A220

Special genetic consultation*

Fee

ComponentValue
Specialist fee$342.25
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 239 / A111

Special genetic consultation* ................................................. 342.25
Passages mentioning A220

PDF page 239 / A111

GENERAL LISTINGS
   A225 Consultation* ..........................................................................   190.50
     Special genetic consultation
       Special genetic consultation is a consultation in which the physician provides all the elements
       of a consultation (A225) and spends a minimum of 75 minutes in direct contact with the patient
       with or without family, exclusive of time spent rendering any other separately billable
       intervention to the patient.
   A220 Special genetic consultation* .................................................  342.25
       Medical record requirements:
       The service is eligible for payment only if start and stop times of the service are recorded in the
       patient's permanent medical record.

PDF page 239 / A111

Extended special genetic consultation
       Extended special genetic consultation is a consultation in which the physician provides all the
       elements of a consultation (A225) and spends a minimum of 90 minutes in direct contact with
       the patient with or without family, exclusive of time spent rendering any other separately billable
       intervention to the patient.
   A223 Extended special genetic consultation* ..................................        442.40
       Medical record requirements:
       The service is eligible for payment only if start and stop times of the service are recorded in the
       patient's permanent medical record.
          [Commentary:
          Unless otherwise specified in the Schedule, the calculation of time for A220 and A223 excludes
          (1) time devoted to any other service or procedure for which an amount is payable in addition
          to the consultation and (2) non-patient-facing time such as such as time spent reviewing
          charts, imaging, or documentation, etc.]
   A325 Limited consultation ................................................................      119.40
   A226 Repeat consultation ................................................................       119.40
   A221 Genetic minor assessment .....................................................              38.05

PDF page 244 / A116

CONSULTATIONS AND VISITS
GENETICS (22)
     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.
 C225 Consultation* ..........................................................................                    190.50
 C220 Special genetic consultation* - subject to the same conditions
        as A220 ..............................................................................                    342.25
 C223 Extended special genetic consultation* - subject to the same
         conditions as A223 .............................................................                         442.40
 C325 Limited consultation ................................................................                       119.40
 C226 Repeat consultation ................................................................                        119.40
 C800 Midwife or Aboriginal Midwife-requested genetic assessment –
         subject to the same conditions as A800 .............................                                     167.35
 C801 Comprehensive midwife or aboriginal midwife-requested
         genetic assessment – subject to the same conditions as
         A801 ...................................................................................                 342.25
 C802 Extended midwife or aboriginal midwife-requested genetic
         assessment – subject to the same conditions as A802 ......                                               442.40

PDF page 244 / A116

Subsequent visits
 C222 - first five weeks ........................................................ per visit                         40.05
 C227 - sixth to thirteenth week inclusive (maximum 3 per patient
        per week)................................................................ per visit                         40.05
 C229 - after thirteenth week (maximum 6 per patient per month)
         ............................................................................... per visit                  40.05
   NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
    Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
    Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
    convalescent care beds in hospitals and nursing homes or homes for the aged, other than
    patients in designated palliative care beds. For emergency calls and other special visits to in-
    patients, use General Listings and Premiums when applicable - see General Preamble GP65
    to GP78.
 W225 Consultation* ..........................................................................  190.50
 W220 Special genetic consultation* - subject to the same conditions
         as A220 .............................................................................. 342.25
 W223 Extended special genetic consultation* - subject to the same
         conditions as A223 .............................................................       442.40
 W325 Limited consultation ................................................................     119.40
 W226 Repeat consultation ................................................................      119.40
    Note:
    *A consultation is payable at nil if genetic care (K222) has previously been claimed by the same
    physician.

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A
Fee master record

Master, record 118. Record Layout PDF, page 1.

A22020260401999999990000000000000000000000000034225000000000000000000000000

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.

FieldRaw / scale 10,000
provider00000000000 / 0
assistant00000000000 / 0
specialist00003422500 / 342.25
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

This is a special genetic consultation listed under Genetics in the general consultations and visits listings.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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