MBS changes from 1 November 2026
UpcomingCompared with the 1 August 2026 schedule.
- New items
- 4
- Removed items
- 0
- Updated descriptors
- 125
- Fee changes
- 0
New items
| Item | Schedule fee |
|---|---|
| 92033A40Phone attendance by a general practitioner to prepare a GP chronic condition management plan for a patient | $160.60 |
| 92034A40Phone attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner | $160.60 |
| 92063A40Phone attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient | $128.55 |
| 92064A40Phone attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner | $128.55 |
Updated descriptors
The wording of these items changed. Check the item on MBS Online for the full descriptor.
| Item | Schedule fee |
|---|---|
| 4A1GP home visit or other location (not consulting rooms or aged care) involving brief history, limited examination and management, per patient per visit. | — |
| 24A1GP professional attendance at a location other than consulting rooms or aged care, lasting 6–20 minutes, including history, examination, investigations, management, or preventive care for health-related issues. | — |
| 37A1GP professional attendance at a non-consulting room location (home, workplace, etc.) for at least 20 minutes, including history, examination, investigations, management plan, or preventive care for one or more health issues. | — |
| 47A1GP home or other non-clinic visit (40+ minutes) including history, examination, investigations, management plan, or preventive care for one or more conditions with documentation. | — |
| 58A2Professional attendance by a specialist or disqualified GP at a single location for one or more patients, up to 5 minutes per patient, excluding consulting room or aged care visits. | — |
| 59A2Professional attendance by a non-GP specialist or disqualified GP at a single location for one or more patients, 5–25 minutes per patient. | — |
| 60A2Professional attendance by a specialist or disqualified GP at a patient's location (not consulting rooms or aged care) lasting 25–45 minutes. | — |
| 65A2Non-GP specialist or disqualified GP providing direct patient care at a single location for 46-60 minutes, charged per patient seen. | — |
| 124A1GP professional attendance at a non-standard location (not consulting rooms or aged care) for at least 60 minutes, including history, examination, investigations, management planning, and/or preventive care for one or more health issues with document… | — |
| 165A2Professional attendance by a non-GP specialist or disqualified GP lasting over 60 minutes at one location for one or more patients, charged per patient. | — |
| 181A7Brief professional attendance by an eligible-area doctor visiting one or more patients at a single location, lasting up to 5 minutes per patient. | — |
| 187A7Professional attendance by a prescribed medical practitioner in an eligible area lasting 5–25 minutes, visiting one or more patients at one location on a single occasion. | — |
| 191A7Professional attendance by a prescribed medical practitioner in an eligible area lasting 26–45 minutes, visiting one or more patients at one location on a single occasion. | — |
| 206A7Professional attendance by a prescribed medical practitioner in an eligible area lasting 46–60 minutes, whether single or multiple patients seen at one location on one occasion. | — |
| 228A7Comprehensive health assessment for Aboriginal or Torres Strait Islander patients including medical history, physical examination, investigations, documented management plan, and written report of findings and recommendations. | $203.25 |
| 232A7Contribution to multidisciplinary care plan development or review for residential aged care patients or hospital discharge planning, by a prescribed medical practitioner. | $67.40 |
| 235A7Medical practitioner's attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 15–20 minutes to organise and coordinate care, excluding conferences already associated with specified items. | $67.75 |
| 236A7Doctor attends and coordinates a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–40 minutes to organise and coordinate care. | $115.85 |
| 237A7Medical practitioner attendance at a multidisciplinary case conference (community, residential aged care, or discharge) lasting at least 40 minutes to organise and coordinate care. | $193.00 |
| 238A7Medical practitioner attends a multidisciplinary case conference (community, aged care facility, or discharge planning) lasting 15–19 minutes as part of coordinated team care. | $49.75 |
| 239A7Medical practitioner attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–40 minutes as part of a coordinated team meeting. | $85.25 |
| 240A7Medical practitioner participation in a multidisciplinary case conference (community, aged care facility, or discharge-related) lasting at least 40 minutes. | $141.90 |
| 249A7Prescribed medical practitioner's participation in a residential medication management review for aged care residents, not within 12 months of a previous review unless significant clinical or medication changes warrant a new review. | $101.45 |
| 294A8Telehealth consultation with a psychiatrist for bulk-billed patients in remote areas (Modified Monash 2-7, 15+ km away), aged care residents, or Aboriginal health services. | — |
| 303A7Professional attendance by a prescribed medical practitioner in an eligible area lasting over 60 minutes at one location, covering one or more patients on a single occasion. | — |
| 374A7Medical practitioner provides clinical support to a patient during a specialist's video consultation, in person at an outside location for 5–25 minutes. | $81.70 |
| 375A7Medical practitioner attends a residential aged care facility resident in person (5–25 minutes) to provide clinical support during a specialist's video consultation. | $56.50 |
| 377A7Medical practitioner provides clinical support at patient's location (not consulting rooms) for 25-45 minutes during a specialist's video consultation, for non-admitted patients outside aged care facilities. | $102.85 |
| 378A7A doctor's visit of 26–45 minutes at an aged care facility to provide clinical support during a specialist's video consultation with a resident. | $90.25 |
| 380A7Medical practitioner provides clinical support to patient during specialist video consultation, at non-consulting room location, for 45–60 minutes, while physically present with patient. | $148.40 |
| 381A7Medical practitioner provides 45–60 minute in-person clinical support to an aged care resident during a specialist's video consultation, in the same room throughout. | $123.15 |
| 390A7Medical practitioner provides in-person clinical support to a patient receiving a video consultation from a specialist, outside consulting rooms, for over 60 minutes. | $212.05 |
| 391A7Medical practitioner attends aged care resident for over 60 minutes to provide on-site clinical support during specialist video consultation. | $186.85 |
| 715A14GP health assessment for Aboriginal or Torres Strait Islander patients, including history, examination, investigations, management plan, and written report; not available if similar service provided in past 9 months. | $254.10 |
| 731A15GP contribution to multidisciplinary care planning or review for residential aged care residents or hospital discharge planning by the facility or other provider. | $84.25 |
| 735A15GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 15–19 minutes to organise and coordinate care. | $84.65 |
| 739A15GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–40 minutes to organise and coordinate care. | $144.70 |
| 743A15GP participation in a multidisciplinary case conference (community, aged care facility, or discharge) lasting at least 40 minutes to organise and coordinate care. | $241.25 |
| 747A15GP participation in a multidisciplinary case conference (community, aged care facility, or discharge) lasting 15–19 minutes. | $62.20 |
| 750A15GP attendance at a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–39 minutes as a team member. | $106.60 |
| 758A15GP participation in a multidisciplinary case conference (community, aged care, or discharge) lasting at least 40 minutes, excluding conferences linked to specified alternative items. | $177.35 |
| 761A7Medical practitioner visits a patient outside standard settings (home, aged care, etc.) for up to 5 minutes per occasion. | — |
| 763A7Medical practitioner visit lasting 6–25 minutes to a patient at a location other than consulting rooms, hospital, or aged care facility. | — |
| 766A7Home or facility visit by a doctor lasting 26-45 minutes for one or more patients on a single occasion. | — |
| 769A7Medical practitioner provides professional service outside standard settings (not clinic, hospital, or aged care) for 45–60 minutes per patient visit. | — |
| 772A7Professional attendance of up to 5 minutes by a medical practitioner at a residential aged care facility, for one or more patients during a single visit. | — |
| 776A7Medical practitioner attendance at a residential aged care facility for a consultation lasting 6–25 minutes with one or more patients during a single visit. | — |
| 788A7Medical practitioner visit at a residential aged care facility lasting over 25 but not more than 45 minutes, visiting one or more patients on one occasion. | — |
| 789A7Medical practitioner attendance at a residential aged care facility for 45–60 minutes, covering one or more patients on a single occasion. | — |
| 903A17GP participation in a residential medication management review for an aged care resident, not if this item or item 249 was used in the past 12 months unless there's been a significant change in condition or medication plan. | $126.90 |
| 2198A7Professional attendance by a prescribed medical practitioner outside consulting rooms, hospitals, or aged care facilities, lasting over 60 minutes, for one or more patients on a single occasion. | — |
| 2200A7Medical practitioner visit lasting over 60 minutes at a residential aged care facility (non-self-contained accommodation), with multiple patients seen during one visit billed per patient. | — |
| 2485A48GP provides clinical support during a specialist's video consultation, attending the patient in person (6–20 minutes), outside consulting rooms, for non-admitted patients not in aged care. | $76.10 |
| 2486A48GP clinical support attendance at a residential aged care facility (6–20 minutes) for a care recipient during a specialist video consultation, with the GP present in the same room throughout. | $65.55 |
| 2488A48GP provides clinical support at patient's location during specialist video consultation, lasting 20–40 minutes, with GP physically present throughout. | $118.15 |
| 2489A48GP support attendance at residential aged care facility lasting 20-40 minutes while patient receives specialist video consultation, with GP physically present in same room. | $107.65 |
| 2491A48GP provides 40-59 minute in-person clinical support at non-consulting rooms location while specialist delivers video consultation to the patient, excluding admitted patients and aged care residents. | $156.70 |
| 2492A48GP clinical support attendance at residential aged care facility (40–60 minutes) for patient receiving specialist video consultation, where GP is physically present with the patient. | $148.85 |
| 2494A48GP attendance of at least 60 minutes outside consulting rooms to provide clinical support during a specialist's video consultation, where the GP is physically present with the patient in the same room. | $238.95 |
| 2495A48GP attendance at aged care facility for at least 60 minutes providing clinical support to a resident during a specialist video consultation, with GP physically present in same room throughout. | $228.45 |
| 5003A22GP home visit or other non-clinic location attendance involving brief history, limited examination and management for each patient seen on one occasion. | — |
| 5010A22GP visit to a residential aged care facility for a straightforward problem requiring brief history and minimal examination, covering one or more patients seen on one occasion. | — |
| 5023A22GP attendance lasting 6–20 minutes at a location other than consulting rooms, hospital or aged care, including history, examination, investigations, management or preventive care for one or more health issues. | — |
| 5028A22GP visit at a residential aged care facility lasting 6–20 minutes for one or more patients, including history, examination, investigations, management, or preventive care for health-related issues. | — |
| 5043A22GP home visit or other non-practice location attendance lasting at least 20 minutes, including history, examination, investigations, management plan or preventive care for one or more health issues. | — |
| 5049A22GP consultation at a residential aged care facility lasting at least 20 minutes, including history, examination, investigations, management planning, or preventive care for one or more health issues. | — |
| 5063A22GP home visit or other non-consulting room attendance of at least 40 minutes, including history, examination, investigations, management plan, or preventive care for one or more health issues. | — |
| 5067A22GP consultation for a resident at a residential aged care facility lasting at least 40 minutes, including history, examination, investigations, management plan, or preventive care for one or more health issues. | — |
| 5076A22GP home visit of at least 60 minutes including history, examination, investigations, management plan and/or preventive care for one or more health issues. | — |
| 5077A22GP visit to aged care residents lasting at least 60 minutes, including history, examination, investigations, management planning, or preventive care for one or more health issues. | — |
| 5220A23Medical practitioner (non-GP) attendance at a location other than clinic, hospital or aged care, lasting up to 5 minutes per patient visit. | — |
| 5223A23Professional attendance by a non-GP specialist lasting 6–25 minutes at a location other than consulting rooms, hospital, or aged care facility. | — |
| 5227A23Medical specialist attendance at a location other than consulting rooms, hospital or aged care, lasting 26-45 minutes per patient per occasion. | — |
| 5228A23Specialist medical attendance outside standard venues lasting 46–60 minutes, charged per patient per occasion. | — |
| 5260A23Doctor visit at a residential aged care facility lasting up to 5 minutes per patient, covering one or more patients seen during a single visit to the facility. | — |
| 5261A23Specialist attendance outside consulting rooms, hospital or aged care lasting over 60 minutes per patient per occasion. | — |
| 5262A23Specialist medical attendance at a residential aged care facility lasting over 60 minutes for a care recipient, paid per patient seen on one occasion. | — |
| 5263A23Medical specialist visit at a residential aged care facility lasting 6–25 minutes, covering one or more patients seen on a single occasion. | — |
| 5265A23Medical practitioner visit at a residential aged care facility lasting 26-45 minutes, visiting one or more patients at one facility on one occasion. | — |
| 5267A23Specialist medical consultation at a residential aged care facility lasting 46–60 minutes per patient, bulk-billed per patient seen on one visit. | — |
| 10931A10Flag fall service for a home visit, aged care facility, or institution visit where bulk billing applies to this item and another Group A10 Subgroup 1 item, claimable once per location per occasion. | $45.95 |
| 10955M3Allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional attending a community or residential aged care multidisciplinary case conference lasting 15–19 minutes as a team member. | $58.50 |
| 10957M3Allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional attending a community or aged care facility case conference lasting 20–40 minutes as part of a multidisciplinary team. | $100.30 |
| 10959M3Allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional participation in a community or residential aged care multidisciplinary case conference lasting at least 40 minutes. | $166.85 |
| 10997M12Practice nurse or Aboriginal and Torres Strait Islander health practitioner provides chronic condition management service under GP supervision, consistent with a current chronic condition management plan or equivalent, limited to 5 services per calen… | $14.35 |
| 11607D124-hour continuous ambulatory blood pressure monitoring for untreated patients with clinic BP 140-180 systolic or 90-110 diastolic, including interpretation and treatment plan; once per 12 months. | $123.20 |
| 14245T1Intravenous infusion of an immunomodulating agent lasting at least 2 hours, payable once per day when the agent is PBS-listed under section 100. | $117.25 |
| 16408T4Postnatal visit by midwife, obstetrician, or GP at home or community setting between 1–4 weeks after birth (minimum 20 minutes) for privately admitted patients; payable once per pregnancy. | $63.90 |
| 18360T11Botulinum toxin injection for moderate to severe focal spasticity in adults with neurological disorder, as second-line or adjunctive therapy, targeting one functional muscle group; maximum 4 sets per day (2 per limb). | $149.45 |
| 45515T8Revision of non-facial/neck scars ≤7 cm, performed in hospital operating theatre or by specialist, with photographic evidence of clinical need; excludes cosmetic breast implants and combined procedures. | $223.25 |
| 45518T8Surgical revision of scars over 7cm on body (excluding face/neck) in hospital or by specialist, with required clinical photographs and excluding cosmetic breast implant cases. | $270.15 |
| 51700O1First consultation with an approved dental practitioner at surgery, hospital or aged care facility when referred by another provider. | $102.35 |
| 51703O1Subsequent dental practitioner attendance in a course of treatment following an initial referral visit at consulting rooms, hospital, or aged care facility. | $51.50 |
| 61564I4PSMA PET scan of whole body to restage recurrent prostate cancer in patients who've had prior local treatment and may be suitable for further local therapy; available twice in lifetime. | $1,300.00 |
| 71099P4Quantitation of double-stranded DNA antibodies using methods other than Crithidia luciliae, typically by ELISA or other laboratory techniques for lupus serology assessment. | $27.85 |
| 73358P7Whole exome or genome sequencing for germline variants causing monogenic disorders in children aged 10 years or under with suspected monogenic conditions (dysmorphic features with congenital anomalies or moderate intellectual disability/developmental… | $2,100.00 |
| 73359P7Whole exome or genome sequencing to identify germline variants causing monogenic disorders in children aged 10 or under with dysmorphic features, structural anomalies, or moderate intellectual disability, ordered by clinical geneticist or paediatrici… | $2,900.00 |
| 73360P7Re-analysis of whole exome or genome data to identify previously unreported germline variants in patients aged ≤15 years suspected of monogenic conditions, requested by a clinical geneticist or paediatrician after consultation with genetics, performe… | $500.00 |
| 73433P7NGS testing for NTRK fusions in tumour tissue from patients with locally advanced/metastatic solid tumours (children under 18, mammary analogue secretory carcinoma, or secretory breast carcinoma) to determine eligibility for Trk inhibitor therapy; on… | $1,000.00 |
| 73932P10Collection of a specimen from a patient's home by an approved pathology practitioner or authority employee to initiate a pathology episode, excluding care institutions and residential aged care facilities. | $10.25 |
| 73933P10Collection of one or more pathology specimens from a patient's home by an approved pathology practitioner or employee, initiating a new episode of care. | $2.40 |
| 73934P10Collection of a pathology specimen from a person in a care institution or residential aged care facility by an approved pathology practitioner or pathology authority employee, initiating a patient episode for one or more services. | $17.60 |
| 73935P10Collection of a pathology specimen from a patient in a care institution or residential aged care facility by an approved pathology practitioner or pathology authority employee to initiate testing services. | $2.40 |
| 90020A35GP visit to a residential aged care facility for a straightforward problem requiring brief history, limited examination and management. | $20.55 |
| 90035A35GP attendance at a residential aged care facility for one or more patients lasting 6–20 minutes, including history, examination, investigations, management or preventive care for health issues. | $45.05 |
| 90043A35GP visit to aged care residents lasting at least 20 minutes, including history, examination, investigations, management plan or preventive care for health issues. | $87.10 |
| 90051A35GP visit to aged care residents lasting at least 40 minutes, including history, examination, investigations, management plan or preventive care for one or more health issues. | $128.35 |
| 90054A35GP attends one or more aged care residents for at least 60 minutes per visit, providing history, examination, investigations, management planning, or preventive care for multiple health issues with documentation. | $207.90 |
| 90092A35Medical specialist visit to a residential aged care facility lasting up to 5 minutes, including multiple patients seen on one occasion at one facility. | $8.50 |
| 90093A35Medical practitioner attendance at a residential aged care facility for a consultation lasting 6–25 minutes; not applicable to self-contained units or general practitioners. | $16.00 |
| 90095A35Professional medical attendance by a non-GP specialist at a residential aged care facility for more than 25 but not more than 45 minutes per patient visit. | $35.50 |
| 90096A35Specialist visit at a residential aged care facility lasting 46-59 minutes per patient, where the specialist is not a GP. | $57.50 |
| 90098A35Medical practitioner attendance at a residential aged care facility for more than 60 minutes, visiting one or more patients who are care recipients (not in self-contained units), per patient per occasion. | $88.20 |
| 90183A35Professional attendance by a prescribed medical practitioner in an eligible area at a residential aged care facility, for a care recipient, lasting not more than 5 minutes. | $16.50 |
| 90188A35Professional attendance at a residential aged care facility for a care recipient, lasting more than 5 but not more than 25 minutes, by a prescribed medical practitioner in an eligible area. | $35.95 |
| 90202A35Medical practitioner attendance at a residential aged care facility for a care recipient lasting 26–45 minutes. | $69.70 |
| 90212A35A doctor's visit to a residential aged care facility lasting 46–60 minutes to assess one or more residents, in an eligible area. | $102.65 |
| 90215A35Medical practitioner visit at a residential aged care facility lasting over 60 minutes, for non-resident care recipients in an eligible area. | $166.30 |
| 92027A40GP video contribution to a multidisciplinary care plan for a residential aged care facility resident or hospital discharge planning, excluding items 235–240 and 735–758. | $84.25 |
| 92058A40Medical practitioner contributes by video to a multidisciplinary care plan for a residential aged care resident or hospital discharge patient, or reviews such a plan. | $67.40 |
| 92478A40Consultant psychiatrist video attendance for an admitted hospital patient following referral, up to 15 minutes, not more than once per 7 days. | $52.65 |
| 92479A40Video consultation by consultant psychiatrist for admitted hospital patient, at least 15 but not more than 30 minutes, following referral, with no same service in previous 7 days. | $105.05 |
| 92480A40Consultant psychiatrist video attendance for an admitted hospital patient lasting 30–45 minutes, following referral, with no same service in the past 7 days. | $161.70 |
| 92481A40Consultant psychiatrist video attendance for an admitted hospital patient referred by another practitioner, lasting 45–75 minutes, with no same service in the prior seven days. | $223.15 |
| 92482A40Consultant psychiatrist video attendance of at least 75 minutes for an admitted hospital patient following referral, not within 7 days of a related service. | $258.95 |