Education guide - Aboriginal and Torres Strait Islander health practitioner MBS items

This guide explains key Medicare Benefits Schedule (MBS) requirements for claiming services provided by an Aboriginal and Torres Strait Islander health practitioner.

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:

  • located in an eligible Telehealth area at least 15 kms by road from the treating specialist, physician or psychiatrist
  • getting a service from an Aboriginal Medical Service, or Aboriginal Community Controlled Health Service to which direction made under subsection 19(2) of the Health Insurance Act 1973 applies.
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:

  • a care recipient receiving care in a residential aged care service other than a self-contained unit
  • in a consulting room in a residential aged care service complex other than a self-contained unit.
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.

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Page last updated: 9 January 2020