Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime

When to use this code

Use this code for community nursing care delivered during standard weekday hours (Monday to Friday, 6am to 8pm). Nursing care includes clinical tasks such as wound management, medication administration, catheter care, and health monitoring. This is the base rate with no penalty loading, making it the most cost-effective option for regular support.

Common billing scenarios

• A registered nurse visits a participant for wound care, spending 1 hour on assessment and treatment. The provider claims 1 hour at $176.85.
• A nurse conducts a medication review and health check, taking 45 minutes. The provider rounds to the nearest billing increment as per the service agreement.

Provider notes

• Non-face-to-face delivery is allowed for this code. This means you can bill for activities like report writing, care coordination calls, or progress notes, provided your service agreement with the participant covers these activities. Keep clear records of what non-face-to-face work was done and how long it took.
• Provider travel can be claimed under this code. You can bill for reasonable travel time to reach the participant, but only for the portion of travel that exceeds normal commuting. Travel costs should be shared proportionally if you are seeing multiple participants in one trip.
• Short notice cancellation fees apply. If a participant cancels with less than 7 clear days notice (or 2 clear business days for some supports), you can charge up to 90% of the agreed fee. You must document the cancellation and have the cancellation policy in your service agreement.
• Capacity Building funding is time-limited and goal-oriented. Document how the support contributes to the participant’s plan goals, as this will be reviewed at plan reassessment. Unlike Core funding, Capacity Building budgets are usually not flexible across categories.
• Nursing services must be delivered by a registered nurse (RN) or enrolled nurse (EN) working within their scope of practice. Keep clinical records that meet AHPRA standards and ensure your professional registration is current.