Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 91823 | Group A40 | $52.25 | ≠ CHANGED | ||||
|
Item Number
91823
Schedule Fee
$52.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 is after the first attendance as part of a single course of treatment
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| 91824 | Group A40 | $183.35 | ≠ CHANGED | ||||
|
Item Number
91824
Schedule Fee
$183.35
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 consultant physician; 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
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| 91825 | Group A40 | $91.70 | ≠ CHANGED | ||||
|
Item Number
91825
Schedule Fee
$91.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 consultant physician; 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
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| 91826 | Group A40 | $52.25 | ≠ CHANGED | ||||
|
Item Number
91826
Schedule Fee
$52.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 consultant physician; and (b) the attendance was of more than 5 minutes in duration; Where the attendance is a minor attendance after the first as part of a single course of treatment
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| 91827 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91827
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 in duration; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91828 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91828 | Group A40 | $105.05 | ≠ CHANGED | ||||
|
Item Number
91828
Schedule Fee
$105.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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; if that attendance and another attendance to which item 296, 297, 299, or any of items 300, 302, 304, 306 to 308, 91827, 91829 to 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91829 | Group A40 | $161.70 | ≠ CHANGED | ||||
|
Item Number
91829
Schedule Fee
$161.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827, 91828, 91830, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91830 | Group A40 | $223.15 | ≠ CHANGED | ||||
|
Item Number
91830
Schedule Fee
$223.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91829, 91831, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91831 | Group A40 | $258.95 | ≠ CHANGED | ||||
|
Item Number
91831
Schedule Fee
$258.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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; if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91830, 91837 to 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91833 | Group A40 | $52.25 | ≠ CHANGED | ||||
|
Item Number
91833
Schedule Fee
$52.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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 is after the first attendance as part of a single course of treatment.
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|||||||
| 91836 | Group A40 | $52.25 | ≠ CHANGED | ||||
|
Item Number
91836
Schedule Fee
$52.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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 consultant physician; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment.
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| 91837 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91837
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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; Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91838, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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|
|||||||
| 91838 | Group A40 | $105.05 | ≠ CHANGED | ||||
|
Item Number
91838
Schedule Fee
$105.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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; Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91837, 91839 and 92437 applies have not exceeded 50 attendances in a calendar year
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|
|||||||
| 91839 | Group A40 | $161.70 | ≠ CHANGED | ||||
|
Item Number
91839
Schedule Fee
$161.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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 Where the attendance is after the first attendance as part of a single course of treatment, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306 to 308, 91827 to 91831, 91837, 91838 and 92437 applies have not exceeded 50 attendances in a calendar year
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| 91842 | Group A40 | $111.00 | ≠ CHANGED | ||||
|
Item Number
91842
Schedule Fee
$111.00
Benefits
100%: $111.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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.
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| 91843 | Group A40 | $158.90 | ≠ CHANGED | ||||
|
Item Number
91843
Schedule Fee
$158.90
Benefits
100%: $158.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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.
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| 91844 | Group A40 | $88.85 | ≠ CHANGED | ||||
|
Item Number
91844
Schedule Fee
$88.85
Benefits
100%: $88.85
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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| 91845 | Group A40 | $127.10 | ≠ CHANGED | ||||
|
Item Number
91845
Schedule Fee
$127.10
Benefits
100%: $127.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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| 91850 | Group T4 | $32.65 | ≠ CHANGED | ||||
|
Item Number
91850
Schedule Fee
$32.65
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
Gov. Change Flags
Fee ≠
Full Description
Antenatal video service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner
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| 91851 | Group T4 | $85.80 | ≠ CHANGED | ||||
|
Item Number
91851
Schedule Fee
$85.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
%: 65%
Gov. Change Flags
Fee ≠
Full Description
Postnatal video attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy
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| 91852 | Group T4 | $63.90 | ≠ CHANGED | ||||
|
Item Number
91852
Schedule Fee
$63.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
%: 65%
Gov. Change Flags
Fee ≠
Full Description
Postnatal video attendance (other than a service to which any other item applies) if:(a) the attendance is rendered by: (i) a practice midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 of the Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020 or item 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy
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| 91853 | Group T4 | $56.45 | ≠ CHANGED | ||||
|
Item Number
91853
Schedule Fee
$56.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
Gov. Change Flags
Fee ≠
Full Description
Antenatal video attendance
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| 91855 | Group T4 | $32.65 | ≠ CHANGED | ||||
|
Item Number
91855
Schedule Fee
$32.65
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
Gov. Change Flags
Fee ≠
Full Description
Antenatal phone service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner.
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| 91856 | Group T4 | $85.80 | ≠ CHANGED | ||||
|
Item Number
91856
Schedule Fee
$85.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
%: 65%
Gov. Change Flags
Fee ≠
Full Description
Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item 82140 applies is not provided. Applicable once for a pregnancy
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| 91857 | Group T4 | $63.90 | ≠ CHANGED | ||||
|
Item Number
91857
Schedule Fee
$63.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
%: 65%
Gov. Change Flags
Fee ≠
Full Description
Postnatal phone attendance (other than a service to which any other item applies) if: (a) the attendance is rendered by: (i) a practice midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 of the Health Insurance (Section 3C Midwife and Nurse Practitioner Services) Determination 2020 or item 91214, 91215, 91221 or 91222 is not provided. Applicable once for a pregnancy
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| 91858 | Group T4 | $56.45 | ≠ CHANGED | ||||
|
Item Number
91858
Schedule Fee
$56.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T4
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
Gov. Change Flags
Fee ≠
Full Description
Antenatal phone attendance.
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| 91859 | Group A40 | $111.00 | ≠ CHANGED | ||||
|
Item Number
91859
Schedule Fee
$111.00
Benefits
100%: $111.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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| 91861 | Group A40 | $158.90 | ≠ CHANGED | ||||
|
Item Number
91861
Schedule Fee
$158.90
Benefits
100%: $158.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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| 91862 | Group A40 | $88.80 | ≠ CHANGED | ||||
|
Item Number
91862
Schedule Fee
$88.80
Benefits
100%: $88.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 91863 | Group A40 | $127.10 | ≠ CHANGED | ||||
|
Item Number
91863
Schedule Fee
$127.10
Benefits
100%: $127.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 91864 | Group A40 | $111.00 | ≠ CHANGED | ||||
|
Item Number
91864
Schedule Fee
$111.00
Benefits
100%: $111.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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|||||||
| 91865 | Group A40 | $158.90 | ≠ CHANGED | ||||
|
Item Number
91865
Schedule Fee
$158.90
Benefits
100%: $158.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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|||||||
| 91866 | Group A40 | $88.80 | ≠ CHANGED | ||||
|
Item Number
91866
Schedule Fee
$88.80
Benefits
100%: $88.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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|||||||
| 91867 | Group A40 | $127.10 | ≠ CHANGED | ||||
|
Item Number
91867
Schedule Fee
$127.10
Benefits
100%: $127.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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
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|||||||
| 91868 | Group A40 | $26.20 | ≠ CHANGED | ||||
|
Item Number
91868
Schedule Fee
$26.20
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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—an attendance of not more than 15 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91869, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91869 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91869
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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—an attendance of more than 15 minutes but not more than 30 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91870, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91870 | Group A40 | $81.05 | ≠ CHANGED | ||||
|
Item Number
91870
Schedule Fee
$81.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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—an attendance of more than 30 minutes but not more than 45 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91871, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91871 | Group A40 | $111.70 | ≠ CHANGED | ||||
|
Item Number
91871
Schedule Fee
$111.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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—an attendance of more than 45 minutes but not more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91872, 91873 or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91872 | Group A40 | $129.50 | ≠ CHANGED | ||||
|
Item Number
91872
Schedule Fee
$129.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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—an attendance of more than 75 minutes in duration, if that attendance and another attendance to which item 296, 297, 299, 92437 or any of items 300, 302, 304, 306, 308, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91873, or 91879 to 91881 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91873 | Group A40 | $223.15 | ≠ CHANGED | ||||
|
Item Number
91873
Schedule Fee
$223.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance lasting at least 45 minutes by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the psychiatrist by a referring practitioner, where the formulation of the patient’s clinical presentation indicates intensive psychotherapy is a clinically appropriate and indicated treatment, if that attendance and another attendance to which any of items 296, 297, 299 or any of items 300, 302, 304, 306, 308, 319, 92437, 91827, 91828, 91829, 91830, 91831, 91837, 91838, 91839, 91868, 91869, 91870, 91871, 91872 or 91879 to 91881 applies has not exceeded 160 attendances in a calendar year for the patient
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|||||||
| 91874 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91874
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance involving an interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91875, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91875 | Group A40 | $105.05 | ≠ CHANGED | ||||
|
Item Number
91875
Schedule Fee
$105.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance involving an interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91876, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91876 | Group A40 | $161.70 | ≠ CHANGED | ||||
|
Item Number
91876
Schedule Fee
$161.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance involving an interview, lasting more than 30 minutes but not more than 45 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91877, 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91877 | Group A40 | $223.15 | ≠ CHANGED | ||||
|
Item Number
91877
Schedule Fee
$223.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance involving an interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91876 91878, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91878 | Group A40 | $258.95 | ≠ CHANGED | ||||
|
Item Number
91878
Schedule Fee
$258.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance involving an interview, lasting more than 75 minutes, of a person other than the patient, when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874, 91875, 91876, 91877, 91882, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91879 | Group A40 | $26.20 | ≠ CHANGED | ||||
|
Item Number
91879
Schedule Fee
$26.20
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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—an attendance of not more than 15 minutes in duration, if that attendance and another attendance to which 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91880, 91881 or 92437 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91880 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91880
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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—an attendance of more than 15 minutes but not more than 30 minutes in duration, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91879, 91881 or 92437 applies exceed 50 attendances in a calendar year for the patient
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| 91881 | Group A40 | $81.05 | ≠ CHANGED | ||||
|
Item Number
91881
Schedule Fee
$81.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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—an attendance of more than 30 minutes but not more than 45 minutes in duration, if that attendance and another attendance to which item 296, 297, 299 or any of items 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 91868 to 91873, 91879, 91880 or 92437 applies exceed 50 attendances in a calendar year for the patient
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|||||||
| 91882 | Group A40 | $52.65 | ≠ CHANGED | ||||
|
Item Number
91882
Schedule Fee
$52.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance involving an interview, lasting not more than 15 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874 to 91878, 91883 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||
| 91883 | Group A40 | $105.05 | ≠ CHANGED | ||||
|
Item Number
91883
Schedule Fee
$105.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance involving an interview, lasting more than 15 minutes but not more than 30 minutes, of a person other than the patient when the patient is not in 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 for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that attendance and another attendance to which any of items 341, 343, 345, 347, 349, 91874 to 91878, 91882 or 91884 applies have not exceeded 15 in a calendar year for the patient
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|||||||