1.  Section 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

2.  Schedule 1, 2, and 3

1 July 2025.

1 July 2025

3.  Schedule 4

The later of:

1.      immediately after the commencement Health Insurance Legislation Amendment (Indexation) Determination 2025; and
2.     immediately after the commencement of the Health Insurance (Section 3C General Medical Services – Allied Health Services) Amendment (Eligible Providers) Determination 2025; and
3.      immediately after the commencement of the Health Insurance Legislation Amendment (2025 Measures No. 2) Regulations 2025.

However, the provisions do not commence at all if the event mentioned in paragraph (c) does not occur.

Subgroup A44 - Specialist and Consultant Physician - Telehealth Services

Column 1

Item

Column 2

Description

Column 3

Fee ($)

92748

Video attendance for a person by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine if:

(a) the attendance follows referral of the patient to the consultant occupational physician

(b) the attendance is of more than 5 minutes in duration;

(c)         the attendance is an initial attendance in a single course of treatment; and

(d) the attendance on the patient, being an attendance to which item 385, 91822, or 104 applies did not take place on the same day by the same consultant occupational physician.

98.95

92749

Video attendance for a person by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine if:

(a) the attendance follows referral of the patient to the consultant occupational physician;

(b) the attendance is of more than 5 minutes in duration; and

(c)          the attendance is after the first in a single course of treatment.

49.75

92750

Phone attendance for a person by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine if:

(a) the attendance follows referral of the patient to the consultant occupational physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is after the first attendance in a single course of treatment.

49.75

92751

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration;

(c)          the attendance is an initial attendance in a single course of treatment; and

(d) the attendance on the patient, being an attendance to which item 2801, 91824 or 110 applies did not take place on the same day by the same pain medicine specialist or consultant physician.

174.50

92752

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is not a minor attendance after the first in a single course of treatment.

87.30

92753

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialist’s or consultant physician’s specialty of pain medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is a minor attendance after the first in a single course of treatment.

49.75

92754

Phone attendance for a person by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c)         the attendance is a minor attendance after the first of a single course of treatment.

49.75

92755

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialists’ or consultant physician’s specialty of palliative medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration;

(c) the attendance is an initial attendance in a single course of treatment; and

(d)         the attendance on the patient, being an attendance to which item 3005, 91824 or 110 applies did not take place on the same day by the same palliative medicine specialist or consultant physician.

174.50

92756

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialist's, or consultant physician's, specialty of palliative medicine if: 

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is not a minor attendance after the first in a single course of treatment.

87.30

92757

Video attendance for a person by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, if:

(a)         the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is a minor attendance after the first in a single course of treatment.

49.75

92758

Phone attendance for a person by a specialist, or consultant physician, in the practice of the specialists’ or consultant physician’s specialty of palliative medicine if:

(a) the attendance follows referral of the patient to the specialist or consultant physician;

(b) the attendance is of more than 5 minutes in duration; and

(c) the attendance is a minor attendance after the first in a single course of treatment.

49.75

92759

Video attendance for a person by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the specialist;

(b) the attendance includes a comprehensive assessment;

(c) the attendance is the first or only time in a single course of treatment that a comprehensive assessment is provided; and

(d)         an attendance on the patient, being an attendance to which item 6018, 91824 or 110 applies did not take place on the same day by the same addiction medicine specialist.

174.50

92760

Video attendance for a person by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the specialist;

(b)         the attendance is of more than 5 minutes in duration; and

(c) the attendance is a patient assessment:

           (i) before or after a comprehensive assessment under item 110, 6018, 91824 or 92759 in a single course of treatment; or

          (ii) that follows an initial assessment under item 132, 6023, 92422 or 92762 in a single course of treatment; or

          (iii) that follows a review under item 133, 6024, 92423 or 92763 in a single course of treatment.

87.30

92761

Phone attendance for a person by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the specialist;

(b) the attendance is of more than 5 minutes in duration; and

(c)         the attendance is a minor attendance after the first in a single course of treatment.

49.75

92762

Video attendance for a person by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if:

(a) an assessment is undertaken that covers:

(i) a comprehensive history, including psychosocial history and medication review; and

(ii) a comprehensive multi or detailed single organ system assessment; and

(iii) the formulation of differential diagnoses; and

(b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner:

(i) an opinion on diagnosis and risk assessment;

(ii) treatment options and decisions;

(iii) medication recommendations; and

(c) an attendance on the patient to which item 104, 105, 110, 116, 119, 91824, 91825, 91826, 91836, 92759, 92760, 92763, 132, 133, 6018, 6019 or 6023 applies did not take place on the same day by the same addiction medicine specialist; and

(d) neither this item nor item 6023, 132 or 92422 has applied to an attendance on the patient in the preceding 12 months by the same addiction medicine specialist

305.15

92763

Video attendance for a person by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if:

(a) a review is undertaken that covers:

(i) review of initial presenting problems and results of diagnostic investigations; and

(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

(iii) comprehensive multi or detailed single organ system assessment; and

(iv) review of original and differential diagnoses; and

(b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

(i) a revised opinion on diagnosis and risk assessment; and

(ii) treatment options and decisions; and

(iii) revised medication recommendations; and

(c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018, 6019, 91824, 91825, 91826, 91836, 92423, 92759 or 6024 applies did not take place on the same day by the same addiction medicine specialist; and

(d) item 132, 6023, 92422 or 92762 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 132, 6023, 92422, or 92762 by locum tenens; and

(f) this item has not applied more than twice in any 12-month period.

152.80

92764

Video attendance for a person by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the sexual health medicine specialist; and

(b) the attendance is of more than 5 minutes in duration, and includes a comprehensive assessment; and

(c)         the attendance is the first or only time in a single course of treatment; and

(d) an attendance on the patient, being an attendance to which item 6051, 91824, or 110 applies did not take place on the same day by the same sexual health medicine specialist.

174.50

92765

Video attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the specialist;

(b)         the attendance is a patient assessment:

          (i) before or after a comprehensive assessment under item 6051, 91824 or 92764 in a single course of treatment; or

          (ii) that follows an initial assessment under item 6057 or 92767 in a single course of treatment; or

           (iii) that follows a review under item 6058 or 92768 in a single course of treatment.

87.30

92766

Phone attendance for a person by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty if:

(a) the attendance follows referral of the patient to the sexual health medicine specialist; and

(b) the attendance is of more than 5 minutes in duration; and

(c)         the attendance is a minor attendance after the first in a single course of treatment.

49.75

92767

Video attendance for a person by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of sexual health of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if:

(a) an assessment is undertaken that covers:

(i) a comprehensive history, including psychosocial history and medication review; and

(ii) a comprehensive multi or detailed single organ system assessment; and

(iii) the formulation of differential diagnoses; and

(b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner:

(i) an opinion on diagnosis and risk assessment;

(ii) treatment options and decisions;

(iii) medication recommendations; and

(c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 6057, 91822, 91823, 91824, 91825, 91826, 91833, 91836, 92422, 92423, 92764, or 92765 applies did not take place on the same day by the same sexual health medicine specialist; and

(d) neither this item nor items 6057, 92422 or 132 has applied to an attendance on the patient in the preceding 12 months by the same sexual health medicine specialist.

305.15

92768

Video attendance for a person by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if:

(a) a review is undertaken that covers:

(i) review of initial presenting problems and results of diagnostic investigations; and

(ii) review of responses to treatment and medication plans initiated at time of initial consultation; and

(iii) comprehensive multi or detailed single organ system assessment; and

(iv) review of original and differential diagnoses; and

(b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate:

(i) a revised opinion on diagnosis and risk assessment; and

(ii) treatment options and decisions; and

(iii) revised medication recommendations; and

(c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051, 6052, 91822, 91823, 91824, 91825, 91826, 91836, 92422, 92423, 92764, 92765 or 6058 applies did not take place on the same day by the same sexual health medicine specialist; and

(d) item 6057, 132, 92422 or 92767 applied to an attendance claimed in the preceding 12 months; and

(e) the attendance under this item is claimed by the same sexual health medicine specialist who claimed item 6057, 132, 92422 or 92767 by locum tenens; and

(f) neither this item nor item 6058 has not applied more than twice in any 12-month period.

152.80

Group A3 – Specialist attendances to which no other item applies

Column 1

Item

Column 2

Description

Column 3

Fee ($)

127

Video attendance lasting at least 45 minutes by a specialist in the practice of the specialist’s specialty of gynaecology, following referral of the patient to the specialist by a referring practitioner—initial attendance in a single course of treatment, if:

(a) the specialist takes a comprehensive history, including psycho-social history and medication review; and

(b) the specialist undertakes any of the following that are clinically relevant:

(i) arranging for necessary investigations which may include a detailed physical examination;

(ii) consideration of multiple complex diagnoses;

(iii) discussion of all treatment options available;

(iv) assessment of pros and cons of each treatment option given patient characteristics and medical history;

(v) consideration, discussion and provision of necessary referrals for clinically appropriate investigations or treatment;

(vi) communication of a patient‑centred management plan; and

(c) the specialist makes available to the patient or carer written documentation that outlines treatment options and information on associated risks and benefits; and

(d) an attendance on the patient did not take place on the same day by the same specialist gynaecologist in the same single course of treatment.

174.50

129

Video attendance lasting at least 45 minutes by a specialist in the practice of the specialist’s speciality of gynaecology, following referral of the patient to the specialist by a referring practitioner - an attendance after the initial attendance in a single course of treatment if:

(a) the specialist updates the patient’s comprehensive history, including psycho-social history and medication review; and

(b) the specialist reviews implemented management strategies; and

(c) the specialist undertakes any of the following that are clinically relevant:

(i) update of management plan;

(ii) arranging for necessary investigations which may include a detailed physical examination;

(iii) discussion of treatment options;

(iv) consideration, discussion and provision of necessary referrals;

(v) provision of appropriate education; and

(d) the specialist makes available to the patient or carer written documentation that outlines treatment options and information on associated risks and benefits; and

(e) an attendance on the patient did not take place on the same day by the specialist for the same single course of treatment.

87.30