Billing Codes

MBS Changes — January 2026

Medicare Benefits Schedule — release 2026-01. 84 changes in this release.

0 New 0 Removed 76 Fee ↑ 0 Fee ↓ 8 Updated

Fee increases (76)

Item number Description Old fee New fee Δ
88011 Comprehensive oral examination Evaluation of all teeth, their supporting tissues and the o… $59.60 $60.95 +2.3%
88012 Periodic oral examination An evaluation performed on a patient of record to determine any … $49.55 $50.70 +2.3%
88013 Oral examination - limited A limited oral problem-focussed evaluation carried out immediat… $31.10 $31.80 +2.3%
88022 Intraoral periapical or bitewing radiograph - per exposure Taking and interpreting a radio… $34.50 $35.30 +2.3%
88025 Intraoral radiograph - occlusal, maxillary, mandibular - per exposure Taking and interpret… $69.70 $71.30 +2.3%
88111 Removal of plaque and/or stain Removal of dental plaque and/or stain from the surfaces of … $60.90 $62.30 +2.3%
88114 Removal of calculus - first visit Removal of calculus from the surfaces of teeth. $101.55 $103.90 +2.3%
88115 Removal of calculus - subsequent visit This item describes procedures in item 88114 when, … $66.00 $67.50 +2.3%
88121 Topical application of remineralisation and/or cariostatic agents, one treatment Applicati… $39.15 $40.05 +2.3%
88161 Fissure and/or tooth surface sealing - per tooth (first four services on a day) Sealing of… $52.15 $53.35 +2.3%
88162 Fissure and/or tooth surface sealing - per tooth (subsequent services) Sealing of non-cari… $26.10 $26.70 +2.3%
88213 Treatment of acute periodontal infection - per visit This item describes the treatment of … $78.90 $80.70 +2.3%
88221 Clinical periodontal analysis and recording This is a special examination performed as par… $59.95 $61.35 +2.3%
88311 Removal of a tooth or part(s) thereof - first tooth extracted on a day A procedure consist… $148.65 $152.05 +2.3%
88314 Sectional removal of a tooth or part(s) thereof - first tooth extracted on a day The remov… $190.00 $194.35 +2.3%
88316 Additional extraction requiring removal of a tooth or part(s) thereof, or sectional remova… $93.70 $95.85 +2.3%
88322 Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth divis… $241.25 $246.80 +2.3%
88323 Surgical removal of a tooth or tooth fragment requiring removal of bone - first tooth extr… $275.50 $281.85 +2.3%
88324 Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth div… $370.60 $379.10 +2.3%
88326 Additional extraction requiring surgical removal of a tooth or tooth fragment Additional s… $197.35 $201.90 +2.3%
88351 Repair of skin and subcutaneous tissue or mucous membrane The surgical cleaning and repair… $181.10 $185.25 +2.3%
88384 Repositioning of displaced tooth/teeth - per tooth A procedure following trauma where the … $216.10 $221.05 +2.3%
88386 Splinting of displaced tooth/teeth - per tooth A procedure following trauma where the posi… $222.95 $228.10 +2.3%
88387 Replantation and splinting of a tooth Replantation of a tooth which has been avulsed or in… $436.55 $446.60 +2.3%
88392 Drainage of abscess Drainage and/or irrigation of an abscess other than through a root can… $109.70 $112.20 +2.3%
88411 Direct pulp capping A procedure where an exposed pulp is directly covered with a protectiv… $39.45 $40.35 +2.3%
88412 Incomplete endodontic therapy (tooth not suitable for further treatment) A procedure where… $135.15 $138.25 +2.3%
88414 Pulpotomy Amputation within the pulp chamber of part of the vital pulp of a tooth. The pul… $86.15 $88.15 +2.3%
88415 Complete chemo-mechanical preparation of root canal - one canal Complete chemo-mechanical … $242.45 $248.05 +2.3%
88416 Complete chemo-mechanical preparation of root canal - each additional canal Complete chemo… $115.50 $118.15 +2.3%
88417 Root canal obturation - one canal The filling of a root canal, following chemo-mechanical … $236.15 $241.60 +2.3%
88418 Root canal obturation - each additional canal The filling, following chemo-mechanical prep… $110.45 $113.00 +2.3%
88419 Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial … $156.15 $159.75 +2.3%
88421 Resorbable root canal filling - primary tooth The placement of resorbable root canal filli… $135.15 $138.25 +2.3%
88455 Additional visit for irrigation and/or dressing of the root canal system - per tooth Addit… $119.65 $122.40 +2.3%
88458 Interim therapeutic root filling - per tooth A procedure consisting of the insertion of a … $159.60 $163.25 +2.3%
88511 Metallic restoration - one surface - direct Direct metallic restoration involving one surf… $118.00 $120.70 +2.3%
88512 Metallic restoration - two surfaces - direct Direct metallic restoration involving two sur… $144.70 $148.05 +2.3%
88513 Metallic restoration - three surfaces - direct Direct metallic restoration involving three… $172.70 $176.65 +2.3%
88514 Metallic restoration - four surfaces - direct Direct metallic restoration involving four s… $196.80 $201.35 +2.3%
88515 Metallic restoration - five surfaces - direct Direct metallic restoration involving five s… $224.70 $229.85 +2.3%
88521 Adhesive restoration - one surface - anterior tooth - direct Direct restoration, using an … $130.70 $133.70 +2.3%
88522 Adhesive restoration - two surfaces - anterior tooth - direct Direct restoration, using an… $158.65 $162.30 +2.3%
88523 Adhesive restoration - three surfaces - anterior tooth - direct Direct restoration, using … $187.95 $192.25 +2.3%
88524 Adhesive restoration - four surfaces - anterior tooth - direct Direct restoration, using a… $217.20 $222.20 +2.3%
88525 Adhesive restoration - five surfaces - anterior tooth - direct Direct restoration, using a… $255.25 $261.10 +2.3%
88531 Adhesive restoration - one surface - posterior tooth - direct Direct restoration, using an… $139.55 $142.75 +2.3%
88532 Adhesive restoration - two surfaces - posterior tooth - direct Direct restoration, using a… $175.20 $179.25 +2.3%
88533 Adhesive restoration - three surfaces - posterior tooth - direct Direct restoration, using… $210.65 $215.50 +2.3%
88534 Adhesive restoration - four surfaces - posterior tooth - direct Direct restoration, using … $237.45 $242.90 +2.3%
88535 Adhesive restoration - five surfaces - posterior tooth - direct Direct restoration, using … $274.20 $280.50 +2.3%
88572 Provisional (intermediate/temporary) restoration - per tooth The provisional (intermediate… $55.20 $56.45 +2.3%
88574 Metal band The cementation of a metal band for diagnostic, protective purposes or for the … $46.50 $47.55 +2.3%
88575 Pin retention - per pin Use of a pin to aid the retention and support of direct or indirec… $31.70 $32.45 +2.4%
88579 Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to plac… $109.70 $112.20 +2.3%
88586 Crown-metallic-with tooth preparation-preformed Placing a preformed metallic crown as a co… $291.05 $297.75 +2.3%
88587 Crown-metallic-minimal tooth preparation-preformed Placing a preformed metallic crown as a… $172.70 $176.65 +2.3%
88597 Post - direct Insertion of a post into a prepared root canal to provide an anchor for an a… $99.80 $102.10 +2.3%
88721 Partial maxillary denture - resin, base only Provision of a resin base for a removable den… $494.35 $505.70 +2.3%
88722 Partial mandibular denture - resin, base only Provision of a resin base for a removable de… $494.35 $505.70 +2.3%
88723 Provisional partial maxillary denture Provision of a patient removable partial dental pros… $370.70 $379.25 +2.3%
88724 Provisional partial mandibular denture Provision of a patient removable partial dental pro… $370.70 $379.25 +2.3%
88731 Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a part… $49.90 $51.05 +2.3%
88733 Tooth/teeth (partial denture) An item to describe each tooth added to the base of a new pa… $40.95 $41.90 +2.3%
88736 Immediate tooth replacement - per tooth Provision within a denture to allow immediate repl… $10.30 $10.55 +2.4%
88741 Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics… $59.45 $60.80 +2.3%
88761 Reattaching pre-existing clasp to denture Repair, insertion and adjustment of a denture in… $163.20 $166.95 +2.3%
88762 Replacing/adding clasp to denture - per clasp Repair, insertion and adjustment of a dentur… $170.55 $174.45 +2.3%
88764 Repairing broken base of a partial denture Repair, insertion and adjustment of a broken re… $163.20 $166.95 +2.3%
88765 Replacing/adding new tooth on denture - per tooth Repair, insertion and adjustment of a de… $170.55 $174.45 +2.3%
88766 Reattaching existing tooth on denture - per tooth Repair, insertion and adjustment of a de… $163.20 $166.95 +2.3%
88768 Adding tooth to partial denture to replace an extracted ordecoronated tooth - per tooth Mo… $172.70 $176.65 +2.3%
88776 Impression - dental appliance repair/modification An item to describe taking an impression… $52.15 $53.35 +2.3%
88911 Palliative care An item to describe interim care to relieve pain, infection, bleeding or o… $77.40 $79.20 +2.3%
88942 Sedation - intravenous Sedative drug(s) administered intravenously, usually in increments.… $151.75 $155.25 +2.3%
88943 Sedation - inhalation Nitrous oxide gas mixed with oxygen is inhaled by the patient while … $75.85 $77.60 +2.3%

Other updates (8)

Item number Description
297 Professional attendance lasting more than 45 minutes by a consultant physician in the prac…
56233 Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56220, …
56234 Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56224, …
58112 Spine—2 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
58115 Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
58121 Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109, if the …
880 Attendance by a specialist, or consultant physician, in the practice of the specialist's o…
91850 Antenatal video service provided by a practice midwife, nurse or an Aboriginal and Torres …

Data current as at January 2026 — MBS release 2026-01 · Data sourced from Australian Government publications · Not an official government service. Browse the current MBS →

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