MBS | littlehamptonmedical

// Medicare Item Numbers //

3  Level A  

Brief - see MBS for complexity of care requirements

 

23  Level B  

< 20 min - see MBS for complexity of care requirements

 

36  Level C

≥ 20 min - see MBS for complexity of care requirements

 

44 Level D

≥ 40 min - see MBS for complexity of care requirements

 

10990  Bulk billing  

DVA, under 16’s and Commonwealth Concession Card holders. Can be claimed concurrently for eligible patients.

 

10991  Bulk Billing  

DVA, under 16’s and Commonwealth Concession Card holders. Can be claimed concurrently for eligible patients.

Spirometry

11506  Spirometry with printout before and after bronchodilator

 

ECG

11700  Twelve-lead electrocardiography, tracing and report

11701  Twelve-lead electrocardiography, report only

11702  Twelve-lead electrocardiography, tracing only

 

Urine

73805  Microscopy of urine, whether stained or not, or catalase test

73806  Pregnancy Test by 1 or more immunochemical methods

 

Venesection

13757  Therapeutic Venesection (polycthaemia/haemochromatosis or porphyria cutanea tarda)

 

Implants

14203  Hormone or Living Tissue Implantation by incision and suture

14206  Hormone or Living Tissue Implantation by cannula

 

Burns

30003  Dressing of Localised Burns (not involving grafting)

30006  Dressing of Extensive Burns, without Anaesthesia

(not involving grafting)

 

Lacerations

30026  Repair Skin Lac (not Face/Neck)<7cm, superficial

30029  Repair Skin Lac (not Face/Neck)<7cm, deep tissue

30038  Repair Skin Lac (not Face/Neck)>7cm, superficial

30041  Repair Skin Lac (not Face/Neck)>7cm, deep tissue

 

30032  Repair Skin Lac of Face/Neck<7cm, superficial

30035  Repair Skin Lac of Face/Neck<7cm, deep tissue

30045  Repair Skin Lac of Face/Neck >7cm, superficial

30048  Repair Skin Lac of Face/Neck>7cm, deep tissue

 

Foreign Bodies

30061  Superficial foreign body removal (including from cornea or sclera), as an independent procedure

30064  Subcutaneous foreign body removal (incision and exploration)

 

Skin Lesions

30071  Biopsy of Skin or Muc Membranes, as an independent procedure

30192  Premalignant skin lesions (including solar keratoses), treatment of, by ablative technique (10 or more lesions)

30219  Haematoma, Furuncle, Small Abscess or Similar Lesion - incision with drainage

 

Other

73811  Mantoux test

 

 

5000  Brief Consult, Level A at consulting rooms

 

5003  Brief Home Visit or Consult at an institution (other than a hospital or RACF)

 

5020  Standard Consult Level B, less than 20 min

 

5023  Standard Home visit or Consult at an institution(other than a hospital or RACF)

 

5040  Long Consult Level C,20-40 min at consulting rooms

 

5043  Long Home visit or Consult at an institution(other than a hospital or RACF)

 

5060  Prolonged Consult Level D, more than 40 min

 

5063  Prolonged Home Visit or Consult at an institution (other than a hospital or RACF)

 

Urgent

597 Urgent Attendance - after hours (other than between 11pm and 7am)

 

599  Urgent attendance - unsociable hours (11pm-7am)

 

 

 

160  1-2 hours total time per patient on a single occasion

 

161  2-3 hours total time per patient on a single occasion

 

162  3-4 hours total time per patient on a single occasion

 

163  4-5 hours total time per patient on a single occasion

 

164  5 hours or more total time per patient on a single occasion

2700  GP Mental Health Treatment Plan

Min 20 mins – Prepared by GP who has not undertaken Mental Health Skills Training. Assessment of patient and preparation of a care plan with option to refer for rebated psychological services. Not more than once yearly

 

2701  GP Mental Health Treatment Plan

Min 40 mins – Prepared by GP who has not undertaken Mental Health Skills Training. Assessment of patient and preparation of a care plan with option to refer for rebated psychological services. Not more than once yearly

 

2715  GP Mental Health Treatment Plan

Min 20 mins - Prepared by GP who has undertaken Mental Health Skills Training. Assessment of patient and preparation of a care plan with option to refer for rebated psychological services. Not more than once yearly

 

2717  GP Mental Health Treatment Plan

Min 40 mins - Prepared by GP who has undertaken Mental Health Skills Training. Assessment of patient and preparation of a care plan with option to refer for rebated psychological services. Not more than once yearly

 

2712  Review of GP Mental Health Treatment Plan

Plan should be reviewed between 1 - 6 months and no more than 2 per year

 

2713  Mental Health Consultation

Consult ≥ 20 min, for the ongoing management of a patient with mental disorder. No restriction on the number of these consultations per year

 

2721  GP Focussed Psychological Strategies

30 - 40 minutes. Provision of focussed psychological strategies by an appropriately trained and registered GP working in an accredited practice

 

2723  GP Focussed Psychological Strategies

Out of surgery consultation. 30 - 40 minutes. Provision of focussed psychological strategies by an appropriately trained and registered GP working in an accredited practice

 

2725  GP Focussed Psychological Strategies

> 40 minutes. Provision of focussed psychological strategies by an appropriately trained and registered GP working in an accredited practice

 

2727  GP Focussed Psychological Strategies

Out of surgery consultation. > 40 minutes. Provision of focussed psychological strategies by an appropriately trained and registered GP working in an accredited practice

721  GP Management Plan (GPMP)

Management plan for patients with a chronic or terminal condition. Not more than once yearly

 

723  Team Care Arrangement (TCA)

Management plan for patients with a chronic or terminal condition and complex needs requiring ongoing care from a team including the GP and at least 2 other health or care providers. Enables referral for 5 rebated allied health services. Not more than once yearly

 

732  Review of GP Management Plan and/or Team Care Arrangement

Recommended 6 monthly. Must be performed at least once over the life of the plan

 

729  GP Contribution to, or Review of, Multidisciplinary Care Plan

Contribution to, or review of, a multidisciplinary care plan prepared by another provider (e.g. community, home or allied health providers, specialists), for patients with a chronic or terminal condition and complex needs requiring ongoing care from a team including the GP and at least 2 other health or care providers. Not more than once every 3 months

 

731  GP Contribution to, or Review of, Multidisciplinary Care Plan prepared by RACF

GP contribution to, or review of, a multidisciplinary care plan prepared by RACF, at the request of the facility, for patients with a chronic or terminal condition and complex needs requiring ongoing care from a team including the GP and at least 2 other health or care providers. Not more than once every 3 months

701  Brief Health Assessment

lasting not more than 30 minutes

 

703  Standard Health Assessment

>30 - 44 minutes - see MBS for complexity of care requirements

 

705  Long Health Assessment

>45 - <60 minutes - see MBS for complexity of care requirements

 

707  Prolonged Health Assessment

> 60 minutes - see MBS for complexity of care requirements

 

715  Aboriginal and Torres Strait Islander Health Assessment

Not timed

900  Home Medicines Review (HMR)

Review of medications in collaboration with a pharmacist for patients at risk of medication related misadventure. Once every 12 months

 

903  Residential Medication Management Review (RMMR)

For permanent residents of Residential Aged Care Facilities who are at risk of medication related misadventure. Performed in collaboration with the resident’s pharmacist. Once every 12 months

10986  Health Assessment - Healthy Kids Check by Nurse

Once only health check for children who have received or are receiving the 4 year old immunisation

 

10987  Follow Up Health Services for Indigenous people

Follow up services for an Indigenous person who has received a Health Assessment, not an admitted patient of a hospital. Maximum of 10 services per patient, per calendar year

 

10997  Chronic Disease Management

Monitoring and support for patients being managed under a GPMP or TCA. Not more than 5, per patient, per year

735  Organise and coordinate a case conference

15 - 20 minutes.

GP organises and coordinates case conference in RACF or community or on discharge. For patients with a chronic or terminal condition and complex, multidisciplinary care needs

 

739  Organise and coordinate a case conference

20 - 40 minutes. GP organises and coordinates case conference in RACF or community or on discharge. For patients with a chronic or terminal condition and complex, multidisciplinary care needs

 

743  Organise and coordinate a case conference

> 40 minutes. GP organises and coordinates case conference in RACF or community or on discharge. For patients with a chronic or terminal condition and complex, multidisciplinary care needs

 

747  Participate in a case conference

15 - 20 minutes. GP participates in a case conference in RACF or community or on discharge. For patients with a chronic or terminal condition and complex, multidisciplinary care needs

 

750  Participate in a case conference

30 - 40 minutes. GP participates in a case conference in RACF or community or on discharge. For patients with a chronic or terminal condition complex, and multidisciplinary care needs

 

758  Participate in a case conference

> 40 minutes. GP participates in a case conference in RACF or community or on discharge. For patients with a chronic or terminal condition and complex, multidisciplinary care needs

Pap Smear

2501  Cervical smear, between 20-69 yrs & more than 4 yrs since last cervical smear (Level B)

2504  Cervical smear, between 20-69 yrs & more than 4 yrs since last cervical smear (Level C)

2507  Cervical smear, between 20-69 yrs & more than 4 yrs since last cervical smear (Level D)

 

Diabetes

2517  Annual cycle of care for diabetes (Level B) 2521 Annual cycle of care for diabetes (Level C)

2525  Annual cycle of care for diabetes (Level D)

 

Asthma

2546  Completion of asthma cycle of care (Level B)

2552  Completion of asthma cycle of care (Level C)

2558  Completion of asthma cycle of care (Level D)

16400  Antenatal attendance (midwife, practice nurse or registered AHW RRMA 3-7)

 

16500  Antenatal attendance

 

16502  Complicated Antenatal attendance (each attendance that is not a routine)

 

55703  Pregnancy ultrasound (uncertain dates less than 12 weeks)

 

55709  Pregnancy ultrasound (dating is 17 to 22 weeks)