Attachment D – MBS after-hours items—Complete list

Attendance period item descriptors and fees for in-hours and urgent and standard afterhours services

Attendance

Attendance period

Location

Provider type

Items

Descriptor

Schedule

Fee

Fee for 1 patient

Urgent after-hours

After-hours[12]

Consultation room, home visit or RACF visit

GP or non-VRGP on eligible program

597

VRGP Urgent attendance after-hours (7am-8am & 6pm-11pm)

$129.80

Other Medical Practitioners

598

Non-VRGP Urgent attendance after-hours (7am-8am & 6pm-11pm)

$104.75

Unsociable hours[13]

GP or non-VRGP on eligible program

599

VRGP Urgent attendance unsociable after-hours (11pm-7am)

$153.00

Other Medical Practitioners

600

Non-VRGP Urgent attendance unsociable after-hours (11pm-7am)

$124.25

 

 

 

 

 

 

 

 

 

Non-urgent after-hours

 

 

 

 

 

 

 

 

After-hours[14]

Consultation rooms

GP

5000

Level A

$29.00

5020

Level B

$49.00

5040

Level C

$83.95

5060

Level D

$117.75

Non-VRGP

5200

<5mins

$21.00

5203

5<x<25mins

$31.00

5207

25<x<45mins

$48.00

5208

>45mins

$71.00

 

After-hours[15]

Home Visits

 

GP

5003

Level A

 

 

Derived fee – see table A, B and C below.

$54.95

5023

Level B

$74.95

5043

Level C

$109.90

5063

Level D

$143.70

Non-VRGP

5220

<5mins

$34.00

5223

5<x<25mins

$43.50

5227

25<x<45mins

$61.00

5228

>45mins

$83.00

RACF visits

GP

5010

Level A

$75.70

5028

Level B

$95.70

5049

Level C

$130.65

5067

Level D

$164.45

Non-VRGP

5260

<5mins

$46.45

5263

5<x<25mins

$57.55

5265

25<x<45mins

$73.45

5267

>45mins

$95.45

 

 

 

 

 

 

Standard in- hours

 

 

 

 

 

 

In-hours

Home Visits

GP

4

Level A

$42.90

24

Level B

$63.00

37

Level C

$97.65

47

Level D

$131.50

RACF

20

Level A

$63.65

35

Level B

$83.75

43

Level C

$118.40

51

Level D

$152.25

Consultation room

3

Level A

$16.95

23

Level B

$37.05

36

Level C

$71.70

44

Level D

$105.55


Fees for non-urgent after-hours home visits ($)

Number of patients

VRGP standard after-hours home visits (Level A-D)

Non-VRGP standard after-hours home visits (short to prolonged)

 

5003

5023

5043

5063

5220

5223

5227

5228

1

54.95

74.95

109.90

143.70

34.00

43.50

61.00

83.00

2

41.95

61.95

96.90

130.70

26.25

34.75

53.25

75.25

3

37.65

57.65

92.60

126.40

23.65

31.85

50.65

72.65

4

35.50

55.50

90.45

124.25

22.35

30.35

49.35

71.35

5

34.20

54.20

89.15

122.95

21.60

29.50

48.60

70.60

6

33.30

53.30

88.25

122.05

21.10

28.90

48.10

70.10

7

31.00

51.00

85.95

119.75

19.20

26.70

46.20

68.20

 

Fees for non-urgent after-hours RACF visits ($)

Number of patients

VRGP attendances in RACFs after-hours

 

OMP RACF items in after-hours

 

 

5010

5028

5049

5067

5260

5263

5265

5267

1

75.70

95.70

130.65

164.45

46.45

57.55

73.45

95.45

2

52.35

72.35

107.30

141.10

32.45

41.75

59.45

81.45

3

44.55

64.55

99.50

133.30

27.80

36.50

54.80

76.80

4

40.65

60.65

95.60

129.40

25.50

33.90

52.50

74.50

5

38.35

58.35

93.30

127.10

24.10

32.30

51.10

73.10

6

36.80

56.80

91.75

125.55

23.15

31.25

50.15

72.15

7

32.30

52.30

87.25

121.05

19.75

27.25

46.75

68.75

 

Fees for in-hour visits ($)

Number of patients

In-hour home visit

In-hour RACF visit

4

24

37

47

20

35

43

51

1

42.90

63.00

97.65

131.50

63.65

83.75

118.40

152.25

2

29.90

50.00

84.65

118.50

40.30

60.40

95.05

128.90

3

25.60

45.70

80.35

114.20

32.50

52.60

87.25

121.10

4

23.45

43.55

78.20

112.05

28.60

48.70

83.35

117.20

5

22.15

42.25

76.90

110.75

26.30

46.40

81.05

114.90

6

21.25

41.35

76.00

109.85

24.75

44.85

79.50

113.35

7

18.95

39.05

73.70

107.55

20.25

40.35

75.00

108.85

 

 


[12] Mon –Fri: 7am - 8am & 6pm - 11pm; Sat: 7am - 8am & 12 noon - 11pm; Sun and/or public holidays: 7am - 11pm

[13] 11pm - 7am

[14] Mon –Fri: before 8am  or after 8pm; Sat: before 8am  or after 1pm; Sun and/or public holidays: 24 hours

[15] Mon –Fri: before 8am  or after 6pm; Sat: before 8am  or after 12 noon; Sun and/or public holidays: 24 hours