Group A7: Acupuncture and Non-Specialist Practitioner Items
89 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 177Heart health assessment for patients 30+ years, including history, blood pressure and cholesterol checks, physical exam, management plan, and preventive advice (minimum 20 minutes). | $69.70 | — | $69.70 (100%) |
| 179Brief consultation (≤5 min) by a doctor in a prescribed eligible area, where no other specific MBS item applies. | $16.50 | — | $16.50 (100%) |
| 181Brief professional attendance by an eligible-area doctor visiting one or more patients at a single location, lasting up to 5 minutes per patient. | — | — | — |
| 185GP consultation of 5–25 minutes in an eligible area by a prescribed medical practitioner. | $35.95 | — | $35.95 (100%) |
| 187Professional 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. | — | — | — |
| 189Professional attendance by a prescribed medical practitioner in an eligible area lasting between 25 and 45 minutes. | $69.70 | — | $69.70 (100%) |
| 191Professional 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. | — | — | — |
| 193Acupuncture treatment by an endorsed medical practitioner or registered acupuncturist lasting under 20 minutes in an outpatient setting, including assessment, examination, investigations, management planning and preventive care as clinically relevant… | $44.30 | — | $44.30 (100%) |
| 195Hospital acupuncture treatment by an endorsed medical practitioner or registered acupuncturist lasting under 20 minutes, including assessment, examination, investigations, management planning and preventive care as clinically relevant. | — | — | — |
| 197Acupuncture treatment by registered medical practitioner or acupuncturist for at least 20 minutes, including history, examination, investigations, management plan and preventive care as clinically relevant. | $85.80 | — | $85.80 (100%) |
| 199Acupuncture treatment by an endorsed medical practitioner or registered acupuncturist lasting at least 40 minutes, including history, examination, investigations, management planning, and preventive care as clinically relevant. | $126.35 | — | $126.35 (100%) |
| 203Professional attendance by a prescribed medical practitioner in an eligible area lasting 46–60 minutes at consulting rooms, where no other item applies. | $102.65 | — | $102.65 (100%) |
| 206Professional 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. | — | — | — |
| 214Medical attendance by a prescribed practitioner for 1-2 hours for a patient in imminent danger of death, where no other item applies. | $212.20 | $159.15 | $212.20 (100%) |
| 215Professional attendance by a prescribed medical practitioner for 2–3 hours with a patient in imminent danger of death, where no other item applies. | $353.55 | $265.20 | $353.55 (100%) |
| 218Professional attendance by a prescribed medical practitioner for 3–4 hours for a patient in imminent danger of death, when no other MBS item applies. | $494.65 | $371.00 | $494.65 (100%) |
| 219Professional attendance by a prescribed medical practitioner for 4–5 hours with a patient in imminent danger of death, where no other MBS item applies. | $636.40 | $477.30 | $636.40 (100%) |
| 220Medical practitioner attendance of 5 or more hours for a patient in imminent danger of death, where no other MBS item applies. | $707.00 | $530.25 | $707.00 (100%) |
| 221Group therapy session of at least one hour led by a medical practitioner for a family and close contacts, with 2 patients attending. | $112.50 | $84.40 | $112.50 (100%) |
| 222Group therapy session of at least one hour, supervised by a doctor, for a family and close associates (3 patients per group). | $118.60 | $88.95 | $118.60 (100%) |
| 223Professional attendance for family or close relationship group therapy sessions of at least one hour, directly supervised by a medical practitioner, with four or more participants present. | $144.30 | $108.25 | $144.30 (100%) |
| 224Brief health assessment by a doctor (max 30 minutes) including history, basic exam, interventions, referrals, and preventive health advice. | $56.85 | — | $56.85 (100%) |
| 225Extended health assessment (30-45 mins) including detailed history, comprehensive examination, interventions, referrals, and preventive health strategy. | $132.05 | — | $132.05 (100%) |
| 226Comprehensive health assessment by a doctor lasting 45–59 minutes, including history, physical exam, interventions, referrals, and preventive care plan. | $182.15 | — | $182.15 (100%) |
| 227Prolonged health assessment by a medical practitioner lasting at least 60 minutes, including comprehensive history, extensive examination of medical/physical/psychological/social function, interventions, referrals, and preventive health management pl… | $257.40 | — | $257.40 (100%) |
| 228Comprehensive 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 | — | $203.25 (100%) |
| 231Contribution by a prescribed medical practitioner to a multidisciplinary care plan prepared by another provider, or review of such a plan, excluding services bundled with specific chronic disease or mental health management items. | $67.40 | $50.55 | $67.40 (100%) |
| 232Contribution to multidisciplinary care plan development or review for residential aged care patients or hospital discharge planning, by a prescribed medical practitioner. | $67.40 | $50.55 | $67.40 (100%) |
| 235Medical 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 | $50.85 | $67.75 (100%) |
| 236Doctor attends and coordinates a multidisciplinary case conference (community, aged care facility, or discharge) lasting 20–40 minutes to organise and coordinate care. | $115.85 | $86.90 | $115.85 (100%) |
| 237Medical 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 | $144.75 | $193.00 (100%) |
| 238Medical 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 | $37.35 | $49.75 (100%) |
| 239Medical 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 | $63.95 | $85.25 (100%) |
| 240Medical practitioner participation in a multidisciplinary case conference (community, aged care facility, or discharge-related) lasting at least 40 minutes. | $141.90 | $106.45 | $141.90 (100%) |
| 243Medical practitioner leads multidisciplinary case conference for cancer patient with at least 3 other doctors from different specialties plus allied health professionals, lasting 10+ minutes, to develop treatment plan. | $66.35 | $49.80 | $66.35 (100%) |
| 244Multidisciplinary case conference attendance by a prescribed medical practitioner for cancer patients, lasting at least 10 minutes with 4+ practitioners from different specialties, to develop a treatment plan. | $30.95 | $23.25 | $30.95 (100%) |
| 245Doctor refers a patient with chronic disease or complex medications to a community pharmacy for medication review, discusses findings with the pharmacist, and develops a written medication management plan; maximum once per 12 months. | $148.25 | — | $148.25 (100%) |
| 249Prescribed 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 | — | $101.45 (100%) |
| 272A GP prepares a mental health treatment plan during a 20–40 minute appointment, without requiring formal mental health training. | $68.65 | $51.50 | $68.65 (100%) |
| 276GP prepares a mental health treatment plan for a patient during a minimum 40-minute appointment with a doctor who hasn't completed mental health skills training. | $101.05 | $75.80 | $101.05 (100%) |
| 281Mental health skills-trained doctor prepares a GP mental health treatment plan in a 20–40 minute consultation. | $87.15 | $65.40 | $87.15 (100%) |
| 282A prescribed medical practitioner with mental health training prepares a GP mental health treatment plan during a consultation lasting at least 40 minutes. | $128.45 | $96.35 | $128.45 (100%) |
| 283Prescribed medical practitioner provides focussed psychological strategies for assessed mental disorders in a 30–40 minute consulting room session. | $88.85 | — | $88.85 (100%) |
| 285Prescribed medical practitioner provides focused psychological strategies for assessed mental disorders at a non-consulting room location, lasting 30–40 minutes. | — | — | — |
| 286Focussed psychological strategies for assessed mental disorders, delivered by a credentialled medical practitioner in consulting rooms for at least 40 minutes. | $127.10 | — | $127.10 (100%) |
| 287Professional attendance by a credentialled medical practitioner at a non-clinic location to deliver focused psychological strategies for assessed mental disorders, minimum 40 minutes. | — | — | — |
| 301Professional attendance at consulting rooms lasting more than 60 minutes by a prescribed medical practitioner in an eligible area, where no other MBS item applies. | $166.30 | — | $166.30 (100%) |
| 303Professional 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. | — | — | — |
| 309Psychological strategies consultation with a family member or carer (not the patient) for at least 30 minutes as part of the patient's mental health treatment. | $88.85 | — | $88.85 (100%) |
| 311Professional attendance providing focused psychological strategies for an assessed mental disorder to someone other than the patient (e.g. family member) as part of treatment, lasting 30–40 minutes, at a location outside consulting rooms. | — | — | — |
| 313Focussed psychological strategies for a family member or carer lasting at least 40 minutes as part of the patient's mental health treatment plan. | $127.10 | — | $127.10 (100%) |
| 315Attendance outside consulting rooms by credentialled practitioner to provide focused psychological strategies for assessed mental disorders to a third party as part of patient's treatment, minimum 40 minutes. | — | — | — |
| 373GP provides clinical support to a patient receiving specialist video consultation, attending in person with patient for over 5 but not more than 25 minutes. | $56.50 | — | $56.50 (100%) |
| 374Medical 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 | — | $81.70 (100%) |
| 375Medical 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 | — | $56.50 (100%) |
| 376Doctor provides clinical support to a patient receiving telehealth consultation from a specialist, attending in person with the patient for 26-45 minutes. | $90.25 | — | $90.25 (100%) |
| 377Medical 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 | — | $102.85 (100%) |
| 378A 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 | — | $90.25 (100%) |
| 379Medical practitioner providing in-room clinical support during a specialist's video consultation, lasting 45–60 minutes. | $123.15 | — | $123.15 (100%) |
| 380Medical 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 | — | $148.40 (100%) |
| 381Medical 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 | — | $123.15 (100%) |
| 382Medical practitioner provides clinical support to a patient receiving specialist video consultation, attending in person for over 60 minutes in the same room as the patient. | $186.85 | — | $186.85 (100%) |
| 390Medical 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 | — | $212.05 (100%) |
| 391Medical practitioner attends aged care resident for over 60 minutes to provide on-site clinical support during specialist video consultation. | $186.85 | — | $186.85 (100%) |
| 392Prescribed medical practitioner prepares a chronic condition management plan for a patient under GP supervision. | $128.55 | $96.45 | $128.55 (100%) |
| 393Medical practitioner reviews a chronic condition management plan they or an associated practitioner prepared. | $128.55 | $96.45 | $128.55 (100%) |
| 733Brief medical consultation of up to 5 minutes with a prescribed medical practitioner for a matter not covered by another specific MBS item. | $27.75 | — | $27.75 (100%) |
| 737Professional attendance by a prescribed medical practitioner at their consulting rooms, lasting more than 5 minutes but not exceeding 25 minutes. | $46.85 | — | $46.85 (100%) |
| 741Consultation of 25–45 minutes with a prescribed medical practitioner at their consulting rooms. | $80.45 | — | $80.45 (100%) |
| 745Medical practitioner consultation lasting 45–60 minutes at consulting rooms, where no other MBS item applies. | $112.80 | — | $112.80 (100%) |
| 761Medical practitioner visits a patient outside standard settings (home, aged care, etc.) for up to 5 minutes per occasion. | — | — | — |
| 763Medical practitioner visit lasting 6–25 minutes to a patient at a location other than consulting rooms, hospital, or aged care facility. | — | — | — |
| 766Home or facility visit by a doctor lasting 26-45 minutes for one or more patients on a single occasion. | — | — | — |
| 769Medical practitioner provides professional service outside standard settings (not clinic, hospital, or aged care) for 45–60 minutes per patient visit. | — | — | — |
| 772Professional 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. | — | — | — |
| 776Medical practitioner attendance at a residential aged care facility for a consultation lasting 6–25 minutes with one or more patients during a single visit. | — | — | — |
| 788Medical 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. | — | — | — |
| 789Medical practitioner attendance at a residential aged care facility for 45–60 minutes, covering one or more patients on a single occasion. | — | — | — |
| 792Non-directive pregnancy support counselling by a credentialled medical practitioner for at least 20 minutes, for pregnant people or those within 12 months postpartum. | $73.35 | — | $73.35 (100%) |
| 969A prescribed medical practitioner's attendance at a multidisciplinary mental health case conference lasting 15–19 minutes to organise and coordinate care. | $67.75 | $50.85 | $67.75 (100%) |
| 971A prescribed medical practitioner's attendance at a multidisciplinary mental health case conference lasting 20–40 minutes to organise and coordinate care. | $115.85 | $86.90 | $115.85 (100%) |
| 972A prescribed medical practitioner's attendance at a multidisciplinary mental health case conference lasting at least 40 minutes to organise and coordinate care. | $193.05 | $144.80 | $193.05 (100%) |
| 973Multidisciplinary mental health case conference attendance by a prescribed medical practitioner lasting 15–19 minutes. | $49.75 | $37.35 | $49.75 (100%) |
| 975Mental health multidisciplinary case conference attendance by a prescribed medical practitioner lasting at least 20 minutes but less than 40 minutes. | $85.25 | $63.95 | $85.25 (100%) |
| 986Multidisciplinary mental health case conference attendance by a prescribed medical practitioner, lasting at least 40 minutes. | $141.90 | $106.45 | $141.90 (100%) |
| 2197Extended consultation of more than 60 minutes by a prescribed medical practitioner for complex clinical assessment and management where no other specific item applies. | $191.60 | — | $191.60 (100%) |
| 2198Professional 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. | — | — | — |
| 2200Medical 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. | — | — | — |
| 19000Assessment and management of menopause or perimenopause by a medical practitioner for at least 20 minutes, including history, physical exam, investigations, discussion of management options, and preventative health advice. | $83.60 | — | $83.60 (100%) |