MBS guide for GPs and primary care teams working in Aboriginal and Torres Strait Islander health

Important

Please note we are aware of an issue with the 'derived fee' MBS items included in this tool (those with varying rebates depending on the number of patients seen). We are currently working to address this. As the rebates for these items shown in the tool may be inaccurate, please click through to MBS Online via the Derived fee link to view the correct rebates.

About

This guide is intended to be used by GPs providing care to Aboriginal and Torres Strait Islander people. It includes MBS items commonly used in general practice, as well as items used by other health professionals such as allied health providers and nurse practitioners. The MBS Online Tool Terms of Use can be viewed here.

Out-of-pocket expenses only relate to services provided within a general practice. All Medicare services provided by Aboriginal Community Controlled Health Organisations (ACCHOs) are bulk billed.

How to use this tool

Click on the arrow in the Item column to read the full descriptor for the item and view any associated explanatory notes on MBS Online.
Click on values in the Clinic Fee column to enter fees for services provided in your practice. Each time you enter a clinic fee, click anywhere else on the page. The tool will then calculate the patient out-of-pocket contribution based on the MBS rebate for the service.
Some items have different rebates depending on the number of patients seen (derived fee items). For these items, the patient out-of-pocket contribution is calculated based on the rebate value for one patient. To view the rebates for more than one patient, click on ‘Derived fee’ in the Rebate column.
Click on the ‘Save as Excel’ and ‘Save as PDF’ buttons to save to your computer and print the guide.
Items that you don't use in your practice can be deleted from the downloaded Excel file.
When opening the Excel file, you may receive a message asking if you trust the source of the workbook. If you select ‘Yes’, the contents should display correctly. Item categories will display in separate tabs of the spreadsheet.

Note on rebate values

The rebate amounts listed in this tool reflect the rebate payable rather than the MBS fee. This will either be 100% or 85% of the fee. 75% rebates have not been included due to their relatively low application in general practice.

MBS guide for GPs

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Standard attendances – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
3	Level A	Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance	Level A	0.00	20.05	0	0	$0.00	False	20.05	$20.05	$0.00
23	Level B 6–20 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation	Level B 6–20 minutes	0.00	43.90	0	0	$0.00	False	43.90	$43.90	$0.00
36	Level C 20–40 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance	Level C 20–40 minutes	0	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
44	Level D 40–60 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance	Level D 40–60 minutes	0.00	125.10	0	0	$0.00	False	125.10	$125.10	$0.00
123	Level E >60 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation	Level E >60 minutes	0.00	202.65	0	0	$0.00	False	202.65	$202.65	$0.00
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Standard attendances – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91790	Level A	Video attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level A	0.00	20.05	0	0	$0.00	False	20.05	$20.05	$0.00
91800	Level B 6–20 minutes	Video attendance by a general practitioner lasting at least 6 minutes but less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level B 6–20 minutes	0.00	43.90	0	0	$0.00	False	43.90	$43.90	$0.00
91801	Level C 20–40 minutes	Video attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level C 20–40 minutes	0.00	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
91802	Level D 40–60 minutes	Video attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level D 40–60 minutes	0.00	125.10	0	0	$0.00	False	125.10	$125.10	$0.00
91920	Level E >60 minutes	Video attendance by a general practitioner, lasting at least 60 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level E >60 minutes	0.00	202.65	0	0	$0.00	False	202.65	$202.65	$0.00
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Standard attendances – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91890	Level A <6 minutes	Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level A <6 minutes	0.00	20.05	0	0	$0.00	False	20.05	$20.05	$0.00
91891	Level B 6–20 minutes	Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Level B 6–20 minutes	0.00	43.90	0	0	$0.00	False	43.90	$43.90	$0.00
91900	Level C 20–40 minutes (MyMedicare patients only)	Phone attendance by a general practitioner to a patient registered under MyMedicare with the billing practice, lasting at least 20 minutes, if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; for one or more health related issues, with appropriate documentation	Level C 20–40 minutes (MyMedicare patients only)	0.00	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
91910	Level D >40 minutes (MyMedicare patients only)	Phone attendance by a general practitioner, to a patient registered under MyMedicare with the billing practice, lasting at least 40 minutes, if the attendance includes any of the following that are clinically relevant:(a) taking an extensive patient history;(b) arranging any necessary investigation;(c) implementing a management plan;(d) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation	Level D >40 minutes (MyMedicare patients only)	0.00	125.10	0	0	$0.00	False	125.10	$125.10	$0.00
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Attendances at a place other than consulting rooms or a residential aged care facility (RACF)

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
4	Level A	Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients at one place on one occasion-each patient	Level A	44.90	The fee for item 3, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.45 per patient.	0	0	0	$0.00	False	44.90	$44.90 Derived fee The fee for item 3, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.45 per patient.	$0.00
24	Level B 6–20 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient	Level B 6–20 minutes	65.90	The fee for item 23, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 23 plus $2.45 per patient.	0	0	0	$0.00	False	65.90	$65.90 Derived fee The fee for item 23, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 23 plus $2.45 per patient.	$0.00
37	Level C 20–40 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient	Level C 20–40 minutes	102.20	The fee for item 36, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 36 plus $2.45 per patient.	0	0	0	$0.00	False	102.20	$102.20 Derived fee The fee for item 36, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 36 plus $2.45 per patient.	$0.00
47	Level D 40–60 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient	Level D 40–60 minutes	137.65	The fee for item 44, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 44 plus $2.45 per patient.	0	0	0	$0.00	False	137.65	$137.65 Derived fee The fee for item 44, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 44 plus $2.45 per patient.	$0.00
124	Level E >60 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient	Level E >60 minutes	0.00	The fee for item 123, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 123 plus $2.45 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 123, plus $30.70 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 123 plus $2.45 per patient.	$0.00
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After-hours attendances at consulting rooms

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
5000	Level A	Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance	Level A	0	33.80	0	0	$0.00	False	33.80	$33.80	$0.00
5020	Level B 6–20 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant:(a) taking a patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation	Level B 6–20 minutes	0.00	57.15	0	0	$0.00	False	57.15	$57.15	$0.00
5040	Level C 20–40 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance	Level C 20–40 minutes	0	98.00	0	0	$0.00	False	98.00	$98.00	$0.00
5060	Level D 40–60 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance	Level D 40–60 minutes	0.00	137.40	0	0	$0.00	False	137.40	$137.40	$0.00
5071	Level E >60 minutes	Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation	Level E >60 minutes	0.00	233.40	0	0	$0.00	False	233.40	$233.40	$0.00
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After-hours attendances at a place other than consulting rooms or a RACF

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
5003	Level A	Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies) that requires a short patient history and, if necessary, limited examination and management—an attendance on one or more patients on one occasion—each patient	Level A	56.65	The fee for item 5000, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $2.40 per patient.	0	0	0	$0.00	False	56.65	$56.65 Derived fee The fee for item 5000, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $2.40 per patient.	$0.00
5023	Level B 6–20 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 6 minutes and less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient	Level B 6–20 minutes	77.30	The fee for item 5020, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $2.40 per patient.	0	0	0	$0.00	False	77.30	$77.30 Derived fee The fee for item 5020, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $2.40 per patient.	$0.00
5043	Level C 20–40 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient	Level C 20–40 minutes	113.35	The fee for item 5040, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $2.40 per patient.	0	0	0	$0.00	False	113.35	$113.35 Derived fee The fee for item 5040, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $2.40 per patient.	$0.00
5063	Level D 40–60 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient	Level D 40–60 minutes	148.20	The fee for item 5060, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $2.40 per patient.	0	0	0	$0.00	False	148.20	$148.20 Derived fee The fee for item 5060, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $2.40 per patient.	$0.00
5076	Level E >60 minutes	Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient	Level E >60 minutes	0.00	The fee for item 5071, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5071 plus $2.40 per patient.	0	0	0	$0.00	False	0	$0.00 Derived fee The fee for item 5071, plus $30.30 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5071 plus $2.40 per patient.	$0.00
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Urgent after-hours attendances at consulting rooms

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
585	Outside 11.00 pm – 7.00 am (first patient)	Professional attendance by a general practitioner on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance	Outside 11.00 pm – 7.00 am (first patient)	0	151.45	0	113.60	$0.00	False	151.45	$151.45	$0.00
599	Between 11.00 pm – 7.00 am	Professional attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance	Between 11.00 pm – 7.00 am	0	178.50	0	133.90	$0.00	False	178.50	$178.50	$0.00
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Urgent after-hours attendances – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92210	Between 11.00 pm – 7.00 am	Video attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and (b) the patient’s medical condition requires urgent assessment	Between 11.00 pm – 7.00 am	0.00		178.50	0	0	$0.00	False	178.50	$178.50	$0.00
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Health assessments – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
715	Aboriginal and Torres Strait Islander peoples’ health assessment	Professional attendance by a general practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period	Aboriginal and Torres Strait Islander peoples’ health assessment	0	247.65	0	0	$0.00	False	247.65	$247.65	$0.00
699	Heart health assessment >20 minutes	Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting rooms lasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information.	Heart health assessment >20 minutes	0	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
695	Menopause and perimenopause health assessment >20 minutes	Menopause and Perimenopause Health Assessment Professional attendance on a patient for the assessment and management of menopause or perimenopause by a general practitioner lasting at least 20 minutes and including, but not limited to: a) collecting relevant information, including taking a patient history to determine pre-, peri- or post-menopausal status, patient wellbeing and contraindications for management; and b) undertaking a basic physical examination, including recording blood pressure, and review of height and weight; and c) initiating investigations and referrals as clinically indicated, with consideration given to the need for cervical screening, mammography and bone densitometry; and d) discussing management options including non-pharmacological and pharmacological strategies including risks and benefits; e) implementing a management plan which includes patient centred symptoms management; and f) providing the patient with preventative health care advice and information as clinically indicated, including advice on physical activity, smoking cessation, alcohol consumption, nutritional intake and weight management.	Menopause and perimenopause health assessment >20 minutes	0.00	101.90	0	0	$0.00	False	101.90	$101.90	$0.00
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Health assessments – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92004	Aboriginal and Torres Strait Islander peoples’ health assessment	Video attendance by a general practitioner for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Aboriginal and Torres Strait Islander peoples’ health assessment	0.00		247.65	0	0	$0.00	False	247.65	$247.65	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
81300	Aboriginal and Torres Strait Islander health service	Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up Aboriginal and Torres Strait Islander health and wellbeing services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Aboriginal and Torres Strait Islander health service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81305	Diabetes education service	Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Diabetes education service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81310	Audiology service	Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Audiology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81315	Exercise physiology service	Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Exercise physiology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81320	Dietetics service	Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Dietetics service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81325	Mental health service	Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Mental health service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81330	Occupational therapy service	Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Occupational therapy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81335	Physiotherapy service	Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Physiotherapy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81340	Podiatry service	Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Podiatry service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81345	Chiropractic service	Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Chiropractic service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81350	Osteopathy service	Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Osteopathy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81355	Psychology service	Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Psychology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
81360	Speech pathology service	Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if the service is of at least 20 minutes duration and: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth Attendance Determination applies) in a calendar year	Speech pathology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93048	All follow-up items	Video attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; (c) the person is referred to the eligible health practitioner by a medical practitioner; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 10 services (including any services to which this item or 93000, 93013 or 93061 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health and other Primary Health Care Services Determination applies) in a calendar year	All follow-up items	0.00		0	61.80	54.50	$0.00	False	61.80	$61.80	$0.00
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Follow-up allied health items for people of Aboriginal and Torres Strait Islander descent (linked to health assessments) – Telephone

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93061	All follow-up items	Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health or Aboriginal and Torres Strait Islander primary health care professional if: (a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up health services; or (b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; (c) the person is referred to the eligible health practitioner by a medical practitioner; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 10 services (including any services to which this item or item 93000, 93013, 93048 or any item in Subgroup 1 of Group M3 or any item in Group M11 of the Allied Health and other Primary Health Care Services Determination applies) in a calendar year	All follow-up items	0.00		0	61.80	0	$0.00	False	61.80	$61.80	$0.00
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Chronic disease management – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
965	Preparation of a GP chronic condition management plan (GPCCMP)	Professional attendance by a general practitioner to prepare a GP chronic condition management plan for a patient	Preparation of a GP chronic condition management plan (GPCCMP)	0.00	156.55	0	117.45	$0.00	False	156.55	$156.55	$0.00
967	Review of a GPCCMP	Professional attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner	Review of a GPCCMP	0.00	156.55	0	117.45	$0.00	False	156.55	$156.55	$0.00
729	Contribution to review of multidisciplinary care plan prepared by another provider	Contribution by a general practitioner (not including a specialist or consultant physician) to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of item 735, 739, 743, 747, 750 or 758 applies)	Contribution to review of multidisciplinary care plan prepared by another provider	0	82.10	0	0	$0.00	False	82.10	$82.10	$0.00
731	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	Contribution by a general practitioner (not including a specialist or consultant physician) to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which item 735, 739, 743, 747, 750 or 758 applies)	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ... Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	0	82.10	0	0	$0.00	False	82.10	$82.10	$0.00
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Chronic disease management – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92029	Preparation of a GP chronic condition management plan (GPCCMP)	Video attendance by a general practitioner to prepare a GP chronic condition management plan for a patient	Preparation of a GP chronic condition management plan (GPCCMP)	0.00	156.55	0	0	$0.00	False	156.55	$156.55	$0.00
92030	Review of a GPCCMP	Video attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner	Review of a GPCCMP	0.00	156.55	0	0	$0.00	False	156.55	$156.55	$0.00
92026	Contribution to review of multidisciplinary care plan prepared by another provider	Contribution by a general practitioner by video, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Contribution to review of multidisciplinary care plan prepared by another provider	0.00	82.10	0	0	$0.00	False	82.10	$82.10	$0.00
92027	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	Contribution by a general practitioner by video to:(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)	Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF ... Contribution to review of multidisciplinary care plan prepared by another provider (patient in RACF or being discharged from hospital)	0.00	82.10	0	0	$0.00	False	82.10	$82.10	$0.00
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Individual allied health items for people with a chronic condition and complex care needs – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10950	Aboriginal and Torres Strait Islander health service	Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Aboriginal and Torres Strait Islander health service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10951	Diabetes education service	Diabetes education health service provided to a patient by an eligible diabetes educator if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Diabetes education service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10952	Audiology service	Audiology health service provided to a patient by an eligible audiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Audiology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10953	Exercise physiology service	Exercise physiology health service provided to a patient by an eligible exercise physiologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Exercise physiology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10954	Dietetics service	Dietetics health service provided to a patient by an eligible dietitian if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Dietetics service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10956	Mental health service	Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Mental health service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10958	Occupational therapy service	Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Occupational therapy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10960	Physiotherapy service	Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Physiotherapy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10962	Podiatry service	Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Podiatry service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10964	Chiropractic service	Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Chiropractic service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10966	Osteopathy service	Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Osteopathy service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10968	Psychology service	Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Psychology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
10970	Speech pathology service	Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year	Speech pathology service	0.00	0	61.80	0	$0.00	False	61.80	$61.80	$0.00
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Allied health chronic disease management – Videoconference

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93000	All allied health chronic disease management services	Video attendance by an eligible allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the person is referred to the eligible health practitioner by the medical practitioner; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Subgroup 1 of Group M3 of the Allied Health and other Primary Health Care Services Determination applies) in a calendar year	All allied health chronic disease management services	0.00		0	61.80	0	$0.00	False	61.80	$61.80	$0.00
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Allied health chronic disease management – Telephone

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93013	All allied health chronic disease management services	Phone attendance by an eligible allied health practitioner or Aboriginal and Torres Strait Islander primary health care professional if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the person is referred to the eligible health practitioner by the medical practitioner; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Subgroup 1 of Group M3 of the Allied Health and other Primary Health Care Services Determination applies) in a calendar year	All allied health chronic disease management services	0.00		0	61.80	0	$0.00	False	61.80	$61.80	$0.00
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Multidisciplinary case conferences

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
735	Organise and coordinate, 15–20 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Organise and coordinate, 15–20 minutes	0.00	82.50	0	61.90	$0.00	False	82.50	$82.50	$0.00
747	Participate, 15–20 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Participate, 15–20 minutes	0.00	60.60	0	45.45	$0.00	False	60.60	$60.60	$0.00
739	Organise and coordinate, 20–40 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Organise and coordinate, 20–40 minutes	0.00	141.05	0	105.80	$0.00	False	141.05	$141.05	$0.00
750	Participate, 20–40 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Participate, 20–40 minutes	0.00	103.90	0	77.95	$0.00	False	103.90	$103.90	$0.00
743	Organise and coordinate, at least 40 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Organise and coordinate, at least 40 minutes	0.00	235.15	0	176.40	$0.00	False	235.15	$235.15	$0.00
758	Participate, at least 40 minutes	Attendance by a general practitioner (not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference carried out for a care recipient in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which item 729, 731, 965, 967, 231, 232, 392, 393, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061 applies)	Participate, at least 40 minutes	0.00	172.85	0	129.65	$0.00	False	172.85	$172.85	$0.00
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Allied health case conferencing -– Chronic disease management

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10955	15–20 minutes	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)	15–20 minutes	0.00	0	48.45	0	$0.00	False	48.45	$48.45	$0.00
10957	20–40 minutes	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)	20–40 minutes	0.00	0	83.10	0	$0.00	False	83.10	$83.10	$0.00
10959	>40 minutes	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)	>40 minutes	0.00	0	138.25	0	$0.00	False	138.25	$138.25	$0.00
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Allied health case conferencing -– Autism, pervasive development disorder and disability

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
82001	15–20 minutes	Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)	15–20 minutes	0.00	0	48.45	0	$0.00	False	48.45	$48.45	$0.00
82002	20–40 minutes	Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)	20–40 minutes	0.00	0	83.10	0	$0.00	False	83.10	$83.10	$0.00
82003	>40 minutes	Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in a community case conference if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)	>40 minutes	0.00	0	138.25	0	$0.00	False	138.25	$138.25	$0.00
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Medication management review

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
900	Domiciliary medication management review	Participation by a general practitioner (not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient’s consent:(a) assesses the patient as:(i) having a chronic medical condition or a complex medication regimen; and(ii) not having their therapeutic goals met; and(b) following that assessment:(i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient—applicable not more than once in each 12 month period, and only if item 245 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR	Domiciliary medication management review	0		180.65	0	0	$0.00	False	180.65	$180.65	$0.00
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Mental health care – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
2700	Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)	Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without me... Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)	0	83.65	0	62.75	$0.00	False	83.65	$83.65	$0.00
2701	Preparation of GP MHTP >40 minutes (without mental health skills training)	Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP >40 minutes (without mental health skills training)	0	123.15	0	92.40	$0.00	False	123.15	$123.15	$0.00
2715	Preparation of GP MHTP 20–40 minutes (with mental health skills training)	Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP 20–40 minutes (with mental health skills training)	0	106.20	0	79.65	$0.00	False	106.20	$106.20	$0.00
2717	Preparation of GP MHTP >40 minutes (with mental health skills training)	Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP >40 minutes (with mental health skills training)	0	156.45	0	117.35	$0.00	False	156.45	$156.45	$0.00
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Mental health care – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92112	Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)	Video attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without me... Preparation of General Practitioner Mental Health Treatment Plan (GP MHTP) 20–40 minutes (without mental health skills training)	0.00	83.65	0	0	$0.00	False	83.65	$83.65	$0.00
92113	Preparation of GP MHTP >40 minutes (without mental health skills training)	Video attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP >40 minutes (without mental health skills training)	0.00	123.15	0	0	$0.00	False	123.15	$123.15	$0.00
92116	Preparation of GP MHTP 20–40 minutes (with mental health skills training)	Video attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP 20–40 minutes (with mental health skills training)	0.00	106.20	0	0	$0.00	False	106.20	$106.20	$0.00
92117	Preparation of GP MHTP >40 minutes (with mental health skills training)	Video attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient	Preparation of GP MHTP >40 minutes (with mental health skills training)	0.00	156.45	0	0	$0.00	False	156.45	$156.45	$0.00
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Blood borne viruses, sexual or reproductive health services – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92715	Level A <5 minutes	Video attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level A <5 minutes	0.00	20.05	0	0	$0.00	False	20.05	$20.05	$0.00
92718	Level B 5–20 minutes	Video attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level B 5–20 minutes	0.00	43.90	0	0	$0.00	False	43.90	$43.90	$0.00
92721	Level C 20–40 minutes	Video attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level C 20–40 minutes	0.00	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
92724	Level D >40 minutes	Video attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level D >40 minutes	0.00	125.10	0	0	$0.00	False	125.10	$125.10	$0.00
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Blood borne viruses, sexual or reproductive health services – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
92731	Level A <5 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level A <5 minutes	0.00	20.05	0	0	$0.00	False	20.05	$20.05	$0.00
92734	Level B 5–20 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level B 5–20 minutes	0.00	43.90	0	0	$0.00	False	43.90	$43.90	$0.00
92737	Level C 20–40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level C 20–40 minutes	0.00	84.90	0	0	$0.00	False	84.90	$84.90	$0.00
92740	Level D >40 minutes	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care Note: Consultations related to assisted reproductive technology and antenatal care are outside the scope of these items and cannot be rendered under these items.	Level D >40 minutes	0.00	125.10	0	0	$0.00	False	125.10	$125.10	$0.00
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Pregnancy care – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
16400	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	Antenatal service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, applicable 10 times for a pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and (d) the service is not provided for an admitted patient of a hospital or approved day facility	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	0	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
16500	Antenatal attendance	Antenatal attendance	Antenatal attendance	0.00	0	46.75	41.25	$0.00	False	46.75	$46.75	$0.00
16502	Attendance (hospital) – complicated pregnancy treated with oral medication or bed rest	Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—a professional attendance that is not a routine antenatal attendance, applicable once per day	Attendance (hospital) – complicated pregnancy treated with oral medication or bed rest	0.00	0	46.75	41.25	$0.00	False	46.75	$46.75	$0.00
55703	Pregnancy ultrasound (uncertain dates less than 12 weeks)	Pelvis or abdomen, pregnancy‑related or pregnancy complication, ultrasound (the current ultrasound) scan of, by any or all approaches, for determining the gestation, location, viability or number of fetuses, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is less than 12 weeks of gestation; and (b) the current ultrasound is not performed on the same patient within 24 hours of a service mentioned in item 55704, 55705, 55707, 55708, 55740, 55741, 55742 or 55743 (NR)	Pregnancy ultrasound (uncertain dates less than 12 weeks)	0.00	0	34.10	30.10	$0.00	False	34.10	$34.10	$0.00
55709	Pregnancy ultrasound (dating is 17 to 22 weeks)	Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound (the current ultrasound) scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) the dating of the pregnancy (as confirmed by the current ultrasound) is 17 to 22 weeks of gestation; and (b) the current ultrasound: (i) is not performed in the same pregnancy as item 55706; and (ii) is not performed on the same patient within 24 hours of a service mentioned in item 55757 or 55758 (NR)	Pregnancy ultrasound (dating is 17 to 22 weeks)	0.00	0	37.05	32.70	$0.00	False	37.05	$37.05	$0.00
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Pregnancy care – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91850	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	Antenatal video service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner	Antenatal service by midwife/nurse (Rural Remote Metropolitan Area [RRMA] 3–7)	0.00	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
91853	Antenatal attendance	Antenatal video attendance	Antenatal attendance	0.00	0	46.75	0	$0.00	False	46.75	$46.75	$0.00
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Pregnancy care – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91855	Antenatal service by midwife/nurse (RRMA 3–7)	Antenatal phone service provided by a practice midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner.	Antenatal service by midwife/nurse (RRMA 3–7)	0.00	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
91858	Antenatal attendance	Antenatal phone attendance.	Antenatal attendance	0.00	0	46.75	0	$0.00	False	46.75	$46.75	$0.00
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Miscellaneous tests and procedures

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
11506	Spirometry before and after bronchodilator, each occasion at which recordings are made	Measurement of spirometry, that: (a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and (b) is performed to: (i) confirm diagnosis of chronic obstructive pulmonary disease (COPD); or (ii) assess acute exacerbations of asthma; or (iii) monitor asthma and COPD; or (iv) assess other causes of obstructive lung disease or the presence of restrictive lung disease; each occasion at which recordings are made	Spirometry before and after bronchodilator, each occasion at which recordings are made	0		0	20.40	18.00	$0.00	False	20.40	$20.40	$0.00
11707	ECG (12-lead), tracing only	Twelve‑lead electrocardiography, trace only, by a medical practitioner, if: (a) the trace: (i) is required to inform clinical decision making; and (ii) is reviewed in a clinically appropriate timeframe to identify potentially serious or life‑threatening abnormalities; and (iii) does not need to be fully interpreted or reported on; and (b) the service is not associated with a service to which item 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than twice on the same day Note: the service is not provided to the patient as part of an episode of: hospital treatment; or hospital-substitute treatment.	ECG (12-lead), tracing only	0		0	18.25	0	$0.00	False	18.25	$18.25	$0.00
13757	Therapeutic venesection	THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda	Therapeutic venesection	0.00		0	72.35	63.85	$0.00	False	72.35	$72.35	$0.00
14203	Hormone implant by direct implantation	HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)	Hormone implant by direct implantation	0		0	50.75	44.75	$0.00	False	50.75	$50.75	$0.00
14206	Hormone implant by cannula (including Implanon)	Hormone or living tissue implantation—by cannula	Hormone implant by cannula (including Implanon)	0.00		0	85.35	75.30	$0.00	False	85.35	$85.35	$0.00
30061	Superficial foreign body, including from cornea or sclera	SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure (Anaes.)	Superficial foreign body, including from cornea or sclera	0		0	23.35	20.60	$0.00	False	23.35	$23.35	$0.00
30064	Subcutaneous foreign body	SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.)	Subcutaneous foreign body	0		0	109.00	96.15	$0.00	False	109.00	$109.00	$0.00
35503	Intrauterine contraceptive device – introduction	Introduction of an intra-uterine device for abnormal uterine bleeding or contraception or for endometrial protection during oestrogen replacement therapy, if the service is not associated with a service to which another item in this Group applies (other than a service described in item 30062, 35501, 35506 or 35620) (Anaes.)	Intrauterine contraceptive device – introduction	0		0	183.60	162.00	$0.00	False	183.60	$183.60	$0.00
35506	Intrauterine contraceptive device – removal	Intra-uterine device, removal of under general anaesthesia, for a retained or embedded device, not being a service associated with a service to which another item in this Group applies (other than a service described in item 35501 or 35503) (H) (Anaes.)	Intrauterine contraceptive device – removal	0		0	0	100.85	$0.00	False	0	$0.00	$0.00
73805	Microscopy of urine	Microscopy of urine, excluding dipstick testing.	Microscopy of urine	0		0	3.90	3.45	$0.00	False	3.90	$3.90	$0.00
73806	Pregnancy test	Pregnancy test by 1 or more immunochemical methods	Pregnancy test	0		0	8.65	7.65	$0.00	False	8.65	$8.65	$0.00
73812	Quantitation of glycated haemoglobin (HbA1c)	Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient	Quantitation of glycated haemoglobin (HbA1c)	0.00		0	10.05	8.85	$0.00	False	10.05	$10.05	$0.00
73826	Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item	Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient	Quantitation of glycated haemoglobin (HbA1c) – Nurse practitioner item	0.00		0	10.05	8.85	$0.00	False	10.05	$10.05	$0.00
73839	Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)	Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. (Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category)	Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical ... Quantitation of HbA1c (glycated haemoglobin) for diagnosis (Quality Assurance in Aboriginal Medical Services [QAAMS] Program)	0.00		0	14.30	12.60	$0.00	False	14.30	$14.30	$0.00
73840	Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)	Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period. (Item is subject to restrictions in rule PR.9.1 of explanatory notes to this category)	Quantitation of glycosylated haemoglobin for diabetes monitoring (QAAMS)	0.00		0	14.45	12.75	$0.00	False	14.45	$14.45	$0.00
73844	Quantitation of urinary microalbumin (QAAMS)	Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.	Quantitation of urinary microalbumin (QAAMS)	0.00		0	17.30	15.30	$0.00	False	17.30	$17.30	$0.00
12325	Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)	Assessment of visual acuity and bilateral retinal photography with a non mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a) the patient is of Aboriginal and Torres Strait Islander descent; and (b) the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (c) this item and item 12326 have not applied to the patient in the preceding 12 months; and (d) the patient does not have: (i) an existing diagnosis of diabetic retinopathy; or (ii) visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation	Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (f... Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera (for Aboriginal and Torres Strait Islander patients)	0.00		0	49.55	43.70	$0.00	False	49.55	$49.55	$0.00
11607	Ambulatory blood pressure monitoring	Continuous ambulatory blood pressure recording for 24 hours or more for a patient if: (a) the patient has a clinic blood pressure measurement (using a sphygmomanometer or a validated oscillometric blood pressure monitoring device) of either or both of the following measurements: (i) systolic blood pressure greater than or equal to 140 mmHg and less than or equal to 180 mmHg; (ii) diastolic blood pressure greater than or equal to 90 mmHg and less than or equal to 110 mmHg; and (b) the patient has not commenced anti‑hypertensive therapy; and (c) the recording includes the patient’s resting blood pressure; and (d) the recording is conducted using microprocessor‑based analysis equipment; and (e) the recording is interpreted by a medical practitioner and a report is prepared by the same medical practitioner; and (f) a treatment plan is provided for the patient; and (g) the service: (i) is not provided in association with ambulatory electrocardiogram recording, and (ii) is not associated with a service to which any of the following items apply: (A) 177; (B) 224 to 228; (C) 231 to 244; (D) 392 or 393; (E) 699; (F) 701 to 707; (G) 715; (H) 729, 731, 965 or 967; (I) 735 to 758; (J) 92004, 92011, 92026, 92027, 92029, 92030, 92057, 92058, 92060 or 92061. Applicable only once in any 12 month period	Ambulatory blood pressure monitoring	0.00		0	102.10	90.10	$0.00	False	102.10	$102.10	$0.00
35501	Long-acting reversible contraceptive (LARC) loading item - when relevant service/s are bulk billed	A medical service to which item 35503, 35506, 14206 or 30062 applies, if the service is bulk‑billed in relation to the fees for: (a) that item; and (b) any other item in this Schedule applying to the service	Long-acting reversible contraceptive (LARC) loading item - when relevant service/s are bulk billed	0.00	40% of the fee for the co-claimed service - performed in conjunction with a service (the co-claimed service) to which any of items 35503, 35506, 14206 and/or 30062 apply.	0	0	0	$0.00	False	0	$0.00 Derived fee 40% of the fee for the co-claimed service - performed in conjunction with a service (the co-claimed service) to which any of items 35503, 35506, 14206 and/or 30062 apply.	$0.00
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Services provided on behalf of a medical practitioner – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10987	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment if: a) The service is provided on behalf of and under the supervision of a medical practitioner; and b) the person is not an admitted patient of a hospital; and c) the service is consistent with the needs identified through the health assessment; - to a maximum of 10 services per patient in a calendar year	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ... Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	0.00	27.95	0	0	$0.00	False	27.95	$27.95	$0.00
10997	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	Service provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP management plan, or team care arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (d) the service is consistent with the plan or arrangements Applicable up to a total of 5 services to which this item, item 92301 or item 93203 applies in a calendar year	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	0	14.00	0	0	$0.00	False	14.00	$14.00	$0.00
10988	Immunisation (Aboriginal and Torres Strait Islander health practitioner)	Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital.	Immunisation (Aboriginal and Torres Strait Islander health practitioner)	0.00	14.00	0	0	$0.00	False	14.00	$14.00	$0.00
10989	Wound management (Aboriginal and Torres Strait Islander health practitioner)	Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital.	Wound management (Aboriginal and Torres Strait Islander health practitioner)	0.00	14.00	0	0	$0.00	False	14.00	$14.00	$0.00
13105	Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner in an MMM 7 area	Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area	Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered ... Haemodialysis for a patient with end-stage renal disease if the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner in an MMM 7 area	0.00	690.60	0	0	$0.00	False	690.60	$690.60	$0.00
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Nurse practitioner services – Face-to-face

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
82200	Level A	Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management	Level A	0.00	0	12.40	0	$0.00	False	12.40	$12.40	$0.00
82205	Level B 6–20 minutes	Professional attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes and including any of the following: a) taking a history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation	Level B 6–20 minutes	0.00	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
82210	Level C 20–40 minutes	Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following: a) taking a detailed history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation	Level C 20–40 minutes	0.00	0	51.25	0	$0.00	False	51.25	$51.25	$0.00
82215	Level D 40–60 minutes	Professional attendance by a participating nurse practitioner lasting at least 40 minutes and including any of the following: a) taking an extensive history; b) undertaking clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; for 1 or more health related issues, with appropriate documentation	Level D 40–60 minutes	0.00	0	75.60	0	$0.00	False	75.60	$75.60	$0.00
82216	Level E >60 minutes	Professional attendance by a participating nurse practitioner lasting at least 60 minutes and including any of the following: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health related issues, with appropriate documentation	Level E >60 minutes	0.00	0	114.20	0	$0.00	False	114.20	$114.20	$0.00
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Services provided on behalf of a medical practitioner – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93200	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	Follow‑up video attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ... Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	0.00	0	27.95	0	$0.00	False	27.95	$27.95	$0.00
93201	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	Video attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (c) the service is consistent with the plan or arrangements	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	0.00	0	14.10	0	$0.00	False	14.10	$14.10	$0.00
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Nurse practitioner services – Videoconference

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91192	Level A	Video attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management	Level A	0.00	0	12.40	0	$0.00	False	12.40	$12.40	$0.00
91178	Level B 6–20 minutes	Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care	Level B 6–20 minutes	0.00	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
91179	Level C 20–40 minutes	Video attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care	Level C 20–40 minutes	0.00	0	51.25	0	$0.00	False	51.25	$51.25	$0.00
91180	Level D 40–60 minutes	Video attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care	Level D 40–60 minutes	0.00	0	75.60	0	$0.00	False	75.60	$75.60	$0.00
91206	Level E >60 minutes	Video attendance by a participating nurse practitioner lasting at least 60 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health related issues, with appropriate documentation	Level E >60 minutes	0.00	0	114.20	0	$0.00	False	114.20	$114.20	$0.00
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Services provided on behalf of a medical practitioner – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
93202	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	Follow‑up phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment.	Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a ... Health services provided by a practice nurse or registered Aboriginal health worker (on behalf of a medical practitioner) for an Aboriginal or Torres Strait Islander person who has received a health assessment	0.00	0	27.95	0	$0.00	False	27.95	$27.95	$0.00
93203	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	Phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (c) the service is consistent with the plan or arrangements	Service to patient with a chronic disease by a practice nurse or registered Aboriginal health worker	0.00	0	14.10	0	$0.00	False	14.10	$14.10	$0.00
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Nurse practitioner services – Telephone

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
91193	Level A	Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.	Level A	0.00	0	12.40	0	$0.00	False	12.40	$12.40	$0.00
91189	Level B 6–20 minutes	Phone attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care	Level B 6–20 minutes	0.00	0	27.05	0	$0.00	False	27.05	$27.05	$0.00
91190	Level C 20–40 minutes	Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.	Level C 20–40 minutes	0.00	0	51.25	0	$0.00	False	51.25	$51.25	$0.00
91191	Level D >40 minutes	Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.	Level D >40 minutes	0.00	0	75.60	0	$0.00	False	75.60	$75.60	$0.00
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Bulk billing incentive items (single)

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10990	General medical services	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; other than a service associated with a service: (e) to which another item in this Group applies; or (f) that is a general practice support service; or (g) that is a MyMedicare service	General medical services	0	0	7.35	0	$0.00	False	7.35	$7.35	$0.00
10991	General medical services (MMM 2)	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service	General medical services (MMM 2)	0.00	0	11.05	0	$0.00	False	11.05	$11.05	$0.00
10992	General medical services - after-hours (MMM 2–7)	A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph (a) or (b) applying to the service	General medical services - after-hours (MMM 2–7)	0.00	0	11.05	0	$0.00	False	11.05	$11.05	$0.00
75855	General medical services (MMM 3–4)	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service	General medical services (MMM 3–4)	0.00	0	11.70	0	$0.00	False	11.70	$11.70	$0.00
75856	General medical services (MMM 5)	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service	General medical services (MMM 5)	0.00	0	12.50	0	$0.00	False	12.50	$12.50	$0.00
75857	General medical services (MMM 6)	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service	General medical services (MMM 6)	0.00	0	13.15	0	$0.00	False	13.15	$13.15	$0.00
75858	General medical services (MMM 7)	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service	General medical services (MMM 7)	0.00	0	14.05	0	$0.00	False	14.05	$14.05	$0.00
74990	Unreferred pathology services	A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service	Unreferred pathology services	0.00	0	6.85	0	$0.00	False	6.85	$6.85	$0.00
74991	Unreferred pathology services (MMM 2)	A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area.	Unreferred pathology services (MMM 2)	0.00	0	10.40	0	$0.00	False	10.40	$10.40	$0.00
75861	Unreferred pathology services (MMM 3–4)	A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area	Unreferred pathology services (MMM 3–4)	0.00	0	11.05	0	$0.00	False	11.05	$11.05	$0.00
75862	Unreferred pathology services (MMM 5)	A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area	Unreferred pathology services (MMM 5)	0.00	0	11.65	0	$0.00	False	11.65	$11.65	$0.00
75863	Unreferred pathology services (MMM 6)	A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area	Unreferred pathology services (MMM 6)	0.00	0	12.45	0	$0.00	False	12.45	$12.45	$0.00
75864	Unreferred pathology services (MMM 7)	A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area	Unreferred pathology services (MMM 7)	0.00	0	13.60	0	$0.00	False	13.60	$13.60	$0.00
64990	Diagnostic imaging services	A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service	Diagnostic imaging services	0.00	0	6.85	0	$0.00	False	6.85	$6.85	$0.00
64991	Diagnostic imaging services (MMM 2)	A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area	Diagnostic imaging services (MMM 2)	0.00	0	10.40	0	$0.00	False	10.40	$10.40	$0.00
64992	Diagnostic imaging services (MMM 3–4)	A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 are; or (ii) a Modified Monash 4 area	Diagnostic imaging services (MMM 3–4)	0.00	0	11.05	0	$0.00	False	11.05	$11.05	$0.00
64993	Diagnostic imaging services (MMM 5)	A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area	Diagnostic imaging services (MMM 5)	0.00	0	11.65	0	$0.00	False	11.65	$11.65	$0.00
64994	Diagnostic imaging services (MMM 6)	A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area	Diagnostic imaging services (MMM 6)	0.00	0	12.45	0	$0.00	False	12.45	$12.45	$0.00
64995	Diagnostic imaging services (MMM 7)	A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64994) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area	Diagnostic imaging services (MMM 7)	0.00	0	13.60	0	$0.00	False	13.60	$13.60	$0.00
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Tripled bulk billing incentives (all eligible patients)

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
75870	Metropolitan	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	Metropolitan	0.00	0	21.85	0	$0.00	False	21.85	$21.85	$0.00
75871	MMM 2	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	MMM 2	0.00	0	33.25	0	$0.00	False	33.25	$33.25	$0.00
75872	MMM 2–7 (after-hours)	Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and (b) the attendance service is an unreferred service; and (c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (e) the attendance service is not provided in consulting rooms; and (f) the attendance service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and (h) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) an item mentioned in paragraph (a) that applies to the service	MMM 2–7 (after-hours)	0.00	0	33.25	0	$0.00	False	33.25	$33.25	$0.00
75873	MMM 3–4	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	MMM 3–4	0.00	0	35.30	0	$0.00	False	35.30	$35.30	$0.00
75874	MMM 5	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	MMM 5	0.00	0	37.55	0	$0.00	False	37.55	$37.55	$0.00
75875	MMM 6	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	MMM 6	0.00	0	39.65	0	$0.00	False	39.65	$39.65	$0.00
75876	MMM 7	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.	MMM 7	0.00	0	42.05	0	$0.00	False	42.05	$42.05	$0.00
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Tripled bulk billing incentives (services linked to MyMedicare)

Item	Description	Description	Description	Benefit Custom	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
75880	Metropolitan	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	Metropolitan	0.00	0	21.85	0	$0.00	False	21.85	$21.85	$0.00
75881	MMM 2	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	MMM 2	0.00	0	33.25	0	$0.00	False	33.25	$33.25	$0.00
75882	MMM 3–4	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	MMM 3–4	0.00	0	35.30	0	$0.00	False	35.30	$35.30	$0.00
75883	MMM 5	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	MMM 5	0.00	0	37.55	0	$0.00	False	37.55	$37.55	$0.00
75884	MMM 6	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	MMM 6	0.00	0	39.65	0	$0.00	False	39.65	$39.65	$0.00
75885	MMM 7	Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75884 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.	MMM 7	0.00	0	42.05	0	$0.00	False	42.05	$42.05	$0.00
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Support for telehealth consultations with non-GP specialists and consultant physicians

Item	Description	Description	Description	Benefit Custom	Derived Fee	Benefit 100	Benefit 85	Benefit 75	Clinic Fee	HasPercentageBenefit	Rebate	Rebate	Out of pocket
10983	Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervision of, a medical practitioner	Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient	Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervisio... Attendance by a practice nurse or an Aboriginal health worker on behalf of, and under the supervision of, a medical practitioner	0.00		37.85	0	0	$0.00	False	37.85	$37.85	$0.00
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MBS guide for GPs and primary care teams working in Aboriginal and Torres Strait Islander health

Important

About

How to use this tool

Note on rebate values

MBS guide for GPs

Resources

Resources to support health checks for Aboriginal and Torres Strait Islander people

NACCHO RACGP collaboration key project documents

NACCHO RACGP Good practice tables

Five steps towards excellent Aboriginal and Torres Strait Islander healthcare

MBS guide for PMPs and primary care teams working in Aboriginal and Torres Strait Islander health