A clinician-facing reference for the most-billed Medicare Benefits Schedule items in Australian general practice. Standard attendance, telehealth, chronic condition plans, and health assessments. Reviewed quarterly.
Find the relevant item by section, scan the time threshold, fee, and the rules that apply.
Each section links straight to the canonical entry on MBS Online. Schedule fees and rules change, sometimes mid-year.
Time, mode, the elements in the descriptor, and any eligibility criteria. The note is the audit trail.
The bread-and-butter consult items for GPs at consulting rooms. Each level requires the consultation to meet a minimum time threshold and to include the clinically relevant elements listed in the descriptor.
Verify on MBS Online · General attendance items| Item | Level | Time threshold | Schedule fee |
|---|---|---|---|
| 3 | A | Short, obvious problem | $20.05 |
| 23 | B | At least 6 minutes, less than 20 | Verify on MBS Online |
| 36 | C | At least 20 minutes, less than 40 | Verify on MBS Online |
| 44 | D | At least 40 minutes, less than 60 | Verify on MBS Online |
| 123 | E | 60 minutes or more | Approx $191.20 |
The Level E item shown above is for face-to-face attendance at consulting rooms. The MBS introduced 21 separate Level E items on 1 November 2023 covering different settings (consulting rooms, out of consulting rooms, residential aged care) and modes (face-to-face, video). Verify the correct Level E item number for your setting on MBS Online.Source
Per MBS general attendance principles (AN.0.9), only time spent with the patient on clinically relevant tasks counts. This includes activities described in the item descriptor and writing notes, prescriptions, referrals, or paperwork while the patient is present.AN.0.9
Telehealth equivalents of the standard attendance items. Most telehealth items require an established clinical relationship between the GP and the patient. Phone items have stricter eligibility than video.
Verify on Department of Health · MBS Telehealth services| Item | Level | Time threshold |
|---|---|---|
| 91790 | B | At least 6 minutes, less than 20 |
| 91801 | C | At least 20 minutes, less than 40 |
| 91802 | D | At least 40 minutes, less than 60 |
| Verify | E | 60 minutes or more (Level E was extended to video on 1 Nov 2023) |
| Item | Level | Time threshold |
|---|---|---|
| 91890 | B | At least 6 minutes, less than 20 |
| 91891 | C | At least 20 minutes, less than 40 |
Most telehealth items require an established clinical relationship between the GP and the patient. Broadly, the patient must have seen a GP at the same practice in the previous 12 months, with limited exceptions. Always check current eligibility on MBS Online before claiming. Note also: there is no phone-equivalent for Level E.Source
The Chronic Disease Management framework was replaced with the GP Chronic Condition Management Plan (GPCCMP). Items 229, 230, 233, 721, 723, 732, and their telehealth equivalents ceased. Patients with an existing GPMP or TCA can continue under those plans until 30 June 2027.
Verify on Department of Health · MBS changes to chronic condition management| Item | Description | Mode | Schedule fee |
|---|---|---|---|
| 965 | Prepare a GPCCMP, GP | Face-to-face | $156.55 |
| 967 | Review a GPCCMP, GP | Face-to-face | $156.55 |
| 92029 | Prepare a GPCCMP, GP | Telehealth video | $156.55 |
| 92030 | Review a GPCCMP, GP | Telehealth video | $156.55 |
| 392 | Prepare a GPCCMP, prescribed medical practitioner | Face-to-face | $125.30 |
| 393 | Review a GPCCMP, prescribed medical practitioner | Face-to-face | $125.30 |
| 92060 | Prepare a GPCCMP, prescribed medical practitioner | Telehealth video | $125.30 |
| 92061 | Review a GPCCMP, prescribed medical practitioner | Telehealth video | $125.30 |
A chronic medical condition that has been (or is likely to be) present for at least 6 months, or is terminal. There is no list of eligible conditions: clinical judgement determines whether a patient would benefit.MBS Online
Unless exceptional circumstances apply, a GPCCMP can be prepared once every 12 months and reviewed once every three months.RACGP
A review item (967 or equivalent) cannot be claimed unless an existing GPCCMP (965 or equivalent) has already been billed.MBS Online
MyMedicare-registered patients must access GPCCMP items through the practice they are registered with. Patients not registered may access through their usual GP.RACGP
To continue accessing allied health services, patients need to have their GPCCMP prepared or reviewed in the previous 18 months.RACGP
General attendance items and chronic condition management items 392, 393, 965, 967, 92029, 92030, 92060, and 92061 cannot be claimed on the same day for the same patient.cl. 2.16.11
Existing plans: Patients with a GPMP or TCA in place before 1 July 2025 can continue to access services under those plans until 30 June 2027.
Reviews after 1 July 2025: If a patient on a pre-2025 GPMP or TCA needs a review after 1 July 2025, transition them to a GPCCMP using item 965.
Allied health referrals: Referrals for allied health services written before 1 July 2025 remain valid until all services under the referral have been provided.
Comprehensive health assessment items, billed by length. Eligibility is restricted to specific patient groups including patients aged 75 and over, refugees and humanitarian entrants, people with intellectual disability, and Aboriginal and Torres Strait Islander patients aged 55 and over.
Verify on MBS Online · Health Assessments factsheet| Item | Length | Description |
|---|---|---|
| 699 | At least 20 minutes | Heart health assessment |
| 701 | Less than 30 minutes | Brief health assessment (eligible groups) |
| 703 | 30 to less than 45 minutes | Standard health assessment (eligible groups) |
| 705 | 45 to less than 60 minutes | Long health assessment (eligible groups) |
| 707 | 60 minutes or more | Prolonged health assessment (eligible groups) |
| 715 | Annual | Aboriginal and Torres Strait Islander health assessment |
MBS time-tiered health assessment items for older persons and people with intellectual disability were updated to remove clinically outdated screening tests and disease-specific vaccination references. See the MBS Online factsheet for details.Factsheet
Most rejections trace back to one of a handful of issues. The Services Australia and Department of Health compliance pages remain the primary sources for compliance guidance.
Verify on Department of Health · Medicare complianceThe minimum time isn't met, or the consult note doesn't show that it was.
The note doesn't show the elements required for the item billed.
For telehealth, the note doesn't specify whether the consult was by video or phone.
For example, a general attendance item co-claimed with a GPCCMP item on the same day.
Health assessment items billed for patients who fall outside the eligible groups.
Telehealth claimed for a patient who hasn't been seen in person at the practice in the previous 12 months.
A review item claimed where no current plan exists, or a GPCCMP review claimed before a GPCCMP has been prepared.
Item 23 requires the consultation to last at least 6 minutes and less than 20 minutes. The 6-minute minimum was introduced in November 2023. Time spent with the patient on clinically relevant tasks counts, including writing notes and paperwork while the patient is present.
GP Management Plan and Team Care Arrangement items ceased on 1 July 2025. They were replaced by the GP Chronic Condition Management Plan (GPCCMP). Patients with a GPMP or TCA in place before 1 July 2025 can continue to access services under those plans until 30 June 2027.
Unless exceptional circumstances apply, a GPCCMP can be prepared once every 12 months, and reviews can be conducted once every three months. A review item cannot be claimed unless an existing GPCCMP has been billed.
Most telehealth items require an established clinical relationship between the GP and the patient. Broadly, the patient must have seen a GP at the same practice in the previous 12 months, with limited exceptions. Always check current eligibility on MBS Online before claiming.
No. General attendance items and chronic condition management items 392, 393, 965, 967, 92029, 92030, 92060, and 92061 cannot be claimed on the same day for the same patient, per clause 2.16.11 of the Health Insurance (General Medical Services Table) Regulations 2021.
Treat this guide as an orientation tool, not a replacement for the source. Find the relevant item, read the rules, then click through to the canonical entry on MBS Online via the source link in each section. Confirm the current schedule fee, descriptor, and any recent updates before submitting a claim. Each section header has a "Verify on MBS Online" pill that takes you straight to the source.
MBS Online is the canonical source. If anything on this page differs from MBS Online, MBS Online wins. If you spot a discrepancy, please email us so we can fix it. The MBS schedule is updated three times a year (March, July, November) and individual factsheets can change in between. For interpretation queries, the Department of Health runs askMBS@health.gov.au.
This guide is reviewed quarterly by Dr Adrian Lee, MBBS, FRACGP, against MBS Online updates and at every MBS schedule release (March, July, November). The MBS version this page reflects is shown in the "About this guide" panel at the top.
No. This guide is an educational summary for working clinicians. It is not legal, clinical, or billing advice. The clinician is responsible for verifying current requirements with MBS Online before billing. For complex billing situations, consult your practice's billing team, your professional college, or a medico-legal adviser.
This page is a clinician-facing reference for the most-billed MBS items in Australian general practice. It is not legal, clinical, or billing advice. MBS rules and fees change between schedule releases, sometimes mid-year. The clinician is responsible for verifying current requirements with MBS Online before billing. For complex billing situations, consult your practice's billing team, your professional college, or a medico-legal adviser.
For the current version of any item descriptor, fee, or rule, always check the canonical source. The five references below are the primary sources cited throughout this page.
Last reviewed by Dr Adrian Lee, MBBS, FRACGP. Reviewed quarterly against MBS Online updates and at every MBS schedule release (March, July, November).
Reflects the 1 March 2026 MBS Book.
If anything on this page differs from MBS Online, MBS Online wins. To flag a correction, email resources@lyrebirdhealth.com.
For interpretation queries on MBS items, the Department of Health runs askMBS@health.gov.au.
