Group A15: GP chronic condition management plans, multidisciplinary care plans and case conferences
43 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 729GP contribution to or review of a multidisciplinary care plan prepared by another provider, excluding services related to specific chronic disease management items. | $84.25 | — | $84.25 (100%) |
| 731GP contribution to multidisciplinary care planning or review for residential aged care residents or hospital discharge planning by the facility or other provider. | $84.25 | — | $84.25 (100%) |
| 735GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 15–19 minutes to organise and coordinate care. | $84.65 | $63.50 | $84.65 (100%) |
| 739GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–40 minutes to organise and coordinate care. | $144.70 | $108.55 | $144.70 (100%) |
| 743GP participation in a multidisciplinary case conference (community, aged care facility, or discharge) lasting at least 40 minutes to organise and coordinate care. | $241.25 | $180.95 | $241.25 (100%) |
| 747GP participation in a multidisciplinary case conference (community, aged care facility, or discharge) lasting 15–19 minutes. | $62.20 | $46.65 | $62.20 (100%) |
| 750GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–39 minutes as a team member. | $106.60 | $79.95 | $106.60 (100%) |
| 758GP participation in a multidisciplinary case conference (community, aged care, or discharge) lasting at least 40 minutes, excluding conferences linked to specified alternative items. | $177.35 | $133.05 | $177.35 (100%) |
| 820Consultant physician participation in organising and coordinating a multidisciplinary community case conference of 15-29 minutes with at least 3 other formal care providers from different disciplines. | $168.95 | $126.75 | $143.65 (85%) |
| 822Consultant physician participates in a multidisciplinary case conference (30–45 minutes) with at least 3 other care providers from different disciplines to organise and coordinate community care. | $253.60 | $190.20 | $215.60 (85%) |
| 823Consultant physician leads and coordinates a multidisciplinary case conference of at least 45 minutes with at least 3 other formal care providers from different disciplines to organise coordinated community care. | $337.80 | $253.35 | $287.15 (85%) |
| 825Consultant physician attends a community multidisciplinary case conference as a team member with at least 2 other formal care providers from different disciplines for 15–29 minutes. | $121.30 | $91.00 | $103.15 (85%) |
| 826Consultant physician attending a multidisciplinary case conference (at least 2 other formal care providers present, different disciplines) for 30-45 minutes to discuss a patient case in community settings. | $193.55 | $145.20 | $164.55 (85%) |
| 828Consultant physician attends a community case conference (at least 45 minutes) as part of a multidisciplinary team of at least 3 different disciplines to discuss patient care management. | $265.75 | $199.35 | $225.90 (85%) |
| 830Consultant physician participates in a multidisciplinary discharge case conference (15–30 minutes) with at least 3 other formal care providers from different disciplines to organise and coordinate patient discharge. | $168.95 | $126.75 | — |
| 832Consultant physician participation in a multidisciplinary discharge case conference of 30–44 minutes with at least 3 other formal care providers from different disciplines to organise and coordinate the patient's discharge. | $253.60 | $190.20 | — |
| 834Consultant physician organising and coordinating a multidisciplinary discharge case conference of at least 45 minutes with at least 3 other formal care providers from different disciplines. | $337.80 | $253.35 | — |
| 835Consultant physician attendance at a multidisciplinary discharge case conference (15–29 minutes) with at least 2 other formal care providers of different disciplines. | $121.30 | $91.00 | — |
| 837Consultant physician participating as a team member in a multidisciplinary discharge case conference of 30–44 minutes with at least 2 other formal care providers from different disciplines. | $193.55 | $145.20 | — |
| 838Consultant physician attending a multidisciplinary discharge case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines to discuss patient care planning. | $265.75 | $199.35 | — |
| 855Psychiatrist attends a multidisciplinary case conference (at least 2 other formal care providers, different disciplines) for 15–29 minutes to organise and coordinate community care. | $168.95 | $126.75 | $143.65 (85%) |
| 857Consultant psychiatrist participation in a multidisciplinary case conference (at least 2 other formal care providers present) lasting 30–45 minutes to organise and coordinate community care. | $253.60 | $190.20 | $215.60 (85%) |
| 858Psychiatrist attends a multidisciplinary case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines to organise and coordinate community care. | $337.80 | $253.35 | $287.15 (85%) |
| 861Psychiatrist participation in a multidisciplinary discharge case conference (15–30 minutes) with at least 2 other formal care providers from different disciplines to organise and coordinate patient discharge. | $168.95 | $126.75 | — |
| 864Consultant psychiatrist attending a multidisciplinary discharge case conference (30–45 minutes) with at least 2 other formal care providers of different disciplines to organise and coordinate the patient's discharge. | $253.60 | $190.20 | — |
| 866Consultant psychiatrist participation in a multidisciplinary discharge case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines to organise and coordinate discharge planning. | $337.80 | $253.35 | — |
| 871GP or specialist leads a multidisciplinary case conference (≥10 min) with ≥3 other medical practitioners from different specialties to develop a cancer treatment plan, plus allied health professionals. | $97.55 | $73.20 | $82.95 (85%) |
| 872GP, specialist or consultant physician participation in a multidisciplinary cancer case conference (minimum 10 minutes, at least 4 doctors from different disciplines plus allied health professionals) to develop a treatment plan. | $45.45 | $34.10 | $38.65 (85%) |
| 880Geriatric or rehabilitation specialist attendance at a case conference (10–30 minutes) to coordinate care, limited to one per patient per 7 days. | $59.10 | $44.35 | — |
| 930GP attends a multidisciplinary mental health case conference lasting 15–19 minutes to organise and coordinate care. | $84.65 | $63.50 | $84.65 (100%) |
| 933GP attendance at a multidisciplinary mental health case conference lasting 20–39 minutes to organise and coordinate care. | $144.70 | $108.55 | $144.70 (100%) |
| 935GP attends and coordinates a multidisciplinary mental health case conference lasting at least 40 minutes as part of a team approach to care planning. | $241.25 | $180.95 | $241.25 (100%) |
| 937GP attends a multidisciplinary mental health case conference lasting 15–19 minutes as a team member. | $62.20 | $46.65 | $62.20 (100%) |
| 943GP attendance at a multidisciplinary mental health case conference lasting 20–40 minutes as part of coordinated care planning. | $106.60 | $79.95 | $106.60 (100%) |
| 945GP participation in a multidisciplinary mental health case conference lasting at least 40 minutes. | $177.35 | $133.05 | $177.35 (100%) |
| 946Consultant psychiatrist or paediatrician attending a multidisciplinary mental health case conference (15–29 minutes) to organise and coordinate the team discussion. | $168.95 | $126.75 | $143.65 (85%) |
| 948Consultant psychiatrist or paediatrician attending a multidisciplinary mental health case conference of 30–45 minutes to organise and coordinate care planning with the team. | $253.60 | $190.20 | $215.60 (85%) |
| 959Consultant psychiatrist or paediatrician attending a multidisciplinary case conference (minimum 45 minutes) to organise and coordinate mental health management with the team. | $337.80 | $253.35 | $287.15 (85%) |
| 961Consultant psychiatrist or paediatrician attending a multidisciplinary mental health case conference for 15–29 minutes as part of the team. | $121.30 | $91.00 | $103.15 (85%) |
| 962Consultant psychiatrist or paediatrician attending a multidisciplinary mental health case conference for 30–45 minutes as part of a case conference team. | $193.55 | $145.20 | $164.55 (85%) |
| 964Psychiatrist or paediatrician attending a multidisciplinary mental health case conference of at least 45 minutes as part of a team. | $265.75 | $199.35 | $225.90 (85%) |
| 965GP prepares a written chronic condition management plan for a patient with chronic disease, typically involving assessment and coordination of care. | $160.60 | $120.45 | $160.60 (100%) |
| 967GP review of a chronic condition management plan prepared by the GP or an associated practitioner. | $160.60 | $120.45 | $160.60 (100%) |