A071

PDF page 248 / A120

CONSULTATIONS AND VISITS
GERIATRICS (07)
 A375 Limited consultation ................................................................ 113.35
 A076 Repeat consultation ................................................................  113.35
 A073 Medical specific assessment ..................................................         99.05
 A074 Medical specific re-assessment..............................................           79.85
 A071 Complex medical specific re-assessment...............................                 103.80
 A078 Partial assessment .................................................................   49.65
     Payment rules:
     A073, A074, A071 and A078 are only eligible for payment for a patient at least 65 years of age
     or when the assessment is for the assessment of dementia.
     [Commentary:
     A073, A074, A071 and A078 are eligible for payment when the consultation is for the
     assessment of dementia regardless of the patient's age.]
 E078     - chronic disease assessment premium (see General
            Preamble GP25) ................................................ add 50%
   Geriatric telephone support
     This is the service initiated by a caregiver where a physician provides telephone support to a
     caregiver(s) for a patient with an established diagnosis of dementia.
 K077 Geriatric telephone support ........................................ per unit  43.10
     Payment rules:
     1.A maximum of two (2) units of K077 are eligible for payment per patient per day.
     2.A maximum of twelve(12) K077 units are eligible for payment per patient per 12 month
       period.
     3.K077 is only eligible for payment where:
         a.there is a minimum of 10 minutes of patient-related discussion; and
         b.the physician:
           i. is a specialist in Geriatrics (07); or
           ii. has a certificate of special competence in Geriatrics; or
           iii. has an exemption to access bonus impact in Care of the Elderly from the MOH.
     4.In circumstances where a physician receives compensation, other than by fee-for-service
       under this Schedule, for the provision of telephone support for caregivers, this service is not
       eligible for payment to that physician.
     [Commentary:
     1.Payment, other than by fee-for-service includes compensation where the physician receives
       remuneration under a salary, primary care, stipend, APP or AFP model.
     2.Physicians who receive compensation other than by fee-for-service under this Schedule
       should consult their contract for guidance on shadow-billing.]
     Medical record requirements:
     K077 is only eligible for payment where the following elements are included in the medical
     record:
     1.patient’s name and health number;
     2.start and stop times of the discussion;
     3.reason for the telephone support; and
     4.the opinion, advice and/or recommendations of the physician.

PDF page 249 / A121

CONSULTATIONS AND VISITS
 GERIATRICS (07)
        EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
         Physician in hospital but not on duty in the Emergency Department when seeing patients in the
         Emergency or OPD - use General Listings.
     NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES
      See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
      patients, use General Listings and Premiums when applicable - see General Preamble GP65
      to GP78.
   C075 Consultation............................................................................  255.85
   C775 Comprehensive geriatric consultation - subject to the same
           conditions as A775 .............................................................       342.25
   C770 Extended comprehensive geriatric consultation - subject to the
           same conditions as A770 ...................................................            442.40
   C375 Limited consultation ................................................................     113.35
   C076 Repeat consultation ................................................................      113.35
   C073 Medical specific assessment - subject to the same conditions
           as A073 ..............................................................................  99.05
   C074 Medical specific re-assessment- subject to the same
           conditions as A074 .............................................................        79.85
   C071 Complex medical specific re-assessment- subject to the same
           conditions as A071 .............................................................       103.80
     Subsequent visits
   C072 - first five weeks........................................................ per visit           40.05
   C077 - sixth to thirteenth week inclusive (maximum 3 per patient
          per week)................................................................ per visit          40.05
   C079 - after thirteenth week (maximum 6 per patient per month)
           ............................................................................... per visit   40.05
     Subsequent visits by the Most Responsible Physician (MRP)
      See General Preamble GP44 to GP45 for terms and conditions.
   C122 - day following the hospital admission assessment..............                                71.80
   C123 - second day following the hospital assessment ..................                              71.80
   C124 - day of discharge .................................................................           71.80
   C126 - day of discharge, medically complex patient (see A13 for
          terms and conditions) .........................................................              95.10
     Subsequent visits by the MRP following transfer from an Intensive Care Area
      See General Preamble GP46 for terms and conditions.
   C142 - first subsequent visit by the MRP following transfer from an
          Intensive Care Area............................................................ 71.80
   C143 - second subsequent visit by the MRP following transfer from
          an Intensive Care Area .......................................................  71.80
   C121 Additional visits due to intercurrent illness (see General
          Preamble GP43)..................................................... per visit                40.05
   C078 Concurrent care .......................................................... per visit           40.05
   C982 Palliative care (see General Preamble GP50)............ per visit                              40.05

Master, record 43. Record Layout PDF, page 1.

A07120260401999999990000000000000000000000000010380000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.