Level A consultation, aged care
Professional attendances · Group A35 — Services for patients in residential aged care facilities
| Benefit | Amount | Gap to fee |
|---|---|---|
| 100% | $20.55 | — |
Benefit amounts as published in the schedule, not recalculated.
Fee current from 1 Jul 2026.
The flag fall is not paid automatically. If you bill 90020 for the first patient on a facility visit without also billing item 90001, the flag fall benefit is simply lost - there is no back-claim. The bulk billing incentive attaches to the attendance item only, not to the flag fall.
AN.0.9 Using time-tiered professional (general) attendance items
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.
AN.0.74 General Attendance Items - General Practitioners · reviewed 1 Nov 2023
GENERAL ATTENDANCE ITEMS – GENERAL PRACTITIONERS Level A Straightforward Level B 6-20 minutes Level C 20+ minutes Level D 40+ minutes Level E 60+ minutes Business hours In consulting rooms 3 23 36 44 123 Out of consulting rooms 4 24 37 47 1… Read the full note
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AN.35.1 Flag fall amount for residential aged care facility attendance by a general practitioner · reviewed 1 Nov 2023
Last reviewed: 1 November 2023
Medicare item 90001 provides a flag fall fee for the initial attendance by a general practitioner at one RACF, on one occasion, applicable only to the first patient seen on the RACF visit.
The Medicare benefit for the single flag fall fee and the associated general consultation (Levels A to E) applies only for patients within a RACF who have a general consultation with a doctor in person.
If doctors do not bill the single flag fall fee, the benefit will not be paid.
If a doctor has to return to the RACF facility twice or more on the same day and the attendances are not a continuation of an earlier episode of treatment, another flag fall fee would apply per subsequent RACF visit.
When claiming the new attendance items there is no longer a requirement to transmit the number of patients seen. A doctor would claim each attendance item like any other consultation service.
MBS items 90001 is not to be used with existing derived fee services such as for afterhours, urgent afterhours, or telehealth (video and phone) services. The bulk billing incentive only applies to the attendance item, not to the single flag fall fee.
MN.1.3 Bulk Billing Incentives in Modified Monash Area 1
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
Shown as an excerpt: this note also governs 97 other items in this tool, so it has its own page rather than repeating in full on each one.
MN.1.4 Bulk Billing Incentives in Modified Monash Area 2
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
Shown as an excerpt: this note also governs 118 other items in this tool, so it has its own page rather than repeating in full on each one.
MN.1.5 Bulk Billing Incentives in Modified Monash Area 3 and 4
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.
MN.1.6 Bulk Billing Incentives in Modified Monash Area 5
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.
MN.1.7 Bulk Billing Incentives in Modified Monash Area 6
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.
MN.1.8 Bulk Billing Incentives in Modified Monash Area 7
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.
| Item number | 90020 |
|---|---|
| Category | 1 — Professional attendances |
| Group | A35 — Services for patients in residential aged care facilities |
| Subheading | — |
| Item type | S |
| Fee type | N |
| In schedule since | 1 Mar 2019 |
| Fee current from | 1 Jul 2026 |
| GP scope | Yes · tier 1 |