Extended Medicare Safety Net – 1 January 2014

This fact sheet has been updated to reflect the Extended Medicare Safety Net benefit cap amounts for 2014.

Page last updated: 14 December 2012

What is the Extended Medicare Safety Net?

Last Updated – 1 January 2014



RTF (421 KB) version of EMSN fact sheet - 2014
PDF (635 KB) version of EMSN fact sheet - 2014

The Extended Medicare Safety Net (EMSN) provides an additional rebate for Australian families and singles who incur out-of-pocket costs for Medicare eligible out-of-hospital services. Once the relevant annual threshold of out-of-pocket costs has been met, Medicare will pay for 80% of any future out-of-pocket costs for out-of-hospital Medicare services for the remainder of the calendar year. However, there is an upper limit on the amount of benefit that can be paid under the EMSN for a small number of Medicare services.

There are two thresholds for the EMSN. These thresholds are indexed by the Consumer Price Index (CPI) on 1 January each year.


The 2014 annual EMSN thresholds are:
    $624.10 for Commonwealth concession cardholders, including those with a Pensioner Concession Card, a Health Care Card or a Commonwealth Seniors Card, and people who receive Family Tax Benefit (Part A); and
    $1,248.70 for all other singles and families.

Couples and families should contact the Department of Human Services – Medicare to register their family members as part of a Medicare eligible family. Registering as a family allows eligible out-of-pocket costs for each individual family member to count toward the family’s EMSN threshold. Couples and families need to register even if all family members are listed on the Medicare card. Registration is only required once unless family members change, for example, if a dependent child is no longer studying or you have a newborn baby.

What are out-of-hospital services?


Out-of-hospital services include GP and specialist attendances, services provided in private clinics and private emergency departments, and many pathology and diagnostic imaging services. However, many day surgery facilitates are classified as hospitals in Australia. The distinction between in-hospital and out-of-hospital services is not always obvious. It is important that patients talk with their doctors regarding the classification and likely out-of-pocket costs for their medical treatment, including any rebates paid through Medicare.

What services are not eligible for the EMSN?


In-hospital services are not eligible for the EMSN. Where people receive their treatment in-hospital as a private patient they are eligible for a Medicare rebate equal to 75 per cent of the Medicare Schedule fee. If they hold Private Health Insurance (PHI), they may also receive a rebate from their PHI fund.

The EMSN provides an additional Medicare rebate for eligible out-of-hospital services. It is not available for services for which a Medicare rebate is not paid and out-of-pocket costs for these services do not count towards the annual EMSN threshold.

What is EMSN benefit capping?


The EMSN benefit cap is the maximum amount of EMSN benefits payable for a Medicare Benefits Schedule (MBS) item regardless of the fee charged by the doctor. A full list of the affected MBS items and the levels of the EMSN benefit caps appears later in this document.

Why are some services capped?


Following an announcement in the 2009-2010 Budget, on 1 January 2010 some Medicare items were capped after they were identified as areas of concern in the Extended Medicare Safety Net Review Report 2009 (the Review report). The Review report showed that for some services, such as obstetrics and assisted reproductive technology (ART), the EMSN had been used by specialist doctors to raise their fees knowing the taxpayer would cover 80 per cent of the fee rise. This has implications for people that have not qualified for the EMSN. The EMSN benefit is intended to be a patient benefit; it is not intended to be a mechanism for doctors to increase their fees.

Since 1 January 2010 a number of MBS services have since been listed on the MBS with EMSN benefit caps in place. These services have been capped to maintain consistency with the existing capped items, or as a result of recommendations made by the Medical Services Advisory Committee (MSAC) regarding cost effectiveness.

The 2009 Extended Medicare Safety Net Review Report can be found on the Department of Health website.

EMSN benefit capping announced in the 2012-13 Budget


As announced in the 2012-13 Federal Budget, from 1 November 2012 EMSN benefit caps apply to all consultations (including allied health), 38 procedural items and one ultrasound item. The new caps are calculated based on a percentage of the MBS fee.

For consultation items the EMSN benefit cap is set at 300 per cent of the MBS fee, up to a maximum cap of $500. Therefore, if a consultation item has an MBS fee of $100, the EMSN benefit cap is $300. If the consultation item has an MBS fee of $200, the EMSN benefit cap is $500. Note: All consultations, including GP, specialist, consultant physician and allied health, will have an EMSN cap.

For the other ‘non-consultation’ items that were capped on 1 November 2012, the EMSN benefit cap is equal to 80 per cent of the MBS fee. For these items there is no upper limit on the setting of the cap. Therefore if an item has an MBS fee of $800, the EMSN benefit cap is $640.

The level of the EMSN benefit caps will increase in line with the MBS fees and rebates on November, rather than on 1 January of each year. This will ensure that a patient’s maximum Medicare benefit (ie. the base Medicare rebate plus their EMSN benefit) will not change more than once in a calendar year.

The items capped in the 2012-13 Budget include those where excessive fees are being charged, where there has been excessive growth in EMSN benefits in the past few years, where the EMSN is being used to subsidise items that could be used for cosmetic purposes and where there is a risk that practitioners could shift excessive fees onto other items such as consultations.

How do the EMSN benefit caps work in practice?


Most people are not affected by capping. If you have a capped item you still receive the standard Medicare rebate for the service and once you have reached the EMSN threshold you are still eligible to receive EMSN benefits for all out-of-hospital services. EMSN benefit capping does not affect the way patients qualify for the EMSN, meaning that all out-of-pocket costs for all MBS services that have an EMSN benefit cap count toward the patients EMSN threshold.

All patients who have reached their EMSN threshold are eligible to receive an EMSN benefit up to the amount of the EMSN benefit cap each time that they claim for a capped service.

The EMSN benefit caps are recorded in Medicare Australia claiming systems and are applied by Medicare Australia at the time of processing the claim for payment. Practitioners are required to bill the Medicare item that best describes the service that they provide.

Additionally, under the Health Insurance Act 1973, the amount that is specified on the account must be the amount charged for the service that is specified. This means that any component for other goods or services that are not part of the MBS item that is being billed must not be included in the fee for that item. For example, the fee charged for a service cannot be loaded onto the fee for another service.

How do I calculate my EMSN benefit?


For a capped item the method for determining the EMSN benefit is the same, that is 80 per cent of the patient’s out-of-pocket cost once the patient has reached the EMSN threshold. If this amount is greater than the EMSN benefit cap, the patient receives the EMSN benefit cap amount. If the calculated benefit is less than the EMSN benefit cap, the patient receives the calculated benefit (which is equal to 80 per cent of the out-of-pocket costs for the claim).

Out-of pocket cost is the difference between the fee charged by the doctor and the standard Medicare rebate received by the patient from Medicare before EMSN benefits are paid.

The following scenario illustrates how the EMSN caps work. The scenario assumes that the patient has already reached their EMSN threshold and is therefore eligible to receive EMSN benefits.

Item 16500, an antenatal attendance has an MBS Fee of $47.15, an out-of-hospital MBS rebate of $40.10 and
an EMSN benefit cap of $32.95, for services provided after 1 January 2013.

Example 1:
If the doctor charges $70.00 for the service, the patient’s out-of-pocket cost before EMSN benefits are paid is $29.90 (doctor’s fee minus the MBS rebate received). The EMSN benefit for this service is calculated to be $23.95 (80% of the patient’s out-of-pocket cost). As the calculated EMSN benefit is below the EMSN benefit cap amount of $32.95, the patient will receive the full $23.95 in EMSN benefits. As a result, the total cost incurred by the patient is $5.95.

Example 2:
If the doctor charges $90.00 for the service, the patient’s out-of-pocket cost before EMSN benefits are paid is $49.90 (doctor’s fee minus the MBS rebate received). The EMSN benefit for this service would be calculated to be $39.95 (80% of the out-of-pocket cost) however, as this item has an EMSN benefit cap, the patient will receive the cap amount of $32.95. As a result, the total cost incurred by the patient is $16.95.

The EMSN benefit caps only apply to out-of-hospital services, as EMSN benefits are only paid for out-of-hospital services. The EMSN benefit caps do not impact on the amount patients receive through their private health
insurance.



The full list of MBS items is available online on the MBS website. The website lists all the Medicare services and the associated MBS schedule fees and rebates for each item. The EMSN benefit cap will appear in the item description on MBS online, if the item has an EMSN benefit cap.

Changes to Obstetrics and Assisted Reproductive Technology on 1 January 2010


With the introduction of EMSN capping on 1 January 2010, a number of structural changes were made to obstetrics and ART services, including the introduction of new items and changes to Medicare rebates and item descriptors. Some of these changes are outlines below:

Obstetrics


On 1 January 2010 two items for consultations relating to pregnancy, 16401 and 16404, were introduced into the obstetrics section of the MBS. These items have the same fee as specialist attendance items 104 and 105 however they carry an EMSN benefit cap. These items continue to be restricted to specialists.

The item for the planning and management of a pregnancy was split into two items. Item 16590 is claimable for planning and managing a pregnancy that has progressed beyond 20 weeks where the practitioner intends to perform the labour and delivery. Item 16591 is claimable for planning and managing a pregnancy that has progressed beyond 20 weeks where the practitioner does not intend to perform the labour and delivery.

With the introduction of capping the base Medicare rebates for 15 obstetrics items was increased at a cost of $157.6 million over four years. The Medicare rebates for obstetrics attendance items and labour and delivery items where increased by 10 per cent and 30 per cent respectively. In addition the Medicare rebate for item 16590 – planning and management of a pregnancy was increased significantly. This is of particular benefit to those women that do not qualify for EMSN benefits.

Assisted Reproductive Technology (ART)


With the introduction of capping, the Medicare items for ART services, including In-Vitro Fertilisation (IVF), were restructured in negotiation with the ART profession and patient group ACCESS. This structure better reflects current clinical practice. There are no restrictions on the number of ART cycles patients can have under Medicare.

Further information


For more information visit the Medicare website or contact the Department of Human Services - Medicare:

Medicare
GPO Box 9822
in your capital city

Phone: 132 011 (local call rate) 24 hours 7 days a week.
Email: medicare@medicareaustralia.gov.au

Further background on the EMSN is also available of the Department of Health website.

Capped Items


EMSN benefit caps apply to the MBS items outlined below. The EMSN benefit caps outlined below are for the calendar year 2013.
Item numberDescription
Capping percentage
EMSN benefit cap ($)*
14201Injection of poly-L-lactic acid for the treatment of severe facial lipoatrophy (initial session)
15%
35.55
14202Injection of poly-L-lactic acid for the treatment of severe facial lipoatrophy (subsequent sessions)
15%
18.00
32500Varicose vein treatment via injection of sclerosant
110%
120.80
32520Varicose vein treatment of one leg using endovenous laser therapy
15%
80.05
32522Varicose vein treatment of one leg using endovenous laser therapy
10%
79.35
42702Cataract surgery
15%
114.10
45560Hair Transplantation
35%
165.80
#Note: Actual EMSN benefit received depends on the out-of-pocket cost incurred by a patient.

*The EMSN benefit cap is applicable until 30 June 2014, and will be indexed on 1 July 2014.

Assisted Reproductive Technology

Item numberDescription
EMSN benefit cap ($)*
13200ART services - superovulated treatment cycle proceeding to oocyte retrieval – initial cycle in a calendar year
1,675.50
13201ART services- superovulated treatment cycle proceeding to oocyte retrieval – subsequent cycle in a calendar year
2,432.15
13202ART services – superovulated cycles that is cancelled prior to oocyte retrieval
64.95
13203Ovulation monitoring services for artificial insemination
108.15
13206ART services - natural treatment cycle or treatment cycle where oocyte growth & development is induced using oral medication only
64.95
13209Planning and management of an ART treatment cycle
10.90
13210Initiation of a professional attendance via videoconference, where that service relates to item 13209
5.30
13212Oocyte retrieval
70.35
13215Transfer of embryos to the female reproductive system
48.70
13218Preparation of frozen or donated embryos
702.65
13221Preparation of semen for artificial insemination
21.70
13251Intracytoplasmic sperm injection
108.15
#Note: Actual EMSN benefit received depends on the out-of-pocket cost incurred by a patient.

*The EMSN benefit cap is applicable until 30 June 2014, and will be indexed on 1 July 2014.

Obstetric services

Item numberDescription
EMSN benefit cap ($)*
16399Initiation of a professional attendance via videoconference, where that service relates to item 16401, 16404, 16406, 16500, 16590 or 16591
24.10
16400Antenatal attendance by a nurse or midwife on the behalf of a medical practitioner
11.05
16401Initial specialist attendance by a practitioner in the practice of obstetrics
54.90
16404Subsequent specialist attendance by a practitioner in the practice of obstetrics
32.95
1640632 to 36 week obstetric visit - Antenatal professional attendance, as part of a single course of treatment, at 32-36 weeks of the patient's pregnancy when the patient is referred by a participating midwife. Payable only once for a pregnancy.
108.15
16500Antenatal attendance
32.95
16501External Cephalic Version for Breech Presentation, After 36 Weeks
65.90
16502Attendance for treatment of Polyhydramnios, Unstable Lie, Multiple Pregnancy, Pregnancy Complicated by Diabetes or Anaemia, Threatened Premature Labour Treated by Bed Rest Only or Oral Medication
22.00
16504Attendance for the treatment of Habitual Miscarriage by Injection of Hormones Each Injection Up to a Maximum of 12 Injections
22.00
16505Attendance for threatened Abortion, Threatened Miscarriage or Hyperemesis Gravidarum
22.00
16508Attendance for Pregnancy Complicated by Acute Intercurrent Infection, Intrauterine Growth Retardation, Threatened Premature Labour With Ruptured Membranes or Threatened Premature Labour Treated by Intravenous Therapy
22.00
16509Attendance for the treatment of Preeclampsia, Eclampsia or Antepartum Haemorrhage
22.00
16511Purse String Ligation of Cervix
109.75
16512Removal of Purse String Ligature of Cervix
32.95
16514Antenatal Cardiotocography in the Management of High Risk Pregnancy
16.55
16515Management of Vaginal Delivery As An Independent Procedure Where the Patient's Care Has Been Transferred by Another Medical Practitioner for Management of the Delivery
175.60
16518Management of Vaginal Delivery As An Independent Procedure Where the Patient's Care Has Been Transferred by Another Medical Practitioner for Management of the Delivery
175.60
16519Management of Labour and Delivery by Any Means (Including Caesarean Section) Including Post-partum Care for 5 Days
329.15
16520Management of Labour and Delivery by Any Means (Including Caesarean Section) Including Post-partum Care for 5 Days
329.15
16522Management of complicated birth
438.90
16525Management of Second Trimester Labour, With or Without Induction, for Intrauterine Fetal Death, Gross Fetal Abnormality or Life Threatening Maternal Disease
153.370
16527Management of Vaginal Delivery, if the patient's care has been transferred by a participating midwife for management of the delivery, including all attendances related to the delivery. Payable once only for a pregnancy.
175.60
16528CAESAREAN SECTION and post-operative care for 7 days, if the patient's care has been transferred by a participating midwife for management of the birth. Payable once only for a pregnancy.
329.15
16564Evacuation of Retained Products of Conception (Placenta, Membranes or Mole) As a Complication of Confinement, With or Without Curettage of the Uterus
219.45
16567Management of Postpartum Haemorrhage by Special Measures Such As Packing of Uterus
219.45
16570Vaginal Correction of Acute Inversion of the Uterus
219.45
16571Repair of Extensive Laceration or Lacerations of the Cervix
219.45
16573Repair of Third Degree Tear, Involving Anal Sphincter Muscles and Rectal Mucosa
219.45
16590Planning and Management of a Pregnancy That as Progressed Beyond 20 Weeks.
219.45
16591Planning and Management of a Pregnancy where the care of the patient will be transferred to another medical practitioner for the labour and delivery
109.75
16600Amniocentesis
32.95
16603Chorionic villus sampling
65.90
16606Fetal Blood Sampling From Umbilical Cord or Fetus
131.75
16609Fetal Intravascular Blood Transfusion, Using Blood Already Collected, Including Neuromuscular Blockade, Amniocentesis and Fetal Blood Sampling.
252.40
16618Amniocentesis, therapeutic
104.30
16624Drainage of Fetal Fluid Filled Cavity
142.65
16627Feto-amniotic Shunt, Insertion of, Into Fetal Fluid Filled Cavity, Including Neuromuscular Blockade and Amniocentesis
307.25
16633Procedure On Multiple Pregnancies Relating to Items 16606, 16609, 16612, 16615 and 16627
230.50
16636Procedure On Multiple Pregnancies Relating to Items 16600, 16603, 16618, 16621 and 16624
87.85
#Note: Actual EMSN benefit received depends on the out-of-pocket cost incurred by a patient.

*The EMSN benefit cap is applicable until 30 June 2014, and will be indexed on 1 July 2014.


Pregnancy ultrasounds

Item numberDescription
EMSN benefit cap ($)*
55700Pregnancy related scan - less than 12 weeks referred patient
32.95
55701^Pregnancy related scan - less than 12 weeks referred patient
16.50
55703Pregnancy related scan - less than 12 weeks non referred patient
16.55
55702^Pregnancy related scan - less than 12 weeks non referred patient
8.30
55704Pregnancy related scan - 12 to 16 weeks referred patient
38.50
55710^Pregnancy related scan - 12 to 16 weeks referred patient
19.30
55705Pregnancy related scan - 12 to 16 weeks non referred patient
16.55
55711^Pregnancy related scan - 12 to 16 weeks non referred patient
8.30
55706Pregnancy related scan - 17 to 22 weeks referred patient
54.90
55713^Pregnancy related scan - 17 to 22 weeks referred patient
27.50
55707Pregnancy related scan - rump length of 45 to 84mm referred patient
38.50
55714^Pregnancy related scan - rump length of 45 to 84mm referred patient
19.30
55708Pregnancy related scan - rump length of 45 to 84mm non referred patient
16.55
55716^Pregnancy related scan - rump length of 45 to 84mm non referred patient
8.30
55709Pregnancy related scan - 17 to 22 weeks non referred patient
22.00
55717^Pregnancy related scan - 17 to 22 weeks non referred patient
11.05
55712Pregnancy related scan - 17 to 22 weeks referred patient by obstetrician
65.90
55719^Pregnancy related scan - 17 to 22 weeks referred patient by obstetrician
32.95
55715Pregnancy related scan - 17 to 22 weeks non referred patient, performed by obstetrician
22.00
55720^Pregnancy related scan - 17 to 22 weeks non referred patient, performed by obstetrician
11.05
55718Pregnancy related scan - after 22 weeks referred patient
54.90
55722^Pregnancy related scan - after 22 weeks referred patient
27.50
55721Pregnancy related scan - after 22 weeks referred patient by obstetrician
65.90
55724^Pregnancy related scan - after 22 weeks referred patient by obstetrician
32.95
55723Pregnancy related scan - after 22 weeks non referred patient
22.00
55726^Pregnancy related scan - after 22 weeks non referred patient
11.05
55725Pregnancy related scan - after 22 weeks non referred patient, performed by obstetrician
22.00
55727^Pregnancy related scan - after 22 weeks non referred patient, performed by obstetrician
11.05
55729Duplex scanning after 24th week
16.55
55730^Duplex scanning after 24th week
8.30
55762Pregnancy related scan - 17 to 22 weeks non referred patient which identifies multiple pregnancy
32.95
55763^Pregnancy related scan - 17 to 22 weeks non referred patient which identifies multiple pregnancy
16.50
55764Pregnancy related scan - 17 to 22 weeks referred patient which identifies multiple pregnancy, performed by obstetrician
87.85
55765^Pregnancy related scan - 17 to 22 weeks referred patient which identifies multiple pregnancy, performed by obstetrician
44.00
55766Pregnancy related scan - 17 to 22 weeks non referred patient which identifies multiple pregnancy, performed by obstetrician
32.95
55767^Pregnancy related scan - 17 to 22 weeks non referred patient which identifies multiple pregnancy, performed by obstetrician
16.50
55768Pregnancy related scan - after 22 weeks referred patient which confirms multiple pregnancy
81.40
55769^Pregnancy related scan - after 22 weeks referred patient which confirms multiple pregnancy
40.75
55770Pregnancy related scan - after 22 weeks non referred patient which confirms multiple pregnancy
32.55
55771^Pregnancy related scan - after 22 weeks non referred patient which confirms multiple pregnancy
16.30
55772Pregnancy related scan - after 22 weeks referred patient by obstetrician which confirms multiple pregnancy
86.80
55773^Pregnancy related scan - after 22 weeks referred patient by obstetrician which confirms multiple pregnancy
43.45
55774Pregnancy related scan - after 22 weeks referred patient which confirms multiple pregnancy performed by obstetrician
38.00
55775^Pregnancy related scan - after 22 weeks referred patient which confirms multiple pregnancy performed by obstetrician
19.05
#Note: Actual EMSN benefit received depends on the out-of-pocket cost incurred by a patient.
^ Items introduced under the Capital Sensitivity measure announced in the 2009-10 Federal Budget and claimable from 1 July 2011 for services provided using aged equipment.

*The EMSN benefit cap is applicable until 30 June 2014, and will be indexed on 1 July 2014.


Midwifery

Item numberDescription
EMSN benefit cap ($)*
82100Initial midwife attendance with a participating midwife - lasting at least 40 minutes
21.70
82105Short antenatal attendance with a participating midwife - up to 40 minutes
16.30
82110Long antenatal attendance with a participating midwife - lat least 40 minutes.
21.70
82115Planning and management of pregnancy with a participating midwife that has progressed beyond 20 weeks lasting at least 90 minutes
54.10
82130Short postnatal attendance with a participating midwife
16.30
82135Long postnatal attendance with a participating midwife
21.70
82140Six week postnatal attendance
16.30
#Note: Actual EMSN benefit received depends on the out-of-pocket cost incurred by a patient.

*The EMSN benefit cap is applicable until 30 June 2014, and will be indexed on 1 July 2014.




EMSN benefit caps on procedures announced in the 2012-13 Budget

Item NumberDescription of serviceCap percentageEMSN benefit cap ($)*
11700Electrocardiography, tracing and report.80%25.00
14100Laser photocoagulation for the treatment of vascular lesions80%122.00
20142Initiation of management of anaesthesia for lens surgery80%95.05
30071Diagnostic biopsy of skin or mucous membrane80%41.80
31200Removal of tumour, cyst, ulcer or scar by surgical excision 80%27.20
31205Removal of tumour, cyst, ulcer or scar by surgical excision80%76.40
31521Total male mastectomy80%346.80
31527Subcutaneous male mastectomy80%416.20
31560Excision of accessory breast tissue80%277.40
32501Varicose vein treatment 80%87.85
32504Varicose vein treatment 80%214.15
32507Varicose vein treatment80%426.90
34106Ligation of artery or vein 80%233.40
35533Vulvoplasty or labioplasty80%279.90
37619Reversal of male sterilisation - vasovasostomy or vasoepididymostomy80%221.30
42590Canthoplasty – eyelid surgery80%270.70
42738Injection of a therapeutic substance into the eye80%240.60
42739Injection of a therapeutic substance into the eye80%240.60
42740Injection of a therapeutic substance into the eye80%240.60
45003Single stage local myocutaneous flap repair to 1 defect, simple and small 80%481.35
45025Carbon dioxide laser for scaring on face or neck80%141.90
45026Carbon dioxide laser for scaring on face or neck – more than 1 area80%318.85
45200Single stage local flap, where indicated, to repair 1 defect, simple or small,80%227.50
45203Single stage local flap, where indicated, to repair 1 defect, complicated or large, 80%324.85
45206Single stage local flap, where indicated, to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals 80%306.85
45545Reconstruction of nipple, areola or both80%498.05
45584Liposuction 80%505.40
45585Liposuction 80%505.40
45587Meloplasty for correction of facial asymmetry due to soft tissue abnormality 80%712.70
45614Whole thickness reconstruction of eyelid other than by direct suture 80%470.10
45617Upper eyelid reduction 80%188.05
45620Lower eyelid reduction 80%260.85
45623Ptosis of eyelid (unilateral), correction of 80%578.45
45624Ptosis of eyelid, correction of, where previous ptosis surgery has been performed 80%749.95
45632Rhinoplasty, correction of lateral or alar cartilages 80%409.60
45635Rhinoplasty, correction of bony vault only80%470.10
45652Rhinophyma, carbon dioxide laser or erbium laser excision-ablation of 80%285.10
45659Correction of lop ear, bat ear or similar deformity 80%417.00
55054Ultrasonic cross-sectional echography in conjunction with a surgical procedure using interventional techniques80%87.30

EMSN benefit caps on consultations and allied health items announced in the 2012-13 Budget (caps equal to 300% of the MBS fee up to a maximum of $500)

MBS groupName of groupItem numbers
Group A1GP attendances3 – 51
Group A2Other non-referred attendances52 – 96
Group A3Specialist attendances99 – 109
Group A4Consultant physician attendances110 – 133
Group A5Prolonged attendances160 – 164
Group A6Group therapy170 – 172
Group A7Acupuncture173 – 199
Group A8Consultant psychiatrist288 – 370
Group A9Contact lenses – attendances10801 – 10816
Group A11Urgent attendance after hours597 – 600
Group A12Consultant occupational physician385 – 389
Group A13Public health physician410 – 417
Group A14Health assessments701 – 715
Group A15GP management plans, team care arrangements, multidisciplinary care plans721 – 880
Group A17Domiciliary and residential management reviews900 – 903
Group A18GP attendance associated with a PIP incentive payment2497 – 2559
Group A19Other non-referred attendances associated with a PIP incentive payment2598 – 2677
Group A20GP mental health treatment2700 – 2727
Group A21Emergency physician501 – 536
Group A22GP after hours attendances5000 – 5067
Group A23Other non-referred after hours attendances5200 – 5267
Group A24Pain and palliative medicine2801 – 3093
Group A26Neurosurgery attendances6007 – 6016
Group A27Pregnancy support counselling4001
Group A28Geriatric medicine141 – 149
Group A29Early intervention services for children with autism, pervasive developmental disorder or disability135 – 139
Group A30Medical practitioner telehealth attendances2100 – 2220
Group T6Anaesthetic consultations17609 – 17690
Group M3Allied health services10950 – 10970
Group M6Psychological therapy services80000 – 80020
Group M7Focussed psychological strategies (allied mental health)80100 – 80170
Group M8Pregnancy support counselling81000 – 81010
Group M9Allied health group services81100 – 81125
Group M10Autism, pervasive developmental disorder and disability services82000 – 82035
Group M11Allied health services for Indigenous Australians who have had a health check81300 – 81360
Group M12Services provided by a practice nurse or registered Aboriginal health worker on behalf of a medical practitioner10983 – 10989, 10997
Group M13Midwife telehealth services82150-82152
Group M14Nurse practitioners82200 - 82225