MBS Updates / 1 March 2025
832 benefit-type changes, 1,106 description updates, 11 new items, the cardiology LVAD program lands and the midwife schedule grows. Effective 1 March 2025.
Three new items cover procedures using an intravascular microaxial left ventricular assist device (LVAD). They apply to cardiogenic shock that optimal medical therapy has not controlled. Eligibility requires deteriorating symptoms or established ECMO unloading.
| 38376 | Percutaneous LVAD insertion, $718.00 |
|---|---|
| 38616 | Surgical LVAD insertion, $1,077.00 |
| 38619 | Surgical LVAD removal, $646.00 |
New items for participating midwives: long antenatal attendance (82102, $127.00), complex antenatal leading to hospital admission (82103, $234.20, capped at 3 per pregnancy), long postnatal attendance (82104, $186.75). Nurse practitioner attendance items added for ≥60 min in-person (82216) and video (91206) at $131.20 each.
New optometry-performed computerised perimetry items for high-progression-risk glaucoma (10938 bilateral, 10939 unilateral). Six contact-lens follow-up items deleted (10912, 10922, 10923, 10925) along with 2 flag-fall items (10932, 10933).
Concentrated in telehealth and consultant physician attendance categories, item ranges 91790–91878, 92112–92188, 92422–93286. See Services Australia’s release notes for verbatim changes.
Spans the surgical-procedure schedule from 11600–75203, including major ranges in surgical assistance (20102–22075), orthopaedic (21116–21992), thoracic / cardiothoracic (38200–38829), ophthalmology (42504–43050), urology (36504–37008), and obstetrics (16520–16627). Full list published by Services Australia.
10938, 10939, 22032, 38376, 38616, 38619, 82102, 82103, 82104, 82216, 91206
10931 (flag fall $26.55 → $43.75), 82100, 82110 (midwife antenatal $60.85 → $84.70), 82135 (postnatal $89.50 → $124.50), 91212, 91215, 91219, 91222 (video and phone equivalents).
10931, 13750, 13755, 18216, 18226, 22012, 22014, rules updated to remove once-per-presentation clauses and add per-day-per-pressure rules for cardiac intracavity monitoring.
10912, 10922, 10923, 10925, 10932, 10933, optometry contact-lens follow-up and flag-fall items.
10913, 10914, the rules now differ by age: one set for patients 65 and over, another for under 65.
10944, cornea foreign body removal, referral now required (was optional).
A large structural release: 832 benefit-type changes and 1,106 reworded descriptions, plus 11 new items, 6 deletions, 8 schedule-fee changes and 7 claim-frequency changes. It introduced the cardiology LVAD program and expanded the midwife attendance schedule. The schedule reached 5,969 items.
5,969 items, up from 5,964: 11 items were added and 6 were removed.
Eleven, across several areas: the microaxial LVAD cardiology program (38376, 38616, 38619), new midwife and nurse-practitioner attendance items (82102, 82103, 82104, 82216, 91206), optometry-performed perimetry for glaucoma (10938, 10939), and 22032.
Yes, six, all optometry contact-lens follow-up and flag-fall items: 10912, 10922, 10923, 10925, 10932 and 10933.
Yes, on eight items. Notable rises include the optometry flag-fall item 10931 ($26.55 to $43.75), midwife antenatal items 82100 and 82110 ($60.85 to $84.70), and postnatal item 82135 ($89.50 to $124.50), plus their video and phone equivalents.
14-day free trial. The full MBS Schedule, kept current through the API.