Item no.	Description		Medicare				Item no.	Description	Medicare	85%
ROUTINE CONSULTATIONS						AFTER HOURS CONSULTATIONS - Non-urgent
In the surgery									Mon-Fri: Before 8am / after 8pm Sat: before 8am / after 1pm Sun/public hol: all day
	3	Brief		$16.95			In the surgery
	23	Standard <20 mins		$39.10				5000	Brief	$29.00
	36	Long 20-40 mins		$75.75				5020	Standard <20 mins	$49.00
	44	Prolonged >40 mins		$111.50				5040	Long 20-40 mins	$83.95
Home / Institution / Hospital								5060	Prolonged >40 mins	$117.75
	4	Brief		42.9			Residential Aged Care Facility (RACF)
	24	Standard <20 mins		63				20	Brief	75.7
	37	Long 20-40 mins		97.65				35	Standard <20 mins	95.7
	47	Prolonged >40 mins		131.5				43	Long 20-40 mins	130.65
Residential Aged Care Facility (RACF)								51	Prolonged >40 mins	164.45
	90001	Flag fall		55			Home / Institution / Hospital
	90020	Brief		17.2				4	Brief	54.95
	90035	Standard <20 mins		37.6				24	Standard <20 mins	74.95
	90043	Long 20-40 mins		72.8				37	Long 20-40 mins	109.9
	90051	Prolonged >40 mins		107.15				47	Prolonged >40 mins	143.7
	10990	Bulk Bill concession & <16yrs		7.65		AFTER HOURS CONSULTATIONS - URGENT; re-open rooms
Pregnancy								597	Mon-Fri 7-8am, 6-11pm Sat: 7-8am, noon-11pm Sun/Public hols: 7am-11pm	129.8
	16500	Antenatal attendance (p213)		47.15				599	11pm - 7am	153
	16509	PET/APH non-routine attendance		47.15
	16590	Planning/Mx pregnancy/delivery >20/40 (once only)		112.2			After 1pm Sat, all Sunday, b/n 2000-0800 MF
								1	Emerg AH home visit	110.2
Critical care								2	Emerg AH clinic visit , Dr has to return & open rooms	110.2
	160	1-2hrs		176.05				601	Home visit 11pm-7am	129.8
	161	2-3hrs		293.4				602	Emerg AH 11pm-7am clinic visit , Dr has to return & open rooms	129.8
	162	3-4hrs		410.7				608	Consult at surgery 11pm-7am	117.25
COVID-19 items
Telehealth/video							Phone
	91790	Attendance for obvious problem						91890	Short consultation < 6 minutes	17.9
	91800	Attendance <20mins						91809	Consultation >6mins	39.1
	91801	Attendance 20-39mins						92746	Consultation >20mins	75.75
	91802	Attendance >40mins
	92024	GPMP-prepare (721)					COVID vaccines
	92025	TCA-develop (723)						93624	In hours first dose	31.05
	92026	Review Multidisciplinary care plan by another provider (729)						93644	In hours second dose	24.45
	92027	Review Multidisciplinary care plan RACF (731)						10660	In-depth asssessment for pts<50yo, 1st/2nd dose	39.1
	92028	Coordinate GPMP/TCA (732)						90005	Flag-fall for RACF/home visit	$57.25
	92114	Mental health care plan review (2712)
	92116	Mental health care plan 20-40mins (2715)
	92117	Mental health care plan 20-40mins (2715)
HEALTH ASSESSMENTS						Eligible groups:
	701	Brief <30mins		59.35				Children receiving/received 4yo immunisation
	703	Standard 30-45 mins		137.9				40-49-year-olds at high risk of diabetes (3 YEARLY)
	705	Long 45-60 mins		190.3				45-49-year-olds at risk of developing chronic disease (ONCE ONLY)
	707	Prolonged >60 mins		268.8				People aged ≥ 75 years (ANNUALLY)
	715	ATSI health assessment		212.25				Permanent RACF residents (ANNUALLY)
								People with intellectual disability (ANNUALLY)
								Refugees with Medicare access (ONCE ONLY)
								Former serving members of the ADF (ONCE ONLY)
CHRONIC DISEASE MANAGEMENT
	721	GP Management Plan		144.25
	723	Team Care Arrangement EPC		114.3
	732	Review of GPMP/TCA		72.05
	729	Contribution to/R/V care plan by another Dr, non-RACF		70.4
	731	Contribution to/RV care plan by another Dr, RACF resident		70.4		Diabetes
	900	Domiciliary medication management review		154.8				2517	Diabetes cycle of care <20mins	37.05
	903	Residential medication management review		106				2521	Diabetes cycle of care >20mins	71.7
GP Mental Health Care						Pap smear
	2715	Preparation of GP mental health care plan 20-40mins		87.6				2501	>4yrs since last smear, 20-69yo Lvl B	37.05
	2717	Preparation of mental health care plan >40mins		129				2504	>4yrs since last smear, 20-69yo Lvl C	71.7
	2712	RV of GP Mental Health Care Plan		51.75				2507	>4yrs since last smear, 20-69yo Lvl D
SKIN WOUND REPAIRS						SKIN CANCER EXCISIONS
	Face/neck						BCC, SCC, keratoacanthoma			100%		(85%)
	30032	Superficial <7cm		82.5				Nose/eyelid/eyebrow/lip/ear/digit/genitalia
	30035	Deep <7cm		117.55				31356	≤5mm	221.35	188.15	188.15
	30045	Superficial >7cm		117.55			F	31358	>5mm	270.85	230.22	268.30
	30048	Deep >7cm		149.75			F	31359	>1/3 surface area of site	330.15	280.63	268.30
	30052	Full-thickness lac ear/eyelid/nose/lip		254				Face/neck/scalp/nipple-areola/knee & below, wrist & below
	Trunk/Limbs							31361	≤13mm	186.70	158.70	156.83
	30026	Superficial <7cm (not face/neck)		52.2			F	31363	>13mm	244.30	207.66	219.51
	30029	Deep <7cm (not face/neck), eg fascia/muscle		90				Other sites
	30038	Superficial >7cm (not face/neck)		90				31365	≤14mm	158.30	134.56	132.47
	30041	Deep >7cm (not face/neck)		144				31367	15-30mm	213.60	181.56	181.01
							F	31369	>30mm	245.90	209.02	209.02
OTHER SKIN
	30071	Diagnostic biopsy skin/mucous membr		52.2			Melanoma
	30186	Removal of plantar/palmar warts (non-ablative method)		47.45				Nose/eyelid/eyebrow/lip/ear/digit/genitalia
	30192	Ablation premalignant skin lesion (solar keratoses) >10		39.55			F	31371	All	357.00	303.45
	39202	Ablation malignant skin lesion <10 (histol-proven)		48.35
	39203	Ablation malignant skin lesion, 10 or more (histol-proven)		170.25				Face/neck/scalp/nipple-areola/knee & below, wrist & below
	30195	R/O benign neoplasm skin (not warts/seb k/cysts/skin tag)		63.5				31372	≤13mm	308.70	262.40
	31345	Lipoma >50mm		210.95			F	31373	>13mm	356.80	303.28
	Drainage
	30216	Aspiratn of haematoma		27.35				Other sites
	30219	Incision+drainage haematoma/furuncle/abscess		27.35				31374	≤14mm	281.90	239.62
	32147	Incision of perianal thrombosis		45.1				31375	15-30mm	303.40	257.89
FOREIGN BODY							F	31376	>30mm	351.60	298.86
	30061	Superficial FB (incl corneal/scleral), removal of		23.5
	30064	Subcutaneous FB req incision + exploration		109.9			Others - tumour (but not warts / seb k's), cyst/ulcer/scar
	41500	FB ear, removal of		82.5				Nose/eyelid/eyebrow/lip/ear/digit/genitalia
	41659	FB nose, removal of (not by syringing)		77.55				31357	≤5mm	109.70	93.25
							F	31360	>5mm	168.05	142.84
SKIN FLAPS & GRAFTS				(85%)				Face/neck/scalp/nipple-areola/knee & below, wrist & below
	Flaps							31362	≤13mm	133.90	113.82
	45201	Flap repair, to repair one surgical excision		351.86			F	31364	>13mm	168.05	142.84
	45202	Charged when one defect requires a second flap		351.86				Other sites
								31366	≤14mm	95.45	81.13
	Grafts							31368	15-30mm	125.55	106.72
	45451	Full thickness skin graft		402.69			F	31370	>30mm	143.55	122.02
	45439	Small partial thickness skin graft		241.70
	45442	Large partial thickness skin graft		498.53			Benign mucous membrane lesions
	Wedge							30072	Non-excisional biopsy	52.20
	45665	Lip, eyelid or ear, full thickness wedge excision of		235.58				31206	Defect <10mm	95.45
								31211	10-20mm	123.10
								31216	>20mm	143.55
							Cartilage / Muscle / Bone
								31340	Excision muscle / bone /cartilage - 70% of assoc item
							Nerve block
								18234	Trigeminal n (primary div.)	110.3
									Infraorbital n
								18236	Trigeminal n (periph b.)	55.25
									Mental/supraorbital/supratrochlear/auriculotemporal
								18272	Sapheous/sural/popliteal/post tib n.	55.25
FRACTURES
	Hand						Leg/Ankle
	47300	Distal phalynx finger/thumb #- closed red, incl percut fixation		84.8				47564	Tibia shaft# closed red	272.95
	47303	Distal phalynx finger/thumb #intraartic - closed red		98.9				47576	Fibula # Tx	112.85
	47312	Middle phalynx finger #- closed red		127				47579	Patella#	160.05
	47315	Middle phalynx finge #intraartic - closed red		145.95				47594	Ankle jt# Tx	216.5
	47324	Prox phalynx finger/thumb #- closed red		169.5				47597	Ankle jt# closed red	324.8
	47327	Prox phalynx finger/thumb #intraartic - closed red		197.6			Foot
	47336	Metacarpal # - closed red		169.5				47606	Calcaneum/talus# Tx	235.5
	47339	Metacarpal intraart # - closed red		197.6				47609	Calcaneum/talus# closed red	353.05
	47348	Carpus # Tx (excl scaphoid)		94				47621	Tarso-MT intraart# closed red
	47354	Scaphoid # Tx		169.5				47627	Tarsus# Tx	160.05
	Arm/forearm							47633	1 Metatarsal # Tx	112.85
	47360	Radius/ulna - distal # - cast		131.85				47636	1 Metatarsal # Closed red	169.5
	47363	Radius/ulna - distal # - closed red		197.6				47642	2 Metatarsals # Tx	150.75
	47369	Radius - Colles/Smiths/Bartons # - cast		169.5				47645	2 Metatarsals # Closed red	226
	47372	Radius - Colles/Smiths/Bartons # - closed red		282.35				47651	3 Metatarsals # Tx	235.5
	47378	Radius/ulna - shaft # - cast		169.5				47654	3 Metatarsals # Closed red	353.05
	47387	Radius & ulna - shaft # - cast		272.95				47663	Phalanx big toe # closed red	141.25
	47396	Olecranon # Tx		188.2			Others
	47405	Radius #head/neck - closed Mx		188.2				47681	Spine# (excl sacrum) - transverse p/vertebral body/posterior elements	43
	47411	Humerus tuberosity# Tx		112.85				47462	Clavicle#	112.85
	47423	Humerus prox#		216.5				47466	Sternum#	112.85
	47444	Humerus shaft# Tx		226				47471	Rib # (1 or more) - each attendance	43
	47453	Humerus distal(supracond/condylar) # Tx		263.6				47474	Pelvic ring# Tx - no disruption of ring/acetabulum	188.2
	Head							47477	Pelvic ring# Tx - Disruption of ring/acetabulum	235.5
	47703	Skull# treatment (each attendance)		43
	47735	Nasal bones# Tx (each attendance)		43.05
	47738	Nasal bones # reduction		235.5
DISLOCATIONS
	Upper limb						Lower limb
	47003	Clavicle disloc, closed red		84.8				47048	Hip disloc, closed red	324.8
	47009	Shoulder disloc, closed red		169.5				47054	Knee disloc, closed red	324.8
	47018	Elbow disloc, closed red		197.6				47057	Patella disloc, closed red	127
	47024	Radioulnar jt (distal/prox) closed red		197.6				47063	Ankle/tarsus disloc, closed red	254.2
	47030	Carpus/CMC/carpo-radio/ulna disloc - closed red		197.6				47069	Toe disloc, closed red	70.65
	47036	IPJ disloc, closed red		84.8			Others
	47042	MCPJ disloc, closed red		112.85				47000	Mandible disloc - closed red	70.65
OTHER PROCEDURES						IMPLANON INSERTION
	11506	Spirometry		20.55				23	Level B
	11700	ECG		31.25				14206	Hormone implant insertion	35.6
	13757	Venesection (therapeutic)		72.95				73806	Pregnancy test	10.15
	73805	Urine test/Catalese		4.55		IMPLANON REMOVAL
	73806	Pregnancy test		10.15				36	Level C
	36800	Urinary catheter		27.6				30062	Removal of superficial foreign body	63.2
	41677	Epistaxis, cautery or nasal packing		90				14206	Hormone implant insertion	30.3
FOOT PROCEDURES						IUD INSERTION
	47904	Toenail removal		56.5				23	Level B - initial consult
	47912	Pulp infection/paronychia - incision		56.5				36	Level C
	47915	Ingrowing toenail - Wedge resection		169.5				35503	IUD insertion	53.55
	47918	Ingrowing toenail - Radical excision nailbed		235.5				73806	Pregnancy test	10.15
VACCINATIONS						Other Mediflex Item Numbers
	9900	Hepatitis A (paediatric)		60				9935	Asthma mask	8
	9901	Hepatitis B		25				9940	24 hour blood pressure monitor	60
	9902	Hepatitis B (paediatric)		30				9916	Pre-employment medical	120
	9903	Hepatitis A (Avaxim / Havrix)		80				9910	Medical supplies
	9904	Prevenar (pneumococcal)		155
	9905	Twinrix		90
	9906	Twinrix junior		60
	9907	Varilrix Chickenpox		75
	9909	Cervarix		160
	9911	Gardasil		165
	9913	Boostrix IPV		85
	9941	Boostrix		45
	9931	Fluvax		15
	9932	Typhim		65
	9933	Meningitec		80
	9934	Vivaxim (Hepatitis A + typhoid)		155
	9939	Polio (Ipol)		55
	9945	Rotarix		125
	9944	Stamaril		115
	9948	Mencevax		110
	9951	Zostavax (Shingles)		230
	9952	Rabipur (Rabies)		120
	9953	Fluquandri		25