Document ID: chunk:federal_register_of_legislation:F2024C01105:clause:1_5:p1
Version: federal_register_of_legislation:F2024C01105
Segment Type: clause
Provision Reference: sch 1 cl 5 (pt 1/2)
Character Range: 29034–32092

5                                   92028        (a) Once in a 3 month period; and
                                                  (b) on the same day; but
                                                 (c) may not be performed by a general practitioner:
                                                    (i) who is a recognised specialist in palliative medicine; and
                                                    (ii) who is treating a palliative patient that has been referred to the general practitioner; and
                                                    (iii) to which an item in Subgroup 3 or 4 of Group A24 of the general medical services table applies because of the treatment of the palliative patient by the general practitioner

    (3) In this clause exceptional circumstances, for a patient, means there has been a significant change in the patient's clinical condition or care circumstances that necessitates the performance of the service for the patient.

1.1.07 Meaning of item descriptors for items 92055 to 92059

    (1) For items 92055 to 92059, the following terms have the same meaning as in Division 2.16 of the general medical services table as if the reference to a general practitioner were a reference to a medical practitioner:

        (a) preparation of a GP management plan;

        (b) coordinate the development of team care arrangements;

        (c) multidisciplinary care plan;

        (d) contribute to a multidisciplinary care plan;

        (e) coordinating a review of team care arrangements; and

        (f) reviewing a GP management plan.

    (2) For items 92059 associated medical practitioner means a medical practitioner who, if not engaged in the same general practice as the medical practitioner mentioned in the item, performs the service mentioned in the item at the request of the patient (or the patient's guardian).

1.1.08 Application of items 92055 to 92059

    (1) Items 92055, 92056 or 92059 do not apply to a service mentioned in those items that is provided by a medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service mentioned in the following items:

        (a) any items specified in paragraphs 2.16.11(a), (b), (c), (d) and (e) of the general medical services table; and
        (b) items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 91900, 91903, 91906, 91910, 91913, 91916, 91920, 91923, 91926, 92210 and 92211.
    (2) Item 92055 applies only to a service for a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal.
    (3) Items 92056 to 92059 apply only to a service for a patient who suffers from at least one medical condition that:
        (a) has been (or is likely to be) present for at least 6 months or is terminal; and
        (b) requires ongoing care from at least 3 persons who provide treatment or a service to the patient but