MBS Update
1st November 2024
Overview
10
New MBS Items
9
Modified Benefit Types
17
Modified Claim Frequency Limits
0
Deleted Items
160
Modified Descriptions
123
Modified Schedule Fee
283
Modified Items
3
Modified Referral Requirements
5966
New MBS Items Total
New MBS Items
Item Number: 92478
​
​Description: Telehealth attendance for an admitted patient by a consultant psychiatrist; if: (a) the attendance follows referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the patient is located at a hospital; and (c) the attendance is not more than 15 minutes duration; and (d) the patient has not received a service to which item 92479, 92480, 92481, 92482 or 92483 applies in the last seven days (H)​
Schedule Fee: "50.10"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Practitioner."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 92479
​
​Description: Telehealth attendance for an admitted patient by a consultant psychiatrist; if: (a) the attendance follows referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the patient is located at a hospital; and (c) the attendance is at least 15 minutes, but not more than 30 minutes in duration; and (d) the patient has not received a service to which item 92478, 92480, 92481, 92482 or 92483 applies in the last seven days (H)
Schedule Fee: "100.00"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Practitioner."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 92480
​
​Description: Telehealth attendance for an admitted patient by a consultant psychiatrist; if: (a) the attendance follows referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the patient is located at a hospital; and (c) the attendance was at least 30 minutes, but not more than 45 minutes in duration; and (d) the patient has not received a service to which item 92478, 92479, 92481, 92482 or 92483 applies in the last seven days (H)
Schedule Fee: "153.90"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequencey Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Practitioner."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 92481
​
​Description: Telehealth attendance for an admitted patient by a consultant psychiatrist; if: (a) the attendance follows referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the patient is located at a hospital; and (c) the attendance was at least 45 minutes, but not more than 75 minutes in duration; and (d) the patient has not received a service to which item 92478, 92479, 92480, 92482 or 92483 applies in the last seven days (H)
Schedule Fee: "212.40"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Practitioner."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 92482
​
​Description: Telehealth attendance for an admitted patient by a consultant psychiatrist; if: (a) the attendance follows referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the patient is located at a hospital; and (c) the attendance was at least 75 minutes in duration; and (d) the patient has not received a service to which item 92478, 92479, 92480, 92481 or 92483 applies in the last seven days (H)
Schedule Fee: "246.50"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Practitioner."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 92483
​
​Description: Telehealth attendance of more than 45 minutes by a consultant psychiatrist following referral of the patient to the consultant psychiatrist by a referring practitioner – an attendance on a patient located at a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from the consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, or any of items 296, 297, 299, 300, 302, 304, 306, 308, 91827 to 91831, 91837 to 91839, 92437 and 92478 to 92482 has applied in the preceding 24 months (H)
Schedule Fee: "301.05"
Schedule Fee Start Date: "01.11.2024"
Category: "1"
Group: "A40"
Sub Group: "6"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Specialist psychiatrist."
Benefit Type: "75"
Item Start Date: "01.11.2024"
Item Number: 61614
​
​Description: Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent cancer in a patient who is undergoing, or is suitable for, active therapy, if the cancer is:(a) a rare or uncommon cancer (less than 12 cases per 100,000 persons per year); and(b) a typically FDG-avid cancer (R)
Schedule Fee: "953.00"
Schedule Fee Start Date: "01.11.2024"
Category: "5"
Group: "I4"
Sub Group: "2"
Referral Requirements: "This item should be referred by one of the following specialties: 'General Practitioner', 'Specialist Medical Practitioner'."
Benefit Type: "75_85"
Item Start Date: "01.11.2024"
Item Number: 66829
​
​Description: Quantitation of BNP or NT‑proBNP for the exclusion of a diagnosis of heart failure in a patient presenting in a non‑hospital setting to assist in decision‑making regarding the clinical necessity of an echocardiogram, where heart failure is suspected based on signs and symptoms but diagnosis is uncertain Applicable once in any 12 month period.
Schedule Fee: "58.50"
Schedule Fee Start Date: "01.11.2024"
Category: "6"
Group: "P2"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "Having a referral for this Medicare item is optional."
Benefit Type: "75_85"
Item Start Date: "01.11.2024"
Item Number: 73813
​
​Description: Detection performed by, or on behalf of, a medical practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection.
Schedule Fee: "117.65"
Schedule Fee Start Date: "01.11.2024"
Category: "6"
Group: "P9"
Referral Requirements: "Having a referral for this Medicare item is optional."
Benefit Type: "85"
Item Start Date: "01.11.2024"
Item Number: 73825
​
​Description: Detection performed by a participating nurse practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection.
​
Schedule Fee: "117.65"
Schedule Fee Start Date: "01.11.2024"
Category: "6"
Group: "P9"
Referral Requirements: "Having a referral for this Medicare item is optional."
Benefit Type: "85"
Item Start Date: "01.11.2024"
Modified Items
Items with Modified Benefit Types
Item Number: 124
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 187
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 303
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 165
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 191
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 22002
​
Old Benefit Type: "75, 85"
New Benefit Type: "75"
Item Number: 181
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 206
​
Old Benefit Type: "100"
New Benefit Type: "75, 100"
Item Number: 45614
​
Old Benefit Type: "75"
New Benefit Type: "75, 85"
Items with Modified Referral Requirments
Item Number: 296
Old Requirments: "This item should be referred by a Specialist psychiatrist.",
New Requirments: "This item should be referred by a Specialist Medical Practitioner."
Item Number: 297
Old Requirments: "This item should be referred by a Specialist psychiatrist.",
New Requirments: "This item should be referred by a Specialist Medical Practitioner."
Item Number: 299
Old Requirments: "This item should be referred by a Specialist psychiatrist.",
New Requirments: "This item should be referred by a Specialist Medical Practitioner."
Items with Modified Claim Frequency Limits
Item Number: 15930
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15936
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15942
​
Old Claim Frequency Limit: "once per day"
New Claim Frequency Limit: "No limit"
Item Number: 15948
​
Old Claim Frequency Limit: "once per day"
New Claim Frequency Limit: "No limit"
Item Number: 15974
​
Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Item Number: 15980
​
Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Item Number: 15932
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15938
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15944
​
Old Claim Frequency Limit: "once per day"
New Claim Frequency Limit: "No limit"
Item Number: 15970
​
Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Item Number: 15976
​
​Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Item Number: 73420
​
Old Claim Frequency Limit: "No limit"
New Claim Frequency Limit: "If the patient has not been previously alloimmunised against RhD"
Item Number: 15934
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15940
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15946
​
Old Claim Frequency Limit: "once per plan per day"
New Claim Frequency Limit: "No limit"
Item Number: 15972
​
Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Item Number: 15978
​
Old Claim Frequency Limit: "once per course of treatment"
New Claim Frequency Limit: "No limit"
Items with Modified Schedule Fees
Item Number: 15954
Old Schedule Fee:"0.00"
New Schedule Fee: "22.00"
Item Number: 56016
Old Schedule Fee:"325.15"
New Schedule Fee: "318.65"
Item Number: 56101
Old Schedule Fee:"257.85"
New Schedule Fee: "252.70"
Item Number: 56223
Old Schedule Fee:"269.15"
New Schedule Fee: "263.75"
Item Number: 56234
Old Schedule Fee:"393.95"
New Schedule Fee: "386.05"
Item Number: 56401
Old Schedule Fee:"280.35"
New Schedule Fee: "274.75"
Item Number: 56507
Old Schedule Fee:"538.30"
New Schedule Fee: "527.55"
Item Number: 56626
Old Schedule Fee:"375.25"
New Schedule Fee: "367.75"
Item Number: 56801
Old Schedule Fee:"523.15"
New Schedule Fee: "512.70"
Item Number: 57341
Old Schedule Fee:"527.00"
New Schedule Fee: "516.45"
Item Number: 57360
Old Schedule Fee:"784.85"
New Schedule Fee: "769.15"
Item Number: 61314
Old Schedule Fee:"420.00"
New Schedule Fee: "434.70"
Item Number: 61329
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61353
Old Schedule Fee:"386.60"
New Schedule Fee: "400.15"
Item Number: 61364
Old Schedule Fee:"496.95"
New Schedule Fee: "514.35"
Item Number: 61376
Old Schedule Fee:"143.35"
New Schedule Fee: "148.35"
Item Number: 61387
Old Schedule Fee:"430.75"
New Schedule Fee: "445.85"
Item Number: 61397
Old Schedule Fee:"246.85"
New Schedule Fee: "255.50"
Item Number: 61410
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61426
Old Schedule Fee:"554.80"
New Schedule Fee: "574.20"
Item Number: 61438
Old Schedule Fee:"672.95"
New Schedule Fee: "696.50"
Item Number: 61449
Old Schedule Fee:"456.20"
New Schedule Fee: "472.15"
Item Number: 61461
Old Schedule Fee:"527.85"
New Schedule Fee: "546.30"
Item Number: 61473
Old Schedule Fee:"175.40"
New Schedule Fee: "181.55"
Item Number: 61499
Old Schedule Fee:"253.00"
New Schedule Fee: "261.85"
Item Number: 56001
Old Schedule Fee:"218.75"
New Schedule Fee: "214.35"
Item Number: 56022
Old Schedule Fee:"252.30"
New Schedule Fee: "247.25"
Item Number: 56107
Old Schedule Fee:"381.25"
New Schedule Fee: "373.60"
Item Number: 56224
Old Schedule Fee:"393.95"
New Schedule Fee: "386.05"
Item Number: 56237
Old Schedule Fee:"269.15"
New Schedule Fee: "263.75"
Item Number: 56407
Old Schedule Fee:"403.70"
New Schedule Fee: "395.65"
Item Number: 56553
Old Schedule Fee:"583.05"
New Schedule Fee: "571.40"
Item Number: 56627
Old Schedule Fee:"246.70"
New Schedule Fee: "241.75"
Item Number: 56807
Old Schedule Fee:"627.95"
New Schedule Fee: "615.40"
Item Number: 57352
Old Schedule Fee:"571.85"
New Schedule Fee: "560.40"
Item Number: 57362
Old Schedule Fee:"126.90"
New Schedule Fee: "124.35"
Item Number: 61321
Old Schedule Fee:"329.00"
New Schedule Fee: "340.50"
Item Number: 61340
Old Schedule Fee:"253.00"
New Schedule Fee: "261.85"
Item Number: 61356
Old Schedule Fee:"392.80"
New Schedule Fee: "406.55"
Item Number: 61368
Old Schedule Fee:"223.10"
New Schedule Fee: "230.90"
Item Number: 61381
Old Schedule Fee:"574.35"
New Schedule Fee: "594.45"
Item Number: 61389
Old Schedule Fee:"370.55"
New Schedule Fee: "383.50"
Item Number: 61398
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61413
Old Schedule Fee:"225.95"
New Schedule Fee: "233.85"
Item Number: 61429
Old Schedule Fee:"543.00"
New Schedule Fee: "562.00"
Item Number: 61441
Old Schedule Fee:"489.70"
New Schedule Fee: "506.85"
Item Number: 61450
Old Schedule Fee:"397.55"
New Schedule Fee: "411.45"
Item Number: 61462
Old Schedule Fee:"129.00"
New Schedule Fee: "133.50"
Item Number: 61477
Old Schedule Fee:"962.00"
New Schedule Fee: "995.65"
Item Number: 61650
Old Schedule Fee:"878.70"
New Schedule Fee: "909.45"
Item Number: 56007
Old Schedule Fee:"280.35"
New Schedule Fee: "274.75"
Item Number: 56028
Old Schedule Fee:"377.60"
New Schedule Fee: "370.05"
Item Number: 56219
Old Schedule Fee:"365.75"
New Schedule Fee: "358.45"
Item Number: 56225
Old Schedule Fee:"393.95"
New Schedule Fee: "386.05"
Item Number: 56238
Old Schedule Fee:"393.95"
New Schedule Fee: "386.05"
Item Number: 56409
Old Schedule Fee:"280.35"
New Schedule Fee: "274.75"
Item Number: 56620
Old Schedule Fee:"246.70"
New Schedule Fee: "241.75"
Item Number: 56628
Old Schedule Fee:"375.25"
New Schedule Fee: "367.75"
Item Number: 57001
Old Schedule Fee:"523.25"
New Schedule Fee: "512.80"
Item Number: 57353
Old Schedule Fee:"571.85"
New Schedule Fee: "560.40"
Item Number: 57364
Old Schedule Fee:"784.85"
New Schedule Fee: "769.15"
Item Number: 61324
Old Schedule Fee:"653.05"
New Schedule Fee: "675.90"
Item Number: 61345
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61357
Old Schedule Fee:"653.05"
New Schedule Fee: "675.90"
Item Number: 61369
Old Schedule Fee:"2015.75"
New Schedule Fee: "2086.30"
Item Number: 61383
Old Schedule Fee:"624.95"
New Schedule Fee: "646.80"
Item Number: 61390
Old Schedule Fee:"409.95"
New Schedule Fee: "424.30"
Item Number: 61402
Old Schedule Fee:"605.05"
New Schedule Fee: "626.25"
Item Number: 61414
Old Schedule Fee:"653.05"
New Schedule Fee: "675.90"
Item Number: 61430
Old Schedule Fee:"659.45"
New Schedule Fee: "682.55"
Item Number: 61442
Old Schedule Fee:"752.35"
New Schedule Fee: "778.70"
Item Number: 61453
Old Schedule Fee:"514.70"
New Schedule Fee: "532.70"
Item Number: 61466
Old Schedule Fee:"4690.90"
New Schedule Fee: "4855.10"
Item Number: 61480
Old Schedule Fee:"386.85"
New Schedule Fee: "400.40"
Item Number: 73420
Old Schedule Fee:"56.00"
New Schedule Fee: "150.40"
Item Number: 56010
Old Schedule Fee:"282.70"
New Schedule Fee: "277.05"
Item Number: 56030
Old Schedule Fee:"252.30"
New Schedule Fee: "247.25"
Item Number: 56220
Old Schedule Fee:"269.15"
New Schedule Fee: "263.75"
Item Number: 56226
Old Schedule Fee:"393.95"
New Schedule Fee: "386.05"
Item Number: 56301
Old Schedule Fee:"330.80"
New Schedule Fee: "324.20"
Item Number: 56412
Old Schedule Fee:"403.70"
New Schedule Fee: "395.65"
Item Number: 56622
Old Schedule Fee:"246.70"
New Schedule Fee: "241.75"
Item Number: 56629
Old Schedule Fee:"246.70"
New Schedule Fee: "241.75"
Item Number: 57007
Old Schedule Fee:"636.60"
New Schedule Fee: "623.85"
Item Number: 57354
Old Schedule Fee:"571.85"
New Schedule Fee: "560.40"
Item Number: 61310
Old Schedule Fee:"367.30"
New Schedule Fee: "380.15"
Item Number: 61325
Old Schedule Fee:"329.00"
New Schedule Fee: "340.50"
Item Number: 61348
Old Schedule Fee:"443.35"
New Schedule Fee: "458.85"
Item Number: 61360
Old Schedule Fee:"403.35"
New Schedule Fee: "417.45"
Item Number: 61372
Old Schedule Fee:"223.10"
New Schedule Fee: "230.90"
Item Number: 61384
Old Schedule Fee:"687.70"
New Schedule Fee: "711.75"
Item Number: 61393
Old Schedule Fee:"605.50"
New Schedule Fee: "626.70"
Item Number: 61406
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61421
Old Schedule Fee:"479.80"
New Schedule Fee: "496.60"
Item Number: 61433
Old Schedule Fee:"496.95"
New Schedule Fee: "514.35"
Item Number: 61445
Old Schedule Fee:"286.80"
New Schedule Fee: "296.85"
Item Number: 61454
Old Schedule Fee:"348.10"
New Schedule Fee: "360.30"
Item Number: 61469
Old Schedule Fee:"348.10"
New Schedule Fee: "360.30"
Item Number: 61485
Old Schedule Fee:"3364.00"
New Schedule Fee: "3481.75"
Item Number: 56013
Old Schedule Fee:"280.35"
New Schedule Fee: "274.75"
Item Number: 56036
Old Schedule Fee:"377.60"
New Schedule Fee: "370.05"
Item Number: 56221
Old Schedule Fee:"269.15"
New Schedule Fee: "263.75"
Item Number: 56233
Old Schedule Fee:"269.15"
New Schedule Fee: "263.75"
Item Number: 56307
Old Schedule Fee:"448.50"
New Schedule Fee: "439.55"
Item Number: 56501
Old Schedule Fee:"431.60"
New Schedule Fee: "422.95"
Item Number: 56623
Old Schedule Fee:"375.25"
New Schedule Fee: "367.75"
Item Number: 56630
Old Schedule Fee:"375.25"
New Schedule Fee: "367.75"
Item Number: 57201
Old Schedule Fee:"174.05"
New Schedule Fee: "170.55"
Item Number: 57357
Old Schedule Fee:"571.85"
New Schedule Fee: "560.40"
Item Number: 61313
Old Schedule Fee:"303.35"
New Schedule Fee: "313.95"
Item Number: 61328
Old Schedule Fee:"227.65"
New Schedule Fee: "235.60"
Item Number: 61349
Old Schedule Fee:"982.05"
New Schedule Fee: "1016.40"
Item Number: 61361
Old Schedule Fee:"461.40"
New Schedule Fee: "477.55"
Item Number: 61373
Old Schedule Fee:"489.70"
New Schedule Fee: "506.85"
Item Number: 61386
Old Schedule Fee:"332.50"
New Schedule Fee: "344.15"
Item Number: 61394
Old Schedule Fee:"653.05"
New Schedule Fee: "675.90"
Item Number: 61409
Old Schedule Fee:"873.50"
New Schedule Fee: "904.05"
Item Number: 61425
Old Schedule Fee:"600.70"
New Schedule Fee: "621.70"
Item Number: 61434
Old Schedule Fee:"615.40"
New Schedule Fee: "636.95"
Item Number: 61446
Old Schedule Fee:"333.55"
New Schedule Fee: "345.20"
Item Number: 61457
Old Schedule Fee:"470.45"
New Schedule Fee: "486.90"
Item Number: 61470
Old Schedule Fee:"1463.80"
New Schedule Fee: "1515.05"
Item Number: 61495
Old Schedule Fee:"223.10"
New Schedule Fee: "230.90"
Items with Modified Descriptions
231, 232, 296, 297, 299, 729, 731, 90300, 15906, 15908, 15912, 15916, 15922, 15930, 15932, 15934, 15936, 15938, 15940, 15942, 15944, 15946, 15948, 15952, 15954, 15960, 15970, 15972, 15974, 15976, 15978, 15980, 22002, 30688, 30690, 31536, 31548, 32084, 32087, 32135, 32139, 35401, 37226, 38461, 38514, 38522, 38621, 38637, 38670, 38673, 38677, 38700, 38706, 38709, 38721, 38736, 38739, 38745, 38748, 38751, 38757, 38760, 38764, 38766, 45614, 91852, 91857, 55712, 55718, 55721, 55725, 55768, 55770, 55774, 56622, 56623, 56627, 56628, 56629, 59700, 59712, 59715, 59718, 59724, 63001, 63004, 63007, 63010, 63040, 63043, 63046, 63049, 63052, 63055, 63058, 63061, 63064, 63067, 63070, 63073, 63101, 63111, 63114, 63125, 63128, 63131, 63151, 63154, 63161, 63164, 63167, 63170, 63173, 63176, 63179, 63182, 63185, 63201, 63204, 63219, 63222, 63225, 63228, 63231, 63234, 63237, 63240, 63243, 63271, 63274, 63277, 63280, 63301, 63304, 63307, 63322, 63325, 63328, 63331, 63334, 63337, 63340, 63361, 63385, 63388, 63391, 63476, 73343, 73420, 73421, 73422, 73424, 73429, 73434, 73441, 73451, 75863, 81360, 82100, 82115