MBS item 66659 ===== PSA fractionation testing for follow-up of borderline PSA results (2–5.5 µg/L with family history, 3–5.5 µg/L ages 50–69, or 5.5–10 µg/L ages ≥70), limited to once per 11 months. Category 6 · Pathology services[Group P2](/groups/P2) Schedule fee$37.30 100% benefitGP, out of hospital— 85% benefitOut of hospital$31.75 75% benefitIn hospital$28.00 The schedule fee for MBS item 66659 is $37.30. Medicare pays $31.75 (85%) out of hospital, or $28.00 (75%) for a privately admitted patient in hospital. Fee effective 1 January 2013. Gap for what you charge ----------------------- Your fee$ Out of hospitalIn hospital (private) Medicare pays$31.75 Patient gap$5.55 Bulk billing means accepting $31.75 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=66659) Item descriptor --------------- Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at: (a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or (b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or (c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age For any particular patient, applicable not more than once in 11 months [Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=66659) Health fund and DVA rates ------------------------- Total fee each scheme recognises for this item in hospital. StateNSWVICQLDSAWATASACTNT Guides ------ - [How Medicare benefits work: schedule fees, 75%, 85% and 100%](/guides/how-medicare-benefits-work) - [Medicare safety nets explained: original and extended (EMSN) thresholds for 2026](/guides/medicare-safety-nets) - [In-hospital billing: the 75% benefit, the 25% fund benefit, and no-gap and known-gap schemes](/guides/in-hospital-billing-and-gap-cover) - [Bulk billing incentives and BBPIP explained: 2026 amounts by MM area](/guides/bulk-billing-incentives) - [The MBS multiple operation rule and surgical assistant fees](/guides/multiple-operation-rule) - [Assignment of benefit for bulk billing: the changes from 1 July 2026](/guides/assignment-of-benefit-2026) - [MBS telehealth rules: the eligible telehealth practitioner and phone items](/guides/mbs-telehealth-rules) - [GP chronic condition management plans: items 965 and 967 explained](/guides/chronic-condition-management-plans) - [Medicare billing compliance: claim time limits, records and the 80/20 rule](/guides/medicare-billing-compliance) Data source: [Australian Government Medicare Benefits Schedule](https://www.mbsonline.gov.au/) · Record updated 1 September 2026. Health fund rates come from each fund's published schedule. Verify item descriptors, rules and fees on [MBS Online](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=66659) before billing. This is a reference tool, not billing or financial advice.