MBS Quick Reference
To search for particular items, press CRTL + F to find in the reference tool!
| MBS Item No | PHONE? | VIDEO? | Item Description | CSMP Fee | Billing Notes | Eligibility? |
|---|---|---|---|---|---|---|
| 3 |
91890 |
91790 |
Brief Consult (Less than 6 mins) |
$53.00 |
||
| 23 |
91891 |
91800 |
Standard Consultation (between 6 and 20 mins) |
$95.00 |
||
| 36 |
91900 |
91801 |
Longer Consultation (at least 20 mins) |
$145.00 |
PHONE - MYMEDICARE |
|
| 44 |
91910 |
91082 |
Extended Consultation (between 40-60 mins) |
$200.00 |
PHONE - MYMEDICARE |
|
| 123 |
91920 |
Prolonged Consultation (at least 60 mins) |
$280.00 |
VIDEO - MYMEDICARE |
||
| 2713 |
92127 |
92115 |
Mental Health Consult (at least 20 mins) |
$145.00 |
Exempt from 12 Month Rule |
|
| Private (non-Medicare) Telehealth |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| PHCON A |
Brief Consultation (Less than 6 mins) |
$53.00 |
PHONE and/or VIDEO |
No F2F attendance in 12 months for Medicare Pts ONLY |
||
| PHCON B |
Standard Consultation (more than 6 mins) |
$95.00 |
PHONE and/or VIDEO |
No F2F attendance in 12 months for Medicare Pts ONLY |
||
| PHCON C |
Longer Consultation (up to 20 mins) |
$145.00 |
PHONE and/or VIDEO |
No F2F attendance in 12 months for Medicare Pts ONLY |
||
| PHCON D |
Extended Consultation (up to 40 mins) |
$200.00 |
PHONE and/or VIDEO |
No F2F attendance in 12 months for Medicare Pts ONLY |
||
| Care Plans/Chronic Disease |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| 721 |
92024 |
GP Management Plan |
BULK BILLED |
CANNOT bill with MBS general attendance items |
Once every 366 days |
|
| 723 |
92025 |
Team Care Arrangement |
BULK BILLED |
CANNOT bill with MBS general attendance items |
Once every 366 days |
|
| 732 |
92028 |
Review of GPMP and/or TCA |
BULK BILLED |
CANNOT bill with MBS general attendance items |
Every 90 days |
|
| 10997 |
CDM Nursing Assistance Item |
BULK BILLED |
||||
| Mental Health/Eating Disorders |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| 2715 |
92116 |
Mental Health Care Plan (at least 20 mins) |
$155.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
Eligible every 366 days, exempt from 12 month telehealth rule |
|
| 2717 |
92117 |
Mental Health Care Plan (at least 40 mins) |
$200.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
Eligible every 366 days, exempt from 12 month telehealth rule |
|
| 2712 |
92126 |
92114 |
Review of Mental Health Care Plan (at least 20 mins) |
$130.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
Eligible every 90 days |
| 90252 |
92148 |
Eating Disorder Plan (at least 20 mins) |
$155.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
MUST be billed every 366 days |
|
| 90253 |
92149 |
Eating Disorder Plan (at least 40 mins) |
$200.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
MUST be billed every 366 days |
|
| 90264 |
92176 |
92170 |
Review of Eating Disorder Plan (at least 20 mins) |
$130.00 |
Requires annotation if billed with general attendance items (3, 23, 36,44, etc.) |
Eligible every 90 days |
| Obstetric and Reproductive Care |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| 14206 |
Hormone Implant Insertion (Implanon/Trochar) |
$100.00 |
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| 30062 |
Removal of Hormonal Implant |
$120.00 |
||||
| 16407 |
Postpartum Check |
$145.00 |
||||
| 16500 |
91858 |
91853 |
Antenatal Attendance |
$95.00 |
||
| 16591 |
20 wk Antenatal Attendance |
BULK-BILLED |
Shared O&G item - once per pregnancy |
|||
| 35503 |
IUD Insertion |
$175.00 |
||||
| 73806 |
Pregnancy Test |
BULK-BILLED |
||||
| General Procedures |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| 11506 |
ABI |
|||||
| 11610 |
Spirometry |
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| 11707 |
ECG |
$60.00 |
||||
| 13757 |
Venesection |
|||||
| 30071 |
Biopsy |
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| 93644 |
COVID-19 Vaccination Assessment |
BULK-BILLED |
If billed with general attendance must be labelled as 'unrelated to consult'. Cannot be billed with another attendance if attending for COVID vaccine only. |
|||
| SIRA Workers Compensation |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| AA020 |
AA020T |
AA020T |
Workers Comp Level B |
$108.00 |
||
| AA030 |
AA030T |
AA030T |
Workers Comp Level C |
$198.00 |
||
| AA040 |
AA040T |
AA040T |
Workers Comp Level D |
$300.00 |
Insurer Approval REQUIRED |
|
| AA045 |
AA045T |
AA045T |
Workers Comp Level E |
$430.00 |
Insurer Approval REQUIRED |
|
| WCO001 |
Initial Certificate of Capacity |
$53.80 |
GST item |
|||
| WCO002 |
Additional Services |
$26.90 |
GST item |
Billed at $26.90 per 5 mins; requires detailed explanation in billing notes. |
||
| Consumables |
PHONE? |
VIDEO? |
Description |
FEE |
Billing Notes |
Eligibility? |
| ADT |
Tetanus |
$22.00 |
||||
| AHB |
Adult Hepatitis B |
$26.00 |
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| BOOST |
Whooping Cough |
$41.00 |
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| BOOSTIPV |
Pertussis/Polio |
$85.00 |
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| CREM |
Cremation Certificate |
$90.00 |
GST item |
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| FLU |
Private Flu Vaccine |
$15.00 |
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| GLUE |
Wound Glue |
$25.00 |
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| HAVJNR |
Paediatric Hep A |
$50.00 |
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| HAVRIX |
Adult Hep A |
$65.00 |
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| OTOWICK |
Earwick |
$10.00 |
||||
| STAMARIL |
Yellow Fever Vaccine |
$120.00 |
Can only be administered by accredited provider. |
|||
| TWINRIX |
Combined Hep A and B |
$86.00 |
||||
| TYPHIM |
Typhoid |
$80.00 |
||||
| VARILRIX |
Varricela Vaccine |
$65.00 |