Telehealth item number guides
Standard HICAPS item number guides
Use our item number guides when processing health care claims on your HICAPS terminal.Looking for a PDF version of the guides? Just open the guide and scroll to the button.
Overseas visitors HICAPS item number guides
Got an overseas patient? Use these item numbers guides when processing their claims.
This item number guide is for General and Medical Practitioners processing services on a HICAPS terminal.
General and Medical Practitioner Item Guide - Overseas Cover (PDF, 135KB)
| Item number | Full Description | Abbreviated Description |
|---|---|---|
| 3 | Level ‘A’ Short Surgery Consultation | Brief Consult |
| 23 | Level ‘B’ Standard Surgery Consultation (<20 minutes) | Standard Cons |
| 36 | Level ‘C’ Long Surgery Consultation (>20 minutes) | Long Consult |
| 44 | Level ‘D’ Comprehensive Surgery Consultation (>40 minutes) | Prolonged Cons |
| 52 | Brief Surgery Consultation | Brief consult |
| 53 | Standard Surgery Consultation | Standard Cons |
| 54 | Long Surgery Consultation | Long Consult |
| 57 | Prolonged Surgery Consultation | Prolonged Cons |
| 104 | Initial Specialist Consult | Int Spec Cons |
| 105 | Subsequent Specialist Consult | Sub Spec Cons |
| 110 | Initial Physician Consult | Int Phys Cons |
| 116 | Subsequent Physician Consult | Sub Phys Cons |
| 585 | Professional attendance by a general practitioner on one patient on one occasion - each attendance (other than an attendance in unsociable hours) in an after-hours period | AH Consult |
| 588 | Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period | AH Consult |
| 591 | Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion - each attendance (other than an attendance in unsociable hours) in an after-hours period | AH Consult AddP |
| 594 | Professional attendance by a medical practitioner - each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient | AH Consult |
| 599 | Professional attendance by a general practitioner on not more than 1 patient on 1 occasion - between 11pm - 7am | AH Consult |
| 600 | Professional attendance by a medical practitioner on not more than 1 patient on 1 occasion - between 11pm - 7am | AH Consult |
| 701 | Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes | Hlth Assess Srt |
| 703 | Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes | Hlth Assess Med |
| 705 | Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes | Hlth Assess Ext |
| 707 | Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes) | Hlth Assess Ext |
| 721 | GP Chronic Disease Plan | GP CD plan |
| 723 | Chronic Disease Plan | CD plan |
| 732 | Review of Chronic Disease Plan | CD plan Review |
| 2501 | Short Consult with cervical smear test | Cons\smear test |
| 2504 | Attendance with cervical smear - diabetes | Ext/Smear Test |
| 2507 | Long Consult with cervical smear test | Long\smear test |
| 2700 | GP Mental Health Plan (<20mins) | GP MH Plan |
| 2701 | GP Mental Health Plan (>40mins) | GP MH Plan Long |
| 2712 | Review of GP Mental Health Plan | MH Plan Review |
| 2713 | GP Mental Health Attendance | GP MH Consult |
| 2715 | Mental Health Plan (<20mins) | MH Plan |
| 2717 | Mental Health Plan (<40mins) | MH Plan Long |
| 2725 | Focused Psychological Strategies, extended attendance | FPS Ext Attend |
| 5000 | level 'a' professional attendance | AH Consult |
| 5020 | professional attendance by a general practitioner on not more than 1 patient on 1 occasion (<20 minutes) | Brief Consult |
| 5040 | professional attendance by a general practitioner on not more than 1 patient on 1 occasion (>20 minutes) | Long Consult |
| 5060 | professional attendance by a general practitioner on not more than 1 patient on 1 occasion (<40 minutes) | Prolonged Cons |
| 5203 | Standard consultation of more than 5 minutes duration but not more than 25 minutes duration | AH Consult |
| 5207 | Long consultation of more than 25 minutes duration but not more than 45 minutes duration | AH Long Consult |
| 10981 | A medical service to which an item in this table (other than this item, item 10982 or item 10990, 10991 or 10992) applies | BB MGMT TeleH |
| 10982 | A medical service to which an item in this table (other than this item, item 10981 or item 10990, 10991 or 10992) applies | BB MGMT TeleH |
| 10990 | Additional bulk billing payment for general medical services - concession | CC Bulk Bill |
| 10991 | Additional bulk billing payment for general medical services - rural | R/R Bulk Bill |
| 11506 | Measurement of Respiratory Function | Measure RESP FC |
| 11700 | ECG Tracing & Report | ECG & Report |
| 14203 | Hormone or living tissue implantation, by direct implantation involving incision and suture | Incision implant |
| 14206 | Implantation by cannula | Cannula Implant |
| 16500 | Antenatal Attendance | A/Natal Consult |
| 16590 | Planning & Management of A Pregnancy | P&M Pregnancy |
| 16591 | Planning & Management of A Pregnancy | P&M Pregnancy |
| 30003 | Localised Burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation | Dressing of Burns |
| 30023 | WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed | Repair of Wound |
| 30026 | Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, small, superficial (Aneas.) | Repair of Wound |
| 30029 | Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, small, deep tissue (Anaes.) | Repair of Wound |
| 30032 | Skin and subcutaneous tissue or mucous membrane, repair of wound - on face or neck, small, superficial (Anaes.) | Repair of Wound |
| 30035 | Skin and subcutaneous tissue or mucous membrane, repair of wound - on face or neck, small, deep tissue (Anaes.) | Repair of Wound |
| 30038 | Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, large, superficial | Repair of Wound |
| 30045 | Skin and subcutaneous tissue or mucous membrane, repair of wound on face or neck, large, superficial | Repair of Wound |
| 30061 | Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes.) | Foreign Bdy Rem |
| 30062 | Etonogestrel subcutaneous implant, removal of, as an independent procedure | Remove implant |
| 30064 | Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure | Remove FB |
| 30071 | Diagnostic biopsy of skin as an independent procedure | Biopsy Skin |
| 30186 | Palmar or plantar warts (less than 10), definitive removal of, excluding ablative methods alone, not being a serviceto which item 30185 or 30187 applies | Remove warts |
| 30219 | Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital - incision with drainage of (excluding aftercare) | Abcess Incision |
| 47915 | Ingrowing nail of toe, wedge resection | Ingrown toe nail |
| 47916 | Ingrowing nail of toe, partial | Ingrown toe nail |
| 73805 | Simple pathology test | Path test |
| 73805 | Basic Urine Test | Urine Test |
| 73806 | Pregnancy Test | Pregnancy Test |
| 73828 | Semen examination for presence of spermatozoa by a participating nurse practitioner | Semen Exam |
| 73829 | Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test | Blood test |
| 73830 | 2 tests described in item 73829 by a participating nurse practitioner | Blood test 2 |
| 73831 | 3 or more tests described in item 73829 by a participating nurse practitioner | Blood test 3 |
| 73832 | Microscopy of urine, whether stained or not, or catalase test by a participating nurse practitioner | Urine Micro |
| 73833 | Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner | Pregnancy test |
| 73834 | Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner | Non-urine Micro |
| 73835 | Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner | Film Micro |
| 73836 | Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner | Chemical tests |
| 73837 | Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites | Fungi Micro |
| 82200 | Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management | Short Attend |
| 82205 | Professional attendance for a patient presenting with clinical signs and symptoms with an easily identifiable underlying cause following a short consultation lasting less than 20 minutes duration | <20 min Attend |
| 82210 | Professional attendance by a participating nurse practitioner lasting at least 20 minutes | <20 min Attend |
| 82215 | Professional attendance by a participating nurse practitioner lasting at least 40 minutes | >40 min Attend |