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)

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

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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