Billing Codes — Australian Health Schedule Tracker

Showing 51–100 of 6045 Pg 2/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	139	Professional attendance lasting at least 45 minutes, at a place other than a hospital, 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, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime Group A29	Category 1 — Professional Attendances	$161.05	$161.05	≠ CHANGED
Item Number 139 Schedule Fee $161.05 Benefits 100%: $161.05 Category Category 1 — Professional Attendances Group / Subheading Group A29 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2011 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance lasting at least 45 minutes, at a place other than a hospital, 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, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime Sign in to watch this code → Get an email alert when this item changes
	141	Professional attendance lasting more than 60 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months Group A28	Category 1 — Professional Attendances	$549.90	—	≠ CHANGED
Item Number 141 Schedule Fee $549.90 Category Category 1 — Professional Attendances Group / Subheading Group A28 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance lasting more than 60 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months Sign in to watch this code → Get an email alert when this item changes
	143	Professional attendance lasting more than 30 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147, 92448 or 92624 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review Group A28	Category 1 — Professional Attendances	$343.75	—	≠ CHANGED
Item Number 143 Schedule Fee $343.75 Category Category 1 — Professional Attendances Group / Subheading Group A28 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance lasting more than 30 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147, 92448 or 92624 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review Sign in to watch this code → Get an email alert when this item changes
	145	Professional attendance lasting more than 60 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months Group A28	Category 1 — Professional Attendances	$666.75	—	≠ CHANGED
Item Number 145 Schedule Fee $666.75 Category Category 1 — Professional Attendances Group / Subheading Group A28 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance lasting more than 60 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months Sign in to watch this code → Get an email alert when this item changes
	147	Professional attendance lasting more than 30 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 143, 92448 or 92624 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review Group A28	Category 1 — Professional Attendances	$416.75	—	≠ CHANGED
Item Number 147 Schedule Fee $416.75 Category Category 1 — Professional Attendances Group / Subheading Group A28 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2007 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance lasting more than 30 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 143, 92448 or 92624 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review Sign in to watch this code → Get an email alert when this item changes
	151	Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner Group A2	Category 1 — Professional Attendances	$98.40	$98.40
Item Number 151 Schedule Fee $98.40 Benefits 100%: $98.40 Category Category 1 — Professional Attendances Group / Subheading Group A2 Type Codes Item: S 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 Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner Sign in to watch this code → Get an email alert when this item changes
	160	Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A5 · Subheading 1	Category 1 — Professional Attendances	$265.15	$265.15	≠ CHANGED
Item Number 160 Schedule Fee $265.15 Benefits 100%: $265.15 75%: $198.90 Category Category 1 — Professional Attendances Group / Subheading Group A5 · Sub 1 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.02.1984 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	161	Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A5 · Subheading 1	Category 1 — Professional Attendances	$441.85	$441.85	≠ CHANGED
Item Number 161 Schedule Fee $441.85 Benefits 100%: $441.85 75%: $331.40 Category Category 1 — Professional Attendances Group / Subheading Group A5 · Sub 1 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.02.1984 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	162	Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A5 · Subheading 1	Category 1 — Professional Attendances	$618.35	$618.35	≠ CHANGED
Item Number 162 Schedule Fee $618.35 Benefits 100%: $618.35 75%: $463.80 Category Category 1 — Professional Attendances Group / Subheading Group A5 · Sub 1 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.02.1984 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	163	Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A5 · Subheading 1	Category 1 — Professional Attendances	$795.40	$795.40	≠ CHANGED
Item Number 163 Schedule Fee $795.40 Benefits 100%: $795.40 75%: $596.55 Category Category 1 — Professional Attendances Group / Subheading Group A5 · Sub 1 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.02.1984 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	164	Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death Group A5 · Subheading 1	Category 1 — Professional Attendances	$883.80	$883.80	≠ CHANGED
Item Number 164 Schedule Fee $883.80 Benefits 100%: $883.80 75%: $662.85 Category Category 1 — Professional Attendances Group / Subheading Group A5 · Sub 1 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.02.1984 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	165	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner Group A2	Category 1 — Professional Attendances	—	—
Item Number 165 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A2 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.11.2023 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags No changes flagged Full Description Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner Derived Fee Formula An amount equal to $88.20, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $88.20 plus $0.70 per patient Sign in to watch this code → Get an email alert when this item changes
	170	Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 2 patients Group A6	Category 1 — Professional Attendances	$140.70	$140.70	≠ CHANGED
Item Number 170 Schedule Fee $140.70 Benefits 100%: $140.70 75%: $105.55 Category Category 1 — Professional Attendances Group / Subheading Group A6 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.08.1987 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 2 patients Sign in to watch this code → Get an email alert when this item changes
	171	Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 3 patients Group A6	Category 1 — Professional Attendances	$148.25	$148.25	≠ CHANGED
Item Number 171 Schedule Fee $148.25 Benefits 100%: $148.25 75%: $111.20 Category Category 1 — Professional Attendances Group / Subheading Group A6 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.08.1987 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 3 patients Sign in to watch this code → Get an email alert when this item changes
	172	Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 4 or more patients Group A6	Category 1 — Professional Attendances	$180.35	$180.35	≠ CHANGED
Item Number 172 Schedule Fee $180.35 Benefits 100%: $180.35 75%: $135.30 Category Category 1 — Professional Attendances Group / Subheading Group A6 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.08.1987 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 4 or more patients Sign in to watch this code → Get an email alert when this item changes
	177	Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a prescribed medical practitioner at consulting rooms lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information. Group A7	Category 1 — Professional Attendances	$69.70	$69.70	≠ CHANGED
Item Number 177 Schedule Fee $69.70 Benefits 100%: $69.70 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: D Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.04.2019 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a prescribed medical practitioner at consulting rooms lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information. Sign in to watch this code → Get an email alert when this item changes
	179	Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Group A7	Category 1 — Professional Attendances	$16.50	$16.50	≠ CHANGED
Item Number 179 Schedule Fee $16.50 Benefits 100%: $16.50 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Sign in to watch this code → Get an email alert when this item changes
	181	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Group A7	Category 1 — Professional Attendances	—	—	≠ CHANGED
Item Number 181 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Derived Fee Formula The fee for item 179, plus $25.25 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $2.00 per patient. EMSN Description 300% of the Derived fee for this item, or $500, whichever is the lesser amount Sign in to watch this code → Get an email alert when this item changes
	185	Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Group A7	Category 1 — Professional Attendances	$35.95	$35.95	≠ CHANGED
Item Number 185 Schedule Fee $35.95 Benefits 100%: $35.95 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Sign in to watch this code → Get an email alert when this item changes
	187	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Group A7	Category 1 — Professional Attendances	—	—	≠ CHANGED
Item Number 187 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Derived Fee Formula The fee for item 185, plus $25.25 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $2.00 per patient. EMSN Description 300% of the Derived fee for this item, or $500, whichever is the lesser amount Sign in to watch this code → Get an email alert when this item changes
	189	Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance Group A7	Category 1 — Professional Attendances	$69.70	$69.70	≠ CHANGED
Item Number 189 Schedule Fee $69.70 Benefits 100%: $69.70 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance Sign in to watch this code → Get an email alert when this item changes
	191	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Group A7	Category 1 — Professional Attendances	—	—	≠ CHANGED
Item Number 191 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Derived Fee Formula The fee for item 189, plus $25.25 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $2.00 per patient. EMSN Description 300% of the Derived fee for this item, or $500, whichever is the lesser amount Sign in to watch this code → Get an email alert when this item changes
	193	Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Group A7	Category 1 — Professional Attendances	$44.30	$44.30	≠ CHANGED
Item Number 193 Schedule Fee $44.30 Benefits 100%: $44.30 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.11.1998 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Sign in to watch this code → Get an email alert when this item changes
	195	Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, on one or more patients at a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Group A7	Category 1 — Professional Attendances	—	—	≠ CHANGED
Item Number 195 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.11.1998 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, on one or more patients at a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Derived Fee Formula The fee for item 193, plus $31.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 193 plus $2.45 per patient. EMSN Description 300% of the Derived fee for this item, or $500, whichever is the lesser amount Sign in to watch this code → Get an email alert when this item changes
	197	Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Group A7	Category 1 — Professional Attendances	$85.80	$85.80	≠ CHANGED
Item Number 197 Schedule Fee $85.80 Benefits 100%: $85.80 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.05.2003 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Sign in to watch this code → Get an email alert when this item changes
	199	Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Group A7	Category 1 — Professional Attendances	$126.35	$126.35	≠ CHANGED
Item Number 199 Schedule Fee $126.35 Benefits 100%: $126.35 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.05.2003 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed Sign in to watch this code → Get an email alert when this item changes
	203	Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Group A7	Category 1 — Professional Attendances	$102.65	$102.65	≠ CHANGED
Item Number 203 Schedule Fee $102.65 Benefits 100%: $102.65 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance Sign in to watch this code → Get an email alert when this item changes
	206	Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Group A7	Category 1 — Professional Attendances	—	—	≠ CHANGED
Item Number 206 Schedule Fee — Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: D Benefit: D Effective Dates Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient Derived Fee Formula The fee for item 203, plus $25.25 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $2.00 per patient. EMSN Description 300% of the Derived fee for this item, or $500, whichever is the lesser amount Sign in to watch this code → Get an email alert when this item changes
	214	Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A7	Category 1 — Professional Attendances	$212.20	$212.20	≠ CHANGED
Item Number 214 Schedule Fee $212.20 Benefits 100%: $212.20 75%: $159.15 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	215	Professional attendance by a prescribed medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A7	Category 1 — Professional Attendances	$353.55	$353.55	≠ CHANGED
Item Number 215 Schedule Fee $353.55 Benefits 100%: $353.55 75%: $265.20 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	218	Professional attendance by a prescribed medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A7	Category 1 — Professional Attendances	$494.65	$494.65	≠ CHANGED
Item Number 218 Schedule Fee $494.65 Benefits 100%: $494.65 75%: $371.00 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	219	Professional attendance by a prescribed medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death Group A7	Category 1 — Professional Attendances	$636.40	$636.40	≠ CHANGED
Item Number 219 Schedule Fee $636.40 Benefits 100%: $636.40 75%: $477.30 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	220	Professional attendance by a prescribed medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death Group A7	Category 1 — Professional Attendances	$707.00	$707.00	≠ CHANGED
Item Number 220 Schedule Fee $707.00 Benefits 100%: $707.00 75%: $530.25 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death Sign in to watch this code → Get an email alert when this item changes
	221	Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients Group A7	Category 1 — Professional Attendances	$112.50	$112.50	≠ CHANGED
Item Number 221 Schedule Fee $112.50 Benefits 100%: $112.50 75%: $84.40 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients Sign in to watch this code → Get an email alert when this item changes
	222	Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 3 patients Group A7	Category 1 — Professional Attendances	$118.60	$118.60	≠ CHANGED
Item Number 222 Schedule Fee $118.60 Benefits 100%: $118.60 75%: $88.95 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 3 patients Sign in to watch this code → Get an email alert when this item changes
	223	Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients Group A7	Category 1 — Professional Attendances	$144.30	$144.30	≠ CHANGED
Item Number 223 Schedule Fee $144.30 Benefits 100%: $144.30 75%: $108.25 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients Sign in to watch this code → Get an email alert when this item changes
	224	Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:(a) collection of relevant information, including taking a patient history; and(b) a basic physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing the patient with preventive health care advice and information Group A7	Category 1 — Professional Attendances	$56.85	$56.85	≠ CHANGED
Item Number 224 Schedule Fee $56.85 Benefits 100%: $56.85 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:(a) collection of relevant information, including taking a patient history; and(b) a basic physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing the patient with preventive health care advice and information Sign in to watch this code → Get an email alert when this item changes
	225	Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:(a) detailed information collection, including taking a patient history; and(b) an extensive physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing a preventive health care strategy for the patient Group A7	Category 1 — Professional Attendances	$132.05	$132.05	≠ CHANGED
Item Number 225 Schedule Fee $132.05 Benefits 100%: $132.05 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:(a) detailed information collection, including taking a patient history; and(b) an extensive physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing a preventive health care strategy for the patient Sign in to watch this code → Get an email alert when this item changes
	226	Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition and physical function; and(c) initiating interventions and referrals as indicated; and(d) providing a basic preventive health care management plan for the patient Group A7	Category 1 — Professional Attendances	$182.15	$182.15	≠ CHANGED
Item Number 226 Schedule Fee $182.15 Benefits 100%: $182.15 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition and physical function; and(c) initiating interventions and referrals as indicated; and(d) providing a basic preventive health care management plan for the patient Sign in to watch this code → Get an email alert when this item changes
	227	Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and(c) initiating interventions and referrals as indicated; and(d) providing a comprehensive preventive health care management plan for the patient Group A7	Category 1 — Professional Attendances	$257.40	$257.40	≠ CHANGED
Item Number 227 Schedule Fee $257.40 Benefits 100%: $257.40 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and(c) initiating interventions and referrals as indicated; and(d) providing a comprehensive preventive health care management plan for the patient Sign in to watch this code → Get an email alert when this item changes
	228	Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility: (a) for a health assessment of 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 records Applicable only if a service to which this item or item 715, 92004 or 92011 applies has not been provided to the patient in the preceding 9 months Note: For items 92004 and 92011, see the Telehealth Attendance Determination. Group A7	Category 1 — Professional Attendances	$203.25	$203.25	≠ CHANGED
Item Number 228 Schedule Fee $203.25 Benefits 100%: $203.25 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility: (a) for a health assessment of 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 records Applicable only if a service to which this item or item 715, 92004 or 92011 applies has not been provided to the patient in the preceding 9 months Note: For items 92004 and 92011, see the Telehealth Attendance Determination. Sign in to watch this code → Get an email alert when this item changes
	231	Either:(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply Group A7	Category 1 — Professional Attendances	$67.40	$67.40	≠ CHANGED
Item Number 231 Schedule Fee $67.40 Benefits 100%: $67.40 75%: $50.55 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Either:(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply Sign in to watch this code → Get an email alert when this item changes
	232	Either:(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply Group A7	Category 1 — Professional Attendances	$67.40	$67.40	≠ CHANGED
Item Number 232 Schedule Fee $67.40 Benefits 100%: $67.40 75%: $50.55 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Either:(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply Sign in to watch this code → Get an email alert when this item changes
	235	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$67.75	$67.75	≠ CHANGED
Item Number 235 Schedule Fee $67.75 Benefits 100%: $67.75 75%: $50.85 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	236	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$115.85	$115.85	≠ CHANGED
Item Number 236 Schedule Fee $115.85 Benefits 100%: $115.85 75%: $86.90 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	237	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$193.00	$193.00	≠ CHANGED
Item Number 237 Schedule Fee $193.00 Benefits 100%: $193.00 75%: $144.75 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	238	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$49.75	$49.75	≠ CHANGED
Item Number 238 Schedule Fee $49.75 Benefits 100%: $49.75 75%: $37.35 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	239	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$85.25	$85.25	≠ CHANGED
Item Number 239 Schedule Fee $85.25 Benefits 100%: $85.25 75%: $63.95 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	240	Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Group A7	Category 1 — Professional Attendances	$141.90	$141.90	≠ CHANGED
Item Number 240 Schedule Fee $141.90 Benefits 100%: $141.90 75%: $106.45 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply Sign in to watch this code → Get an email alert when this item changes
	243	Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals Group A7	Category 1 — Professional Attendances	$66.35	$66.35	≠ CHANGED
Item Number 243 Schedule Fee $66.35 Benefits 100%: $66.35 75%: $49.80 Category Category 1 — Professional Attendances Group / Subheading Group A7 Type Codes Item: S Fee: N Benefit: D Effective Dates Fee from: 01.07.2026 Item from: 01.07.2018 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals Sign in to watch this code → Get an email alert when this item changes

100% Benefit

$161.05

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance lasting at least 45 minutes, at a place other than a hospital, 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, 289, 92140, 92141, 92142 or 92434) Applicable only once per lifetime

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance lasting more than 60 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance lasting more than 30 minutes at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147, 92448 or 92624 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance lasting more than 60 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance lasting more than 30 minutes at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116, 119, 91825 or 92440 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 143, 92448 or 92624 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review

100% Benefit

$98.40

Fee From

01.11.2023

Category

Category 1 — Professional Attendances

Description

Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner

100% Benefit

$265.15

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$441.85

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$618.35

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$795.40

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$883.80

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death

Category

Category 1 — Professional Attendances

Description

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:(a) a medical practitioner who is not a general practitioner; or(b) a Group A1 disqualified general practitioner

100% Benefit

$140.70

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 2 patients

100% Benefit

$148.25

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

100% Benefit

$180.35

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

100% Benefit

$69.70

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a prescribed medical practitioner at consulting rooms lasting at least 20 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination, which must include recording blood pressure and cholesterol; and (c) initiating interventions and referrals as indicated; and (d) implementing a management plan; and (e) providing the patient with preventative health care advice and information.

100% Benefit

$16.50

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Category

Category 1 — Professional Attendances

Description

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

100% Benefit

$35.95

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Category

Category 1 — Professional Attendances

Description

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

100% Benefit

$69.70

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance

Category

Category 1 — Professional Attendances

Description

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

100% Benefit

$44.30

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed

Category

Category 1 — Professional Attendances

Description

Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, on one or more patients at a hospital, for treatment lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed

100% Benefit

$85.80

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed

100% Benefit

$126.35

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a medical practitioner who holds endorsement of registration for acupuncture with the Medical Board of Australia or is registered by the Chinese Medicine Board of Australia as an acupuncturist, at a place other than a hospital, for treatment lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed

100% Benefit

$102.65

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

Category

Category 1 — Professional Attendances

Description

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

100% Benefit

$212.20

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$353.55

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$494.65

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$636.40

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$707.00

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death

100% Benefit

$112.50

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients

100% Benefit

$118.60

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

100% Benefit

$144.30

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

100% Benefit

$56.85

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:(a) collection of relevant information, including taking a patient history; and(b) a basic physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing the patient with preventive health care advice and information

100% Benefit

$132.05

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:(a) detailed information collection, including taking a patient history; and(b) an extensive physical examination; and(c) initiating interventions and referrals as indicated; and(d) providing a preventive health care strategy for the patient

100% Benefit

$182.15

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition and physical function; and(c) initiating interventions and referrals as indicated; and(d) providing a basic preventive health care management plan for the patient

100% Benefit

$257.40

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:(a) comprehensive information collection, including taking a patient history; and(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and(c) initiating interventions and referrals as indicated; and(d) providing a comprehensive preventive health care management plan for the patient

100% Benefit

$203.25

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility: (a) for a health assessment of 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 records Applicable only if a service to which this item or item 715, 92004 or 92011 applies has not been provided to the patient in the preceding 9 months Note: For items 92004 and 92011, see the Telehealth Attendance Determination.

100% Benefit

$67.40

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Either:(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply

100% Benefit

$67.40

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Either:(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply

100% Benefit

$67.75

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$115.85

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$193.00

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$49.75

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$85.25

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$141.90

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:(a) a community case conference; or(b) a multidisciplinary case conference in a residential aged care facility; or(c) a multidisciplinary discharge case conference;if the conference lasts for at least 40 minutes, other than a service associated with a service to which any of items 231, 232, 392, 393, 729, 731, 965, 967, 92029, 92030, 92060 or 92061 apply

100% Benefit

$66.35

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a prescribed medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer, to develop a multidisciplinary treatment plan, if the case conference lasts at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health or other relevant health professionals

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