Group A21: Professional Attendances at Recognised Emergency Departments of Private Hospitals
22 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 5001Specialist emergency medicine assessment and treatment at a private hospital emergency department for patients aged 4–74 years with ordinary complexity medical decision-making. | $70.25 | $52.70 | $59.75 (85%) |
| 5004Specialist emergency medicine attendance for a child under 4 years at a private hospital emergency department with standard medical decision-making. | $117.95 | $88.50 | $100.30 (85%) |
| 5011Specialist emergency medicine attendance for a patient aged 75+ at a private hospital emergency department involving standard complexity medical decision-making. | $117.95 | $88.50 | $100.30 (85%) |
| 5012Emergency department attendance by an emergency medicine specialist for a patient aged 4–74 years involving more-than-ordinary but not high medical complexity. | $184.85 | $138.65 | $157.15 (85%) |
| 5013Specialist emergency medicine attendance for a child under 4 years in a private hospital emergency department with moderate-complexity medical decision-making. | $232.55 | $174.45 | $197.70 (85%) |
| 5014Specialist emergency medicine consultation at a private hospital for patients aged 75+ involving moderate complexity medical decision-making. | $232.55 | $174.45 | $197.70 (85%) |
| 5016Specialist emergency medicine attendance for patients aged 4–74 years at a private hospital emergency department involving high-complexity medical decision-making. | $312.05 | $234.05 | $265.25 (85%) |
| 5017Specialist emergency medicine attendance for a child under 4 years at a private hospital emergency department involving high-complexity medical decision-making. | $359.80 | $269.85 | $305.85 (85%) |
| 5019Specialist emergency medicine consultation at a private hospital emergency department for patients aged 75+, involving complex medical decision-making. | $359.80 | $269.85 | $305.85 (85%) |
| 5021Medical practitioner attendance at a private hospital emergency department for patients aged 4–74 years involving ordinary complexity medical decision-making (excluding emergency medicine specialists). | $52.65 | $39.50 | $44.80 (85%) |
| 5022Medical practitioner attendance at a private hospital emergency department for a patient under 4 years old with ordinary complexity medical decision-making. | $88.45 | $66.35 | $75.20 (85%) |
| 5027Medical practitioner attendance at a private hospital emergency department for a patient aged 75+ involving routine medical decision-making. | $88.45 | $66.35 | $75.20 (85%) |
| 5030Medical practitioner attendance at a private hospital emergency department for patients aged 4–74 years involving moderately complex medical decision-making. | $138.55 | $103.95 | $117.80 (85%) |
| 5031Medical practitioner attendance at a private hospital emergency department for a child under 4 years involving moderate complexity medical decision-making (not high complexity). | $174.40 | $130.80 | $148.25 (85%) |
| 5032Medical practitioner attendance at a private emergency department for a patient aged 75+ involving moderate-complexity medical decision-making (not emergency medicine specialists). | $174.40 | $130.80 | $148.25 (85%) |
| 5033Medical practitioner attendance at a private hospital emergency department for a patient aged 4–74 years involving high-complexity medical decision-making (not for emergency medicine specialists). | $234.05 | $175.55 | $198.95 (85%) |
| 5035Medical practitioner attendance at a private hospital emergency department for a child under 4 years involving high-complexity medical decision-making (excludes emergency medicine specialists). | $269.90 | $202.45 | $229.45 (85%) |
| 5036Medical practitioner attendance at a private hospital emergency department for a patient aged 75+ involving high-complexity medical decision-making (excluding emergency medicine specialists). | $269.90 | $202.45 | $229.45 (85%) |
| 5039Emergency medicine specialist develops initial goals of care for gravely ill patient without existing goals in private hospital ED, following assessment under specified items. | $170.50 | $127.90 | $144.95 (85%) |
| 5041Emergency medicine specialist prepares initial goals of care for a gravely ill patient without current goals, requiring 60+ minutes and overall responsibility, as their first such attendance. | $320.55 | $240.45 | $272.50 (85%) |
| 5042Medical practitioner attendance at a private emergency department to prepare goals of care for a gravely ill patient without current goals, as the first such attendance following an initial emergency consultation. | $127.95 | $96.00 | $108.80 (85%) |
| 5044GP or non-emergency specialist medical practitioner attendance at private hospital emergency department for first-time goals of care preparation with a gravely ill patient lacking documented goals, minimum 60 minutes. | $240.45 | $180.35 | $204.40 (85%) |