Billing Codes — Australian Health Schedule Tracker

Showing 301–350 of 6047 Pg 7/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	5033	Professional attendance, on a patient 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 high complexity Group A21	Category 1 — Professional Attendances	$234.05 $228.10	—	▲ FEE RISE
Item Number 5033 Schedule Fee $234.05 was $228.10 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 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 high complexity Sign in to watch this code → View full page → Get an email alert when this item changes
	5035	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 high complexity Group A21	Category 1 — Professional Attendances	$269.90 $263.05	—	▲ FEE RISE
Item Number 5035 Schedule Fee $269.90 was $263.05 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 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 high complexity Sign in to watch this code → View full page → Get an email alert when this item changes
	5036	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 high complexity Group A21	Category 1 — Professional Attendances	$269.90 $263.05	—	▲ FEE RISE
Item Number 5036 Schedule Fee $269.90 was $263.05 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 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 high complexity Sign in to watch this code → View full page → Get an email alert when this item changes
	5039	Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 Group A21	Category 1 — Professional Attendances	$170.50 $166.20	—	▲ FEE RISE
Item Number 5039 Schedule Fee $170.50 was $166.20 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 at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 Sign in to watch this code → View full page → Get an email alert when this item changes
	5040	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), 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-each attendance Group A22 · Subheading 3	Category 1 — Professional Attendances	$100.55 $98.00	$100.55	▲ FEE RISE
Item Number 5040 Schedule Fee $100.55 was $98.00 Benefits 100%: $100.55 Category Category 1 — Professional Attendances Group / Subheading Group A22 · Sub 3 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 the table applies), 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-each attendance Sign in to watch this code → View full page → Get an email alert when this item changes
	5041	Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes Group A21	Category 1 — Professional Attendances	$320.55 $312.45	—	▲ FEE RISE
Item Number 5041 Schedule Fee $320.55 was $312.45 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 at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes Sign in to watch this code → View full page → Get an email alert when this item changes
	5042	Professional attendance 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 Group A21	Category 1 — Professional Attendances	$127.95 $124.70	—	▲ FEE RISE
Item Number 5042 Schedule Fee $127.95 was $124.70 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 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 Sign in to watch this code → View full page → Get an email alert when this item changes
	5044	Professional attendance 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes Group A21	Category 1 — Professional Attendances	$240.45 $234.35	—	▲ FEE RISE
Item Number 5044 Schedule Fee $240.45 was $234.35 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 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes Sign in to watch this code → View full page → Get an email alert when this item changes
	5060	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), 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-each attendance Group A22 · Subheading 4	Category 1 — Professional Attendances	$140.95 $137.40	$140.95	▲ FEE RISE
Item Number 5060 Schedule Fee $140.95 was $137.40 Benefits 100%: $140.95 Category Category 1 — Professional Attendances Group / Subheading Group A22 · Sub 4 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 the table applies), 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-each attendance Sign in to watch this code → View full page → Get an email alert when this item changes
	5071	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 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 Group A22	Category 1 — Professional Attendances	$239.45 $233.40	$239.45	▲ FEE RISE
Item Number 5071 Schedule Fee $239.45 was $233.40 Benefits 100%: $239.45 Category Category 1 — Professional Attendances Group / Subheading Group A22 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.11.2023 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 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 Sign in to watch this code → View full page → Get an email alert when this item changes
	6007	Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital Group A26	Category 1 — Professional Attendances	$157.40 $153.40	—	▲ FEE RISE
Item Number 6007 Schedule Fee $157.40 was $153.40 Category Category 1 — Professional Attendances Group / Subheading Group A26 Type Codes Item: S Fee: N Benefit: C 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 by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital Sign in to watch this code → View full page → Get an email alert when this item changes
	6009	Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital Group A26	Category 1 — Professional Attendances	$52.25 $50.95	—	▲ FEE RISE
Item Number 6009 Schedule Fee $52.25 was $50.95 Category Category 1 — Professional Attendances Group / Subheading Group A26 Type Codes Item: S Fee: N Benefit: C 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 by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital Sign in to watch this code → View full page → Get an email alert when this item changes
	6011	Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital Group A26	Category 1 — Professional Attendances	$103.95 $101.30	—	▲ FEE RISE
Item Number 6011 Schedule Fee $103.95 was $101.30 Category Category 1 — Professional Attendances Group / Subheading Group A26 Type Codes Item: S Fee: N Benefit: C 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 by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital Sign in to watch this code → View full page → Get an email alert when this item changes
	6013	Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital Group A26	Category 1 — Professional Attendances	$144.00 $140.35	—	▲ FEE RISE
Item Number 6013 Schedule Fee $144.00 was $140.35 Category Category 1 — Professional Attendances Group / Subheading Group A26 Type Codes Item: S Fee: N Benefit: C 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 by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital Sign in to watch this code → View full page → Get an email alert when this item changes
	6015	Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital Group A26	Category 1 — Professional Attendances	$183.35 $178.70	—	▲ FEE RISE
Item Number 6015 Schedule Fee $183.35 was $178.70 Category Category 1 — Professional Attendances Group / Subheading Group A26 Type Codes Item: S Fee: N Benefit: C 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 by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital Sign in to watch this code → View full page → Get an email alert when this item changes
	6018	Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided Group A31	Category 1 — Professional Attendances	$183.35 $178.70	—	▲ FEE RISE
Item Number 6018 Schedule Fee $183.35 was $178.70 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided Sign in to watch this code → View full page → Get an email alert when this item changes
	6019	Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment Group A31	Category 1 — Professional Attendances	$91.70 $89.40	—	▲ FEE RISE
Item Number 6019 Schedule Fee $91.70 was $89.40 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment Sign in to watch this code → View full page → Get an email alert when this item changes
	6023	Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same addiction medicine specialist in the preceding 12 months Group A31	Category 1 — Professional Attendances	$320.55 $312.45	—	▲ FEE RISE
Item Number 6023 Schedule Fee $320.55 was $312.45 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same addiction medicine specialist in the preceding 12 months Sign in to watch this code → View full page → Get an email alert when this item changes
	6024	Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which item 6023 applies was provided to the patient by the same addiction medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same addiction medicine specialist or a locum tenens in any 12 month period Group A31	Category 1 — Professional Attendances	$160.50 $156.45	—	▲ FEE RISE
Item Number 6024 Schedule Fee $160.50 was $156.45 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which item 6023 applies was provided to the patient by the same addiction medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same addiction medicine specialist or a locum tenens in any 12 month period Sign in to watch this code → View full page → Get an email alert when this item changes
	6028	Group therapy (including any associated consultation 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, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist's specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient Group A31	Category 1 — Professional Attendances	$59.85 $58.35	—	▲ FEE RISE
Item Number 6028 Schedule Fee $59.85 was $58.35 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Group therapy (including any associated consultation 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, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist's specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient Sign in to watch this code → View full page → Get an email alert when this item changes
	6029	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$51.85 $50.55	—	▲ FEE RISE
Item Number 6029 Schedule Fee $51.85 was $50.55 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6031	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$91.70 $89.40	—	▲ FEE RISE
Item Number 6031 Schedule Fee $91.70 was $89.40 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6032	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$137.70 $134.20	—	▲ FEE RISE
Item Number 6032 Schedule Fee $137.70 was $134.20 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6034	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$183.35 $178.70	—	▲ FEE RISE
Item Number 6034 Schedule Fee $183.35 was $178.70 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6035	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$41.50 $40.45	—	▲ FEE RISE
Item Number 6035 Schedule Fee $41.50 was $40.45 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6037	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$73.40 $71.55	—	▲ FEE RISE
Item Number 6037 Schedule Fee $73.40 was $71.55 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6038	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$110.10 $107.30	—	▲ FEE RISE
Item Number 6038 Schedule Fee $110.10 was $107.30 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6042	Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team Group A31	Category 1 — Professional Attendances	$146.60 $142.90	—	▲ FEE RISE
Item Number 6042 Schedule Fee $146.60 was $142.90 Category Category 1 — Professional Attendances Group / Subheading Group A31 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6051	Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided Group A32	Category 1 — Professional Attendances	$183.35 $178.70	—	▲ FEE RISE
Item Number 6051 Schedule Fee $183.35 was $178.70 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided Sign in to watch this code → View full page → Get an email alert when this item changes
	6052	Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment Group A32	Category 1 — Professional Attendances	$91.70 $89.40	—	▲ FEE RISE
Item Number 6052 Schedule Fee $91.70 was $89.40 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment Sign in to watch this code → View full page → Get an email alert when this item changes
	6057	Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same sexual health medicine specialist in the preceding 12 months Group A32	Category 1 — Professional Attendances	$320.55 $312.45	—	▲ FEE RISE
Item Number 6057 Schedule Fee $320.55 was $312.45 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same sexual health medicine specialist in the preceding 12 months Sign in to watch this code → View full page → Get an email alert when this item changes
	6058	Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which item 6057 applies was provided to the patient by the same sexual health medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same sexual health medicine specialist or a locum tenens in any 12 month period Group A32	Category 1 — Professional Attendances	$160.50 $156.45	—	▲ FEE RISE
Item Number 6058 Schedule Fee $160.50 was $156.45 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which item 6057 applies was provided to the patient by the same sexual health medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same sexual health medicine specialist or a locum tenens in any 12 month period Sign in to watch this code → View full page → Get an email alert when this item changes
	6062	Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-initial attendance in a single course of treatment Group A32	Category 1 — Professional Attendances	$222.40 $216.75	—	▲ FEE RISE
Item Number 6062 Schedule Fee $222.40 was $216.75 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-initial attendance in a single course of treatment Sign in to watch this code → View full page → Get an email alert when this item changes
	6063	Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-each attendance after the attendance under item 6062 in a single course of treatment Group A32	Category 1 — Professional Attendances	$134.50 $131.10	—	▲ FEE RISE
Item Number 6063 Schedule Fee $134.50 was $131.10 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-each attendance after the attendance under item 6062 in a single course of treatment Sign in to watch this code → View full page → Get an email alert when this item changes
	6064	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$51.85 $50.55	—	▲ FEE RISE
Item Number 6064 Schedule Fee $51.85 was $50.55 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6065	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$91.70 $89.40	—	▲ FEE RISE
Item Number 6065 Schedule Fee $91.70 was $89.40 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6067	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$137.70 $134.20	—	▲ FEE RISE
Item Number 6067 Schedule Fee $137.70 was $134.20 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6068	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$183.35 $178.70	—	▲ FEE RISE
Item Number 6068 Schedule Fee $183.35 was $178.70 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6071	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$41.50 $40.45	—	▲ FEE RISE
Item Number 6071 Schedule Fee $41.50 was $40.45 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6072	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$73.40 $71.55	—	▲ FEE RISE
Item Number 6072 Schedule Fee $73.40 was $71.55 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6074	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$110.10 $107.30	—	▲ FEE RISE
Item Number 6074 Schedule Fee $110.10 was $107.30 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6075	Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team Group A32	Category 1 — Professional Attendances	$146.60 $142.90	—	▲ FEE RISE
Item Number 6075 Schedule Fee $146.60 was $142.90 Category Category 1 — Professional Attendances Group / Subheading Group A32 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team Sign in to watch this code → View full page → Get an email alert when this item changes
	6080	Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.) Group A33	Category 1 — Professional Attendances	$60.95 $59.40	—	▲ FEE RISE
Item Number 6080 Schedule Fee $60.95 was $59.40 Category Category 1 — Professional Attendances Group / Subheading Group A33 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2017 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.) Sign in to watch this code → View full page → Get an email alert when this item changes
	6081	Attendance at a TAVI Case Conference by a specialist or consultant physician who does not also perform the service described in item 6080 for the same case conference where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than twice per patient in a five year period.) Group A33	Category 1 — Professional Attendances	$45.45 $44.30	—	▲ FEE RISE
Item Number 6081 Schedule Fee $45.45 was $44.30 Category Category 1 — Professional Attendances Group / Subheading Group A33 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2017 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance at a TAVI Case Conference by a specialist or consultant physician who does not also perform the service described in item 6080 for the same case conference where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than twice per patient in a five year period.) Sign in to watch this code → View full page → Get an email alert when this item changes
	6082	Attendance at a TMVr suitability case conference, by a cardiothoracic surgeon or an interventional cardiologist, to coordinate the conference, if: (a) the attendance lasts at least 10 minutes; and (b) the surgeon or cardiologist is accredited by the TMVr accreditation committee to perform the service Applicable once each 5 years Group A33	Category 1 — Professional Attendances	$60.95 $59.40	—	▲ FEE RISE
Item Number 6082 Schedule Fee $60.95 was $59.40 Category Category 1 — Professional Attendances Group / Subheading Group A33 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance at a TMVr suitability case conference, by a cardiothoracic surgeon or an interventional cardiologist, to coordinate the conference, if: (a) the attendance lasts at least 10 minutes; and (b) the surgeon or cardiologist is accredited by the TMVr accreditation committee to perform the service Applicable once each 5 years Sign in to watch this code → View full page → Get an email alert when this item changes
	6084	Attendance at a TMVr suitability case conference, by a specialist or consultant physician, other than to coordinate the conference, if the attendance lasts at least 10 minutes Applicable once each 5 years Group A33	Category 1 — Professional Attendances	$45.45 $44.30	—	▲ FEE RISE
Item Number 6084 Schedule Fee $45.45 was $44.30 Category Category 1 — Professional Attendances Group / Subheading Group A33 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance at a TMVr suitability case conference, by a specialist or consultant physician, other than to coordinate the conference, if the attendance lasts at least 10 minutes Applicable once each 5 years Sign in to watch this code → View full page → Get an email alert when this item changes
	10801	Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with myopia of 5.0 dioptres or greater (spherical equivalent) in one eye Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10801 Schedule Fee $147.85 was $144.10 Category Category 1 — Professional Attendances Group / Subheading Group A9 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with myopia of 5.0 dioptres or greater (spherical equivalent) in one eye Sign in to watch this code → View full page → Get an email alert when this item changes
	10802	Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in one eye Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10802 Schedule Fee $147.85 was $144.10 Category Category 1 — Professional Attendances Group / Subheading Group A9 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in one eye Sign in to watch this code → View full page → Get an email alert when this item changes
	10803	Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with astigmatism of 3.0 dioptres or greater in one eye Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10803 Schedule Fee $147.85 was $144.10 Category Category 1 — Professional Attendances Group / Subheading Group A9 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with astigmatism of 3.0 dioptres or greater in one eye Sign in to watch this code → View full page → Get an email alert when this item changes
	10804	Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10804 Schedule Fee $147.85 was $144.10 Category Category 1 — Professional Attendances Group / Subheading Group A9 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens Sign in to watch this code → View full page → Get an email alert when this item changes

5033 $234.05

Professional attendance, on a patient 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 high complexity

Category 1 — Professional Attendances

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01.07.2026

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Category 1 — Professional Attendances

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5035 $269.90

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 high complexity

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

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5036 $269.90

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 high complexity

Category 1 — Professional Attendances

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01.07.2026

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Category 1 — Professional Attendances

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5039 $170.50

Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

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5040 $100.55

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), 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-each attendance

Category 1 — Professional Attendances

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100% Benefit

$100.55

Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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5041 $320.55

Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes

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5042 $127.95

Professional attendance 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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5044 $240.45

Professional attendance 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance 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) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes

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5060 $140.95

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), 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-each attendance

Category 1 — Professional Attendances

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100% Benefit

$140.95

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

View full page →

5071 $239.45

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 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

Category 1 — Professional Attendances

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100% Benefit

$239.45

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

View full page →

6007 $157.40

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6009 $52.25

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6011 $103.95

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6013 $144.00

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital

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6015 $183.35

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital

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6018 $183.35

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6019 $91.70

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment

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6023 $320.55

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same addiction medicine specialist in the preceding 12 months

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6024 $160.50

Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same addiction medicine specialist; and (d) a service to which item 6023 applies was provided to the patient by the same addiction medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same addiction medicine specialist or a locum tenens in any 12 month period

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

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6028 $59.85

Group therapy (including any associated consultation 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, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist's specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6029 $51.85

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6031 $91.70

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

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6032 $137.70

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

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6034 $183.35

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team

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6035 $41.50

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team

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6037 $73.40

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team

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6038 $110.10

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team

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6042 $146.60

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team

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6051 $183.35

Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6052 $91.70

Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment

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6057 $320.55

Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which this item or item 132 applies has not been provided to the patient by the same sexual health medicine specialist in the preceding 12 months

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6058 $160.50

Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91825, 92422, 92423, 92440 or 92443 applies did not take place on the same day by the same sexual health medicine specialist; and (d) a service to which item 6057 applies was provided to the patient by the same sexual health medicine specialist or a locum tenens in the preceding 12 months; and (e) not more than 2 services to which this item applies have been provided to the patient by the same sexual health medicine specialist or a locum tenens in any 12 month period

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

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6062 $222.40

Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-initial attendance in a single course of treatment

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6063 $134.50

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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6064 $51.85

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

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Fee From

01.07.2026

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Category 1 — Professional Attendances

Description

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6065 $91.70

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team

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6067 $137.70

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team

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6068 $183.35

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team

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6071 $41.50

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team

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6072 $73.40

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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, with the multidisciplinary case conference team

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6074 $110.10

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, 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 the multidisciplinary case conference team

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6075 $146.60

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team

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6080 $60.95

Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.)

Category 1 — Professional Attendances

▲

Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.)

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6081 $45.45

Attendance at a TAVI Case Conference by a specialist or consultant physician who does not also perform the service described in item 6080 for the same case conference where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than twice per patient in a five year period.)

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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6082 $60.95

Attendance at a TMVr suitability case conference, by a cardiothoracic surgeon or an interventional cardiologist, to coordinate the conference, if: (a) the attendance lasts at least 10 minutes; and (b) the surgeon or cardiologist is accredited by the TMVr accreditation committee to perform the service Applicable once each 5 years

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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6084 $45.45

Attendance at a TMVr suitability case conference, by a specialist or consultant physician, other than to coordinate the conference, if the attendance lasts at least 10 minutes Applicable once each 5 years

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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10801 $147.85

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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10802 $147.85

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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10803 $147.85

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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10804 $147.85

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens

Category 1 — Professional Attendances

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Fee From

01.07.2026

Category

Category 1 — Professional Attendances

Description

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