Billing Codes — Australian Health Schedule Tracker

Showing 351–400 of 6047 Pg 8/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	10805	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 anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10805 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 anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) Sign in to watch this code → View full page → Get an email alert when this item changes
	10806	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 corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes and for whom a contact lens is prescribed as part of a telescopic system Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10806 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 corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes and for whom a contact lens is prescribed as part of a telescopic system Sign in to watch this code → View full page → Get an email alert when this item changes
	10807	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 for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity-whether congenital, traumatic or surgical in origin Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10807 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 for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity-whether congenital, traumatic or surgical in origin Sign in to watch this code → View full page → Get an email alert when this item changes
	10808	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 who, because of physical deformity, are unable to wear spectacles Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10808 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 who, because of physical deformity, are unable to wear spectacles Sign in to watch this code → View full page → Get an email alert when this item changes
	10809	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 a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10809 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 a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account Sign in to watch this code → View full page → Get an email alert when this item changes
	10816	Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, if the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months after the fitting of a contact lens to which items 10801 to 10809 apply Group A9	Category 1 — Professional Attendances	$147.85 $144.10	—	▲ FEE RISE
Item Number 10816 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: 19.06.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, if the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months after the fitting of a contact lens to which items 10801 to 10809 apply Sign in to watch this code → View full page → Get an email alert when this item changes
	10905	REFERRED COMPREHENSIVE INITIAL CONSULTATION Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has been referred by another optometrist who is not associated with the optometrist to whom the patient is referred Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10905 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description REFERRED COMPREHENSIVE INITIAL CONSULTATION Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has been referred by another optometrist who is not associated with the optometrist to whom the patient is referred Sign in to watch this code → View full page → Get an email alert when this item changes
	10907	Professional attendance of more than 15 minutes in duration, being the first in a course of attention if the patient has attended another optometrist for an attendance to which this item or item 10905, 10910, 10911, 10913, 10914 or 10915 applies: (a) for a patient who is less than 65 years of age-within the previous 36 months; or (b) for a patient who is at least 65 years or age-within the previous 12 months Group A10	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10907 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes in duration, being the first in a course of attention if the patient has attended another optometrist for an attendance to which this item or item 10905, 10910, 10911, 10913, 10914 or 10915 applies: (a) for a patient who is less than 65 years of age-within the previous 36 months; or (b) for a patient who is at least 65 years or age-within the previous 12 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10910	Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is less than 65 years of age; and (b) the patient has not, within the previous 36 months, received a service to which this item or item 10905, 10907, 10913, 10914 or 10915 applies Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10910 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.01.2015 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is less than 65 years of age; and (b) the patient has not, within the previous 36 months, received a service to which this item or item 10905, 10907, 10913, 10914 or 10915 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10911	Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is at least 65 years of age; and (b) the patient has not, within the previous 12 months, received a service to which this item, or item 10905, 10907, 10910, 10913, 10914 or 10915 applies Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10911 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.01.2015 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is at least 65 years of age; and (b) the patient has not, within the previous 12 months, received a service to which this item, or item 10905, 10907, 10910, 10913, 10914 or 10915 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10913	Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has suffered a significant change of visual function or has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment:(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10914 or 10915 applies; or(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10911, 10914 or 10915 applies Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10913 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has suffered a significant change of visual function or has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment:(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10914 or 10915 applies; or(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item, or item 10905, 10907, 10910, 10911, 10914 or 10915 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10914	Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment:(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item or item 10905, 10907, 10910, 10913 or 10915 applies; or(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item or item 10905, 10907, 10910, 10911, 10913 or 10915 applies Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10914 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment:(a) for a patient who is less than 65 years of age—within 36 months of an initial consultation to which this item or item 10905, 10907, 10910, 10913 or 10915 applies; or(b) for a patient who is at least 65 years of age—within 12 months of an initial consultation to which this item or item 10905, 10907, 10910, 10911, 10913 or 10915 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10915	Professional attendance of more than 15 minutes duration, being the first in a course of attention involving the examination of the eyes, with the instillation of a mydriatic, of a patient with diabetes mellitus requiring comprehensive reassessment. Group A10	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10915 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance of more than 15 minutes duration, being the first in a course of attention involving the examination of the eyes, with the instillation of a mydriatic, of a patient with diabetes mellitus requiring comprehensive reassessment. Sign in to watch this code → View full page → Get an email alert when this item changes
	10916	Professional attendance, being the first in a course of attention, of not more than 15 minutes in duration (other than a service associated with a service to which item 10938, 10939, 10940, 10941, 10942 or 10943 applies) Group A10	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10916 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance, being the first in a course of attention, of not more than 15 minutes in duration (other than a service associated with a service to which item 10938, 10939, 10940, 10941, 10942 or 10943 applies) Sign in to watch this code → View full page → Get an email alert when this item changes
	10918	Professional attendance, being the second or subsequent in a course of attention and being unrelated to the prescription and fitting of contact lenses (other than a service associated with a service to which item 10938, 10939, 10940 or 10941 applies) Group A10	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10918 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance, being the second or subsequent in a course of attention and being unrelated to the prescription and fitting of contact lenses (other than a service associated with a service to which item 10938, 10939, 10940 or 10941 applies) Sign in to watch this code → View full page → Get an email alert when this item changes
	10921	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses for optical correction, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesFor patients with any of the following:(a) myopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye; (b) manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye; (c) astigmatism of 3.0 dioptres or greater in at least one eye; (d) anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)Applicable once for each condition in a period of 36 months Group A10	Category 1 — Professional Attendances	$198.50 $193.45	—	▲ FEE RISE
Item Number 10921 Schedule Fee $198.50 was $193.45 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses for optical correction, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesFor patients with any of the following:(a) myopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye; (b) manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in at least one eye; (c) astigmatism of 3.0 dioptres or greater in at least one eye; (d) anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)Applicable once for each condition in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10924	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, topographic or quantitative corneal morphology if:(a) the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12); and(b) if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens;being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Group A10	Category 1 — Professional Attendances	$250.40 $244.05	—	▲ FEE RISE
Item Number 10924 Schedule Fee $250.40 was $244.05 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, topographic or quantitative corneal morphology if:(a) the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12); and(b) if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens;being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10926	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Group A10	Category 1 — Professional Attendances	$198.50 $193.45	—	▲ FEE RISE
Item Number 10926 Schedule Fee $198.50 was $193.45 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10927	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by any of the following:(a) pathological mydriasis;(b) aniridia;(c) coloboma of the iris;(d) pupillary malformation or distortion;(e) significant ocular deformity; or(f) corneal opacity;whether congenital, traumatic or surgical in origin being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Group A10	Category 1 — Professional Attendances	$250.40 $244.05	—	▲ FEE RISE
Item Number 10927 Schedule Fee $250.40 was $244.05 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by any of the following:(a) pathological mydriasis;(b) aniridia;(c) coloboma of the iris;(d) pupillary malformation or distortion;(e) significant ocular deformity; or(f) corneal opacity;whether congenital, traumatic or surgical in origin being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10928	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients who, because of physical deformity, are unable to wear spectacles, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Group A10	Category 1 — Professional Attendances	$198.50 $193.45	—	▲ FEE RISE
Item Number 10928 Schedule Fee $198.50 was $193.45 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients who, because of physical deformity, are unable to wear spectacles, being a course of attention for which the first attendance is a service to which item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 appliesApplicable once in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10929	All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account, being a course of attention for which the first attendance is a service to which:(a) item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies; and(b) the contact lenses are not required for appearance, sporting, work or psychological reasons.Applicable once in a period of 36 months Group A10	Category 1 — Professional Attendances	$250.40 $244.05	—	▲ FEE RISE
Item Number 10929 Schedule Fee $250.40 was $244.05 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, for patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account, being a course of attention for which the first attendance is a service to which:(a) item 10905, 10907, 10910, 10911, 10913, 10914, 10915 or 10916 applies; and(b) the contact lenses are not required for appearance, sporting, work or psychological reasons.Applicable once in a period of 36 months Sign in to watch this code → View full page → Get an email alert when this item changes
	10930	All professional attendances regarded as a single service in a single course of attention involving the prescription and fitting of contact lenses where the patient meets the requirements of an item in the range 10921-10929 and requires a change in contact lens material or basic lens parameters, other than a simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens covered by item 10921 to 10929 Group A10	Category 1 — Professional Attendances	$198.50 $193.45	—	▲ FEE RISE
Item Number 10930 Schedule Fee $198.50 was $193.45 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.1997 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description All professional attendances regarded as a single service in a single course of attention involving the prescription and fitting of contact lenses where the patient meets the requirements of an item in the range 10921-10929 and requires a change in contact lens material or basic lens parameters, other than a simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens covered by item 10921 to 10929 Sign in to watch this code → View full page → Get an email alert when this item changes
	10931	A flag fall service to which an item in Subgroup 1 of Group A10 applies (other than this item), if the service:(a) is provided: (i) during a home visit to a person; or (ii) in a residential aged care facility; or (iii) in an institution; and(b) is provided to one or more patients at a single location on a single occasion; and(c) is: (i) bulk billed for the fees for this item and another item applying to the service; or (ii) not bulk billed for the fees for this item and another item applying to the serviceApplicable once per occasion a service is provided under paragraph (a) for each distinct location Group A10	Category 1 — Professional Attendances	$45.95 $44.80	—	▲ FEE RISE
Item Number 10931 Schedule Fee $45.95 was $44.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description A flag fall service to which an item in Subgroup 1 of Group A10 applies (other than this item), if the service:(a) is provided: (i) during a home visit to a person; or (ii) in a residential aged care facility; or (iii) in an institution; and(b) is provided to one or more patients at a single location on a single occasion; and(c) is: (i) bulk billed for the fees for this item and another item applying to the service; or (ii) not bulk billed for the fees for this item and another item applying to the serviceApplicable once per occasion a service is provided under paragraph (a) for each distinct location Sign in to watch this code → View full page → Get an email alert when this item changes
	10938	Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that: (a) is not a service involving multifocal multichannel objective perimetry; (b) is performed by an optometrist; and (c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 months other than a service associated with a service to which item 10916 or 10918 appliesApplicable once per patient (including any service to which item 10939 applies) in a 12-month period Group A10	Category 1 — Professional Attendances	$76.25 $74.30	—	▲ FEE RISE
Item Number 10938 Schedule Fee $76.25 was $74.30 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.03.2025 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that: (a) is not a service involving multifocal multichannel objective perimetry; (b) is performed by an optometrist; and (c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 months other than a service associated with a service to which item 10916 or 10918 appliesApplicable once per patient (including any service to which item 10939 applies) in a 12-month period Sign in to watch this code → View full page → Get an email alert when this item changes
	10939	Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that: (a) is not a service involving multifocal multichannel objective perimetry; and (b) is performed by an optometrist (c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 monthsother than a service associated with a service to which item 10916 or 10918 appliesApplicable once per patient (including any service to which item 10938 applies) in a 12-month period Group A10	Category 1 — Professional Attendances	$46.00 $44.85	—	▲ FEE RISE
Item Number 10939 Schedule Fee $46.00 was $44.85 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.03.2025 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where indicated by the presence of glaucoma with a high risk of clinically significant progression that: (a) is not a service involving multifocal multichannel objective perimetry; and (b) is performed by an optometrist (c) is performed on a patient who has received two perimetry services to which item 10940 or 10941 applies in the previous 12 monthsother than a service associated with a service to which item 10916 or 10918 appliesApplicable once per patient (including any service to which item 10938 applies) in a 12-month period Sign in to watch this code → View full page → Get an email alert when this item changes
	10940	Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:(a) is not a service involving multifocal multichannel objective perimetry; and(b) is performed by an optometrist; (c) the patient has received fewer than two perimetry services to which this item or item 10941 applies in a 12-month period other than a service associated with a service to which item 10916 or 10918 applies Group A10	Category 1 — Professional Attendances	$76.25 $74.30	—	▲ FEE RISE
Item Number 10940 Schedule Fee $76.25 was $74.30 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:(a) is not a service involving multifocal multichannel objective perimetry; and(b) is performed by an optometrist; (c) the patient has received fewer than two perimetry services to which this item or item 10941 applies in a 12-month period other than a service associated with a service to which item 10916 or 10918 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10941	Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:(a) is not a service involving multifocal multichannel objective perimetry; and(b) is performed by an optometrist;(c) the patient has received fewer than two perimetry services to which this item or item 10940 applies in a 12-month period other than a service associated with a service to which item 10916 or 10918 applies Group A10	Category 1 — Professional Attendances	$46.00 $44.85	—	▲ FEE RISE
Item Number 10941 Schedule Fee $46.00 was $44.85 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that:(a) is not a service involving multifocal multichannel objective perimetry; and(b) is performed by an optometrist;(c) the patient has received fewer than two perimetry services to which this item or item 10940 applies in a 12-month period other than a service associated with a service to which item 10916 or 10918 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10942	Testing of residual vision to provide optimum visual performance for a patient who has best corrected visual acuity of 6/15 or N12 or worse at 40cm in the better eye or a horizontal visual field of less than 110 degrees and within 10 degrees above and below the horizontal midline, involving one or more of the following:(a) spectacle correction;(b) determination of contrast sensitivity;(c) determination of glare sensitivity;(d) prescription of magnification aids;other than a service associated with a service to which item 10916, 10921, 10924, 10926, 10927, 10928, 10929 or 10930 appliesApplicable twice per patient in a 12-month period Group A10	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10942 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.05.2005 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Testing of residual vision to provide optimum visual performance for a patient who has best corrected visual acuity of 6/15 or N12 or worse at 40cm in the better eye or a horizontal visual field of less than 110 degrees and within 10 degrees above and below the horizontal midline, involving one or more of the following:(a) spectacle correction;(b) determination of contrast sensitivity;(c) determination of glare sensitivity;(d) prescription of magnification aids;other than a service associated with a service to which item 10916, 10921, 10924, 10926, 10927, 10928, 10929 or 10930 appliesApplicable twice per patient in a 12-month period Sign in to watch this code → View full page → Get an email alert when this item changes
	10943	Additional testing to confirm diagnosis of, or establish a treatment regime for, a significant binocular or accommodative dysfunction, in a patient aged 3 to 14 years, where the service:(a) includes assessment of one or more of the following: (i) accommodation; (ii) ocular motility; (iii) vergences; (iv) fusional reserves; (v) cycloplegic refraction; and(b) is not performed for the assessment of learning difficulties or learning disabilities;other than a service to which item 10916, 10921, 10924, 10926, 10927, 10928, 10929 or 10930 appliesApplicable once per patient in a 12-month period Group A10	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10943 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Additional testing to confirm diagnosis of, or establish a treatment regime for, a significant binocular or accommodative dysfunction, in a patient aged 3 to 14 years, where the service:(a) includes assessment of one or more of the following: (i) accommodation; (ii) ocular motility; (iii) vergences; (iv) fusional reserves; (v) cycloplegic refraction; and(b) is not performed for the assessment of learning difficulties or learning disabilities;other than a service to which item 10916, 10921, 10924, 10926, 10927, 10928, 10929 or 10930 appliesApplicable once per patient in a 12-month period Sign in to watch this code → View full page → Get an email alert when this item changes
	10944	Complete removal of embedded foreign body (including a rust ring, if present) from the cornea—not more than once on the same day by the same optometrist (excluding after care). Only claimable when either fully removed, or if the patient is referred to an Ophthalmologist or other appropriately qualified practitioner for further assessment and management after second attendance results in partial removalOther than a service associated with a service to which items 10905, 10907, 10910, 10911, 10913, 10914, 10915, 10916 or 10918 applies Group A10	Category 1 — Professional Attendances	$86.35 $84.15	—	▲ FEE RISE
Item Number 10944 Schedule Fee $86.35 was $84.15 Category Category 1 — Professional Attendances Group / Subheading Group A10 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.09.2015 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Complete removal of embedded foreign body (including a rust ring, if present) from the cornea—not more than once on the same day by the same optometrist (excluding after care). Only claimable when either fully removed, or if the patient is referred to an Ophthalmologist or other appropriately qualified practitioner for further assessment and management after second attendance results in partial removalOther than a service associated with a service to which items 10905, 10907, 10910, 10911, 10913, 10914, 10915, 10916 or 10918 applies Sign in to watch this code → View full page → Get an email alert when this item changes
	10945	A professional attendance of less than 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and (b) is not an admitted patient Group A10 · Subheading 1	Category 1 — Professional Attendances	$40.00 $39.00	—	▲ FEE RISE
Item Number 10945 Schedule Fee $40.00 was $39.00 Category Category 1 — Professional Attendances Group / Subheading Group A10 · Sub 1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.09.2015 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description A professional attendance of less than 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and (b) is not an admitted patient Sign in to watch this code → View full page → Get an email alert when this item changes
	10946	A professional attendance of at least 15 minutes (whether or not continuous) by an optometrist providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist practising in the speciality of ophthalmology; and (b) is not an admitted patient Group A10 · Subheading 1	Category 1 — Professional Attendances	$79.80 $77.80	—	▲ FEE RISE
Item Number 10946 Schedule Fee $79.80 was $77.80 Category Category 1 — Professional Attendances Group / Subheading Group A10 · Sub 1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.09.2015 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description A professional attendance of at least 15 minutes (whether or not continuous) by an optometrist providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist practising in the speciality of ophthalmology; and (b) is not an admitted patient Sign in to watch this code → View full page → Get an email alert when this item changes
	10950	Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10950 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10951	Diabetes education health service provided to a patient by an eligible diabetes educator if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10951 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Diabetes education health service provided to a patient by an eligible diabetes educator if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10952	Audiology health service provided to a patient by an eligible audiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10952 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Audiology health service provided to a patient by an eligible audiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10953	Exercise physiology health service provided to a patient by an eligible exercise physiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10953 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.01.2006 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Exercise physiology health service provided to a patient by an eligible exercise physiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10954	Dietetics health service provided to a patient by an eligible dietitian if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10954 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Dietetics health service provided to a patient by an eligible dietitian if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10955	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies) Group M3	Category 8 — Miscellaneous	$58.50 $57.00	—	▲ FEE RISE
Item Number 10955 Schedule Fee $58.50 was $57.00 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies) Sign in to watch this code → View full page → Get an email alert when this item changes
	10956	Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10956 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10957	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies) Group M3	Category 8 — Miscellaneous	$100.30 $97.75	—	▲ FEE RISE
Item Number 10957 Schedule Fee $100.30 was $97.75 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies) Sign in to watch this code → View full page → Get an email alert when this item changes
	10958	Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10958 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10959	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies) Group M3	Category 8 — Miscellaneous	$166.85 $162.60	—	▲ FEE RISE
Item Number 10959 Schedule Fee $166.85 was $162.60 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies) Sign in to watch this code → View full page → Get an email alert when this item changes
	10960	Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10960 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10962	Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10962 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10964	Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10964 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10966	Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10966 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10968	Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10968 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10970	Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55 $72.65	—	▲ FEE RISE
Item Number 10970 Schedule Fee $74.55 was $72.65 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → View full page → Get an email alert when this item changes
	10983	Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient Group M12	Category 8 — Miscellaneous	$38.85 $37.85	$38.85	▲ FEE RISE
Item Number 10983 Schedule Fee $38.85 was $37.85 Benefits 100%: $38.85 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2011 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient Sign in to watch this code → View full page → Get an email alert when this item changes
	10987	Follow‑up service, to a maximum of 10 services per patient in a calendar year, provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the service is consistent with the needs identified through the health assessment. Group M12	Category 8 — Miscellaneous	$28.70 $27.95	$28.70	▲ FEE RISE
Item Number 10987 Schedule Fee $28.70 was $27.95 Benefits 100%: $28.70 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.11.2008 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Follow‑up service, to a maximum of 10 services per patient in a calendar year, provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the service is consistent with the needs identified through the health assessment. Sign in to watch this code → View full page → Get an email alert when this item changes

10805 $147.85