Clarification of the use of after hours services for General Practitioners

AGPN - Mid week facts

General Practitioners (GPs) who provide after-hours services have raised questions about the requirements for billing urgent after-hours items. The new urgent after hours items 597 and 599, which replaced items 1, 2, 601, 602 and 603, can be used by GPs for urgent after hours services provided in consulting rooms, or at a place other than consulting rooms, in an after hours period

  • Must be requested by the patient or a responsible person in, or not more than two hours before the start of the same unbroken urgent after hours period The requirements for these urgent after hour’s items remain unchanged. The attendance for all these items:
  • The patient's condition must require urgent medical treatment
  • If the attendance is undertaken at consulting rooms, it is necessary for the practitioner to return to, and specially open the consulting rooms for the attendance.

If more than one patient is seen on the one occasion, the standard after-hours attendance items should be used in respect of the second and subsequent patients attended on the same occasion.

GPs who routinely provide services to patients in the after-hours periods at consulting rooms, or who provide the services (as a contractor, employee, member or otherwise) for a general practice or clinic that routinely provides services to patients in after-hours periods at consulting rooms, are reminded that they will not be able to bill urgent after hours items 597 and 599.