Attendance for the purpose of group therapy lasting at least one hour…
Professional attendances · Group A7 — Acupuncture and non-specialist practitioner items
| Benefit | Amount | Gap to fee |
|---|---|---|
| 100% | $112.50 | — |
| 75% | $84.40 | $28.10 |
Benefit amounts as published in the schedule, not recalculated.
Fee current from 1 Jul 2026.
Time requirement as written: “at least one hour”
AN.7.1 Prescribed Medical Practitioners · reviewed 1 Nov 2023
A prescribed medical practitioner is a medical practitioner: (a) who is not a general practitioner (see GN.4.13), specialist or consultant physician, and (b) who: a. is registered under section 3GA of the Act and is practising during the pe… Read the full note
Shown as an excerpt: this note also governs 63 other items in this tool, so it has its own page rather than repeating in full on each one.
AN.7.4 Prescribed Medical Practitioner Family Group Therapy (Items 221, 222 and 223) · reviewed 1 Nov 2023
Last reviewed: 1 November 2023
These items refer to family group therapy supervised by prescribed medical practitioners (see note AN.7.1). To be used, these items require that a formal intervention with a specific therapeutic outcome, such as improved family function and/or communication, is undertaken. Other types of group attendances do not attract benefits. It should be noted that only one fee applies in respect of each group of patients.
Telephone consultations, letters of advice by prescribed medical practitioners, the issue of repeat prescriptions when the patient is not in attendance, post mortem examinations, the issue of death certificates, cremation certificates, counselling of relatives (note ‑ items 348, 350 and 352 are not counselling services), group attendances (other than group attendances covered by items 170, 171, 172, 221, 222, 223, 342, 344 and 346) such as group counselling, health education, weight reduction or fitness classes do not qualify for benefit.
Although Medicare benefits are not payable for the issue of a death certificate, an attendance on a patient at which it is determined that life is extinct can be claimed under the appropriate attendance item. The outcome of the attendance may be that a death certificate is issued, however, Medicare benefits are only payable for the attendance component of the service.
| Item number | 221 |
|---|---|
| Category | 1 — Professional attendances |
| Group | A7 — Acupuncture and non-specialist practitioner items |
| Subheading | — |
| Item type | S |
| Fee type | N |
| In schedule since | 1 Jul 2018 |
| Fee current from | 1 Jul 2026 |
| GP scope | Yes · tier 2 |