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MBS items 10950, 10983, 10984, 10987, 10988, 10989, 10997, 13105, 16400 and 81300
These items don’t apply for patients who are admitted to hospital.
You can bill the following items using your Medicare provider number.
Item | Service | MBS requirements |
---|---|---|
10950 | Individual allied health service for chronic disease management |
In person service, only available to patients with a GP Management Plan (GPMP), Team Care Arrangements (TCAs) or Multidisciplinary Care Plan in place (MBS items 229, 721, 230, 723, 231, 729, 232, 731, 233, 732). The medical practitioner using a referral form refers the patient and the service is of at least 20 minutes duration. You can claim up to 5 services per patient in a calendar year. |
81300 | Follow-up allied health service for people of Aboriginal or Torres Strait Islander descent |
Service provided to a patient after a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services. The medical practitioner using a referral form refers the patient and the service is of at least 20 minutes duration. You can claim up to 5 services per patient in a calendar year. The annual limit of 5 allied health services per patient under items 81300 to 81360 is in addition to the annual limit of 5 individual allied health services for patients with a chronic or terminal medical condition and complex care needs (items 10950 to 10970). |
You can perform these services on behalf of a supervising medical practitioner. You can bill these items using the medical practitioner’s provider number.
Item | Service | MBS requirements |
---|---|---|
10983 | Telehealth support service |
The patient, at the time of the consultation, must be either:
|
10984 | Telehealth support service at a residential aged care facility |
Clinical support service to a patient participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist. The patient, at the time of the consultation, must be either:
|
10987 | Follow up service for an Indigenous patient who has received a health assessment |
Provided in between consultations with the medical practitioner, in line with the patient’s health assessment. Only available to Indigenous patients who’ve had a health assessment (MBS Item 228 or 715). Up to 10 services per patient in a calendar year can be claimed. |
10988 | Immunisation service |
Service to immunise a patient. Only one claim per patient visit, even if more than one vaccine is given in the same visit. The medical practitioner may also claim for a professional attendance they provide to the patient; in addition to the immunisation service. |
10989 | Wound management service |
Treatment of a patient’s wound other than normal aftercare. Only one claim per patient visit, even if more than one wound is treated during the same visit. The medical practitioner must conduct an initial assessment of the patient in order to give instruction in relation to the treatment of wound but is not required to give instruction or see the patient during each subsequent visit. |
10997 | Monitoring and support for a person with chronic disease |
Ongoing care, routine treatment and ongoing monitoring and support. Between the more structured reviews of the care plan by the patient’s medical practitioner. Services should be consistent with the care plan. Only available to patients with a GPMP, TCAs or Multidisciplinary Care Plan in place (MBS items 229, 721, 230, 723, 231, 729, 232, 731, 233, 732). Claimable for up to 5 services per patient in a calendar year. |
13105 | Haemodialysis management for patients in very remote areas |
Haemodialysis management for patients with end-stage renal disease. Haemodialysis is provided in a Modified Monash Model 7 area (very remote). Patient’s care is managed by a nephrologist and reviewed every 3 to 6 months. The nephrologist can review the patient and supervise haemodialysis in person or remotely. |
16400 | Antenatal service |
Antenatal service provided at, or from, an eligible practice location in a regional, rural or remote area. Can’t be claimed together with another antenatal attendance item for the same patient, on the same day, by the same practitioner. Claimable for up to 10 services per patient, per pregnancy. |
More information
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