Australian Association of Consultant Physicians

MBS Video Consultation Items

 

MBS Video Consultation Items

Specialists can now receive Medicare rebates for video consultations with patients in remote, regional or outer metropolitan areas, as well as in eligible aged care facilities and Aboriginal Medical Services nationally. Clinical services provided by a health professional with the patient during the video consultations are also eligible for rebates – these are Patient-End services.

Specialists Services

There are 11 MBS items for video consultations, which allow consultant physicians and paediatricians to use a range of existing specialist consultation MBS attendance items for telehealth consultations. Recognising the complexity of providing video consultations to patients in remote areas, the new specialist items have higher fees for Medicare benefit.

Short initial consultations
On 1 January 2013, 6 new MBS items took effect. These items provide for a short initial video consultation where the consultation is 10 minutes or less of direct clinical contact with the patient (not including the time to set up for the video consultation).

These new items will have the same requirements for patients as other telehealth items that is:

  • not an admitted patient; and
  • not a patient of an emergency department; and
  • located in a telehealth eligible area at the time of the attendance; and
  • located at least 15km by road from the specialist; or
  • a care recipient of a residential aged care facility (located anywhere in Australia); or
  • a patient of an eligible Aboriginal Medical Service (located anywhere in Australia).

Specialists must still meet all the requirements set out in the specialist item in order for it to be provided as a video consultation.

The new items are ‘stand alone’ items, that is; they do not have an associated item that they are billed with. Patients are unable to be billed for an initial consultation via videoconference (eg 113) and an initial face to face consultation (eg 104) as part of the same course of treatment.

Telehealth MBS ItemMBS GroupAssociated Items
99 GROUP A3 – SPECIALIST ATTENDANCES 104, 105
112 GROUP A4 - CONSULTANT PHYSICIANS 110, 115, 119, 132, 133
149 GROUP A28 – GERIATRIC MEDICINE – CONSULTANT PHYSICIAN OR SPECIALIST  141, 143
288 GROUP A8 – CONSULTANT PSYCHIATRIST ATTENDANCES 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350, 352
389 GROUP A12 – CONSULTANT OCCUPATIONAL PHYSICIAN ATTENDANCES   385, 386
2820 GROUP A24, SUBGROUP 1 – PAIN MEDICINE ATTENDANCES  2801, 2806, 2814
3015 GROUP A24, SUBGROUP 3 – PALLIATIVE MEDICINE ATTENDANCES  3005, 3010, 3014
6016 GROUP A26 – NEUROSURGERY ATTENDANCES  6007, 6009, 6011, 6013, 6015
13210 GROUP T1 – MISCELLANEOUS THERAPEUTIC PROCEDURES
SUBGROUP 3 – ASSISTED REPRODUCTIVE SERVICES
 13209
16399 GROUP T4 – OBSTETRICS 16401, 16404, 16406, 16500, 16590, 16591
17609 GROUP T6 – ANAESTHESIA 17610, 17615, 17620, 17625, 17640, 17645, 17650, 17655, 17690
113
GROUP A3 – SPECIALIST ATTENDANCES Stand alone item
114
GROUP A4 – CONSULTANT PHYSICIAN Stand alone item
384
GROUP A12 – CONSULTANT OCCUPATIONAL PHYSICIAN ATTENDANCES Stand alone item
2799
GROUP A24, SUBGROUP 1 – PAIN MEDICINE ATTENDANCES Stand alone item
3003
GROUP A24, SUBGROUP 3 – PALLIATIVE MEDICINE ATTENDANCES Stand alone item
6004
GROUP A26 – NEUROSURGERY ATTENDANCES Stand alone item

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Download the Summary Telehealth MBS items

 

CATEGORY 1 - PROFESSIONAL ATTENDANCES

112

Professional attendance on a patient by a consultant physician practising in his or her specialty if:

(a) the attendance is by video conference; and
(b) item 110, 116, 119, 132 or 133 applies to the attendance; and
(c) the patient is not an admitted patient; and
(d) the patient:
(i) is located both:
(A) outside an inner metropolitan area; and
(B) at the time of the attendance-at least 15 kms by road from the physician; or
(i) is a care recipient in a residential care service; or
(ii) is a patient of:
(A) an Aboriginal Medical Service; or
(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19 (2) of the Act applies

50% of the fee for the associated item. Benefit: 85% of derived fee.
(See para A58 of explanatory notes to this Category)

Extended Medicare Safety Net Cap: $188.15

 

Patient-End Services

There are 23 MBS items for patient-end services provided by a consultant physician and paediatrician to a patient during their video consultation with a specialist. These are for face-to-face consultations. The specialist service must be a MBS rebateable video consultation for these items to be billed.

Items relating to consultant physicians and paediatricians.

Telehealth MBS ItemMBS GroupLocation of Service
MEDICAL PRACTITIONER (INCLUDING A GENERAL PRACTITIONER, SPECIALIST OR CONSULTANT PHYSICIAN) TELEHEALTH ATTENDANCES

2100
2126
2143
2195

GROUP A30, SUBGROUP 1 At consulting rooms outside an inner metropolitan area or at an Aboriginal Medical Service

2122
2137
2147
2199

GROUP A30, SUBGROUP 1 Other than consulting rooms such as a home visit or other institution outside an inner metropolitan area
2125
2138
2179
2220
GROUP A30, SUBGROUP 2 At a residential aged care facility