a) items 283, 285, 286, 287, 309, 311, 313 and 315;
(b) items 2721, 2723, 2725, 2727, 2739, 2741, 2743 and 2745;
(c) items in Groups M6, M7 and M16 other than item 82350;
(d) items 90271, 90272, 90273, 90274, 90275, 90276, 90277 and 90278;
(e) items 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181 to 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866, 91867, 92182, 92184, 92186, 92188, 92194, 92196, 92198, 92200, 93076, 93079, 93084. 93087, 93092, 93095, 93100, 93103, 93110, 93113, 93118, 93121, 93126, 93129, 93134 and 93137.
1.1.18 Application of items in Subgroup 29 of Group A40
(1) In an item in Subgroup 29 of Group A40:
patient’s medical condition requires urgent assessment has the meaning given in subclause 2.14.1(1) of the general medical services table.
responsible person, for a patient:
(a) includes a spouse, parent, carer or guardian of the patient; but
(b) does not include:
(i) the attending medical practitioner; or
(ii) an employee of the attending medical practitioner; or
(iii) a person contracted by, or an employee or member of, the general practice of which the attending medical practitioner is a contractor, employee or member; or
(iv) a call centre; or
(v) a reception service.
(2) Items in Subgroup 29 apply to a service only if the practitioner keeps a record of the assessment of the patient.
1.1.19 Application of focussed psychological strategies health services provided to a person other than the patient
(1) Item 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 applies to a service provided by a medical practitioner to a person other than the patient only if:
(a) the medical practitioner determines it is clinically appropriate to provide focussed psychological strategies services to a person other than the patient, and makes a written record of this determination in the patient’s records; and
(b) the medical practitioner:
(i) explains the service to the patient; and
(ii) obtains the patient’s consent for the service to be provided to the other person as part of the patient’s treatment; and
(iii) makes a written record of the consent; and
(c) the service is provided as part of the patient’s treatment; and
(d) the patient is not in attendance during the provision of the service; and
(e) in the calendar year, no more than one other service to which any of items 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 apply has already been provided to or in relation to the patient.
Note: The patient’s consent may be withdrawn at any time.
| Group A40 – Telehealth and phone attendance services | |||||||||||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) | |||||||||
| Subgroup 1 – 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 | 17.90 | |||||||||
| 91800 | Telehealth attendance by a general practitioner lasting less than 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 | 39.10 | |||||||||
| 91801 | Telehealth attendance by a general practitioner lasting at least 20 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 | 75.75 | |||||||||
| 91802 | Telehealth attendance by a general practitioner 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 preventative health care | 111.50 | |||||||||
| 91792 | Telehealth attendance by a medical practitioner (not including a general practitioner) of not more than 5 minutes | 11.00 | |||||||||
| 91803 | Telehealth attendance by a medical practitioner (not including a general 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: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 21.00 | |||||||||
| 91804 | Telehealth attendance by a medical practitioner (not including a general 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: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 38.00 | |||||||||
| 91805 | Telehealth attendance by a medical practitioner (not including a general practitioner) of at least 45 minutes in duration 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 preventative health care | 61.00 | |||||||||
| 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 | 14.55 | |||||||||
| 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: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 31.80 | |||||||||
| 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: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 61.55 | |||||||||
| 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: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 90.65 | |||||||||
| Subgroup 2 – General practice phone services | |||||||||||
| 91890 | Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management | 17.90 | |||||||||
| 91891 | Phone attendance by a general practitioner lasting at least 6 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 | 39.10 | |||||||||
| 91892 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management | 11.00 | |||||||||
| 91893 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 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 | 21.00 | |||||||||
| 91894 | Phone attendance by a general practitioner lasting at least 20 minutes, if: (a) the attendance is performed from a practice location in Modified Monash areas 6 or 7; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care | 75.75 | |||||||||
| 91895 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), of more than 25 minutes in duration but not more than 45 minutes, if: (a) the attendance is performed from a practice location in Modified Monash areas 6 or 7; and (b) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care | 61.55 | |||||||||
| Subgroup 3 – 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. | 96.50 | |||||||||
| 91819 | Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes | 138.10 | |||||||||
| 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes | 78.45 | |||||||||
| 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes | 112.25 | |||||||||
| 91859 | Telehealth attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 30 minutes but less than 40 minutes | 98.05 | |||||||||
| 91861 | Telehealth attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 40 minutes | 140.30 | |||||||||
| 91862 | Telehealth attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 30 minutes but less than 40 minutes | 78.45 | |||||||||
| 91863 | Telehealth attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 40 minutes | 112.25 | |||||||||
| Subgroup 10 – 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes | 96.50 | |||||||||
| 91843 | Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes | 138.10 | |||||||||
| 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes | 78.45 | |||||||||
| 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: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes | 112.25 | |||||||||
| 91864 | Phone attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 30 minutes but less than 40 minutes | 98.05 | |||||||||
| 91865 | Phone attendance by a general practitioner (not including a specialist or a consultant physician), registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 40 minutes | 140.30 | |||||||||
| 91866 | Phone attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 30 minutes but less than 40 minutes | 78.45 | |||||||||
| 91867 | Phone attendance by a medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service: (a) for providing focussed psychological strategies for assessed mental disorders to a person other than the patient, if the service is part of the patient’s treatment; and (b) lasting at least 40 minutes | 112.25 | |||||||||
| 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. Only if items 93470 or 93479 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020 is also not applicable within that same 9 month period | 220.85 | |||||||||
| 92011 | Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) for a health assessment. Only if items 93470 or 93479 of the Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Chronic Disease Management Services for Care Recipients of a Residential Aged Care Facility) Determination 2020 is also not applicable within that same 9 month period | 179.50 | |||||||||
| 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 150.10 | |||||||||
| 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 118.95 | |||||||||
| 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 73.25 | |||||||||
| 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 73.25 | |||||||||
| 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 of the general medical services table, item 229 of the Other Medical Practitioner Determination, 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 item 723 of the general medical services table, item 230 of the Other Medical Practitioner Determination, or item 92025 or 92069 applies | 74.95 | |||||||||
| 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 or items 235 to 240 in the Other Medical Practitioner Determination apply) | 122.00 | |||||||||
| 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 or items 235 to 240 of the Other Medical Practitioner Determination apply) | 96.70 | |||||||||
| 92057 | 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 735 to 758 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 59.50 | |||||||||
| 92058 | 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 735 to 758 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply) | 59.50 | |||||||||
| 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 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 item 723 of the general medical services table or item 230 of the Other Medical Practitioner Determination or item 92025, 92056, 92069 or 92100 applies | 60.90 | |||||||||
| 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 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, 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 | 79.70 | |||||||||
| 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 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, 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 | 64.80 | |||||||||
| 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 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, 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 | 79.70 | |||||||||
| 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 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, 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 | 64.80 | |||||||||
| Subgroup 17 ‑ GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ telehealth service | |||||||||||
| 92142 | Telehealth attendance lasting at least 45 minutes by a general practitioner (not including a specialist or consultant physician), for a patient aged under 25, if the general practitioner: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of an eligible disability is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (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; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 289, 92140, 92141 or 92434) Applicable only once per lifetime | 139.95 | |||||||||
| 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 | 74.60 | |||||||||
| 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 | 109.85 | |||||||||
| 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 | 74.60 | |||||||||
| 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 | 74.60 | |||||||||
| 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 | 94.75 | |||||||||
| 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 | 139.55 | |||||||||
| 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 | 60.65 | |||||||||
| 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 | 89.30 | |||||||||
| 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 | 60.65 | |||||||||
| 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 | 60.65 | |||||||||
| 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 | 77.00 | |||||||||
| 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 | 113.45 | |||||||||
| Subgroup 20 — GP Mental Health Treatment Plan ‑ Phone Service | |||||||||||
| 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 | 74.60 | |||||||||
| 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 | 74.60 | |||||||||
| 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 | 60.65 | |||||||||
| 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 | 60.65 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 74.60 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 109.85 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 94.75 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 139.55 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 60.65 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 89.30 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 77.00 | |||||||||
| 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: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) 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 | 113.45 | |||||||||
| 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: (a) 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 (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) 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 (d) 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 | 74.60 | |||||||||
| 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: (a) 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 (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) 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 (d) 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 | 60.65 | |||||||||
| 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: (a) 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 (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) 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 (e) 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 | 74.60 | |||||||||
| 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: (a) 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 (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) 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 (e) 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 | 60.65 | |||||||||
| Subgroup 27— Eating Disorder Psychological Treatment Services – 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 | 96.50 | |||||||||
| 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 | 138.10 | |||||||||
| 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 | 78.45 | |||||||||
| 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 | 112.25 | |||||||||
| Subgroup 28—Eating Disorder Psychological Treatment 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 | 96.50 | |||||||||
| 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 | 138.10 | |||||||||
| 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 | 78.45 | |||||||||
| 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 | 112.25 | |||||||||
| 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 | 159.20 | |||||||||
| 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 | 129.30 | |||||||||
(2) An item in Division 6.1 of this Determination only applies to a service if:
(a) the medical practitioner who performs the service is:
(i) in COVID‑19 isolation because of a State or Territory public health order; or
(ii) in COVID‑19 quarantine because of a State or Territory public health order.
(b) the service is performed by the admitting medical practitioner for the patient.
| Group A40 – Telehealth and phone attendance services | ||||||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) | ||||
| Subgroup 4 – Specialist attendances telehealth services | ||||||
| 91846 | Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment | 90.35 | ||||
| 91847 | Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is after the first attendance as part of a single course of treatment | 45.40 | ||||
| Subgroup 5 – Consultant physician telehealth services | ||||||
| 92471 | Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment | 159.35 | ||||
| 92472 | Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is not a minor attendance after the first as part of a single course of treatment | 79.75 | ||||
| 92473 | Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is a minor attendance after the first as part of a single course of treatment | 45.40 | ||||
| Subgroup 6 – Consultant psychiatrist telehealth services | ||||||
| 92461 | Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the patient to whom the service is provided is admitted to hospital | 45.75 | ||||
| 92462 | Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 91.30 | ||||
| 92463 | Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 140.55 | ||||
| 92464 | Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 194.00 | ||||
| 92465 | Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 225.10 | ||||
| 92466 | Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner, if the patient to whom the service is provided: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) is admitted to hospital | 274.95 | ||||
| Subgroup 7 – Specialist attendances phone services | ||||||
| 91848 | Phone attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment | 90.35 | ||||
| 91849 | Phone attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is after the first attendance as part of a single course of treatment | 45.40 | ||||
| Subgroup 8 – Consultant physician phone services | ||||||
| 92425 | Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance was other than a second or subsequent attendance as part of a single course of treatment | 159.35 | ||||
| 92426 | Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is not a minor attendance after the first as part of a single course of treatment | 79.75 | ||||
| 92427 | Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital; where the attendance is a minor attendance after the first as part of a single course of treatment | 45.40 | ||||
| Subgroup 9 – Consultant psychiatrist phone services | ||||||
| 92501 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration; and (c) the patient to whom the service is provided is admitted to hospital | 45.75 | ||||
| 92502 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 91.30 | ||||
| 92503 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 140.55 | ||||
| 92504 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 194.00 | ||||
| 92505 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration; and (c) the patient to whom the service is provided is admitted to hospital | 225.10 | ||||
| 92506 | Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner if the patient to whom the service is provided: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) is admitted to hospital | 274.95 | ||||
| Subgroup 33— Public health physician – Telehealth Services | ||||||
| 92517 | Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management: (a) if the patient to whom the service is provided is admitted to hospital | 20.65 | ||||
| 92518 | Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a 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; where the patient to whom the service is provided is admitted to hospital | 45.15 | ||||
| 92519 | Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including 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 preventive health care; for one or more health‑related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital | 87.35 | ||||
| 92520 | Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 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; where the patient to whom the service is provided is admitted to hospital | 128.60 | ||||
| Subgroup 34— Public health physician – Phone Services | ||||||
| 92525 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management: (a) if the patient to whom the service is provided is admitted to hospital | 20.65 | ||||
| 92526 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a 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; where the patient to whom the service is provided is admitted to hospital | 45.15 | ||||
| 92527 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including 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 preventive health care; for one or more health‑related issues, with appropriate documentation; where the patient to whom the service is provided is admitted to hospital | 87.35 | ||||
| 92528 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 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; where the patient to whom the service is provided is admitted to hospital | 128.60 | ||||
| Subgroup 35— Neurosurgery attendances – Telehealth Services | ||||||
| 92615 | Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment): (a) if the patient to whom the service is provided is admitted to hospital | 136.85 | ||||
| 92616 | Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment: (a) if the patient to whom the service is provided is admitted to hospital | 45.40 | ||||
| Subgroup 36—Neurosurgery attendances – Phone Services | ||||||
| 92625 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment): (a) if the patient to whom the service is provided is admitted to hospital | 136.85 | ||||
| 92626 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment: (a) if the patient to whom the service is provided is admitted to hospital | 45.40 | ||||
| Subgroup 37 —Specialist, anaesthesia telehealth services | ||||||
| 92702 | Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply) : (a) if the patient to whom the service is provided is admitted to hospital | 90.35 | ||||
| Subgroup 38 —Specialist, anaesthesia phone services | ||||||
| 92713 | Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply): (a) if the patient to whom the service is provided is admitted to hospital | 90.35 | ||||
Division 6.2 – Services and fees – in‑hospital dental practitioner attendances
6.2.1 – Application of in‑hospital dental practitioner telehealth and phone services
Clause 4.3.1 of this Determination shall have effect as if all items in Division 6.2 were specified in the clause.
(2) An item in Division 6.2 of this Determination only applies to a service if:
(a) the dental practitioner who performs the service is:
(i) in COVID‑19 isolation because of a State or Territory public health order; or
(ii) in COVID‑19 quarantine because of a State or Territory public health order; and
(b) the service is performed by the admitting dental practitioner for the patient.
| Group O1—Consultations | |||||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) | |||
| Subgroup 1—dental practitioner telehealth services | |||||
| 54006 | Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital | 89.00 | |||
| 54007 | Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient to whom the service is provided is: (a) referred to the approved dental practitioner; and (b) admitted to hospital | 44.75 | |||
| Subgroup 2—dental practitioner phone services | |||||
| 54011 | Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient to whom the service is provided is: (b) admitted to hospital | 89.00 | |||
| 54012 | Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient to whom the service is provided is: (b) admitted to hospital | 44.75 | |||
Schedule 7 – Specialist initial Phone Services
Division 7.1 – Services and fees – initial specialist phone attendances
7.1.1 – Application of specialist, consultant physician and consultant psychiatrist initial phone services
Clause 2.1.1 of this Determination shall have effect as if all items in Division 7.1 (other than items in Subgroups 34 and 38) were specified in the clause.
Clause 2.1.2 of this Determination shall have effect as if item 92474 were specified in the clause.
(3) Clause 2.1.4 of this Determination shall have effect as if items 92523 and 92524 were specified in the clause.
| Group A40 – Telehealth and phone attendance services | ||||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) | ||
| Subgroup 7 – Specialist attendances phone services | ||||
| 91832 | Phone attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) 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. | 90.35 | ||
| Subgroup 8 – 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: (a) the attendance follows referral of the patient to the specialist; and (b) 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. | 159.35 | ||
| 91835 | Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) 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. | 79.75 | ||
| 92431 | Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations | 278.75 | ||
| 92432 | Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations | 139.55 | ||
| Subgroup 9 – Consultant psychiatrist phone services | ||||
| 91840 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration. | 194.00 | ||
| 91841 | Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration. | 225.10 | ||
| 92474 | Phone attendance of at least 45 minutes in duration , by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the 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 the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient | 278.75 | ||
| 92475 | Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (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 | 478.05 | ||
| 92476 | Phone attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (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 management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; 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 | 298.85 | ||
| 92477 | Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months | 274.95 | ||
| 92495 | Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient | 52.05 | ||
| 92496 | Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient | 69.10 | ||
| 92497 | Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient | 102.20 | ||
| 92498 | Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient | 133.85 | ||
| 92499 | Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient | 184.80 | ||
| 92500 | Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient | 133.85 | ||
| 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. | 278.75 | ||
| 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. | 278.75 | ||
| 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. | 478.05 | ||
| 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: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) 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. | 278.75 | ||
| 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 | 298.85 | ||
| 92179 | Phone attendance of at least 20 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 reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) 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. | 139.55 | ||
| Subgroup 32—Geriatric Medicine—Phone Services | ||||
| 92628 | Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient’s various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and (v) the management plan is communicated in writing to the referring practitioner | |||
| 92629 | Phone attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient’s health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 of the general medical services table or item 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 of the general medical services table, or item 92623 or 92628 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item, item 92624 or item 147 of the general medical services table applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review | 298.85 | ||
| Subgroup 34— Public health physician – Phone Services | ||||
| 92523 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including 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 preventive health care; for one or more health‑related issues, with appropriate documentation | 87.35 | ||
| 92524 | Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 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 | 128.60 | ||
| Subgroup 36—Neurosurgery attendances – Phone Services | ||||
| 92617 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment) | 136.85 | ||
| 92619 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration | 90.35 | ||
| 92620 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration | 125.15 | ||
| 92621 | Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration | 159.35 | ||
| Subgroup 38 —Specialist, anaesthesia phone services | ||||
| 92712 | Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes | 90.35 | ||
Division 7.2 – Services and fees – initial dental practitioner attendances
7.2.1 – Application of dental practitioner initial phone services
Clause 4.3.1 of this Determination shall have effect as if the item in Division 7.2 was specified in the clause.
| Group O1—Consultations | ||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) |
| Subgroup 2—dental practitioner phone services | ||
| 54003 | Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner | 89.00 |
Schedule 8 – COVID‑19 impacted GP phone services
Division 8.1 – Services and fees – COVID‑19 impacted GP phone attendances
| Group A40 – Telehealth and phone attendance services | |||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) | |
| Subgroup 41 – COVID‑19 impacted general practice phone services | |||
| 92746 | Phone attendance by a general practitioner lasting at least 20 minutes in duration, if; (a) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care | 75.75 | |
| 92747 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes in duration, if: (a) the attendance includes any of the following that are clinically relevant: (i) taking a detailed patient history; (ii) arranging any necessary investigation; (iii) implementing a management plan; (iv) providing appropriate preventative health care | 38.00 | |
Endnotes
Endnote 1—About the endnotes
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Abbreviation key—Endnote 2
The abbreviation key sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
Editorial changes
The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.
If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.
Misdescribed amendments
A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the Legislation Act 2003.
If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.
Endnote 2—Abbreviation key
| ad = added or inserted | o = order(s) |
| am = amended | Ord = Ordinance |
| amdt = amendment | orig = original |
| c = clause(s) | par = paragraph(s)/subparagraph(s) |
| C[x] = Compilation No. x | /sub‑subparagraph(s) |
| Ch = Chapter(s) | pres = present |
| def = definition(s) | prev = previous |
| Dict = Dictionary | (prev…) = previously |
| disallowed = disallowed by Parliament | Pt = Part(s) |
| Div = Division(s) | r = regulation(s)/rule(s) |
| ed = editorial change | reloc = relocated |
| exp = expires/expired or ceases/ceased to have | renum = renumbered |
| effect | rep = repealed |
| F = Federal Register of Legislation | rs = repealed and substituted |
| gaz = gazette | s = section(s)/subsection(s) |
| LA = Legislation Act 2003 | Sch = Schedule(s) |
| LIA = Legislative Instruments Act 2003 | Sdiv = Subdivision(s) |
| (md) = misdescribed amendment can be given | SLI = Select Legislative Instrument |
| effect | SR = Statutory Rules |
| (md not incorp) = misdescribed amendment | Sub‑Ch = Sub‑Chapter(s) |
| cannot be given effect | SubPt = Subpart(s) |
| mod = modified/modification | underlining = whole or part not |
| No. = Number(s) | commenced or to be commenced |
Endnote 3—Legislation history
| Name | Registration | Commencement | Application, saving and transitional provisions |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021 | 17 Dec 2021 (F2021L01805) | 1 Jan 2022 (s 2(1) item 1) | |
| Health Insurance Legislation Amendment (Section 3C General Medical Services – Telehealth and Phone GP Fee Alignment) Determination 2021 | 17 Dec 2021 (F2021L01839) | Sch 1 (items 1, 2): 1 Mar 2022 (s 2(1) item 2) | — |
| Health Insurance Legislation Amendment (2022 Measures No. 1) Determination 2022 | 17 Jan 2022 (F2022L00035) | Sch 1: 1 Jan 2022 (s 2(1) item 2) | — |
| Health Insurance (Section 3C General Medical Services ‑ Telehealth and Telephone Attendances) Amendment (Remote Audiometry Programming) Determination 2022 | 11 Feb 2022 (F2022L00135) | 1 Mar 2022 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (2022 Measures No. 2) Determination 2022 | 28 Feb 2022 (F2022L00200) | Sch 1 and Sch 3 (items 11, 12): 1 Mar 2022 (s 2(1) items 2, 3) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment Determination (No. 1) 2022 | 31 Mar 2022 (F2022L00446) | 1 Apr 2022 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (Indexation) Determination 2022 | 7 Apr 2022 (F2022L00553) | Sch 1 (item 13) and Sch 2 (item 21): 1 July 2022 (s 2(1) item 1) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment (Natural Disaster Exemption) Determination 2022 | 7 Apr 2022 (F2022L00566) | 11 Apr 2022 (s 2(1) item 1) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment (Natural Disaster Exemption No. 2) Determination 2022 | 30 June 2022 (F2022L00914) | 11 Apr 2022 (s 2(1) item 1) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment (COVID‑19 Positive Patients Exemption) Determination 2022 | 17 Oct 2022 (F2022L01359) | 13 Oct 2022 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (2023 Measures No. 1) Determination 2022 | 23 Nov 2022 (F2022L01497) | Sch 1 (items 9–12), Sch 2 (items 12–15), Sch 3 (items 22–40) and Sch 4 (items 5–7): 1 Mar 2023 (s 2(1) item 1) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment (High Risk Groups) Determination 2022 | 23 Dec 2022 (F2022L01760) | 24 Dec 2022 (s 2(1) item 1) | — |
| Health Insurance Amendment (Better Access Services for Family and Carer Participation) Determination 2023 | 24 Jan 2023 (F2023L00046) | Sch 1 (items 21–41): 1 Mar 2023 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (Indexation) Determination 2023 | 24 Mar 2023 (F2023L00348) | Sch 2 (items 4, 5): 1 July 2023 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (2023 Measures No. 1) Determination 2023 | 11 May 2023 (F2023L00535) | Sch 1 (items 1–4): 1 July 2023 (s 2(1) item 1) | — |
| Health Insurance Legislation Amendment (2023 Measures No. 2) Determination 2023 | 7 June 2023 (F2023L00731) | Sch 1: 29 June 2023 (s 2(1) item 2) Sch 2: 1 July 2023 (s 2(1) item 3) | — |
| Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Amendment (No. 1) Determination 2023 | 21 June 2023 (F2023L00818) | 22 June 2023 (s 2(1) item 1) | — |
Endnote 4—Amendment history
| Provision affected | How affected |
| Part 1 | |
| s 2............................................. | rep LA s 48D |
| s 4............................................. | rs F2022L00035 |
| am F2023L00731 | |
| s 5............................................. | am F2022L00035; F2022L00200; F2022L00566; F2022L01359; F2022L01760; F2023L00535; F2023L00818 |
| s 7 (first occurring)................... | am F2022L00035; F2022L00200; F2022L00566 (Sch 1 item 2 md not incorp); F2022L00914; F2022L01359; F2022L01760; F2023L00046 |
| s 7 (second occurring).............. | ad F2022L00553 |
| renum | |
| ed C6 | |
| s 8 (prev s 7 second occurring). | am F2023L00348 |
| Schedule 1 | |
| Division 1.1 | |
| c 1.1.02..................................... | am F2023L00046 |
| c 1.1.05..................................... | am F2023L00535 |
| c 1.1.12..................................... | am F2023L00046 |
| c 1.1.17..................................... | am F2022L01497; F2023L00046 |
| c 1.1.19..................................... | ad F2023L00046 |
| Group A40 table....................... | am F2021L01839 (Sch 1 item 1 (table item 5) md not incorp); F2022L00446; F2022L00553; F2022L01497; F2023L00046; F2023L00348 |
| Schedule 2 | |
| Division 2.1 | |
| Group A40 table....................... | am F2022L00035; F2022L01497 |
| Schedule 3 | |
| Division 3.1 | |
| c 3.1.2....................................... | rs F2022L00035 |
| am F2022L00200; F2022L01497 | |
| c 3.1.3....................................... | rs F2022L00035 |
| am F2022L00200; F2022L01497 | |
| c 3.1.4....................................... | am F2022L01497 |
| c 3.1.4A.................................... | ad F2022L01497 |
| c 3.1.5....................................... | rs F2022L00035 |
| am F2022L01497; F2023L00046 | |
| c 3.1.7....................................... | am F2022L00035; F2022L01497; F2023L00046 |
| c 3.1.9....................................... | ad F2023L00046 |
| Group M18 table....................... | am F2022L01497; F2023L00046; F2023L00535 |
| Schedule 4A | |
| Schedule 4A.............................. | ad F2022L00135 |
| Division 4A.1 | |
| c 4A.1.1.................................... | ad F2022L00135 |
| c 4A.1.2.................................... | ad F2022L00135 |
| Group D1 table......................... | ad F2022L00135 |
| am F2022L01497 | |
| Group M15 table....................... | ad F2022L00135 |
| am F2022L01497 | |
| Schedule 5 | |
| Schedule 5................................ | exp 31 Dec 2023 at 11.59 pm (s 4(b)) |
| Division 5.1 | |
| c 5.1.1....................................... | exp 31 Dec 2023 at 11.59 pm (s 4(b)) |
| Group A40 table....................... | am F2021L01839; F2022L00553 |
| ed C6 | |
| am F2023L00731 | |
| exp 31 Dec 2023 at 11.59 pm (s 4(b)) | |
| Schedule 6 | |
| Schedule 6................................ | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Division 6.1 | |
| c 6.1.1....................................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Group A40 table....................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Division 6.2 | |
| c 6.2.1....................................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Group O1 table......................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Schedule 7 | |
| Schedule 7................................ | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Division 7.1 | |
| c 7.1.1....................................... | ad F2022L00035 |
| am F2022L00200 | |
| ed C2 | |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Group A40 table....................... | ad F2022L00035 |
| am F2022L00200 | |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Division 7.2 | |
| c 7.2.1....................................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Group O1 table......................... | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Schedule 8 | |
| Schedule 8................................ | ad F2022L00035 |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 | |
| Division 8.1 | |
| Group A40 table....................... | ad F2022L00035 |
| am F2022L00200 | |
| exp 30 June 2022 at 11.59 pm (s 4(a)) | |
| rep F2023L00535 |
0
0
0