Group A40: Telehealth attendance services
208 items with their schedule fees and Medicare benefits; showing 91790–92760.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 91790GP video consultation for a straightforward presenting problem requiring brief history-taking and limited management, performed by the patient's eligible telehealth practitioner. | $20.55 | — | $20.55 (100%) |
| 91792Specialist video consultation of up to 5 minutes duration, provided by an eligible telehealth practitioner to an established patient. | $11.00 | — | $11.00 (100%) |
| 91794Video attendance by a medical practitioner (non-GP, non-specialist) in an eligible area for up to 5 minutes. | $16.50 | — | $16.50 (100%) |
| 91800GP video consultation of 6–20 minutes including history-taking, investigations, management planning, or preventive care. | $45.05 | — | $45.05 (100%) |
| 91801GP telehealth video consultation of at least 20 minutes including history-taking, investigations, management planning, or preventative care. | $87.10 | — | $87.10 (100%) |
| 91802GP video consultation of at least 40 minutes involving comprehensive history, investigations, management planning, or preventative care for patients under their eligible telehealth practitioner. | $128.35 | — | $128.35 (100%) |
| 91803Video consultation by a specialist or other medical practitioner (not GP) lasting 5–25 minutes, including history-taking, investigations, management planning, or preventive care. | $21.00 | — | $21.00 (100%) |
| 91804Specialist telehealth consultation of 25–45 minutes including history-taking, investigations, management planning, or preventative care. | $38.00 | — | $38.00 (100%) |
| 91805Video attendance by a specialist or other medical practitioner for 45–60 minutes including history-taking, investigations, management planning, or preventative health care. | $61.00 | — | $61.00 (100%) |
| 91806Video attendance by an eligible non-GP medical practitioner in a remote area lasting 5–25 minutes, including history-taking, investigations, management planning, or preventative care. | $35.95 | — | $35.95 (100%) |
| 91807Video consultation by an allied health or other non-GP practitioner in an eligible area, 25–45 minutes, including history-taking, investigations, management planning, or preventative care. | $69.70 | — | $69.70 (100%) |
| 91808Video attendance by an eligible non-GP practitioner in a remote area for 45–60 minutes including history-taking, investigations, management planning, or preventative care. | $102.65 | — | $102.65 (100%) |
| 91818GP video consultation providing focused psychological strategies for diagnosed mental health conditions, requiring GP credentialing and lasting 30–40 minutes. | $111.00 | — | $111.00 (100%) |
| 91819GP video consultation providing focused psychological strategies for assessed mental disorders, requiring GP credentialing and minimum 40-minute duration. | $158.90 | — | $158.90 (100%) |
| 91820Video consultation by an accredited non-GP medical practitioner providing focused psychological strategies for assessed mental disorders, lasting 30–40 minutes. | $88.85 | — | $88.85 (100%) |
| 91821A registered medical practitioner (non-GP/specialist) provides focused psychological strategies via video for assessed mental disorders in sessions of at least 40 minutes. | $127.10 | — | $127.10 (100%) |
| 91822Specialist video consultation following referral, initial attendance only, minimum 5 minutes duration. | $103.95 | — | $88.40 (85%) |
| 91823Specialist video consultation for a referred patient lasting over 5 minutes, provided as a follow-up to the initial attendance within the same course of treatment. | $52.25 | — | $44.45 (85%) |
| 91824Consultant physician video consultation for a referred patient lasting over 5 minutes (first attendance in a treatment course only). | $183.35 | — | $155.85 (85%) |
| 91825Consultant physician video attendance for a referred patient lasting over 5 minutes in their specialty (excluding psychiatry), not counting minor follow-up visits within one treatment course. | $91.70 | — | $77.95 (85%) |
| 91826Consultant physician video attendance for a referred patient in their specialty (excluding psychiatry), lasting over 5 minutes, for minor follow-up appointments within a single course of treatment. | $52.25 | — | $44.45 (85%) |
| 91827Video consultation with a consultant psychiatrist following a referral, up to 15 minutes, subject to a combined annual limit of 50 attendances with this and related psychiatric services. | $52.65 | — | $44.80 (85%) |
| 91828Video consultation with a consultant psychiatrist for a referred patient, lasting 15–30 minutes, counted toward the annual 50-attendance cap for psychiatric services. | $105.05 | — | $89.30 (85%) |
| 91829Consultant psychiatrist video consultation (30–45 minutes) following referral, limited to 50 attendances per calendar year combined with other specified psychiatry items. | $161.70 | — | $137.45 (85%) |
| 91830Consultant psychiatrist video attendance of 45–75 minutes following referral, provided total attendances with specified items don't exceed 50 per calendar year. | $223.15 | — | $189.70 (85%) |
| 91831Video consultation with a consultant psychiatrist following referral, at least 75 minutes duration, capped at 50 attendances per calendar year combined with certain other psychiatrist or psychologist services. | $258.95 | — | $220.15 (85%) |
| 91833Phone attendance with a specialist following referral, more than 5 minutes duration, for follow-up consultations within a single course of treatment. | $52.25 | — | $44.45 (85%) |
| 91836Consultant physician phone attendance of more than 5 minutes following referral, for management within their specialty (excluding psychiatry); rebatable as a minor attendance if subsequent to the first in a single course of treatment. | $52.25 | — | $44.45 (85%) |
| 91837Phone consultation with a referred psychiatrist lasting no more than 15 minutes; limited to 50 combined in-person and phone attendances per calendar year. | $52.65 | — | $44.80 (85%) |
| 91838Phone consultation by consultant psychiatrist lasting 15–30 minutes following referral, available after first attendance if combined attendances with related items don't exceed 50 per calendar year. | $105.05 | — | $89.30 (85%) |
| 91839Phone consultation with consultant psychiatrist following referral, 30–45 minutes, for follow-up within a calendar year capped at 50 combined attendances with other listed psychiatric services. | $161.70 | — | $137.45 (85%) |
| 91842GP-provided telephone psychological strategies for assessed mental disorders; requires GP credentialing and 30–40 minute session. | $111.00 | — | $111.00 (100%) |
| 91843GP phone consultation providing focused psychological strategies for diagnosed mental disorders; requires GP credentialing and minimum 40-minute duration. | $158.90 | — | $158.90 (100%) |
| 91844Phone-based psychological strategies by a credentialed non-GP medical practitioner for assessed mental disorders, 30–40 minutes. | $88.85 | — | $88.85 (100%) |
| 91845Allied mental health professional phone consultation providing psychological strategies for assessed mental disorders, minimum 40 minutes, requires Medicare credentialing. | $127.10 | — | $127.10 (100%) |
| 91859GP video consultation for psychological strategies targeting assessed mental disorders, delivered to a family member or carer (not the patient) as part of the patient's treatment plan, lasting 30–40 minutes. | $111.00 | — | $111.00 (100%) |
| 91861GP provides at least 40 minutes of focused psychological strategies via video for an assessed mental disorder to a third party (not the patient) as part of the patient's treatment. | $158.90 | — | $158.90 (100%) |
| 91862Video consultation with a doctor providing focused psychological strategies for a mental health condition to someone other than the patient (e.g. family member) as part of their treatment plan, lasting 30–40 minutes. | $88.80 | — | $88.80 (100%) |
| 91863Video consultation by a credentialled medical practitioner providing psychological strategies for a mental disorder to someone other than the patient (as part of their treatment plan), at least 40 minutes. | $127.10 | — | $127.10 (100%) |
| 91864GP phone consultation providing psychological strategies for mental disorders to a third party involved in the patient's care, lasting 30–40 minutes. | $111.00 | — | $111.00 (100%) |
| 91865GP phone consultation providing psychological strategies for a mental disorder to someone other than the patient (e.g. family member) as part of the patient's treatment, minimum 40 minutes. | $158.90 | — | $158.90 (100%) |
| 91866Phone consultation by a credentialled practitioner providing psychological strategies for a mental disorder to a person other than the patient as part of their treatment, lasting 30-40 minutes. | $88.80 | — | $88.80 (100%) |
| 91867Phone consultation by credentialled doctor providing focussed psychological strategies for a mental disorder to someone other than the patient (e.g. family member) as part of the patient's treatment plan, minimum 40 minutes. | $127.10 | — | $127.10 (100%) |
| 91868Consultant psychiatrist video attendance (max 15 minutes) following referral, available only if combined total with certain other psychiatric attendances doesn't exceed 50 per calendar year. | $26.20 | — | $22.30 (85%) |
| 91869Psychiatrist video consultation (15-30 minutes) following GP referral, subject to a combined annual cap of 50 attendances with other specified psychiatry items. | $52.65 | — | $44.80 (85%) |
| 91870Telehealth psychiatric consultation (31-45 minutes) by a referred consultant psychiatrist, subject to a combined annual limit of 50 attendances with specified related items. | $81.05 | — | $68.90 (85%) |
| 91871Telehealth psychiatry consultation by a referred specialist lasting 45–75 minutes, where the combined total of this and similar psychiatric consultations does not exceed 50 per calendar year. | $111.70 | — | $94.95 (85%) |
| 91872Psychiatrist video consultation exceeding 75 minutes, subject to a combined annual cap of 50 attendances with other specified psychiatry items. | $129.50 | — | $110.10 (85%) |
| 91873Psychiatrist video consultation of at least 45 minutes for intensive psychotherapy after GP referral, limited to 160 combined attendances per calendar year with specified psychiatric services. | $223.15 | — | $189.70 (85%) |
| 91874Psychiatric consultant video interview with a third party (not the patient) lasting up to 15 minutes for initial assessment or ongoing care, limited to 15 such attendances per calendar year combined with specified other psychiatric services. | $52.65 | $39.50 | $44.80 (85%) |
| 91875Video consultation with a third party (not the patient) lasting 16–30 minutes by a psychiatrist for initial assessment or ongoing management, capped at 15 combined attendances per calendar year with specified related items. | $105.05 | $78.80 | $89.30 (85%) |
| 91876Psychiatrist video consultation with a third party (not the patient) lasting 31-45 minutes for initial assessment or ongoing care, limited to 15 combined consultations per calendar year. | $161.70 | $121.30 | $137.45 (85%) |
| 91877Video consultation with a third party (not the patient) lasting 45–75 minutes by a psychiatrist for initial assessment or ongoing management, limited to 15 such attendances per calendar year. | $223.15 | $167.40 | $189.70 (85%) |
| 91878Psychiatry video consultation over 75 minutes with a third party (not the patient) for initial assessment or ongoing management, limited to 15 such consultations per calendar year. | $258.95 | $194.25 | $220.15 (85%) |
| 91879Psychiatrist phone consultation (up to 15 minutes) following GP referral; subject to a combined annual cap of 50 attendances with specified psychiatric consultation items. | $26.20 | — | $22.30 (85%) |
| 91880Psychiatrist phone consultation (15-30 min) following referral, subject to a 50-attendance annual cap when combined with other specified psychiatric services. | $52.65 | — | $44.80 (85%) |
| 91881Consultant psychiatrist phone attendance of 31–45 minutes following GP referral, subject to a combined annual cap of 50 attendances across specified psychiatric consultation items. | $81.05 | — | $68.90 (85%) |
| 91882Phone consultation with a third party (not the patient) lasting up to 15 minutes by a psychiatrist for initial assessment or ongoing care, limited to 15 such attendances per calendar year combined with specified other psychiatric services. | $52.65 | $39.50 | $44.80 (85%) |
| 91883Phone consultation (15–30 minutes) with a third party about a psychiatry patient not present, following referral for initial assessment or ongoing management, limited to 15 such consultations per calendar year. | $105.05 | $78.80 | $89.30 (85%) |
| 91884Psychiatrist phone consultation with third party (not patient) lasting 31–45 minutes for initial assessment or ongoing management, limited to 15 such consultations per calendar year. | $161.70 | $121.30 | $137.45 (85%) |
| 91890GP phone consultation under 6 minutes for straightforward problems requiring brief history and simple management. | $20.55 | — | $20.55 (100%) |
| 91891GP phone consultation of at least 6 minutes covering history-taking, investigations, management planning, or preventative care. | $45.05 | — | $45.05 (100%) |
| 91892Phone call by a medical practitioner (not GP/specialist) under 6 minutes for a straightforward problem requiring brief history and limited management. | $11.00 | — | $11.00 (100%) |
| 91893Phone attendance by a non-GP medical practitioner lasting at least 6 minutes involving patient history, investigations, management plan or preventative care. | $21.00 | — | $21.00 (100%) |
| 91900GP phone consultation for registered MyMedicare patients lasting at least 20 minutes, covering history-taking, investigations, management planning, or preventative care with documentation. | $87.10 | — | $87.10 (100%) |
| 91903Phone attendance by a non-GP specialist to a MyMedicare-registered patient for over 25 but not more than 45 minutes, including history-taking, investigations, management plan, or preventive care with documentation. | $38.00 | — | $38.00 (100%) |
| 91906Phone attendance by a non-GP medical practitioner in an eligible area to a MyMedicare-registered patient for over 25 but not more than 45 minutes, including history-taking, investigations, management planning, or preventive care for one or more healt… | $69.70 | — | $69.70 (100%) |
| 91910GP phone consultation of at least 40 minutes for a registered MyMedicare patient involving history-taking, investigations, management planning, or preventive care for one or more health issues. | $128.35 | — | $128.35 (100%) |
| 91913Phone attendance by a medical specialist to a registered patient lasting 46-60 minutes, involving history-taking, investigations, management planning or preventive care for one or more health issues. | $61.00 | — | $61.00 (100%) |
| 91916Phone attendance by a medical practitioner in an eligible area to a MyMedicare-registered patient for 46–60 minutes involving extensive history, investigations, management planning, or preventative care for one or more health issues. | $102.65 | — | $102.65 (100%) |
| 91920GP video consultation of at least 60 minutes covering history-taking, investigations, management planning, or preventive care for one or more health issues, with appropriate documentation. | $207.90 | — | $207.90 (100%) |
| 91923Specialist or allied health practitioner video consultation exceeding 60 minutes, covering patient history, investigations, management planning, and/or preventive care for one or more health issues. | $98.40 | — | $98.40 (100%) |
| 91926Video consultation by a non-GP medical practitioner in an eligible area, over 60 minutes, covering history, investigations, management planning, and/or preventive care for one or more health issues. | $166.30 | — | $166.30 (100%) |
| 92004Video consultation with a GP for comprehensive Aboriginal and Torres Strait Islander health assessment, including history, examination, investigations, management plan, and written report; not if similar service provided in past 9 months. | $254.10 | — | $254.10 (100%) |
| 92011Video health assessment by a doctor for Aboriginal and Torres Strait Islander patients, including history, examination, investigations, management plan and written report; not if same service provided in last 9 months. | $203.25 | — | $203.25 (100%) |
| 92026GP contributes to or reviews a multidisciplinary care plan via video with the patient's eligible telehealth practitioner, excluding certain allied health and specialist services. | $84.25 | — | $84.25 (100%) |
| 92027GP video contribution to a multidisciplinary care plan for a residential aged care facility resident or hospital discharge planning, excluding items 235–240 and 735–758. | $84.25 | — | $84.25 (100%) |
| 92029GP prepares a chronic condition management plan for a patient via video consultation. | $160.60 | — | $160.60 (100%) |
| 92030Video consultation with a GP to review and update a chronic condition management plan previously prepared by the GP or an associated medical practitioner. | $160.60 | — | $160.60 (100%) |
| 92057Medical practitioner contribution via video to a multidisciplinary care plan prepared by another provider, or review of such a plan. | $67.40 | — | $67.40 (100%) |
| 92058Medical practitioner contributes by video to a multidisciplinary care plan for a residential aged care resident or hospital discharge patient, or reviews such a plan. | $67.40 | — | $67.40 (100%) |
| 92060GP video attendance by a prescribed medical practitioner to assist in preparing a chronic condition management plan for a patient. | $128.55 | — | $128.55 (100%) |
| 92061Video consultation by a doctor to review a chronic condition management plan they or an associated practitioner prepared. | $128.55 | — | $128.55 (100%) |
| 92112GP prepares mental health treatment plan via video for at least 20 but less than 40 minutes (GP without mental health skills training). | $85.80 | — | $85.80 (100%) |
| 92113GP video consultation of at least 40 minutes to prepare a mental health treatment plan, for a GP without mental health skills training. | $126.35 | — | $126.35 (100%) |
| 92116GP with mental health training provides video consultation of 20–40 minutes to develop a mental health treatment plan. | $108.95 | — | $108.95 (100%) |
| 92117GP with mental health training provides video consultation of at least 40 minutes to develop a mental health treatment plan for a patient. | $160.50 | — | $160.50 (100%) |
| 92118Medical practitioner (non-GP, non-specialist) without mental health training provides 20–40 minute video attendance to help prepare a GP mental health treatment plan. | $68.65 | — | $68.65 (100%) |
| 92119Non-GP medical practitioner without mental health training provides at least 40 minutes of video consultation to help prepare a GP mental health treatment plan. | $101.05 | — | $101.05 (100%) |
| 92122Video consultation by a trained mental health practitioner (minimum 20–39 minutes) to prepare a GP mental health treatment plan. | $87.15 | — | $87.15 (100%) |
| 92123Mental health-trained medical practitioner conducts a video consultation of at least 40 minutes to help prepare a GP mental health treatment plan for a patient. | $128.45 | — | $128.45 (100%) |
| 92136GP video consultation of at least 20 minutes for non-directive pregnancy support counselling for a pregnant person or within 12 months postpartum, requiring credentialing registration. | $91.65 | — | $91.65 (100%) |
| 92137Non-directive pregnancy support counselling via video by a credentialed medical practitioner (minimum 20 minutes) for someone currently pregnant or within 12 months postpartum. | $73.35 | — | $73.35 (100%) |
| 92138GP phone counselling of at least 20 minutes for non-directive pregnancy support to a pregnant person or within 12 months postpartum, by credentialed practitioners only. | $91.65 | — | $91.65 (100%) |
| 92139Phone pregnancy support counselling of at least 20 minutes by a credentialed practitioner (not GP/specialist) for someone currently pregnant or within 12 months postpartum. | $73.35 | — | $73.35 (100%) |
| 92140Consultant paediatrician video attendance (45+ minutes) for a patient under 25 with complex neurodevelopmental disorder (e.g. autism), including comprehensive assessment, diagnosis, and treatment/management plan with risk assessment, provided once pe… | $320.55 | — | $272.50 (85%) |
| 92141Specialist video consultation (45+ minutes) for patients under 25 with eligible disability, including comprehensive assessment, diagnosis confirmation, and development of a treatment and management plan shared with referrer and allied health provider… | $320.55 | — | $272.50 (85%) |
| 92142GP video consultation of at least 45 minutes for a patient under 25 to assess an eligible disability, develop a comprehensive treatment and management plan including diagnosis, risk assessment and treatment options, and share the plan with allied hea… | $161.05 | — | $161.05 (100%) |
| 92146GP video consultation of 20–40 minutes to prepare a written eating disorder treatment plan, including diagnosis, 12-month management options, referral pathways, and patient/carer education and plan copies. | $85.80 | — | $85.80 (100%) |
| 92147GP video consultation of at least 40 minutes to develop a written eating disorder treatment and management plan including diagnosis opinion, 12-month treatment options, referral pathways, and patient/carer education. | $126.35 | — | $126.35 (100%) |
| 92148GP with mental health training provides 20–40 minute video consultation to develop a written eating disorder treatment plan including diagnosis, 12-month management options, referral pathways, and education for patient and carer. | $108.95 | — | $108.95 (100%) |
| 92149GP video consultation of at least 40 minutes with mental health training to develop a comprehensive eating disorder treatment and management plan including diagnosis, 12-month management options, referral pathways, and patient/carer education. | $160.50 | — | $160.50 (100%) |
| 92150Video consultation (20-40 minutes) with a non-specialist medical practitioner to prepare a written eating disorder treatment plan including diagnosis, 12-month management options, referral pathways, and education for patient and carer. | $68.65 | — | $68.65 (100%) |
| 92151Medical practitioner video consultation of at least 40 minutes to develop a comprehensive eating disorder treatment and management plan including diagnosis, 12-month management options, referral pathways, and copies/education for patient and carer. | $101.05 | — | $101.05 (100%) |
| 92152Trained non-GP medical practitioner's video consultation (20–40 minutes) to develop a written eating disorder treatment plan including diagnosis, 12-month management options, and referral pathways, with copies and education provided to patient and ca… | $87.15 | — | $87.15 (100%) |
| 92153Mental health-trained medical practitioner video consultation of at least 40 minutes to develop a comprehensive eating disorder treatment and management plan including diagnosis, 12-month management options, and referral pathways, with copies and edu… | $128.45 | — | $128.45 (100%) |
| 92162Consultant psychiatrist video consultation of at least 45 minutes to develop a 12-month eating disorder treatment and management plan, including mental state examination, outcome tool use, and written documentation provided to referring practitioner… | $549.90 | — | $467.45 (85%) |
| 92163Consultant paediatrician video attendance (45+ minutes) to assess and prepare an eating disorder treatment and management plan for a referred patient, with written diagnosis and plan provided to the referring practitioner within 2 weeks. | $320.55 | — | $272.50 (85%) |
| 92170GP video review of eating disorder treatment plan with assessment of psychological and dietetic services efficacy, plan modifications documented, and referrals to psychiatry/paediatrics initiated as needed. | $85.80 | — | $85.80 (100%) |
| 92171Video consultation by a non-GP medical practitioner to review and modify an eating disorder treatment plan, including assessment of psychological and dietetic services effectiveness, with written plan updates and referrals to psychiatry/paediatrics w… | $68.65 | — | $68.65 (100%) |
| 92172Consultant psychiatrist video review (30+ minutes) of eating disorder treatment efficacy, including mental state examination, outcome assessment, and revised management plan provided to referring practitioner within 2 weeks. | $343.75 | — | $292.20 (85%) |
| 92173Video consultation (minimum 20 minutes) with a consultant paediatrician to review eating disorder treatment efficacy, including outcome assessment, mental state examination, psychiatric diagnosis, and revised management plan provided to referring pra… | $160.50 | — | $136.45 (85%) |
| 92176GP phone review of eating disorder treatment plan, including assessment of psychological and dietetic service effectiveness, plan modifications, and referrals to psychiatry or paediatrics where needed. | $85.80 | — | $85.80 (100%) |
| 92177Phone review of eating disorder treatment plan by a non-GP medical practitioner, including assessment of psychological and dietetic service effectiveness, plan modifications, and referrals to psychiatry or paediatrics if needed. | $68.65 | — | $68.65 (100%) |
| 92182GP video consultation for eating disorder psychological treatment (30–40 minutes) for eligible patients with an approved eating disorder management plan. | $111.00 | — | $111.00 (100%) |
| 92184GP-provided eating disorder psychological treatment via video for at least 40 minutes, for eligible patients with a treatment plan. | $158.90 | — | $158.90 (100%) |
| 92186Video attendance by credentialled medical practitioner for eating disorder psychological treatment lasting 30–40 minutes under an approved eating disorder management plan. | $88.85 | — | $88.85 (100%) |
| 92188Video attendance by a credentialled medical practitioner (excluding GPs and specialists) providing eating disorder psychological treatment for at least 40 minutes under an approved treatment plan. | $127.10 | — | $127.10 (100%) |
| 92194GP phone consultation for eating disorder psychological treatment lasting 30–40 minutes, provided by a credentialled GP under an approved eating disorder treatment plan. | $111.00 | — | $111.00 (100%) |
| 92196GP phone consultation for eating disorder psychological treatment (minimum 40 minutes) for an eligible patient with an eating disorder management plan, provided by a credentialled GP. | $158.90 | — | $158.90 (100%) |
| 92198Phone attendance by credentialled medical practitioner for eating disorder psychological treatment lasting 30–40 minutes, for eligible patients with an approved eating disorder treatment plan. | $88.85 | — | $88.85 (100%) |
| 92200Phone-based eating disorder psychological treatment by an accredited medical practitioner lasting at least 40 minutes for an eligible patient under an approved management plan. | $127.10 | — | $127.10 (100%) |
| 92210GP video consultation with one patient during unsociable hours for urgent medical assessment requested by the patient or responsible person within the same after-hours period. | $183.15 | — | $183.15 (100%) |
| 92211Specialist after-hours video consultation for urgent assessment of one patient on a single occasion, requested during the same after-hours period. | $146.35 | — | $146.35 (100%) |
| 92422Initial video consultation with a specialist physician (45+ minutes) for a patient with 2+ morbidities, including comprehensive assessment, differential diagnoses, and complex management plan sent to referring doctor, with no same-day in-person visit… | $320.55 | — | $272.50 (85%) |
| 92423Video consultation (at least 20 minutes) by a consultant physician for comprehensive review of a patient with 2+ morbidities, following an initial face-to-face consultation, including diagnostic and treatment assessment with management plan sent to r… | $160.50 | — | $136.45 (85%) |
| 92434Video consultation of at least 45 minutes with a psychiatrist for patients under 25 with suspected complex neurodevelopmental disorder (e.g. autism), including comprehensive assessment, diagnosis confirmation, and management plan with risk assessment… | $320.55 | — | $272.50 (85%) |
| 92435Psychiatrist video consultation over 45 minutes for GP-referred patients requiring comprehensive assessment, mental state examination, and diagnostic formulation, with written management plan provided to GP within 2 weeks; limited to once per 12 mont… | $549.90 | — | $467.45 (85%) |
| 92436Psychiatrist video consultation (31-45 minutes) for referred patients on an established management plan, including mental state examination, assessment review, and written report to the referring practitioner within 2 weeks. | $343.75 | — | $292.20 (85%) |
| 92437Psychiatrist video consultation of more than 45 minutes for new patients or those not seen in 24 months, following GP referral, with no recent equivalent specialist attendance. | $316.30 | — | $268.90 (85%) |
| 92440Phone consultation with a consultant physician (non-psychiatry) following referral, lasting over 5 minutes, for follow-up visits within a single course of treatment. | $91.70 | — | $77.95 (85%) |
| 92441Psychiatrist phone consultation (minimum 30 minutes) for referred patient with eating disorder, including outcome assessment, mental state examination, diagnosis, and treatment plan review, with written diagnosis and revised management plan provided… | $343.75 | — | $292.20 (85%) |
| 92442Consultant paediatrician phone consultation (20+ minutes) to review eating disorder treatment efficacy, assess mental state, confirm diagnosis, and revise management plan with written feedback to referring practitioner within 2 weeks. | $160.50 | — | $136.45 (85%) |
| 92443Consultant physician phone review of at least 20 minutes for a patient with multiple morbidities, covering diagnostic results, treatment responses, and revised management plan; limited to twice per 12 months and requires prior in-person consultation… | $160.50 | — | $136.45 (85%) |
| 92444Psychiatrist phone consultation (31–45 minutes) to review patient management plan and diagnostic assessment, with mental state examination and written report to referring practitioner within 2 weeks; patient must be managed under prior psychiatrist-p… | $343.75 | — | $292.20 (85%) |
| 92445Neurosurgeon phone consultation (15-30 minutes) for complex problem management during ongoing treatment, including arranging investigations. | $103.95 | — | $88.40 (85%) |
| 92446Neurosurgeon phone consultation (follow-up) lasting 31–45 minutes, including arranging investigations for complex problems, after initial referral consultation in a single course of treatment. | $144.00 | — | $122.40 (85%) |
| 92447Neurosurgeon phone consultation (follow-up) lasting over 45 minutes, involving investigation arrangement for complex problems within a single course of treatment. | $183.35 | — | $155.85 (85%) |
| 92448Geriatric specialist phone review over 30 minutes to reassess patient health and revise a previous management plan, initiated by GP or nurse practitioner, with written communication back to referrer; not on same day as other consultations, and only o… | $343.75 | — | $292.20 (85%) |
| 92455Group psychotherapy session conducted via video by a psychiatrist for 2–9 unrelated patients or family groups over 3+, lasting at least 1 hour, with referral required. | $59.85 | — | $50.90 (85%) |
| 92456Group psychotherapy session of at least 1 hour via video, supervised by a psychiatrist, for up to 3 referred patients addressing the same condition. | $79.45 | — | $67.55 (85%) |
| 92457Group psychotherapy session of at least 1 hour via video for 2 referred patients in a family group, supervised by a psychiatrist. | $117.65 | — | $100.05 (85%) |
| 92478Consultant psychiatrist video attendance for an admitted hospital patient following referral, up to 15 minutes, not more than once per 7 days. | $52.65 | $39.50 | — |
| 92479Video consultation by consultant psychiatrist for admitted hospital patient, at least 15 but not more than 30 minutes, following referral, with no same service in previous 7 days. | $105.05 | $78.80 | — |
| 92480Consultant psychiatrist video attendance for an admitted hospital patient lasting 30–45 minutes, following referral, with no same service in the past 7 days. | $161.70 | $121.30 | — |
| 92481Consultant psychiatrist video attendance for an admitted hospital patient referred by another practitioner, lasting 45–75 minutes, with no same service in the prior seven days. | $223.15 | $167.40 | — |
| 92482Consultant psychiatrist video attendance of at least 75 minutes for an admitted hospital patient following referral, not within 7 days of a related service. | $258.95 | $194.25 | — |
| 92483Consultant psychiatrist video attendance exceeding 45 minutes for a new patient or one not seen in 24 months, located at a hospital and referred by another practitioner. | $316.30 | $237.25 | — |
| 92513Public health physician video consultation for straightforward issues requiring brief assessment and minimal management. | $23.75 | — | $20.20 (85%) |
| 92514Public health physician video consultation under 20 minutes covering history, investigations, management, or preventive health care for one or more health issues. | $51.90 | — | $44.15 (85%) |
| 92515Video consultation with a public health physician for at least 20 minutes, including history-taking, investigations, management planning, or preventive care for health-related issues. | $100.50 | — | $85.45 (85%) |
| 92516Public health physician video consultation lasting at least 40 minutes, including history, investigations, management plan and/or preventive care for one or more health issues. | $147.95 | — | $125.80 (85%) |
| 92521Phone attendance by a public health physician for a straightforward problem requiring brief history and limited management, not the first attendance for that clinical indication. | $23.75 | — | $20.20 (85%) |
| 92522Phone attendance by a public health physician for follow-up consultation on existing health issues, under 20 minutes, including history-taking, investigations, management or preventive care. | $51.90 | — | $44.15 (85%) |
| 92610Specialist neurosurgeon video consultation following referral, for the initial attendance in a treatment course. | $157.40 | — | $133.80 (85%) |
| 92611Video attendance by a neurosurgeon for a minor follow-up consultation during an ongoing course of treatment. | $52.25 | — | $44.45 (85%) |
| 92612Follow-up video consultation with a neurosurgeon for complex problems, 15–30 minutes, arranged after initial referral as part of ongoing treatment. | $103.95 | — | $88.40 (85%) |
| 92613Neurosurgeon video consultation follow-up visit after initial referral, over 30 but not exceeding 45 minutes, including arranging investigations for complex problems. | $144.00 | — | $122.40 (85%) |
| 92614Neurosurgeon video consultation (follow-up) lasting over 45 minutes for complex problems, including arranging investigations as part of ongoing treatment. | $183.35 | — | $155.85 (85%) |
| 92618Specialist neurosurgeon phone consultation following referral, for a minor follow-up within a single course of treatment. | $52.25 | — | $44.45 (85%) |
| 92623Geriatrician video consultation (60+ minutes) for patients 65+ referred by GPs or nurse practitioners, including comprehensive health assessment, prioritised problem formulation, detailed management plan with goals and interventions, discussion with… | $549.90 | — | $467.45 (85%) |
| 92624Geriatrician video review (30+ minutes) of previously prepared management plan, initiated by GP or nurse practitioner, including reassessment, plan revision, and written communication to referring practitioner. | $343.75 | — | $292.20 (85%) |
| 92701Anaesthetist video consultation for complex surgical patients or those with significant medical issues, including history review and written management plan, exceeding 15 minutes. | $103.95 | — | $88.40 (85%) |
| 92715GP video consultation for blood-borne virus, sexual or reproductive health issues, up to 5 minutes, including history-taking, investigation arrangement, management planning or preventive care (excludes assisted reproductive technology and antenatal c… | $20.55 | — | $20.55 (100%) |
| 92716Video consultation by a non-GP medical practitioner (max 5 minutes) for blood-borne virus, sexual or reproductive health advice, history-taking, investigations, management or preventive care; excludes assisted reproductive technology and antenatal ca… | $11.00 | — | $11.00 (100%) |
| 92717Video consultation by a medical practitioner (non-GP) in an eligible area for blood-borne virus, sexual or reproductive health matters, up to 5 minutes, including history-taking, investigations, management planning or preventive care. | $16.50 | — | $16.50 (100%) |
| 92718Video consultation with a GP for blood-borne virus, sexual or reproductive health matters, 5–20 minutes, including history-taking, investigations, management or preventive care. | $45.05 | — | $45.05 (100%) |
| 92719Video consultation with a medical practitioner (non-GP, non-specialist) for blood-borne viruses, sexual or reproductive health lasting 6–20 minutes, including history, investigations, management or preventive care. | $21.00 | — | $21.00 (100%) |
| 92720Video consultation by non-GP medical practitioner in eligible areas for blood-borne virus, sexual or reproductive health issues, 5–20 minutes, including history, investigations, management or prevention. | $35.95 | — | $35.95 (100%) |
| 92721Video consultation with a GP for blood-borne virus, sexual or reproductive health issues lasting 20–40 minutes, including history-taking, investigations, management planning or preventive care. | $87.10 | — | $87.10 (100%) |
| 92722Video consultation with a medical practitioner (20-40 minutes) for blood-borne virus, sexual or reproductive health advice, including history-taking, investigations, management planning or preventive care. | $38.00 | — | $38.00 (100%) |
| 92723Video consultation by a medical practitioner (not GP/specialist) in an eligible area for blood-borne virus, sexual or reproductive health issues, 20–40 minutes, including history-taking, investigations, management planning or preventive care. | $69.70 | — | $69.70 (100%) |
| 92724GP video consultation for blood-borne viruses, sexual or reproductive health lasting at least 40 minutes, including history-taking, investigations, management planning or preventive care (excludes assisted reproductive technology and antenatal care). | $128.35 | — | $128.35 (100%) |
| 92725Video consultation by a medical practitioner (non-GP/specialist) for blood-borne viruses, sexual or reproductive health, lasting at least 40 minutes, including history-taking, investigations, management planning or preventive care. | $61.00 | — | $61.00 (100%) |
| 92726Video consultation by a medical practitioner (not GP/specialist) in an eligible area for blood-borne virus, sexual or reproductive health management, at least 40 minutes, including history-taking, investigations, management planning or preventive car… | $102.65 | — | $102.65 (100%) |
| 92731GP phone consultation (up to 5 minutes) for blood-borne virus, sexual or reproductive health management including history, investigations, treatment planning or prevention; excludes assisted reproductive technology and antenatal care. | $20.55 | — | $20.55 (100%) |
| 92732Phone consultation by medical practitioner (not GP/specialist) up to 5 minutes for blood-borne virus, sexual or reproductive health issues, including history, investigations, management or prevention; excludes ART and antenatal care. | $11.00 | — | $11.00 (100%) |
| 92733Phone consultation up to 5 minutes for blood-borne virus, sexual or reproductive health advice by a non-GP medical practitioner in eligible areas, including history, investigations, management or prevention. | $16.50 | — | $16.50 (100%) |
| 92734GP phone consultation (5–20 minutes) for blood-borne virus, sexual or reproductive health matters including history-taking, investigations, management planning or preventive care. | $45.05 | — | $45.05 (100%) |
| 92735Phone consultation (5-20 minutes) by non-GP medical practitioner for blood-borne virus, sexual or reproductive health matters, including history-taking, investigations, management planning or preventive care. | $21.00 | — | $21.00 (100%) |
| 92736Phone consultation by a medical practitioner (excluding GPs, specialists, consultant physicians) in eligible areas for blood-borne virus or sexual/reproductive health issues, 5–20 minutes, including history, investigations, management or prevention. | $35.95 | — | $35.95 (100%) |
| 92737GP phone consultation (21–40 minutes) for blood-borne viruses, sexual or reproductive health, including history-taking, investigations, management planning or preventive care. | $87.10 | — | $87.10 (100%) |
| 92738Phone consultation by non-GP medical practitioner (20-40 minutes) for blood-borne virus, sexual or reproductive health issues, including history-taking, investigations, management planning or preventive care. | $38.00 | — | $38.00 (100%) |
| 92739Phone consultation 21–40 minutes for blood-borne virus, sexual or reproductive health services by non-GP practitioners in eligible areas, including history, investigations, management planning or preventive care. | $69.70 | — | $69.70 (100%) |
| 92740Phone consultation with a GP for blood-borne virus, sexual or reproductive health issues lasting at least 40 minutes, including history-taking, investigations, management planning or preventive care. | $128.35 | — | $128.35 (100%) |
| 92741Phone consultation by a medical practitioner for blood-borne virus, sexual or reproductive health matters, at least 40 minutes, including history-taking, investigations, management planning or preventive care. | $61.00 | — | $61.00 (100%) |
| 92742Phone consultation by non-GP medical practitioner in eligible areas for blood-borne virus or sexual/reproductive health services, minimum 40 minutes, including history-taking, investigations, management planning or preventive care. | $102.65 | — | $102.65 (100%) |
| 92748Initial video consultation with a consultant occupational physician following referral, exceeding 5 minutes, with no same-day in-person attendance by the same physician. | $103.95 | — | $88.40 (85%) |
| 92749Video attendance with a consultant occupational physician for occupational medicine follow-up care after referral, lasting over 5 minutes. | $52.25 | — | $44.45 (85%) |
| 92750Phone consultation with a consultant occupational physician for a referred patient, lasting over 5 minutes, after the initial attendance in the same treatment course. | $52.25 | — | $44.45 (85%) |
| 92751Initial video consultation with a pain medicine specialist or consultant physician, following referral, lasting more than 5 minutes, where no in-person or other video attendance occurred with the same specialist on the same day. | $183.35 | — | $155.85 (85%) |
| 92752Video attendance by a pain medicine specialist for a referred patient, lasting over 5 minutes, excluding minor follow-ups after the first session in a treatment course. | $91.70 | — | $77.95 (85%) |
| 92753Specialist pain medicine video consultation lasting over 5 minutes following referral, for a minor attendance after the initial visit in a course of treatment. | $52.25 | — | $44.45 (85%) |
| 92754Specialist phone consultation for pain management, following referral, lasting over 5 minutes and occurring as a minor follow-up attendance during an initial treatment course. | $52.25 | — | $44.45 (85%) |
| 92755Initial video attendance with a palliative medicine specialist or consultant physician, by referral, lasting more than 5 minutes, with no same-day in-person attendance by the same practitioner. | $183.35 | — | $155.85 (85%) |
| 92756Specialist or consultant physician palliative medicine video attendance for a referred patient lasting over 5 minutes, excluding minor follow-up visits in a treatment course. | $91.70 | — | $77.95 (85%) |
| 92757Video consultation with a palliative medicine specialist for follow-up care (minor attendance) after referral, lasting more than 5 minutes. | $52.25 | — | $44.45 (85%) |
| 92758Specialist phone consultation in palliative medicine (more than 5 minutes) following referral, for minor attendances after the first in a treatment course. | $52.25 | — | $44.45 (85%) |
| 92759First video consultation with an addiction medicine specialist for comprehensive assessment following referral, provided no in-person attendance by the same specialist occurred that same day. | $183.35 | — | $155.85 (85%) |
| 92760Video attendance by an addiction medicine specialist for patient assessment (over 5 minutes) following referral, either before/after comprehensive assessment, after initial assessment, or after review within a single course of treatment. | $91.70 | — | $77.95 (85%) |