MBS item

90001
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Initial GP visit to a residential aged care facility attracts an additional $65.80 fee on top of the relevant consultation item.

Category 1 · Professional attendances[Group A35 · subgroup 1](/groups/A35)

Schedule fee$65.80

100% benefitGP, out of hospital$65.80

85% benefitOut of hospital—

75% benefitIn hospital—

The schedule fee for MBS item 90001 is $65.80. Medicare pays $65.80 (100%) out of hospital. Fee effective 1 July 2026.

Gap for what you charge
-----------------------

Your fee$

Out of hospital

Medicare pays$65.80

Patient gap$0.00

Bulk billing means accepting $65.80 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=90001)

Extended Medicare Safety Net cap: $197.40 (300% of the schedule fee, up to $500.00). Once a patient reaches the EMSN threshold, the extra benefit for this item is 80% of their out-of-pocket cost, but no more than this cap. [How safety nets work](/guides/medicare-safety-nets)

Item descriptor
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For the first patient attended during one attendance by a general practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90020, 90035, 90043, 90051 or 90054 applies is the amount listed in the item plus $65.80.

[Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=90001)

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=90001) before billing. This is a reference tool, not billing or financial advice.