Billing Codes

MBS Changes — November 2025

Medicare Benefits Schedule — release 2025-11. 202 changes in this release.

28 New 12 Removed 4 Fee ↑ 0 Fee ↓ 158 Updated

+ New items (28)

Item number Description Fee
16060 177Lutetium-DOTA-somatostatin receptor agonist treatment cycle for patients with histologi… $9999.95
35501 A medical service to which item 35503, 35506, 14206 or 30062 applies, if the service is bu…
55080 Pelvis, ultrasound scan of, by any or all approaches (including transvaginal), if: (a) the… $255.0
61530 Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of histologic… $953.0
66520 Fibroblast growth factor 23 quantification in serum or plasma, requested by a specialist o… $90.0
66525 Faecal calprotectin test for the management of a symptomatic patient with diagnosed inflam… $75.0
73322 Genetic testing in the DPYD gene to diagnose or predict fluoropyrimidine-induced toxicity … $182.0
82201 Introduction of an intra-uterine device for abnormal uterine bleeding or contraception or … $215.95
82202 Removal of etonogestrel subcutaneous implant (Anaes.) $105.15
82203 Hormone or living tissue implantation by cannula $100.4
82204 A service rendered by a participating nurse practitioner to which item 82201, 82202 or 822…
82206 A procedure, being a service to which an item in Subgroup 4 of Group M14 would have applie…
92440 Phone attendance for a person by a consultant physician in the practice of the consultant … $89.4
92441 Phone attendance of at least 30 minutes in duration by a consultant physician in the pract… $335.05
92442 Phone attendance of at least 20 minutes in duration by a consultant physician in the pract… $156.45
92443 Phone attendance by a consultant physician in the practice of the consultant physician’s s… $156.45
92444 Phone attendance lasting more than 30 minutes, but not more than 45 minutes, by a consulta… $335.05
92445 Phone attendance by a specialist in the practice of neurosurgery following referral of the… $101.3
92446 Phone attendance by a specialist in the practice of neurosurgery following referral of the… $140.35
92447 Phone attendance by a specialist in the practice of neurosurgery following referral of the… $178.7
92448 Phone attendance of more than 30 minutes in duration by a consultant physician or speciali… $335.05
93718 Assistance by a participating nurse practitioner at any operation mentioned in an item in … $100.65
93719 Assistance by a participating nurse practitioner at any operation mentioned in an item in …
93720 Assistance by a participating nurse practitioner at a birth involving Caesarean section (H… $145.45
93721 Assistance by a participating nurse practitioner at a series or combination of operations …
93722 Assistance by a participating nurse practitioner at any interventional obstetric procedure…
93723 Assistance by a participating nurse practitioner at cataract and intraocular lens surgery … $317.8
93724 Assistance at cataract and intraocular lens surgery by a participating nurse practitioner,… $209.75

Removed items (12)

Item number Description Last fee
2712 $83.65
2713 $83.65
277 $66.9
279 $66.9
92114 $83.65
92115 $83.65
92120 $66.9
92121 $66.9
92126 $83.65
92127 $83.65
92132 $66.9
92133 $66.9

Fee increases (4)

Item number Description Old fee New fee Δ
14206 Hormone or living tissue implantation—by cannula $41.50 $100.40 +141.9%
30062 Etonogestrel subcutaneous implant, removal of (Anaes.) $70.85 $105.15 +48.4%
35503 Introduction of an intra-uterine device for abnormal uterine bleeding or contraception or … $93.55 $215.95 +130.8%
35506 Intra-uterine device, removal of under general anaesthesia, for a retained or embedded dev… $62.60 $134.45 +114.8%

Other updates (158)

Item number Description
10950 Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient b…
10955 Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres St…
10957 Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres St…
10959 Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres St…
10983 Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or …
10990 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
10991 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
10992 A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 526…
13105 Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided b…
133 Professional attendance by a consultant physician in the practice of the consultant physic…
143 Professional attendance lasting more than 30 minutes at consulting rooms or hospital by a …
147 Professional attendance lasting more than 30 minutes at a place other than consulting room…
15946 Megavoltage treatment—level 5 Specialised radiation therapy treatment and verification, if…
15990 Proton beam dosimetry, and proton-photon comparative plan reporting, to assess eligibility…
22032 Introduction of a plexus or nerve block to a peripheral nerve, perioperatively performed u…
23010 Anaesthesia, perfusion or assistance, if the service time is not more than 15 minutes (1 b…
243 Attendance by a prescribed medical practitioner, as a member of a case conference team, to…
244 Attendance by a prescribed medical practitioner, as a member of a case conference team, to…
293 Professional attendance lasting more than 30 minutes, but not more than 45 minutes, at con…
30621 Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other r…
31356 Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31…
31357 Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratos…
31358 Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31…
31360 Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratos…
31363 Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31…
31364 Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratos…
31369 Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31…
31370 Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratos…
31371 Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or m…
31373 Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or m…
31376 Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or m…
31377 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31378 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31379 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31380 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31381 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31382 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
31383 Clinically suspected melanoma, surgical excision of (other than by shave excision) includi…
32084 Sigmoidoscopy or colonoscopy up to the hepatic flexure, with or without biopsy, other than…
32087 Endoscopic examination of the colon up to the hepatic flexure by sigmoidoscopy or colonosc…
4001 Professional attendance of at least 20 minutes in duration at consulting rooms by a genera…
41527 Myringoplasty, by trans-canal approach, other than a service associated with a service to …
41530 Myringoplasty, post-aural or endaural approach, with or without mastoid inspection, other …
41533 Atticotomy without reconstruction of the bony defect, with or without myringoplasty, other…
41536 Atticotomy with reconstruction of the bony defect, with or without myringoplasty, other th…
41545 Mastoidectomy (cortical), other than a service associated with a service to which another …
41551 Mastoidectomy, intact wall technique, with myringoplasty, other than a service associated …
41554 Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstructio…
41557 Mastoidectomy (radical or modified radical), other than a service associated with a servic…
41560 Mastoidectomy (radical or modified radical) and myringoplasty, other than a service associ…
41563 Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruct…
41564 Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac…
41566 Revision of mastoidectomy (radical, modified radical or intact wall), including myringopla…
41629 Middle ear, exploration of, other than a service associated with a service to which anothe…
41635 Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or witho…
41638 Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or witho…
42773 Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.)
44331 Amputation at shoulder (H) (Anaes.) (Assist.)
44370 Amputation at hip (H) (Anaes.) (Assist.)
48406 Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or…
48409 Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or…
55282 Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measuremen…
55284 Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measuremen…
57512 Hand and wrist, or hand, wrist and forearm, or wrist and forearm, or forearm and elbow, or…
57515 Hand and wrist, or hand, wrist and forearm, or wrist and forearm, or forearm and elbow, or…
63390 MRI—scan of cardiovascular system for assessment of myocardial structure, function and cha…
73337 A test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer,…
73341 Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with a new …
73344 Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with a new …
73374 Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is…
73375 An analysis described in item 73374—analysis in relation to only 2 or 3 genes Applicable o…
73376 An analysis described in item 73374—analysis in relation to 4 or more genes Applicable onc…
73436 A test of tumour tissue from a patient with a new diagnosis of non-small cell lung cancer …
73437 A nucleic acid-based multi-gene panel test of tumour tissue from a patient with a new diag…
73438 A DNA-based multi-gene panel test of tumour tissue from a patient with a new diagnosis of …
73439 A nucleic acid-based multi-gene panel test of tumour tissue from a patient with a new diag…
75855 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
75856 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
75857 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
75858 A medical service to which an item in this Schedule (other than this item) applies, if: (a…
75870 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75871 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75872 Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789…
75873 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75874 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75875 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75876 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75880 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75881 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75882 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75883 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75884 Professional attendance (the attendance service) by a general practitioner, a medical prac…
75885 Professional attendance (the attendance service) by a general practitioner, a medical prac…
792 Professional attendance at consulting rooms by a prescribed medical practitioner, register…
81300 Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient o…
82001 Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Str…
82002 Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Str…
82003 Attendance by an eligible allied health practitioner or eligible Aboriginal and Torres Str…
871 Attendance by a general practitioner, specialist or consultant physician as a member of a …
872 Attendance by a general practitioner, specialist or consultant physician as a member of a …
91166 Psychological therapy health service provided by video attendance by an eligible clinical …
91167 Psychological therapy health service provided by video attendance by an eligible clinical …
91169 Focussed psychological strategies health service provided by video attendance by an eligib…
91170 Focussed psychological strategies health service provided by video attendance by an eligib…
91172 Focussed psychological strategies health service provided by video attendance by an eligib…
91173 Focussed psychological strategies health service provided by video attendance by an eligib…
91175 Focussed psychological strategies health service provided by video attendance by an eligib…
91176 Focussed psychological strategies health service provided by video attendance by an eligib…
91181 Psychological therapy health service provided by phone attendance by an eligible clinical …
91182 Psychological therapy health service provided by phone attendance by an eligible clinical …
91183 Focussed psychological strategies health service provided by phone attendance by an eligib…
91184 Focussed psychological strategies health service provided by phone attendance by an eligib…
91185 Focussed psychological strategies health service provided by phone attendance by an eligib…
91186 Focussed psychological strategies health service provided by phone attendance by an eligib…
91187 Focussed psychological strategies health service provided by phone attendance by an eligib…
91188 Focussed psychological strategies health service provided by phone attendance by an eligib…
91790 Video attendance by a general practitioner for an obvious problem characterised by the str…
91792 Video attendance by a medical practitioner (not including a general practitioner) of not m…
91794 Video attendance by a medical practitioner (not including a general practitioner, speciali…
91800 Video attendance by a general practitioner lasting at least 6 minutes but less than 20 min…
91801 Video attendance by a general practitioner lasting at least 20 minutes if the attendance i…
91802 Video attendance by a general practitioner lasting at least 40 minutes if the attendance i…
91803 Video attendance by a medical practitioner (not including a general practitioner) of more …
91804 Video attendance by a medical practitioner (not including a general practitioner) of more …
91805 Video attendance by a medical practitioner (not including a general practitioner) of more …
91806 Video attendance by a medical practitioner (not including a general practitioner, speciali…
91807 Video attendance by a medical practitioner (not including a general practitioner, speciali…
91808 Video attendance by a medical practitioner (not including a general practitioner, speciali…
91890 Phone attendance by a general practitioner lasting less than 6 minutes for an obvious prob…
91891 Phone attendance by a general practitioner lasting at least 6 minutes if the attendance in…
91892 Phone attendance by a medical practitioner (not including a general practitioner, speciali…
91893 Phone attendance by a medical practitioner (not including a general practitioner, speciali…
91920 Video attendance by a general practitioner, lasting at least 60 minutes and including any …
91923 Video attendance by a medical practitioner (not including a general practitioner), of more…
91926 Video attendance by a medical practitioner (not including a general practitioner, speciali…
92004 Video attendance by a general practitioner for a health assessment of a patient - this ite…
92011 Video attendance by a medical practitioner (not including a general practitioner, speciali…
92026 Contribution by a general practitioner by video, to a multidisciplinary care plan prepared…
92027 Contribution by a general practitioner by video to:(a) a multidisciplinary care plan for a…
92057 Contribution by a medical practitioner (not including a general practitioner, specialist o…
92058 Contribution by a medical practitioner (not including a general practitioner, specialist o…
92136 Video attendance of at least 20 minutes in duration by a general practitioner who is regis…
92137 Video attendance of at least 20 minutes in duration by a medical practitioner (not includi…
92138 Phone attendance of at least 20 minutes in duration by a general practitioner who is regis…
92139 Phone attendance of at least 20 minutes in duration by a medical practitioner (not includi…
92142 Video attendance lasting at least 45 minutes by a general practitioner (not including a sp…
92423 Video attendance by a consultant physician in the practice of the consultant physician’s s…
92436 Video attendance lasting more than 30 minutes, but not more than 45 minutes, by a consulta…
92624 Video attendance of more than 30 minutes in duration by a consultant physician or speciali…
93000 Video attendance by an eligible allied health practitioner or Aboriginal and Torres Strait…
93013 Phone attendance by an eligible allied health practitioner or Aboriginal and Torres Strait…
93026 Non directive pregnancy support counselling health service provided to a person who is cur…
93029 Non directive pregnancy support counselling health service provided to a person, who is cu…
93048 Video attendance provided to a person who is of Aboriginal or Torres Strait Islander desce…
93061 Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander desce…
93284 Video attendance by an eligible dietitian to provide a dietetics health service to a perso…
93285 Video attendance by an eligible dietitian to provide a dietetics health service, as a grou…
93286 Phone attendance by an eligible dietitian to provide a dietetics health service to a perso…

Data current as at November 2025 — MBS release 2025-11 · Data sourced from Australian Government publications · Not an official government service. Browse the current MBS →

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