MBS Update
1st January 2025
New MBS Items
Item Number: 63390
​
​Description: MRI – scan of the cardiovascular system for the assessment of myocardial structure and function and characterisation, if the service is requested by a specialist or consultant physician who has assessed the patient, and the request for the scan indicates:(a) acute onset (less than 3 months) heart failure caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or(b) unexplained arrhythmia caused by suspected myocarditis which would otherwise require endomyocardial biopsy to confirm the diagnosis of myocarditis; or(c) suspected drug-induced myocarditis, where the results from the following examinations are inconclusive to form a diagnosis: i. troponin; andii. chest x-ray, andiii. transthoracic echocardiogram.(R)(Contrast) (Anaes.)
Schedule Fee: "602.15"
Schedule Fee Start Date: "01.01.2025"
Category: "5"
Group: "I5"
Sub Group: "14"
Claim Frequency Limits: "Applicable not more than twice in a 12 month period."
Referral Requirements: "This item should be referred by a Specialist Medical Practitioner"
Benefit Type: "75_85"
Item Start Date: "01.01.2025"
Deleted MBS Items
Item Number: 55208
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​Description: DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R). Note: This item is only available for services rendered by Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065.
Schedule Fee: "190.10"
Schedule Fee Start Date: "01.07.2024"
Category: "5"
Group: "I!"
Sub Group: "3"
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: "24.12.1996"
Item Number: 55211
​
​Description: DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of: (a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations (R) Note: This items is only available for Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065.
Schedule Fee: "190.10"
Schedule Fee Start Date: "01.07.2024"
Category: "5"
Group: "I!"
Sub Group: "3"
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: "24.12.1996"
Item Number: 63399
​
​Description: MRI–scan of cardiovascular system for the assessment of myocardial structure and function, if the service is requested by a consultant physician who has assessed the patient, and the request for the scan indicates: the patient has suspected myocarditis after receiving a mRNA COVID-19 vaccine; and the patient had symptom onset within 21 days of a mRNA COVID-19 vaccine administration; and the results from the following examinations are inconclusive to form a diagnosis of myocarditis:(i)echocardiogram; and(ii) troponin; and(iii)chest X-ray. Applicable not more than once in a patient’s lifetime (R) (Contrast) (Anaes.)
Schedule Fee: "936.35"
Schedule Fee Start Date: "01.07.2024"
Category: "5"
Group: "I5"
Sub Group: "14"
Claim Frequency Limits: "Applicable according to description."
Referral Requirements: "This item should be referred by a Specialist Medical Practitioner."
Benefit Type: "75_85"
Item Start Date: "01.01.2022"
Modified Items
Items with Modified Schedule Fees
Item Number: 88011
Old Schedule Fee: 57.65
New Schedule Fee: 59.60
Item Number: 88025
Old Schedule Fee: 67.40
New Schedule Fee: 69.70
Item Number: 88121
Old Schedule Fee: 37.85
New Schedule Fee: 39.15
Item Number: 88221
Old Schedule Fee: 58.00
New Schedule Fee: 59.95
Item Number: 88322
Old Schedule Fee: 233.30
New Schedule Fee: 241.25
Item Number: 88351
Old Schedule Fee: 175.15
New Schedule Fee: 181.10
Item Number: 88392
Old Schedule Fee: 106.10
New Schedule Fee: 109.70
Item Number: 88415
Old Schedule Fee: 234.50
New Schedule Fee: 242.45
Item Number: 88419
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Old Schedule Fee: 151.00
New Schedule Fee: 156.15
Item Number: 88511
Old Schedule Fee: 114.10
New Schedule Fee: 118.00
Item Number: 88515
Old Schedule Fee: 217.30
New Schedule Fee: 224.70
Item Number: 88524
Old Schedule Fee: 210.05
New Schedule Fee: 217.20
Item Number: 88533
​
Old Schedule Fee: 203.70
New Schedule Fee: 210.65
Item Number: 88574
Old Schedule Fee: 44.95
New Schedule Fee: 46.50
Item Number: 88587
Old Schedule Fee: 167.00
New Schedule Fee: 172.70
Item Number: 88723
Old Schedule Fee: 358.50
New Schedule Fee: 370.70
Item Number: 88736
Old Schedule Fee: 9.95
New Schedule Fee: 10.30
Item Number: 88764
Old Schedule Fee: 157.85
New Schedule Fee: 163.20
Item Number: 88776
Old Schedule Fee: 50.45
New Schedule Fee: 52.15
Item Number: 88012
Old Schedule Fee: 47.90
New Schedule Fee: 49.55
Item Number: 88111
Old Schedule Fee: 58.90
New Schedule Fee: 60.90
Item Number: 88161
Old Schedule Fee: 50.45
New Schedule Fee: 52.15
Item Number: 88311
Old Schedule Fee: 143.75
New Schedule Fee: 148.65
Item Number: 88323
Old Schedule Fee: 266.45
New Schedule Fee: 275.50
Item Number: 88384
Old Schedule Fee: 209.00
New Schedule Fee: 216.10
Item Number: 88411
Old Schedule Fee: 38.15
New Schedule Fee: 29.45
Item Number: 88416
Old Schedule Fee: 111.70
New Schedule Fee: 115.50
Item Number: 88421
Old Schedule Fee: 130.70
New Schedule Fee: 135.15
Item Number: 88512
Old Schedule Fee: 139.95
New Schedule Fee: 144.70
Item Number: 88521
Old Schedule Fee: 126.40
New Schedule Fee: 130.70
Item Number: 88525
Old Schedule Fee: 246.85
New Schedule Fee: 255.25
Item Number: 88534
​
Old Schedule Fee: 229.65
New Schedule Fee: 237.45
Item Number: 88575
Old Schedule Fee: 30.65
New Schedule Fee: 31.70
Item Number: 88597
Old Schedule Fee: 96.50
New Schedule Fee: 99.80
Item Number: 88724
Old Schedule Fee: 358.50
New Schedule Fee: 370.70
Item Number: 88741
Old Schedule Fee: 57.50
New Schedule Fee: 59.45
Item Number: 88765
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Old Schedule Fee: 164.95
New Schedule Fee: 170.55
Item Number: 88911
Old Schedule Fee: 74.85
New Schedule Fee: 77.40
Item Number: 88013
Old Schedule Fee: 30.10
New Schedule Fee: 31.10
Item Number: 88114
Old Schedule Fee: 98.20
New Schedule Fee: 101.55
Item Number: 88162
Old Schedule Fee: 25.25
New Schedule Fee: 26.10
Item Number: 88314
Old Schedule Fee: 183.75
New Schedule Fee: 190.00
Item Number: 88324
Old Schedule Fee: 358.40
New Schedule Fee: 370.60
Item Number: 88386
Old Schedule Fee: 215.60
New Schedule Fee: 222.95
Item Number: 88412
Old Schedule Fee: 130.70
New Schedule Fee: 135.15
Item Number: 88417
Old Schedule Fee: 228.40
New Schedule Fee: 236.15
Item Number: 88455
Old Schedule Fee: 115.70
New Schedule Fee: 119.65
Item Number: 88513
Old Schedule Fee: 167.00
New Schedule Fee: 172.70
Item Number: 88522
Old Schedule Fee: 153.45
New Schedule Fee: 158.65
Item Number: 88531
​
Old Schedule Fee: 134.95
New Schedule Fee: 139.55
Item Number: 88535
Old Schedule Fee: 265.20
New Schedule Fee: 274.20
Item Number: 88579
​
Old Schedule Fee: 106.10
New Schedule Fee: 109.70
Item Number: 88721
​
Old Schedule Fee: 478.10
New Schedule Fee: 494.35
Item Number: 88731
​
Old Schedule Fee: 48.25
New Schedule Fee: 49.90
Item Number: 88761
Old Schedule Fee: 157.85
New Schedule Fee: 163.20
Item Number: 88766
Old Schedule Fee: 157.85
New Schedule Fee: 163.20
Item Number: 88942
Old Schedule Fee: 146.75
New Schedule Fee: 151.75
Item Number: 88022
Old Schedule Fee: 33.35
New Schedule Fee: 34.50
Item Number: 88115
Old Schedule Fee: 63.85
New Schedule Fee: 66.00
Item Number: 88213
Old Schedule Fee: 76.30
New Schedule Fee: 78.90
Item Number: 88316
Old Schedule Fee: 90.60
New Schedule Fee: 93.70
Item Number: 88326
Old Schedule Fee: 190.85
New Schedule Fee: 197.35
Item Number: 88387
Old Schedule Fee: 422.20
New Schedule Fee: 436.55
Item Number: 88414
Old Schedule Fee: 83.30
New Schedule Fee: 86.15
Item Number: 88418
Old Schedule Fee: 106.80
New Schedule Fee: 110.45
Item Number: 88458
Old Schedule Fee: 154.35
New Schedule Fee: 159.60
Item Number: 88514
Old Schedule Fee: 190.35
New Schedule Fee: 196.80
Item Number: 88523
Old Schedule Fee: 181.75
New Schedule Fee: 187.95
Item Number: 88532
​
Old Schedule Fee: 169.45
New Schedule Fee: 175.20
Item Number: 88572
Old Schedule Fee: 53.40
New Schedule Fee: 55.20
Item Number: 88586
​
Old Schedule Fee: 281.50
New Schedule Fee: 291.05
Item Number: 88722
Old Schedule Fee: 478.10
New Schedule Fee: 494.35
Item Number: 88733
Old Schedule Fee: 39.60
New Schedule Fee: 40.95
Item Number: 88762
Old Schedule Fee: 164.95
New Schedule Fee: 170.55
Item Number: 88768
Old Schedule Fee: 167.00
New Schedule Fee: 172.70
Item Number: 88943
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Old Schedule Fee: 73.35
New Schedule Fee: 75.85
Items with Modified Descriptions
30688, 30690, 30694, 38514, 38522, 38621, 38637, 38670, 38673, 38677, 38700, 38706, 38709, 38721, 38736, 38739, 38745, 38748, 38751, 38757, 38760, 38764, 38766, 91857, 55065, 55712, 55718, 55721, 55725, 55768, 55770, 55774, 59712, 59724, 63185, 73295, 73303, 73304, 73451, 75863, 81000, 81005, 81010