Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 161 | Group A5 · Subheading 1 |
$441.85
$430.65
|
▲ FEE RISE | ||||
|
Item Number
161
Schedule Fee
$441.85
was $430.65
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
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|||||||
| 162 | Group A5 · Subheading 1 |
$618.35
$602.70
|
▲ FEE RISE | ||||
|
Item Number
162
Schedule Fee
$618.35
was $602.70
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
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|||||||
| 163 | Group A5 · Subheading 1 |
$795.40
$775.25
|
▲ FEE RISE | ||||
|
Item Number
163
Schedule Fee
$795.40
was $775.25
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
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|
|||||||
| 164 | Group A5 · Subheading 1 |
$883.80
$861.40
|
▲ FEE RISE | ||||
|
Item Number
164
Schedule Fee
$883.80
was $861.40
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
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|||||||
| 170 | Group A6 |
$140.70
$137.15
|
▲ FEE RISE | ||||
|
Item Number
170
Schedule Fee
$140.70
was $137.15
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
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|||||||
| 171 | Group A6 |
$148.25
$144.50
|
▲ FEE RISE | ||||
|
Item Number
171
Schedule Fee
$148.25
was $144.50
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
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|
|||||||
| 172 | Group A6 |
$180.35
$175.80
|
▲ FEE RISE | ||||
|
Item Number
172
Schedule Fee
$180.35
was $175.80
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
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|
|||||||
| 177 | Group A7 |
$69.70
$67.95
|
▲ FEE RISE | ||||
|
Item Number
177
Schedule Fee
$69.70
was $67.95
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.
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|||||||
| 179 | Group A7 |
$16.50
$16.10
|
▲ FEE RISE | ||||
|
Item Number
179
Schedule Fee
$16.50
was $16.10
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
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|||||||
| 185 | Group A7 |
$35.95
$35.05
|
▲ FEE RISE | ||||
|
Item Number
185
Schedule Fee
$35.95
was $35.05
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
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|
|||||||
| 189 | Group A7 |
$69.70
$67.95
|
▲ FEE RISE | ||||
|
Item Number
189
Schedule Fee
$69.70
was $67.95
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
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|||||||
| 193 | Group A7 |
$44.30
$43.20
|
▲ FEE RISE | ||||
|
Item Number
193
Schedule Fee
$44.30
was $43.20
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
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|||||||
| 197 | Group A7 |
$85.80
$83.65
|
▲ FEE RISE | ||||
|
Item Number
197
Schedule Fee
$85.80
was $83.65
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
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|||||||
| 199 | Group A7 |
$126.35
$123.15
|
▲ FEE RISE | ||||
|
Item Number
199
Schedule Fee
$126.35
was $123.15
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
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|||||||
| 203 | Group A7 |
$102.65
$100.05
|
▲ FEE RISE | ||||
|
Item Number
203
Schedule Fee
$102.65
was $100.05
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
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|||||||
| 214 | Group A7 |
$212.20
$206.80
|
▲ FEE RISE | ||||
|
Item Number
214
Schedule Fee
$212.20
was $206.80
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
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|||||||
| 215 | Group A7 |
$353.55
$344.60
|
▲ FEE RISE | ||||
|
Item Number
215
Schedule Fee
$353.55
was $344.60
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
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|||||||
| 218 | Group A7 |
$494.65
$482.10
|
▲ FEE RISE | ||||
|
Item Number
218
Schedule Fee
$494.65
was $482.10
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
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|||||||
| 219 | Group A7 |
$636.40
$620.25
|
▲ FEE RISE | ||||
|
Item Number
219
Schedule Fee
$636.40
was $620.25
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
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|||||||
| 220 | Group A7 |
$707.00
$689.10
|
▲ FEE RISE | ||||
|
Item Number
220
Schedule Fee
$707.00
was $689.10
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
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|||||||
| 221 | Group A7 |
$112.50
$109.65
|
▲ FEE RISE | ||||
|
Item Number
221
Schedule Fee
$112.50
was $109.65
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
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|||||||
| 222 | Group A7 |
$118.60
$115.60
|
▲ FEE RISE | ||||
|
Item Number
222
Schedule Fee
$118.60
was $115.60
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
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|||||||
| 223 | Group A7 |
$144.30
$140.65
|
▲ FEE RISE | ||||
|
Item Number
223
Schedule Fee
$144.30
was $140.65
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
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|||||||
| 224 | Group A7 |
$56.85
$55.40
|
▲ FEE RISE | ||||
|
Item Number
224
Schedule Fee
$56.85
was $55.40
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
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| 225 | Group A7 |
$132.05
$128.70
|
▲ FEE RISE | ||||
|
Item Number
225
Schedule Fee
$132.05
was $128.70
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
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|||||||
| 226 | Group A7 |
$182.15
$177.55
|
▲ FEE RISE | ||||
|
Item Number
226
Schedule Fee
$182.15
was $177.55
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
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|||||||
| 227 | Group A7 |
$257.40
$250.90
|
▲ FEE RISE | ||||
|
Item Number
227
Schedule Fee
$257.40
was $250.90
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
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|||||||
| 228 | Group A7 |
$203.25
$198.10
|
▲ FEE RISE | ||||
|
Item Number
228
Schedule Fee
$203.25
was $198.10
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.
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|||||||
| 231 | Group A7 |
$67.40
$65.70
|
▲ FEE RISE | ||||
|
Item Number
231
Schedule Fee
$67.40
was $65.70
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
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|||||||
| 232 | Group A7 |
$67.40
$65.70
|
▲ FEE RISE | ||||
|
Item Number
232
Schedule Fee
$67.40
was $65.70
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
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|||||||
| 235 | Group A7 |
$67.75
$66.05
|
▲ FEE RISE | ||||
|
Item Number
235
Schedule Fee
$67.75
was $66.05
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
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|||||||
| 236 | Group A7 |
$115.85
$112.90
|
▲ FEE RISE | ||||
|
Item Number
236
Schedule Fee
$115.85
was $112.90
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
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|||||||
| 237 | Group A7 |
$193.00
$188.10
|
▲ FEE RISE | ||||
|
Item Number
237
Schedule Fee
$193.00
was $188.10
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
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|
|||||||
| 238 | Group A7 |
$49.75
$48.50
|
▲ FEE RISE | ||||
|
Item Number
238
Schedule Fee
$49.75
was $48.50
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
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|
|||||||
| 239 | Group A7 |
$85.25
$83.10
|
▲ FEE RISE | ||||
|
Item Number
239
Schedule Fee
$85.25
was $83.10
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
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|||||||
| 240 | Group A7 |
$141.90
$138.30
|
▲ FEE RISE | ||||
|
Item Number
240
Schedule Fee
$141.90
was $138.30
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
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|||||||
| 243 | Group A7 |
$66.35
$64.65
|
▲ FEE RISE | ||||
|
Item Number
243
Schedule Fee
$66.35
was $64.65
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
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|||||||
| 244 | Group A7 |
$30.95
$30.15
|
▲ FEE RISE | ||||
|
Item Number
244
Schedule Fee
$30.95
was $30.15
Benefits
100%: $30.95
75%: $23.25
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
Attendance by a prescribed medical practitioner, as a member of a case conference team, to participate in 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 4 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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|||||||
| 245 | Group A7 |
$148.25
$144.50
|
▲ FEE RISE | ||||
|
Item Number
245
Schedule Fee
$148.25
was $144.50
Benefits
100%: $148.25
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
Participation by a prescribed medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the prescribed medical practitioner, with the patient’s consent:(a) assesses the patient as:(i) having a chronic medical condition or a complex medication regimen; and(ii) not having the patient’s therapeutic goals met; and(b) following that assessment:(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient—applicable not more than once in each 12 month period, and only if item 900 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR
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|||||||
| 249 | Group A7 |
$101.45
$98.90
|
▲ FEE RISE | ||||
|
Item Number
249
Schedule Fee
$101.45
was $98.90
Benefits
100%: $101.45
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
Participation by a prescribed medical practitioner in a residential medication management review (RMMR) for a patient who is a care recipient in a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR
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|||||||
| 272 | Group A7 |
$68.65
$66.90
|
▲ FEE RISE | ||||
|
Item Number
272
Schedule Fee
$68.65
was $66.90
Benefits
100%: $68.65
75%: $51.50
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 (who has not undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient
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|||||||
| 276 | Group A7 |
$101.05
$98.50
|
▲ FEE RISE | ||||
|
Item Number
276
Schedule Fee
$101.05
was $98.50
Benefits
100%: $101.05
75%: $75.80
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
Professional attendance by a prescribed medical practitioner (who has not undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient
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|||||||
| 281 | Group A7 |
$87.15
$84.95
|
▲ FEE RISE | ||||
|
Item Number
281
Schedule Fee
$87.15
was $84.95
Benefits
100%: $87.15
75%: $65.40
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 by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 20 minutes but less than 40 minutes, for the preparation of a GP mental health treatment plan for a patient
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|||||||
| 282 | Group A7 |
$128.45
$125.20
|
▲ FEE RISE | ||||
|
Item Number
282
Schedule Fee
$128.45
was $125.20
Benefits
100%: $128.45
75%: $96.35
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
Professional attendance by a prescribed medical practitioner (who has undertaken mental health skills training), lasting at least 40 minutes, for the preparation of a GP mental health treatment plan for a patient
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|||||||
| 283 | Group A7 |
$88.85
$86.60
|
▲ FEE RISE | ||||
|
Item Number
283
Schedule Fee
$88.85
was $86.60
Benefits
100%: $88.85
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 at consulting rooms by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 30 minutes but less than 40 minutes
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|||||||
| 286 | Group A7 |
$127.10
$123.90
|
▲ FEE RISE | ||||
|
Item Number
286
Schedule Fee
$127.10
was $123.90
Benefits
100%: $127.10
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 by a prescribed medical practitioner, registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service:(a) for providing focussed psychological strategies for mental disorders that have been assessed by a medical practitioner; and(b) lasting at least 40 minutes
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|||||||
| 289 | Group A8 |
$320.55
$312.45
|
▲ FEE RISE | ||||
|
Item Number
289
Schedule Fee
$320.55
was $312.45
Category
Category 1 — Professional Attendances
Group / Subheading
Group A8
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2008
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance lasting at least 45 minutes, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant psychiatrist by a referring practitioner, for a patient aged under 25, if the consultant psychiatrist: (a) undertakes, or has previously undertaken in prior attendances, a comprehensive assessment in relation to which a diagnosis of a complex neurodevelopmental disorder (such as autism spectrum disorder) is made (if appropriate, using information provided by an eligible allied health provider); and (b) develops a treatment and management plan, which must include: (i) documentation of the confirmed diagnosis; and (ii) findings of any assessments performed for the purposes of formulation of the diagnosis or contribution to the treatment and management plan; and (iii) a risk assessment; and (iv) treatment options (which may include biopsychosocial recommendations); and (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137, 139, 92140, 92141, 92142 or 92434) Applicable only once per lifetime
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|||||||
| 291 | Group A8 |
$549.90
$535.95
|
▲ FEE RISE | ||||
|
Item Number
291
Schedule Fee
$549.90
was $535.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A8
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance lasting more than 45 minutes at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant, by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner, for an assessment or management; and (b) during the attendance, the consultant: (i) if it is clinically appropriate to do so—uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) undertakes a comprehensive diagnostic assessment; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing management by the consultant; and (d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes: (i) the comprehensive diagnostic assessment of the patient; and (ii) a management plan for the patient for the next 12 months that comprehensively evaluates the patient’s biopsychosocial factors and makes recommendations to the referring practitioner to manage the patient’s ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to: (i) the patient; and (ii) the patient’s carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which this item or item 92435 applies has not been provided to the patient
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|||||||
| 293 | Group A8 |
$343.75
$335.05
|
▲ FEE RISE | ||||
|
Item Number
293
Schedule Fee
$343.75
was $335.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A8
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance lasting more than 30 minutes, but not more than 45 minutes, at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291 or item 92435; and (b) the attendance follows referral of the patient to the consultant, by the medical practitioner or participating nurse practitioner managing the patient, for review of the management plan and the associated comprehensive diagnostic assessment; and (c) during the attendance, the consultant: (i) if it is clinically appropriate to do so—uses an appropriate outcome tool; and (ii) carries out a mental state examination; and (iii) reviews the comprehensive diagnostic assessment and undertakes additional assessment as required; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant prepares and gives to the referring practitioner a written report, which includes: (i) the revised comprehensive diagnostic assessment of the patient; and (ii) a revised management plan including updated recommendations to the referring practitioner to manage the patient’s ongoing care in a biopsychosocial model; and (e) if clinically appropriate, the consultant explains the diagnostic assessment and management plan, and gives a copy, to: (i) the patient; and (ii) the patient’s carer (if any), if the patient agrees; and (f) in the preceding 12 months, a service to which item 291 or item 92435 applies has been provided to the patient; and (g) in the preceding 12 months, a service to which this item or item 92436 or 92444 applies has not been provided to the patient
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|||||||
| 296 | Group A8 |
$316.30
$308.30
|
▲ FEE RISE | ||||
|
Item Number
296
Schedule Fee
$316.30
was $308.30
Category
Category 1 — Professional Attendances
Group / Subheading
Group A8
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance lasting more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at consulting rooms if the patient: (a) is a new patient for this consultant physician; or (b) has not received a professional attendance from this consultant physician in the preceding 24 months; other than attendance on a patient in relation to whom this item or any of items 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 92437 and 92478 to 92483 has applied in the preceding 24 months
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|||||||