Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 91884 | Group A40 | $161.70 | ≠ CHANGED | ||||
|
Item Number
91884
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
Phone 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 to 91878, 91882 or 91883 applies have not exceeded 15 in a calendar year for the patient
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| 91890 | Group A40 | $20.55 | ≠ CHANGED | ||||
|
Item Number
91890
Schedule Fee
$20.55
Benefits
100%: $20.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2021
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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 NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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| 91891 | Group A40 | $45.05 | ≠ CHANGED | ||||
|
Item Number
91891
Schedule Fee
$45.05
Benefits
100%: $45.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2021
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
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 NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|
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| 91892 | Group A40 | $11.00 | |||||
|
Item Number
91892
Schedule Fee
$11.00
Benefits
100%: $11.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2022
Item from: 01.07.2021
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
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 NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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| 91893 | Group A40 | $21.00 | |||||
|
Item Number
91893
Schedule Fee
$21.00
Benefits
100%: $21.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2022
Item from: 01.07.2021
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
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 NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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| 91900 | Group A40 | $87.10 | ≠ CHANGED | ||||
|
Item Number
91900
Schedule Fee
$87.10
Benefits
100%: $87.10
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: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation
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|
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| 91903 | Group A40 | $38.00 | |||||
|
Item Number
91903
Schedule Fee
$38.00
Benefits
100%: $38.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.11.2023
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Phone attendance by a medical practitioner (not including a general practitioner) to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation
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|
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| 91906 | Group A40 | $69.70 | ≠ CHANGED | ||||
|
Item Number
91906
Schedule Fee
$69.70
Benefits
100%: $69.70
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: 01.11.2023
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), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 25 minutes in duration but not more than 45 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking 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
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| 91910 | Group A40 | $128.35 | ≠ CHANGED | ||||
|
Item Number
91910
Schedule Fee
$128.35
Benefits
100%: $128.35
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: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance by a general practitioner, to a patient registered under MyMedicare with the billing practice, lasting at least 40 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation
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|
|||||||
| 91913 | Group A40 | $61.00 | |||||
|
Item Number
91913
Schedule Fee
$61.00
Benefits
100%: $61.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.11.2023
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Phone attendance by a medical practitioner (not including a general practitioner), to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation
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|
|||||||
| 91916 | Group A40 | $102.65 | ≠ CHANGED | ||||
|
Item Number
91916
Schedule Fee
$102.65
Benefits
100%: $102.65
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: 01.11.2023
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), in an eligible area, to a patient registered under MyMedicare with the billing practice, of more than 45 minutes in duration but not more than 60 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventative health care;for one or more health related issues, with appropriate documentation
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|
|||||||
| 91920 | Group A40 | $207.90 | ≠ CHANGED | ||||
|
Item Number
91920
Schedule Fee
$207.90
Benefits
100%: $207.90
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: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a general practitioner, lasting at least 60 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|
|||||||
| 91923 | Group A40 | $98.40 | |||||
|
Item Number
91923
Schedule Fee
$98.40
Benefits
100%: $98.40
Category
Category 1 — Professional Attendances
Group / Subheading
Group A40
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.11.2023
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Video attendance by a medical practitioner (not including a general practitioner), of more than 60 minutes in duration and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 91926 | Group A40 | $166.30 | ≠ CHANGED | ||||
|
Item Number
91926
Schedule Fee
$166.30
Benefits
100%: $166.30
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: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 60 minutes in duration and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 92004 | Group A40 | $254.10 | ≠ CHANGED | ||||
|
Item Number
92004
Schedule Fee
$254.10
Benefits
100%: $254.10
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a general practitioner for an Aboriginal and Torres Strait Islander health assessment:(a) for a patient who is of Aboriginal or Torres Strait Islander descent; and(b) that includes the following:(i) recognising the patient’s health priorities;(ii) taking the patient’s medical history;(iii) undertaking any relevant physical examinations;(iv) undertaking or arranging any required investigations;(v) assessing the patient using the information gained in the health assessment;(vi) initiating any necessary interventions and referrals;(vii) developing and documenting a plan to manage the patient’s health including for follow-up, based on the health assessment and the patient’s priorities;(viii) offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health assessment and a strategy for the patient’s good health;(ix) if the offer referred to in subparagraph (viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);(x) adding a record of the health assessment to the patient’s medical recordsApplicable only if a service to which this item or item 228, 715 or 92011 applies has not been provided to the patient in the preceding 9 months
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| 92011 | Group A40 | $203.25 | ≠ CHANGED | ||||
|
Item Number
92011
Schedule Fee
$203.25
Benefits
100%: $203.25
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a prescribed medical practitioner for an Aboriginal and Torres Strait Islander health assessment:(a) for a patient who is of Aboriginal or Torres Strait Islander descent; and(b) that includes the following:(i) recognising the patient’s health priorities;(ii) taking the patient’s medical history;(iii) undertaking any relevant physical examinations;(iv) undertaking or arranging any required investigations;(v) assessing the patient using the information gained in the health assessment;(vi) initiating any necessary interventions and referrals;(vii) developing and documenting a plan to manage the patient’s health including for follow-up, based on the health assessment and the patient’s priorities;(viii) offering the patient (or the patient’s carer (if any) if the practitioner considers it appropriate and the patient agrees) a written report of the health assessment, with recommendations on matters covered by the health assessment and a strategy for the patient’s good health;(ix) if the offer referred to in subparagraph (viii) is accepted—giving the report to the patient or the patient’s carer (as applicable);(x) adding a record of the health assessment to the patient’s medical recordsApplicable only if a service to which this item or item 228, 715 or 92004 applies has not been provided to the patient in the preceding 9 months
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|||||||
| 92026 | Group A40 | $84.25 | ≠ CHANGED | ||||
|
Item Number
92026
Schedule Fee
$84.25
Benefits
100%: $84.25
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a general practitioner by video, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 92027 | Group A40 | $84.25 | ≠ CHANGED | ||||
|
Item Number
92027
Schedule Fee
$84.25
Benefits
100%: $84.25
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a general practitioner by video to:(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 92029 | Group A40 | $160.60 | ≠ CHANGED | ||||
|
Item Number
92029
Schedule Fee
$160.60
Benefits
100%: $160.60
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a general practitioner to prepare a GP chronic condition management plan for a patient
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|||||||
| 92030 | Group A40 | $160.60 | ≠ CHANGED | ||||
|
Item Number
92030
Schedule Fee
$160.60
Benefits
100%: $160.60
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner
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|||||||
| 92057 | Group A40 | $67.40 | ≠ CHANGED | ||||
|
Item Number
92057
Schedule Fee
$67.40
Benefits
100%: $67.40
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by video to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 92058 | Group A40 | $67.40 | ≠ CHANGED | ||||
|
Item Number
92058
Schedule Fee
$67.40
Benefits
100%: $67.40
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by video to:(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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| 92060 | Group A40 | $128.55 | ≠ CHANGED | ||||
|
Item Number
92060
Schedule Fee
$128.55
Benefits
100%: $128.55
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient
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|||||||
| 92061 | Group A40 | $128.55 | ≠ CHANGED | ||||
|
Item Number
92061
Schedule Fee
$128.55
Benefits
100%: $128.55
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner
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|||||||
| 92112 | Group A40 | $85.80 | ≠ CHANGED | ||||
|
Item Number
92112
Schedule Fee
$85.80
Benefits
100%: $85.80
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92113 | Group A40 | $126.35 | ≠ CHANGED | ||||
|
Item Number
92113
Schedule Fee
$126.35
Benefits
100%: $126.35
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92116 | Group A40 | $108.95 | ≠ CHANGED | ||||
|
Item Number
92116
Schedule Fee
$108.95
Benefits
100%: $108.95
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92117 | Group A40 | $160.50 | ≠ CHANGED | ||||
|
Item Number
92117
Schedule Fee
$160.50
Benefits
100%: $160.50
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92118 | Group A40 | $68.65 | ≠ CHANGED | ||||
|
Item Number
92118
Schedule Fee
$68.65
Benefits
100%: $68.65
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92119 | Group A40 | $101.05 | ≠ CHANGED | ||||
|
Item Number
92119
Schedule Fee
$101.05
Benefits
100%: $101.05
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92122 | Group A40 | $87.15 | ≠ CHANGED | ||||
|
Item Number
92122
Schedule Fee
$87.15
Benefits
100%: $87.15
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92123 | Group A40 | $128.45 | ≠ CHANGED | ||||
|
Item Number
92123
Schedule Fee
$128.45
Benefits
100%: $128.45
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92136 | Group A40 | $91.65 | ≠ CHANGED | ||||
|
Item Number
92136
Schedule Fee
$91.65
Benefits
100%: $91.65
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy
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|
|||||||
| 92137 | Group A40 | $73.35 | ≠ CHANGED | ||||
|
Item Number
92137
Schedule Fee
$73.35
Benefits
100%: $73.35
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy
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|
|||||||
| 92138 | Group A40 | $91.65 | ≠ CHANGED | ||||
|
Item Number
92138
Schedule Fee
$91.65
Benefits
100%: $91.65
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy
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|
|||||||
| 92139 | Group A40 | $73.35 | ≠ CHANGED | ||||
|
Item Number
92139
Schedule Fee
$73.35
Benefits
100%: $73.35
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a person who:(a) is currently pregnant; or(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 792 or 4001 of the general medical services table, or item 81000, 81005 or 81010 or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy
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|
|||||||
| 92140 | Group A40 | $320.55 | ≠ CHANGED | ||||
|
Item Number
92140
Schedule Fee
$320.55
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: 30.03.2020
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 paediatrics, following referral of the patient to the consultant paediatrician by a referring practitioner, for a patient aged under 25, if the consultant paediatrician: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) 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: (i) the referring practitioner; and (ii) 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, 92141, 92142 or 92434) Applicable only once per lifetime
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|||||||
| 92141 | Group A40 | $320.55 | ≠ CHANGED | ||||
|
Item Number
92141
Schedule Fee
$320.55
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance lasting at least 45 minutes by a specialist or consultant physician (not including a general practitioner), following referral of the patient to the specialist or consultant physician by a referring practitioner, for a patient aged under 25, if the specialist or consultant physician: (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: (i) the referring practitioner; and (ii) 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, 92142 or 92434) Applicable only once per lifetime
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|
|||||||
| 92142 | Group A40 | $161.05 | ≠ CHANGED | ||||
|
Item Number
92142
Schedule Fee
$161.05
Benefits
100%: $161.05
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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 NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)
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|||||||
| 92146 | Group A40 | $85.80 | ≠ CHANGED | ||||
|
Item Number
92146
Schedule Fee
$85.80
Benefits
100%: $85.80
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92147 | Group A40 | $126.35 | ≠ CHANGED | ||||
|
Item Number
92147
Schedule Fee
$126.35
Benefits
100%: $126.35
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92148 | Group A40 | $108.95 | ≠ CHANGED | ||||
|
Item Number
92148
Schedule Fee
$108.95
Benefits
100%: $108.95
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92149 | Group A40 | $160.50 | ≠ CHANGED | ||||
|
Item Number
92149
Schedule Fee
$160.50
Benefits
100%: $160.50
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92150 | Group A40 | $68.65 | ≠ CHANGED | ||||
|
Item Number
92150
Schedule Fee
$68.65
Benefits
100%: $68.65
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|
|||||||
| 92151 | Group A40 | $101.05 | ≠ CHANGED | ||||
|
Item Number
92151
Schedule Fee
$101.05
Benefits
100%: $101.05
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92152 | Group A40 | $87.15 | ≠ CHANGED | ||||
|
Item Number
92152
Schedule Fee
$87.15
Benefits
100%: $87.15
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92153 | Group A40 | $128.45 | ≠ CHANGED | ||||
|
Item Number
92153
Schedule Fee
$128.45
Benefits
100%: $128.45
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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
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|||||||
| 92162 | Group A40 | $549.90 | ≠ CHANGED | ||||
|
Item Number
92162
Schedule Fee
$549.90
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92163 | Group A40 | $320.55 | ≠ CHANGED | ||||
|
Item Number
92163
Schedule Fee
$320.55
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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|||||||
| 92170 | Group A40 | $85.80 | ≠ CHANGED | ||||
|
Item Number
92170
Schedule Fee
$85.80
Benefits
100%: $85.80
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: 30.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video 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.
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