Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 2832 | Group A24 |
$134.50
$131.10
|
▲ FEE RISE | ||||
|
Item Number
2832
Schedule Fee
$134.50
was $131.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
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 specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 2840 applies) after the first in a single course of treatment
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|||||||
| 2840 | Group A24 |
$96.90
$94.45
|
▲ FEE RISE | ||||
|
Item Number
2840
Schedule Fee
$96.90
was $94.45
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
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 specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
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|
|||||||
| 2946 | Group A24 |
$168.95
$164.65
|
▲ FEE RISE | ||||
|
Item Number
2946
Schedule Fee
$168.95
was $164.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes
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|||||||
| 2949 | Group A24 |
$253.60
$247.15
|
▲ FEE RISE | ||||
|
Item Number
2949
Schedule Fee
$253.60
was $247.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes
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|||||||
| 2954 | Group A24 |
$337.80
$329.25
|
▲ FEE RISE | ||||
|
Item Number
2954
Schedule Fee
$337.80
was $329.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes
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|||||||
| 2958 | Group A24 |
$121.30
$118.25
|
▲ FEE RISE | ||||
|
Item Number
2958
Schedule Fee
$121.30
was $118.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes
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|||||||
| 2972 | Group A24 |
$193.55
$188.65
|
▲ FEE RISE | ||||
|
Item Number
2972
Schedule Fee
$193.55
was $188.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes
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|
|||||||
| 2974 | Group A24 |
$265.75
$259.00
|
▲ FEE RISE | ||||
|
Item Number
2974
Schedule Fee
$265.75
was $259.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes
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|
|||||||
| 2978 | Group A24 |
$168.95
$164.65
|
▲ FEE RISE | ||||
|
Item Number
2978
Schedule Fee
$168.95
was $164.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 2984 | Group A24 |
$253.60
$247.15
|
▲ FEE RISE | ||||
|
Item Number
2984
Schedule Fee
$253.60
was $247.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
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|
|||||||
| 2988 | Group A24 |
$337.80
$329.25
|
▲ FEE RISE | ||||
|
Item Number
2988
Schedule Fee
$337.80
was $329.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)
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|
|||||||
| 2992 | Group A24 |
$121.30
$118.25
|
▲ FEE RISE | ||||
|
Item Number
2992
Schedule Fee
$121.30
was $118.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 2996 | Group A24 |
$193.55
$188.65
|
▲ FEE RISE | ||||
|
Item Number
2996
Schedule Fee
$193.55
was $188.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3000 | Group A24 |
$265.75
$259.00
|
▲ FEE RISE | ||||
|
Item Number
3000
Schedule Fee
$265.75
was $259.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3005 | Group A24 |
$183.35
$178.70
|
▲ FEE RISE | ||||
|
Item Number
3005
Schedule Fee
$183.35
was $178.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
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|
|||||||
| 3010 | Group A24 |
$91.70
$89.40
|
▲ FEE RISE | ||||
|
Item Number
3010
Schedule Fee
$91.70
was $89.40
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3014 applies) after the first in a single course of treatment
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|||||||
| 3014 | Group A24 |
$52.25
$50.95
|
▲ FEE RISE | ||||
|
Item Number
3014
Schedule Fee
$52.25
was $50.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
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|||||||
| 3018 | Group A24 |
$222.40
$216.75
|
▲ FEE RISE | ||||
|
Item Number
3018
Schedule Fee
$222.40
was $216.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
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 specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
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|||||||
| 3023 | Group A24 |
$134.50
$131.10
|
▲ FEE RISE | ||||
|
Item Number
3023
Schedule Fee
$134.50
was $131.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
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 specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3028 applies) after the first in a single course of treatment
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|||||||
| 3028 | Group A24 |
$96.90
$94.45
|
▲ FEE RISE | ||||
|
Item Number
3028
Schedule Fee
$96.90
was $94.45
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
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 specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
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|
|||||||
| 3032 | Group A24 |
$168.95
$164.65
|
▲ FEE RISE | ||||
|
Item Number
3032
Schedule Fee
$168.95
was $164.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes
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|||||||
| 3040 | Group A24 |
$253.60
$247.15
|
▲ FEE RISE | ||||
|
Item Number
3040
Schedule Fee
$253.60
was $247.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes
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|||||||
| 3044 | Group A24 |
$337.80
$329.25
|
▲ FEE RISE | ||||
|
Item Number
3044
Schedule Fee
$337.80
was $329.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes
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|||||||
| 3051 | Group A24 |
$121.30
$118.25
|
▲ FEE RISE | ||||
|
Item Number
3051
Schedule Fee
$121.30
was $118.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes
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|||||||
| 3055 | Group A24 |
$193.55
$188.65
|
▲ FEE RISE | ||||
|
Item Number
3055
Schedule Fee
$193.55
was $188.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
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|||||||
| 3062 | Group A24 |
$265.75
$259.00
|
▲ FEE RISE | ||||
|
Item Number
3062
Schedule Fee
$265.75
was $259.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes
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|||||||
| 3069 | Group A24 |
$168.95
$164.65
|
▲ FEE RISE | ||||
|
Item Number
3069
Schedule Fee
$168.95
was $164.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3074 | Group A24 |
$253.60
$247.15
|
▲ FEE RISE | ||||
|
Item Number
3074
Schedule Fee
$253.60
was $247.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3078 | Group A24 |
$337.80
$329.25
|
▲ FEE RISE | ||||
|
Item Number
3078
Schedule Fee
$337.80
was $329.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3083 | Group A24 |
$121.30
$118.25
|
▲ FEE RISE | ||||
|
Item Number
3083
Schedule Fee
$121.30
was $118.25
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3088 | Group A24 |
$193.55
$188.65
|
▲ FEE RISE | ||||
|
Item Number
3088
Schedule Fee
$193.55
was $188.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 3093 | Group A24 |
$265.75
$259.00
|
▲ FEE RISE | ||||
|
Item Number
3093
Schedule Fee
$265.75
was $259.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A24
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2006
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)
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|||||||
| 4001 | Group A27 |
$91.65
$89.35
|
▲ FEE RISE | ||||
|
Item Number
4001
Schedule Fee
$91.65
was $89.35
Benefits
100%: $91.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A27
Type Codes
Item: S
Fee: N
Benefit: E
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 of at least 20 minutes in duration at consulting rooms by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a patient who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 81000, 81005 or 81010 applies in relation to that pregnancy
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|||||||
| 5000 | Group A22 · Subheading 1 |
$34.70
$33.80
|
▲ FEE RISE | ||||
|
Item Number
5000
Schedule Fee
$34.70
was $33.80
Benefits
100%: $34.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A22 · Sub 1
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner 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-each attendance
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|||||||
| 5001 | Group A21 |
$70.25
$68.45
|
▲ FEE RISE | ||||
|
Item Number
5001
Schedule Fee
$70.25
was $68.45
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision‑making of ordinary complexity
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|||||||
| 5004 | Group A21 |
$117.95
$114.95
|
▲ FEE RISE | ||||
|
Item Number
5004
Schedule Fee
$117.95
was $114.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of ordinary complexity
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|||||||
| 5011 | Group A21 |
$117.95
$114.95
|
▲ FEE RISE | ||||
|
Item Number
5011
Schedule Fee
$117.95
was $114.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of ordinary complexity
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|||||||
| 5012 | Group A21 |
$184.85
$180.15
|
▲ FEE RISE | ||||
|
Item Number
5012
Schedule Fee
$184.85
was $180.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||
| 5013 | Group A21 |
$232.55
$226.65
|
▲ FEE RISE | ||||
|
Item Number
5013
Schedule Fee
$232.55
was $226.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||
| 5014 | Group A21 |
$232.55
$226.65
|
▲ FEE RISE | ||||
|
Item Number
5014
Schedule Fee
$232.55
was $226.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||
| 5016 | Group A21 |
$312.05
$304.15
|
▲ FEE RISE | ||||
|
Item Number
5016
Schedule Fee
$312.05
was $304.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
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|||||||
| 5017 | Group A21 |
$359.80
$350.70
|
▲ FEE RISE | ||||
|
Item Number
5017
Schedule Fee
$359.80
was $350.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
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|||||||
| 5019 | Group A21 |
$359.80
$350.70
|
▲ FEE RISE | ||||
|
Item Number
5019
Schedule Fee
$359.80
was $350.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
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|||||||
| 5020 | Group A22 · Subheading 2 |
$58.65
$57.15
|
▲ FEE RISE | ||||
|
Item Number
5020
Schedule Fee
$58.65
was $57.15
Benefits
100%: $58.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A22 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2005
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and 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
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|||||||
| 5021 | Group A21 |
$52.65
$51.30
|
▲ FEE RISE | ||||
|
Item Number
5021
Schedule Fee
$52.65
was $51.30
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
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|||||||
| 5022 | Group A21 |
$88.45
$86.20
|
▲ FEE RISE | ||||
|
Item Number
5022
Schedule Fee
$88.45
was $86.20
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
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|||||||
| 5027 | Group A21 |
$88.45
$86.20
|
▲ FEE RISE | ||||
|
Item Number
5027
Schedule Fee
$88.45
was $86.20
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
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|||||||
| 5030 | Group A21 |
$138.55
$135.05
|
▲ FEE RISE | ||||
|
Item Number
5030
Schedule Fee
$138.55
was $135.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||
| 5031 | Group A21 |
$174.40
$170.00
|
▲ FEE RISE | ||||
|
Item Number
5031
Schedule Fee
$174.40
was $170.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||
| 5032 | Group A21 |
$174.40
$170.00
|
▲ FEE RISE | ||||
|
Item Number
5032
Schedule Fee
$174.40
was $170.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A21
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
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|||||||