PDF version: MBS Items for Aboriginal Community Controlled Health Services and Other Primary Health Care Providers (PDF 173 KB)
Frequently Claimed MBS Items
Consultation Items for Vocational Registration (VR) for General Practice (GP)
After–hours Consultation Items for Vocational Registration (VR) for General Practice (GP)
Urgent After–hours Consultation Items Vocational Registration (VR) for General Practice (GP)
Consultation items for Non–Vocational Registration (VR) for General Practice (GP)
After–hours Consultation Items for Non-Vocational Registration (VR) for General Practice (GP)
Urgent After–hours Consultation Items Non–Vocational Registration (VR) for General Practice (GP)
GP Attendance at a Residential Aged Care Facility
Miscellaneous Diagnostic Tests and Procedures
Bulk–Billed Services
Health Assessments
Follow–up Allied Health Items for people of Aboriginal and Torres Strait Islander descent (linked to Health Assessments)
Practice Nurse, Nurse Practitioner & Aboriginal and Torres Strait Islander Health Practitioner Items
Retinal Photography with a Non-Mydriatic Retinal Camera
Chronic Disease Management (CDM) Items and Case Conferences (CC)
Individual Allied Health Items for people with a chronic condition and complex care needs
Medication Management Review
Antenatal Consults
General Practice (GP) Mental Health Treatment
Consultation Items for VR GPs
No. |
Item |
Benefit |
3 |
Consultation at consulting rooms, Level A |
$17.45 |
4 |
Consultation at a place other than consulting rooms or a RACF, Level A |
Formula |
23 |
Consultation at consulting room, less than 20 mins, Level B |
$38.20 |
24 |
Consultation at a place other than consulting rooms or a RACF, less than 20 mins, Level B |
Formula |
36 |
Consultation at consulting rooms, at least 20 mins, Level C | $73.95 |
37 |
Consultation at a place other than consulting rooms or a RACF, at least 20 mins, Level C |
Formula |
44 |
Consultation at consulting rooms, at least 40 mins, Level D | $108.85 |
47 |
Consultation at a place other than consulting rooms or a RACF, at least 40 mins, Level D |
Formula |
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After–hours Consultation Items for VR GPs
No. |
Item |
Benefit |
5000 |
Consultation at consulting rooms, Level A |
$29.45 |
5003 |
Consultation at a place other than consulting rooms or a RACF, Level A |
Formula |
5020 |
Consultation at consulting rooms, less than 20 mins, Level B |
$49.80 |
5023 |
Consultation at a place other than consulting rooms, hospital or a RACF, less than 20 mins, Level B |
Formula |
5040 |
Consultation at consulting rooms at least 20 mins, Level C |
$85.30 |
5043 |
Consultation at a place other than consultation rooms, hospital or a RACF, at least 20 mins, Level C |
Formula |
5060 |
Consultation at consulting rooms, at least 40 mins, Level D |
$119.65 |
5063 |
Consultation at a place other than consulting rooms, hospital or a RACF, at least 40 mins, Level D |
Formula |
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Urgent After–hours Consultation Items VR GPs
No. |
Item |
Benefit |
585 |
Urgent Attendance - after hours (other than between 11pm and 7am) |
$131.90 |
599 |
Urgent attendance - unsociable hours (between 11pm and 7am) |
$155.45 |
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Consultation items for Non–VR GPs
No. |
Item |
Benefit |
52 |
Brief Consultation at consulting rooms, no more than 5 mins |
$11.00 |
53 |
Standard Consultation at consulting rooms, 5-25 mins |
$21.00 |
54 |
Long Consultation at consulting rooms, 25-45 mins | $38.00 |
57 | Prolonged Consultation at consulting rooms, more than 45 mins | $61.00 |
58 |
Brief consultation at a place other than consulting rooms or RACF, not more than 5 mins |
Formula |
59 |
Standard consultation at a place other than consulting rooms or RACF, 5-25 mins |
Formula |
60 |
Long consultation at a place other than consulting rooms or RACF, 25-45 mins |
Formula |
65 |
Prolonged consultation at a place other than consulting rooms or RACF, more than 45 mins |
Formula |
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After-hours Consultation Items Non–VR GPs
No. | Item | Benefit |
5200 |
Brief consultation at consulting rooms, not more than 5 mins |
$21.00 |
5203 |
Standard consultation at consulting rooms, 5-25 min |
$31.00 |
5207 |
Long consultation at consulting rooms, 25-45 mins |
$48.00 |
5208 |
Prolonged consultation at consulting rooms, more than 45 mins |
$71.00 |
5220 |
Brief consultation at a place other than consulting rooms, hospital or RACF, no more than 5 mins |
Formula |
5223 |
Standard consultation at a place other than consulting rooms, hospital or RACF, 5-25 mins |
Formula |
5227 |
Long consultation at a place other than consulting rooms, hospital or RACF, 25-45 mins |
Formula |
5228 |
Prolonged consultation at a place other than consulting rooms, hospital or RACF, more than 25 mins |
Formula |
588 |
Urgent attendance - after hours (other than between 11pm and 7am) |
$131.90 |
600 |
Urgent attendance - unsociable hours (between 11pm and 7am) |
$124.25 |
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Consultation Items for Non-VR GPs outside of metro areas
No. |
Item |
Benefit |
179 |
Brief consultation at consulting rooms, not more than 5 mins |
$14.00 |
185 |
Standard consultation at consulting rooms, 5-25 mins |
$30.55 |
189 |
Long consultation at consulting rooms, 25-45 mins |
$59.15 |
203 |
Prolonged consultation at consulting rooms, more than 45 mins |
$87.10 |
181 |
Brief consultation at a place other than consulting rooms or RACF, not more than 5 mins |
Formula |
187 |
Standard consultation at a place other than consulting rooms or RACF, 5-25 mins |
Formula |
191 |
Long consultation at a place other than consulting rooms or RACF, 25-45 mins |
Formula |
206 |
Prolonged consultation at a place other than consulting rooms or RACF, more than 45 mins |
Formula |
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After-hours Consultation Items for Non-VR GPs outside of metro areas
No. |
Item |
Benefit |
733 |
Brief consultation at consulting rooms, not more than 5 mins |
$23.55 |
737 |
Standard consultation at consulting rooms, 5-25 mins |
$39.85 |
741 |
Long consultation at consulting rooms, 25-45 mins |
$68.25 |
745 |
Prolonged consultation at consulting rooms, more than 45 mins |
$95.70 |
761 |
Brief consultation at a place other than consulting rooms or RACF, not more than 5 mins |
Formula |
763 |
Standard consultation at a place other than consulting rooms or RACF, 5-25 mins |
Formula |
766 |
Long consultation at a place other than consulting rooms or RACF, 25-45 mins |
Formula |
769 |
Prolonged consultation at a place other than consulting rooms or RACF, more than 45 mins |
Formula |
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Miscellaneous Diagnostic Tests and Procedures
No. | Item | Benefit |
11506 |
Measurement of respiratory function |
85% = $17.80 |
11700 |
Twelve-lead electrocardiography, tracing and report |
85% = $27.00 |
11701 |
Twelve-lead electrocardiography, report only |
85% = $13.45 |
11702 |
Twelve-lead electrocardiography, tracing only |
85% = $13.45 |
13757 |
Therapeutic Venesection (haemochromatosis, polycthaemia vera or porphyria cutanea tarda) |
85% = $63.00 |
14203 |
Hormone or Living Tissue Implantation by direct implantation involving incision and suture |
85% = $44.20 |
14206 |
Hormone or Living Tissue Implantation by cannula |
85% = $30.75 |
73805 |
Microscopy of urine, whether stained or not, or catalase test |
85% = $3.90 |
73806 |
Pregnancy Test by 1 or more immunochemical methods |
85% = $8.65 |
30003 |
Dressing of Localised Burns (not involving grafting) |
85% = $31.40 |
30026 |
Repair Skin Lac (not Face/Neck)<7cm, superficial |
85% = $45.10 |
30029 |
Repair Skin Lac (not Face/Neck)<7cm, deep tissue |
85% = $77.75 |
30032 |
Repair Skin Lac of Face/Neck<7cm, superficial |
85% = $71.25 |
30035 |
Repair Skin Lac of Face/Neck<7cm, deep tissue |
85% = $101.55 |
30038 |
Repair Skin Lac (not Face/Neck)>7cm, superficial |
85% = $77.75 |
30042 |
Repair Skin Lac (not Face/Neck)>7cm, deep tissue |
85% = $160.30 |
30061 |
Superficial foreign body removal (including from cornea or sclera), as an independent procedure |
85% = $20.35 |
30064 |
Subcutaneous foreign body removal (incision and exploration) |
85% = $94.95 |
30071 |
Biopsy of Skin or Muc Membranes, as an independent procedure |
85% = $45.10 |
30192 |
Premalignant skin lesions (including solar keratoses), treatment of, by ablative technique (10 or more lesions) |
85% = $34.20 |
30219 |
Haematoma, Furuncle, Small Abscess or Similar Lesion - incision with drainage |
85% = $23.65 |
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Bulk–Billed Services
No. | Item | Benefit |
10990 |
Additional payment for each bulk billed medical service provided to Commonwealth concession cardholders and children under 16 yrs |
85% = $6.40 |
10991 |
Additional payment for each bulk-billed medical service provided to Commonwealth concession cardholders and children under 16 yrs- specified areas only |
85% = $9.65 |
64990 |
Radiology bulk billing incentive (e.g. scans). |
85% = $6.00 |
64991 |
Radiology bulk billing incentive (e.g. scans). |
85% = $9.10 |
74991 |
Pathology bulk billing incentive |
85% = $9.10 |
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Health Assessments
No. | Item | Benefit |
701 |
Brief Health Assessment, less than 30 mins |
$60.30 |
703 |
Standard Health Assessment, 30-45 mins |
$140.10 |
705 |
Long Heath Assessment, 45-60 mins |
$193.35 |
707 |
Prolonged Health Assessment, at least 60 mins |
$273.10 |
715 |
Aboriginal and Torres Strait Islander peoples' health Assessment |
$215.65 |
228 |
Aboriginal and Torres Strait Islander peoples' health Assessment (non-VR GPs) |
$172.50 |
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Follow–up Allied Health Items for people of Aboriginal and Torres Strait Islander descent (linked to Health Assessments)
No. |
Item |
Benefit |
81300 |
Aboriginal and Torres Strait Islander Health Service |
85% = $53.80 |
81305 |
Diabetes Education Service |
85% = $53.80 |
81310 |
Audiology Service |
85% = $53.80 |
81315 |
Exercise Physiology Service |
85% = $53.80 |
81320 |
Dietetics Service |
85% = $53.80 |
81325 |
Mental Health Service |
85% = $53.80 |
81330 |
Occupational Therapy Service |
85% = $53.80 |
81335 |
Physiotherapy Service |
85% = $53.80 |
81340 |
Podiatry Service |
85% = $53.80 |
81345 |
Chiropractic Service |
85% = $53.80 |
81350 |
Osteopathy Service |
85% = $53.80 |
81355 |
Psychology Service |
85% = $53.80 |
81360 |
Speech Pathology Service |
85% = $53.80 |
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Practice Nurse, Nurse Practitioner & Aboriginal and Torres Strait Islander Health Practitioner Items
No |
Item |
Benefit |
10987 |
Follow up for a patient who has received an Aboriginal and Torres Strait Islander peoples health assessment (Max 10 services per calendar year) |
$24.40 |
10997 |
Monitoring and support for a person with a Chronic Disease Care Plan (Max 5 services per calendar year, practice nurse or Aboriginal and Torres Strait Islander Health Practitioner) |
$12.20 |
10988 |
Immunisation (Aboriginal and Torres Strait Islander Health Practitioner) |
$12.20 |
10989 |
Wound Management (Aboriginal and Torres Strait Islander Health Practitioner) |
$12.20 |
82200 |
Brief consultation (Nurse Practitioner) |
85% = $8.30 |
82205 |
Short consultation, less than 20 mins (Nurse Practitioner) |
85% = $18.15 |
82210 |
Detailed consultation, at least 20 mins (Nurse Practitioner) |
85% = $34.35 |
82215 |
Extensive consultation, at least 40 mins (Nurse Practitioner) |
85% = $50.60 |
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Retinal Photography with a Non-Mydriatic Retinal Camera
No. |
Item |
Benefit |
12325 |
Bilateral retinal photography to assess diabetic retinopathy (Aboriginal and Torres Strait Islander patients) |
85% = $43.20 |
12326 |
Bilateral retinal photography to assess diabetic retinopathy |
85% = $43.20 |
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Chronic Disease Management (CDM) Items and Case Conferences (CC)
No. |
Item |
Benefit |
721 |
Prepare GP Management Plan |
$146.55 |
723 |
Coordinate development of Team Care arrangements |
$116.15 |
731 |
Contribution to or review of multidisciplinary care plan prepared by RACF |
$71.55 |
732 |
Review of GP Management Plan or Coordinate a Review of Team Care Arrangements |
$73.20 |
735 |
Organise and coordinate a CC in a RACF; or a Community CC, or a Discharge CC, 15-20 mins |
$71.80 |
739 |
Organise and coordinate a CC in a RACF; or a Community CC; or a Discharge CC, 20-40 mins |
$122.90 |
743 |
Organise and coordinate a CC in a RACF; or a Community CC; or a Discharge CC, more than 40 mins |
$204.90 |
747 |
Participate in a CC in a RACF; or a Community CC; or a Discharge CC as a member of a CC team, 15-20 mins |
$52.75 |
750 |
Participate in a CC in a RACF; or a Community CC; or a Discharge CC as a member of a CC team, 20-40 mins |
$90.40 |
758 |
Participate in a CC in a RACF; or a Community CC; or a Discharge CC as a member of a CC team, more than 40 mins |
$150.55 |
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Individual Allied Health Items for people with a chronic condition and complex care needs (linked to CDM items 721 & 723)
No. |
Item |
Benefit |
10950 |
Aboriginal and Torres Strait Islander Health Service |
85% = $53.80 |
10951 |
Diabetes Education Service |
85% = $53.80 |
10952 |
Audiology Service |
85% = $53.80 |
10953 |
Exercise Physiology Service |
85% = $53.80 |
10954 |
Dietetics Service |
85% = $53.80 |
10956 |
Mental Health Service |
85% = $53.80 |
10958 |
Occupational Therapy Service |
85% = $53.80 |
10960 |
Physiotherapy Service |
85% = $53.80 |
10962 |
Podiatry Service |
85% = $53.80 |
10964 |
Chiropractic Service |
85% = $53.80 |
10966 |
Osteopathy Service |
85% = $53.80 |
10968 |
Psychology Service |
85% = $53.80 |
10970 |
Speech Pathology Service |
85% = $53.80 |
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Medication Management Review
No |
Item |
Benefit |
900 |
Domiciliary Medication Management Review (DMMR) |
$157.30 |
245 |
Domiciliary Medication Management Review (DMMR) (non-VR GPs) |
$125.85 |
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Antenatal Consults
No. |
Item |
Benefit |
16400 |
Antenatal attendance (midwife, nurse or registered AHW
RRMA 3-7) |
85% = $23.55 |
16500 |
Antenatal attendance |
85% = $40.75 |
16502 |
Complicated Antenatal attendance
(each attendance that is not a routine attendance) |
85% = $40.75 |
55703 |
Pregnancy ultrasound (uncertain dates less than 12 weeks) |
85% = $29.75 |
55709 |
Pregnancy ultrasound (dating is 17 to 22 weeks) |
85% = $32.30 |
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GP Mental Health Treatment
No. |
Item |
Benefit |
2700 |
Prepare GP Mental Health Treatment Plan, lasting at least 20 mins |
$72.85 |
2701 |
Prepare GP Mental Health Treatment Plan, lasting at least 40 mins |
$107.25 |
2712 |
Review GP Mental Health Treatment Plan |
$72.85 |
2713 |
Mental health consultation (not associated with a GP Mental Health Plan), lasting at least 20 mins |
$72.85 |
2715 |
Prepare GP Mental Health Treatment Plan, lasting at least 20 mins (medical practitioners who have undertaken mental health skills training) |
$92.50 |
2717 |
Prepare GP Mental Health Treatment Plan, lasting at least 40 mins (medical practitioners who have undertaken mental health skills training) |
$136.25 |
Benefits are based on the 1 July 2019 Medicare Benefits Schedule
PLEASE NOTE: This table does not provide a comprehensive list of MBS items and should be read in conjunction with the item and explanatory notes set out in the Medicare Benefits Schedule.
The authoritative source of information about the MBS is the MBS Online website.
For Medicare Claiming enquiries, please phone the Department of Human Services Indigenous Access line on 1800 556 955
For feedback please email IHD 19.2 enquiries mailbox
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