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5262

Other non-referred after-hours attendances to which no other item… — at a residential aged care…

Professional attendances · Group A23 — Other non-referred after-hours attendances to which no other item applies

Derived fee

This item has no schedule fee of its own. The fee is calculated from the formula published in the schedule, so any single figure shown here would be misleading.

Schedule formula
An amount equal to $112.20, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $112.20 plus $1.25 per patient
Conditions in the descriptor
60+ minAfter hoursConsulting roomsAged care facility

Time requirement as written: “more than 60 minutes”

Descriptor · the legislated text
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient at the facility and is not a resident of a self-contained unit, lasting more than 60 minutes by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
Descriptor current from 1 Nov 2023.
Rarely claimed

Once nationally in 2025-26, across all providers. If you have arrived here from a search, it is worth re-reading the descriptor to check this is the item you mean.

Services Australia, Medicare Item Reports. Counts services processed in the period, summed over all states. Shown only where the count is low enough to be worth a second look.

Claiming with other items
Excludes any other applicable item
The descriptor carries the blanket qualification “other than a service to which another item in the table applies”. If a more specific item fits what you did, that item applies instead of this one.
Explanatory notes · departmental guidance · 9
AN.0.9 Using time-tiered professional (general) attendance items
Note AN.0.9

This note sets out the key common principles that apply when using the time-tiered professional attendance (also referred to as general attendance, time-tiered attendance, and Level A-E attendance) MBS items for general practitioners (GPs),… Read the full note

Shown as an excerpt: this note also governs 114 other items in this tool, so it has its own page rather than repeating in full on each one.

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AN.0.15 After hours Residential Aged Care Facility Attendances (Items 772, 776, 788, 789, 2200, 5010, 5028, 5049, 5067, 5077, 5260, 5262, 5263, 5265, 5267)
Note AN.0.15

These items refer to attendances on patients in residential aged care facilities. Where a medical practitioner attends a patient in a self-contained unit, within a residential aged care facility complex, the attendance attracts benefits und… Read the full note

Shown as an excerpt: this note also governs 14 other items in this tool, so it has its own page rather than repeating in full on each one.

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AN.7.2 GENERAL ATTENDANCE ITEMS – MEDICAL PRACTITIONERS AND PRESCRIBED MEDICAL PRACTITIONERS
Note AN.7.2

GENERAL ATTENDANCE ITEMS – MEDICAL PRACTITIONERS1 (MPs) AND PRESCRIBED MEDICAL PRACTITIONERS2 (PMPs) Level A Straightforward Level B 5-25 minutes Level C 25+ minutes Level D 45+ minutes Level E 60+ minutes Business hours In consulting rooms… Read the full note

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MN.1.3 Bulk Billing Incentives in Modified Monash Area 1
Note MN.1.3

General Practitioners1 Bulk billing incentives – Modified Monash 1 (Metropolitan Area)2 Applicable BBI Item 10990 75870 75880 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36, 44, 123 Standar… Read the full note

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MN.1.4 Bulk Billing Incentives in Modified Monash Area 2
Note MN.1.4

General Practitioners1 Bulk billing incentives for eligible patients2 – Modified Monash 2 (Regional Centre)3 Applicable BBI Item 10991 75871 75881 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23… Read the full note

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MN.1.5 Bulk Billing Incentives in Modified Monash Area 3 and 4
Note MN.1.5

General Practitioners1 Bulk billing incentives – Modified Monash 3 and 4 (Medium and Large Rural Towns)2 Applicable BBI Item 75855 75873 75882 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36… Read the full note

Shown as an excerpt: this note also governs 117 other items in this tool, so it has its own page rather than repeating in full on each one.

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MN.1.6 Bulk Billing Incentives in Modified Monash Area 5
Note MN.1.6

General Practitioners1 Bulk billing incentives – Modified Monash 5 (Small Rural Towns)2 Applicable BBI Item 75856 75874 75883 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36, 44, 123 Standar… Read the full note

Shown as an excerpt: this note also governs 117 other items in this tool, so it has its own page rather than repeating in full on each one.

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MN.1.7 Bulk Billing Incentives in Modified Monash Area 6
Note MN.1.7

General Practitioners1 Bulk billing incentives – Modified Monash 6 (Remote Communities)2 Applicable BBI Item 75857 75875 75884 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36, 44, 123 Standa… Read the full note

Shown as an excerpt: this note also governs 117 other items in this tool, so it has its own page rather than repeating in full on each one.

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MN.1.8 Bulk Billing Incentives in Modified Monash Area 7
Note MN.1.8

General Practitioners1 Bulk billing incentives – Modified Monash 7 (Very Remote Communities)2 Applicable BBI Item 75858 75876 75885 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36, 44, 123 S… Read the full note

Shown as an excerpt: this note also governs 117 other items in this tool, so it has its own page rather than repeating in full on each one.

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Item number5262
Category1 — Professional attendances
GroupA23 — Other non-referred after-hours attendances to which no other item applies
Subheading
Item typeS
Fee typeDerived
In schedule since1 Nov 2023
Fee current from
GP scopeYes · tier 3
Official page As at 1 Aug 2026