Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 346 | Group A8 | $117.65 | ≠ CHANGED | ||||
|
Item Number
346
Schedule Fee
$117.65
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: 01.11.1996
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient
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| 347 | Group A8 | $223.15 | ≠ CHANGED | ||||
|
Item Number
347
Schedule Fee
$223.15
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: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
An interview, lasting more than 45 minutes but not more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 343, 345, 349, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient
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| 349 | Group A8 | $258.95 | ≠ CHANGED | ||||
|
Item Number
349
Schedule Fee
$258.95
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: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
An interview, lasting more than 75 minutes, of a person other than the patient when the patient is not in attendance, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner, for the purposes of: (a) initial diagnostic evaluation; or (b) continuing management of the patient; if that service and another service to which this item or any of items 341, 343, 345, 347, 91874 to 91878 and 91882 to 91884 applies have not exceeded 15 services in a calendar year in relation to the patient
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| 373 | Group A7 | $56.50 | ≠ CHANGED | ||||
|
Item Number
373
Schedule Fee
$56.50
Benefits
100%: $56.50
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 5 minutes but not more than 25 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 374 | Group A7 | $81.70 | ≠ CHANGED | ||||
|
Item Number
374
Schedule Fee
$81.70
Benefits
100%: $81.70
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 5 minutes but not more than 25 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is not a care recipient in a residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 375 | Group A7 | $56.50 | ≠ CHANGED | ||||
|
Item Number
375
Schedule Fee
$56.50
Benefits
100%: $56.50
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 5 minutes but not more than 25 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is a care recipient in the residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 376 | Group A7 | $90.25 | ≠ CHANGED | ||||
|
Item Number
376
Schedule Fee
$90.25
Benefits
100%: $90.25
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 25 minutes but not more than 45 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 377 | Group A7 | $102.85 | ≠ CHANGED | ||||
|
Item Number
377
Schedule Fee
$102.85
Benefits
100%: $102.85
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 25 minutes but not more than 45 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is not a care recipient in a residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 378 | Group A7 | $90.25 | ≠ CHANGED | ||||
|
Item Number
378
Schedule Fee
$90.25
Benefits
100%: $90.25
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 25 minutes but not more than 45 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is a care recipient in the residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 379 | Group A7 | $123.15 | ≠ CHANGED | ||||
|
Item Number
379
Schedule Fee
$123.15
Benefits
100%: $123.15
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 45 minutes but not more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 380 | Group A7 | $148.40 | ≠ CHANGED | ||||
|
Item Number
380
Schedule Fee
$148.40
Benefits
100%: $148.40
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 45 minutes but not more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is not a care recipient in a residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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|||||||
| 381 | Group A7 | $123.15 | ≠ CHANGED | ||||
|
Item Number
381
Schedule Fee
$123.15
Benefits
100%: $123.15
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 45 minutes but not more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is a care recipient in the residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 382 | Group A7 | $186.85 | ≠ CHANGED | ||||
|
Item Number
382
Schedule Fee
$186.85
Benefits
100%: $186.85
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at consulting rooms, lasting more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 385 | Group A12 | $103.95 | ≠ CHANGED | ||||
|
Item Number
385
Schedule Fee
$103.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A12
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1998
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment
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| 386 | Group A12 | $52.25 | ≠ CHANGED | ||||
|
Item Number
386
Schedule Fee
$52.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A12
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1998
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment
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|||||||
| 387 | Group A12 | $152.50 | ≠ CHANGED | ||||
|
Item Number
387
Schedule Fee
$152.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A12
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1998
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment
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| 388 | Group A12 | $96.55 | ≠ CHANGED | ||||
|
Item Number
388
Schedule Fee
$96.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A12
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1998
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment
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| 390 | Group A7 | $212.05 | ≠ CHANGED | ||||
|
Item Number
390
Schedule Fee
$212.05
Benefits
100%: $212.05
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a place other than consulting rooms, lasting more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is not a care recipient in a residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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|||||||
| 391 | Group A7 | $186.85 | ≠ CHANGED | ||||
|
Item Number
391
Schedule Fee
$186.85
Benefits
100%: $186.85
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: 01.03.2026
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner, at a residential aged care facility, lasting more than 60 minutes, if:(a) the attendance is to provide clinical support to a patient to whom a specialist or consultant physician is providing a service, to which another item applies, by way of a video conferencing consultation; and(b) the patient is not an admitted patient; and(c) the patient is a care recipient in the residential aged care facility; and(d) the prescribed medical practitioner is located in the same room as the patient for the whole of the attendance
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| 392 | Group A7 | $128.55 | ≠ CHANGED | ||||
|
Item Number
392
Schedule Fee
$128.55
Benefits
100%: $128.55
75%: $96.45
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient
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| 393 | Group A7 | $128.55 | ≠ CHANGED | ||||
|
Item Number
393
Schedule Fee
$128.55
Benefits
100%: $128.55
75%: $96.45
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: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner
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| 410 | Group A13 · Subheading 1 | $23.75 | ≠ CHANGED | ||||
|
Item Number
410
Schedule Fee
$23.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
LEVEL AProfessional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management.
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| 411 | Group A13 · Subheading 1 | $51.90 | ≠ CHANGED | ||||
|
Item Number
411
Schedule Fee
$51.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
LEVEL BProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting less than 20 minutes, 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; in relation to 1 or more health-related issues, with appropriate documentation.
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| 412 | Group A13 · Subheading 1 | $100.50 | ≠ CHANGED | ||||
|
Item Number
412
Schedule Fee
$100.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
LEVEL CProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 20 minutes, 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; in relation to 1 or more health-related issues, with appropriate documentation.
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| 413 | Group A13 · Subheading 1 | $147.95 | ≠ CHANGED | ||||
|
Item Number
413
Schedule Fee
$147.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
LEVEL DProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 40 minutes, 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; in relation to 1 or more health-related issues, with appropriate documentation.
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| 414 | Group A13 · Subheading 2 | — | ≠ CHANGED | ||||
|
Item Number
414
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 2
Type Codes
Item: S
Fee: D
Benefit: C
Effective Dates
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at other than consulting rooms by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management
Derived Fee Formula
The fee for item 410, plus $31.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 410 plus $2.45 per patient.
EMSN Description
300% of the Derived fee for this item, or $500, whichever is the lesser amount
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|||||||
| 415 | Group A13 · Subheading 2 | — | ≠ CHANGED | ||||
|
Item Number
415
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 2
Type Codes
Item: S
Fee: D
Benefit: C
Effective Dates
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, 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
Derived Fee Formula
The fee for item 411, plus $31.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 411 plus $2.45 per patient.
EMSN Description
300% of the Derived fee for this item, or $500, whichever is the lesser amount
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|||||||
| 416 | Group A13 · Subheading 2 | — | ≠ CHANGED | ||||
|
Item Number
416
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 2
Type Codes
Item: S
Fee: D
Benefit: C
Effective Dates
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, 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
Derived Fee Formula
The fee for item 412, plus $31.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 412 plus $2.45 per patient.
EMSN Description
300% of the Derived fee for this item, or $500, whichever is the lesser amount
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| 417 | Group A13 · Subheading 2 | — | ≠ CHANGED | ||||
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Item Number
417
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A13 · Sub 2
Type Codes
Item: S
Fee: D
Benefit: C
Effective Dates
Item from: 01.11.1999
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine at other than consulting rooms, 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
Derived Fee Formula
The fee for item 413, plus $31.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 413 plus $2.45 per patient.
EMSN Description
300% of the Derived fee for this item, or $500, whichever is the lesser amount
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| 585 | Group A11 | $155.40 | ≠ CHANGED | ||||
|
Item Number
585
Schedule Fee
$155.40
Benefits
100%: $155.40
75%: $116.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
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| 588 | Group A11 | $155.40 | ≠ CHANGED | ||||
|
Item Number
588
Schedule Fee
$155.40
Benefits
100%: $155.40
75%: $116.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) the attendance is in an after-hours rural area; and (d) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
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| 591 | Group A11 | $107.75 | ≠ CHANGED | ||||
|
Item Number
591
Schedule Fee
$107.75
Benefits
100%: $107.75
75%: $80.85
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) the attendance is not in an after-hours rural area; and (d) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
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| 594 | Group A11 | $50.20 | ≠ CHANGED | ||||
|
Item Number
594
Schedule Fee
$50.20
Benefits
100%: $50.20
75%: $37.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner—each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient
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| 599 | Group A11 | $183.15 | ≠ CHANGED | ||||
|
Item Number
599
Schedule Fee
$183.15
Benefits
100%: $183.15
75%: $137.40
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
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| 600 | Group A11 | $146.35 | ≠ CHANGED | ||||
|
Item Number
600
Schedule Fee
$146.35
Benefits
100%: $146.35
75%: $109.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A11
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
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| 695 | Group A14 · Subheading 1 | $104.55 | ≠ CHANGED | ||||
|
Item Number
695
Schedule Fee
$104.55
Benefits
100%: $104.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2025
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Menopause and Perimenopause Health Assessment Professional attendance on a patient for the assessment and management of menopause or perimenopause by a general practitioner lasting at least 20 minutes and including, but not limited to: a) collecting relevant information, including taking a patient history to determine pre-, peri- or post-menopausal status, patient wellbeing and contraindications for management; and b) undertaking a basic physical examination, including recording blood pressure, and review of height and weight; and c) initiating investigations and referrals as clinically indicated, with consideration given to the need for cervical screening, mammography and bone densitometry; and d) discussing management options including non-pharmacological and pharmacological strategies including risks and benefits; e) implementing a management plan which includes patient centred symptoms management; and f) providing the patient with preventative health care advice and information as clinically indicated, including advice on physical activity, smoking cessation, alcohol consumption, nutritional intake and weight management.
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| 699 | Group A14 · Subheading 1 | $87.10 | ≠ CHANGED | ||||
|
Item Number
699
Schedule Fee
$87.10
Benefits
100%: $87.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
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 general practitioner at consulting rooms lasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information.
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| 701 | Group A14 · Subheading 1 | $71.00 | ≠ CHANGED | ||||
|
Item Number
701
Schedule Fee
$71.00
Benefits
100%: $71.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general 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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| 703 | Group A14 · Subheading 1 | $165.05 | ≠ CHANGED | ||||
|
Item Number
703
Schedule Fee
$165.05
Benefits
100%: $165.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general 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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|||||||
| 705 | Group A14 · Subheading 1 | $227.75 | ≠ CHANGED | ||||
|
Item Number
705
Schedule Fee
$227.75
Benefits
100%: $227.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general 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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| 707 | Group A14 · Subheading 1 | $321.75 | ≠ CHANGED | ||||
|
Item Number
707
Schedule Fee
$321.75
Benefits
100%: $321.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general 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 or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient
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| 715 | Group A14 · Subheading 2 | $254.10 | ≠ CHANGED | ||||
|
Item Number
715
Schedule Fee
$254.10
Benefits
100%: $254.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A14 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general 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 228, 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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| 729 | Group A15 | $84.25 | ≠ CHANGED | ||||
|
Item Number
729
Schedule Fee
$84.25
Benefits
100%: $84.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A15
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a general practitioner (not including a specialist or consultant physician) to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of item 735, 739, 743, 747, 750 or 758 applies)
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| 731 | Group A15 | $84.25 | ≠ CHANGED | ||||
|
Item Number
731
Schedule Fee
$84.25
Benefits
100%: $84.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A15
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Contribution by a general practitioner (not including a specialist or consultant physician) to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which item 735, 739, 743, 747, 750 or 758 applies)
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| 733 | Group A7 | $27.75 | ≠ CHANGED | ||||
|
Item Number
733
Schedule Fee
$27.75
Benefits
100%: $27.75
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: 01.07.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance
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| 735 | Group A15 | $84.65 | ≠ CHANGED | ||||
|
Item Number
735
Schedule Fee
$84.65
Benefits
100%: $84.65
75%: $63.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A15
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)
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| 737 | Group A7 | $46.85 | ≠ CHANGED | ||||
|
Item Number
737
Schedule Fee
$46.85
Benefits
100%: $46.85
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: 01.07.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance
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| 739 | Group A15 | $144.70 | ≠ CHANGED | ||||
|
Item Number
739
Schedule Fee
$144.70
Benefits
100%: $144.70
75%: $108.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A15
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)
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| 741 | Group A7 | $80.45 | ≠ CHANGED | ||||
|
Item Number
741
Schedule Fee
$80.45
Benefits
100%: $80.45
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: 01.07.2018
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a prescribed medical practitioner—each attendance
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| 743 | Group A15 | $241.25 | ≠ CHANGED | ||||
|
Item Number
743
Schedule Fee
$241.25
Benefits
100%: $241.25
75%: $180.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A15
Type Codes
Item: S
Fee: N
Benefit: D
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient 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 item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)
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