A815

PDF page 78 / GP64

GENERAL PREAMBLE
AGE-BASED FEE PREMIUMS
 1. Despite any other provision in this Schedule, the amount payable for the following services to
    an insured person who falls into the age group described in the Age Group column of the
    following Age Premium Table is increased by the percentage specified in Percentage Increase
    column opposite the Age Group:
    a. A consultation, limited consultation or repeat consultation rendered by a specialist, as those
        services are defined in this Schedule.
     b. A surgical procedure listed in Parts K to Z inclusive of this Schedule.
     c. Basic and time unit surgical assistant services listed in Parts K to Z inclusive of this
        Schedule.
     d. Clinical Procedures associated with Diagnostic Radiological Examinations.
     e. A specific assessment or a partial assessment rendered by a specialist in ophthalmology
        (23) (A233 or A234).
     f. A Midwife or Aboriginal Midwife-Requested Special Assessment (A815, C815 or A817) or a
        Midwife or Aboriginal Midwife-Requested Assessment (A813, C813 or A814) rendered by a
        specialist.

PDF page 140 / A12

CONSULTATIONS AND VISITS
FAMILY PRACTICE & PRACTICE IN GENERAL (00)
    Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA)
      Midwife or Aboriginal Midwife-Requested Special Assessment must include constituent
      elements of A813 and is payable in any setting:
     a. to a paediatrician for an urgent or emergency assessment of a newborn; or
      b. to a family physician or obstetrician for assessment of a mother or newborn when, because
         of the very complex, obscure or serious nature of the problem, the physician must spend a
         minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering
         any other separately billable intervention to the patient. The start and stop times of the
         assessment must be recorded on the patient’s permanent medical record. In the absence of
         such information, the service is payable as A813. Maximum one per patient per physician
         per pregnancy.
 A815 Midwife or Aboriginal Midwife-Requested Special Assessment
          (MAMRSA) ......................................................................... 186.95
     [Commentary:
     Unless otherwise specified in the Schedule, the calculation of time excludes (1) time devoted to
     any other service or procedure for which an amount is payable in addition to the assessment
     and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
     documentation, etc.]

PDF page 140 / A12

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.
 C005 Consultation............................................................................  95.60
 C911 Special family and general practice consultation - subject to the
          same conditions as A911....................................................          164.95
 C912 Comprehensive family and general practice consultation -
          subject to the same conditions as A912 .............................                 247.40
 C945 Special palliative care consultation - subject to the same
          conditions as A945 .............................................................     174.25
 C320 Special Medical Assistance in Dying (MAID) consultation -
          subject to the same conditions as A320 .............................                 174.25
 C905 Limited consultation ................................................................     81.25
 C006 Repeat consultation ................................................................      47.10
 C003 General assessment...............................................................         89.65
 C004 General re-assessment ..........................................................          38.35
 C813 Midwife or Aboriginal Midwife-Requested Assessment -
        subject to the same conditions as A813 .............................                                 111.70
 C815 Midwife or Aboriginal Midwife-Requested Special Assessment
        - subject to the same conditions as A815...........................                                  186.95
 C933 On-call admission assessment - subject to the same conditions
        as A933 ..............................................................................                 82.00
 C777 Intermediate assessment - Pronouncement of death - subject
         to the same conditions as A777 .........................................                              44.55
 C771 Certification of death - subject to the same conditions as A771                                          24.20

PDF page 199 / A71

Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) by Video
          Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) by Video must
          include constituent elements of A814 and is payable in any setting:
         a. to a paediatrician for an urgent or emergency assessment of a newborn; or
         b. to a family physician or obstetrician for assessment of a mother or newborn when, because
            of the very complex, obscure or serious nature of the problem, the physician must spend at
            least 50 minutes in direct contact with the patient, exclusive of time spent rendering any
            other separately billable intervention to the patient. The start and stop times of the
            assessment must be recorded on the patient’s permanent medical record. In the absence of
            such information, the service is payable as A814. Maximum one MAMRSA (A817 or A815)
            per patient per physician per pregnancy.
   A817 Midwife or Aboriginal Midwife-Requested Special Assessment
            (MAMRSA) by Video .......................................................... 186.95
       [Commentary:
       Unless otherwise specified in the Schedule, the calculation of time excludes (1) time devoted to
       any other service or procedure for which an amount is payable in addition to the assessment
       and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
       documentation, etc.]

Master, record 301. Record Layout PDF, page 1.

A81520250601999999990000186950000000000000000000000000000000000000000000000

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.