Billing Codes — Australian Health Schedule Tracker

Showing 451–500 of 6045 Pg 10/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	10956	Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10956 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10957	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies) Group M3	Category 8 — Miscellaneous	$100.30	—	≠ CHANGED
Item Number 10957 Schedule Fee $100.30 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies) Sign in to watch this code → Get an email alert when this item changes
	10958	Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10958 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10959	Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies) Group M3	Category 8 — Miscellaneous	$166.85	—	≠ CHANGED
Item Number 10959 Schedule Fee $166.85 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies) Sign in to watch this code → Get an email alert when this item changes
	10960	Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10960 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10962	Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10962 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10964	Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10964 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10966	Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10966 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10968	Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10968 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10970	Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Group M3	Category 8 — Miscellaneous	$74.55	—	≠ CHANGED
Item Number 10970 Schedule Fee $74.55 Category Category 8 — Miscellaneous Group / Subheading Group M3 Type Codes Item: D Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.07.2004 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year Sign in to watch this code → Get an email alert when this item changes
	10983	Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient Group M12	Category 8 — Miscellaneous	$38.85	$38.85	≠ CHANGED
Item Number 10983 Schedule Fee $38.85 Benefits 100%: $38.85 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2011 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient Sign in to watch this code → Get an email alert when this item changes
	10987	Follow‑up service, to a maximum of 10 services per patient in a calendar year, provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the service is consistent with the needs identified through the health assessment. Group M12	Category 8 — Miscellaneous	$28.70	$28.70	≠ CHANGED
Item Number 10987 Schedule Fee $28.70 Benefits 100%: $28.70 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.11.2008 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Follow‑up service, to a maximum of 10 services per patient in a calendar year, provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the service is consistent with the needs identified through the health assessment. Sign in to watch this code → Get an email alert when this item changes
	10988	Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital. Group M12	Category 8 — Miscellaneous	$14.35	$14.35	≠ CHANGED
Item Number 10988 Schedule Fee $14.35 Benefits 100%: $14.35 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.05.2006 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital. Sign in to watch this code → Get an email alert when this item changes
	10989	Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital. Group M12	Category 8 — Miscellaneous	$14.35	$14.35	≠ CHANGED
Item Number 10989 Schedule Fee $14.35 Benefits 100%: $14.35 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.05.2006 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital. Sign in to watch this code → Get an email alert when this item changes
	10990	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; other than a service associated with a service: (e) to which another item in this Group applies; or (f) that is a general practice support service; or (g) that is a MyMedicare service Group M1	Category 8 — Miscellaneous	$8.80	—	≠ CHANGED
Item Number 10990 Schedule Fee $8.80 Category Category 8 — Miscellaneous Group / Subheading Group M1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.02.2004 Gov. Change Flags Fee ≠ Full Description A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; other than a service associated with a service: (e) to which another item in this Group applies; or (f) that is a general practice support service; or (g) that is a MyMedicare service Sign in to watch this code → Get an email alert when this item changes
	10991	A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service Group M1	Category 8 — Miscellaneous	$13.35	—	≠ CHANGED
Item Number 10991 Schedule Fee $13.35 Category Category 8 — Miscellaneous Group / Subheading Group M1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.05.2004 Gov. Change Flags Fee ≠ Full Description A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service Sign in to watch this code → Get an email alert when this item changes
	10992	A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph (a) or (b) applying to the service Group M1	Category 8 — Miscellaneous	$13.35	—	≠ CHANGED
Item Number 10992 Schedule Fee $13.35 Category Category 8 — Miscellaneous Group / Subheading Group M1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.01.2005 Gov. Change Flags Fee ≠ Full Description A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph (a) or (b) applying to the service Sign in to watch this code → Get an email alert when this item changes
	10997	Service provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP management plan, or team care arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (d) the service is consistent with the plan or arrangements Applicable up to a total of 5 services to which this item, item 92301 or item 93203 applies in a calendar year Group M12	Category 8 — Miscellaneous	$14.35	$14.35	≠ CHANGED
Item Number 10997 Schedule Fee $14.35 Benefits 100%: $14.35 Category Category 8 — Miscellaneous Group / Subheading Group M12 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.07.2007 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Service provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP management plan, or team care arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (d) the service is consistent with the plan or arrangements Applicable up to a total of 5 services to which this item, item 92301 or item 93203 applies in a calendar year Sign in to watch this code → Get an email alert when this item changes
	11000	Electroencephalography, other than a service: (a) associated with a service to which item 11003, 11009 or 11205 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies (Anaes.) Group D1	Category 2 — Diagnostic Procedures & Investigations	$147.35	—	≠ CHANGED
Item Number 11000 Schedule Fee $147.35 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Electroencephalography, other than a service: (a) associated with a service to which item 11003, 11009 or 11205 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	11003	Electroencephalography, prolonged recording lasting at least 3 hours, that requires multi‑channel recording using: (a) for a service not associated with a service to which an item in Group T8 applies—standard 10‑20 electrode placement; or (b) for a service associated with a service to which an item in Group T8 applies—either standard 10‑20 electrode placement or a different electrode placement and number of recorded channels; other than a service: (c) associated with a service to which item 11000, 11004 or 11005 applies; or (d) involving quantitative topographic mapping using neurometrics or similar devices; or (e) to which item 12218 or 12219 applies Group D1	Category 2 — Diagnostic Procedures & Investigations	$389.80	—	≠ CHANGED
Item Number 11003 Schedule Fee $389.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Electroencephalography, prolonged recording lasting at least 3 hours, that requires multi‑channel recording using: (a) for a service not associated with a service to which an item in Group T8 applies—standard 10‑20 electrode placement; or (b) for a service associated with a service to which an item in Group T8 applies—either standard 10‑20 electrode placement or a different electrode placement and number of recorded channels; other than a service: (c) associated with a service to which item 11000, 11004 or 11005 applies; or (d) involving quantitative topographic mapping using neurometrics or similar devices; or (e) to which item 12218 or 12219 applies Sign in to watch this code → Get an email alert when this item changes
	11004	Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, first day, other than a service: (a) associated with a service to which item 11000, 11003 or 11005 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies Group D1	Category 2 — Diagnostic Procedures & Investigations	$389.80	—	≠ CHANGED
Item Number 11004 Schedule Fee $389.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, first day, other than a service: (a) associated with a service to which item 11000, 11003 or 11005 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies Sign in to watch this code → Get an email alert when this item changes
	11005	Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, each day after the first day, other than a service: (a) associated with a service to which item 11000, 11003 or 11004 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies Group D1	Category 2 — Diagnostic Procedures & Investigations	$389.80	—	≠ CHANGED
Item Number 11005 Schedule Fee $389.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, each day after the first day, other than a service: (a) associated with a service to which item 11000, 11003 or 11004 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices; or (c) to which item 12218 or 12219 applies Sign in to watch this code → Get an email alert when this item changes
	11009	ELECTROCORTICOGRAPHY Group D1	Category 2 — Diagnostic Procedures & Investigations	$389.80	—	≠ CHANGED
Item Number 11009 Schedule Fee $389.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ELECTROCORTICOGRAPHY Sign in to watch this code → Get an email alert when this item changes
	11012	NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 1 nerve OR ELECTROMYOGRAPHY of 1 or more muscles using concentric needle electrodes OR both these examinations (not being a service associated with a service to which item 11015 or 11018 applies) Group D1	Category 2 — Diagnostic Procedures & Investigations	$134.00	—	≠ CHANGED
Item Number 11012 Schedule Fee $134.00 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 1 nerve OR ELECTROMYOGRAPHY of 1 or more muscles using concentric needle electrodes OR both these examinations (not being a service associated with a service to which item 11015 or 11018 applies) Sign in to watch this code → Get an email alert when this item changes
	11015	NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 2 or 3 nerves with or without electromyography (not being a service associated with a service to which item 11012 or 11018 applies) Group D1	Category 2 — Diagnostic Procedures & Investigations	$179.40	—	≠ CHANGED
Item Number 11015 Schedule Fee $179.40 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 2 or 3 nerves with or without electromyography (not being a service associated with a service to which item 11012 or 11018 applies) Sign in to watch this code → Get an email alert when this item changes
	11018	NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 4 or more nerves with or without electromyography OR recordings from single fibres of nerves and muscles OR both of these examinations (not being a service associated with a service to which item 11012 or 11015 applies) Group D1	Category 2 — Diagnostic Procedures & Investigations	$268.10	—	≠ CHANGED
Item Number 11018 Schedule Fee $268.10 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description NEUROMUSCULAR ELECTRODIAGNOSIS conduction studies on 4 or more nerves with or without electromyography OR recordings from single fibres of nerves and muscles OR both of these examinations (not being a service associated with a service to which item 11012 or 11015 applies) Sign in to watch this code → Get an email alert when this item changes
	11021	NEUROMUSCULAR ELECTRODIAGNOSIS repetitive stimulation for study of neuromuscular conduction OR electromyography with quantitative computerised analysis OR both of these examinations Group D1	Category 2 — Diagnostic Procedures & Investigations	$179.40	—	≠ CHANGED
Item Number 11021 Schedule Fee $179.40 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description NEUROMUSCULAR ELECTRODIAGNOSIS repetitive stimulation for study of neuromuscular conduction OR electromyography with quantitative computerised analysis OR both of these examinations Sign in to watch this code → Get an email alert when this item changes
	11024	CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 1 or 2 studies Group D1	Category 2 — Diagnostic Procedures & Investigations	$136.25	—	≠ CHANGED
Item Number 11024 Schedule Fee $136.25 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 1 or 2 studies Sign in to watch this code → Get an email alert when this item changes
	11027	CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 3 or more studies Group D1	Category 2 — Diagnostic Procedures & Investigations	$202.05	—	≠ CHANGED
Item Number 11027 Schedule Fee $202.05 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 3 or more studies Sign in to watch this code → Get an email alert when this item changes
	11200	PROVOCATIVE TEST OR TESTS FOR OPEN ANGLE GLAUCOMA, including water drinking Group D1	Category 2 — Diagnostic Procedures & Investigations	$48.80	—	≠ CHANGED
Item Number 11200 Schedule Fee $48.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description PROVOCATIVE TEST OR TESTS FOR OPEN ANGLE GLAUCOMA, including water drinking Sign in to watch this code → Get an email alert when this item changes
	11204	ELECTRORETINOGRAPHY of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of his or her speciality. Group D1	Category 2 — Diagnostic Procedures & Investigations	$129.55	—	≠ CHANGED
Item Number 11204 Schedule Fee $129.55 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description ELECTRORETINOGRAPHY of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of his or her speciality. Sign in to watch this code → Get an email alert when this item changes
	11205	Electrooculography of one or both eyes performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s specialty, other than a service associated with a service to which item 11000, 11340, 11341 or 11343 applies Group D1	Category 2 — Diagnostic Procedures & Investigations	$129.55	—	≠ CHANGED
Item Number 11205 Schedule Fee $129.55 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description Electrooculography of one or both eyes performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s specialty, other than a service associated with a service to which item 11000, 11340, 11341 or 11343 applies Sign in to watch this code → Get an email alert when this item changes
	11210	Pattern electroretinography of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s speciality Group D1	Category 2 — Diagnostic Procedures & Investigations	$129.55	—	≠ CHANGED
Item Number 11210 Schedule Fee $129.55 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description Pattern electroretinography of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of the specialist’s or consultant physician’s speciality Sign in to watch this code → Get an email alert when this item changes
	11211	Dark adaptometry of one or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations, performed by or on behalf of a specialist in the practice of the specialist’s specialty of ophthalmology Group D1	Category 2 — Diagnostic Procedures & Investigations	$129.55	—	≠ CHANGED
Item Number 11211 Schedule Fee $129.55 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description Dark adaptometry of one or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations, performed by or on behalf of a specialist in the practice of the specialist’s specialty of ophthalmology Sign in to watch this code → Get an email alert when this item changes
	11215	RETINAL ANGIOGRAPHY, multiple exposures of 1 eye with intravenous dye injection Group D1	Category 2 — Diagnostic Procedures & Investigations	$147.20	—	≠ CHANGED
Item Number 11215 Schedule Fee $147.20 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description RETINAL ANGIOGRAPHY, multiple exposures of 1 eye with intravenous dye injection Sign in to watch this code → Get an email alert when this item changes
	11218	RETINAL ANGIOGRAPHY, multiple exposures of both eyes with intravenous dye injection Group D1	Category 2 — Diagnostic Procedures & Investigations	$181.90	—	≠ CHANGED
Item Number 11218 Schedule Fee $181.90 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description RETINAL ANGIOGRAPHY, multiple exposures of both eyes with intravenous dye injection Sign in to watch this code → Get an email alert when this item changes
	11219	Optical coherence tomography for diagnosis of an ocular condition for the treatment of which there is a medication that is: (a) listed on the pharmaceutical benefits scheme; and (b) indicated for intraocular administration Applicable only once in any 12 month period Group D1	Category 2 — Diagnostic Procedures & Investigations	$47.80	—	≠ CHANGED
Item Number 11219 Schedule Fee $47.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 Gov. Change Flags Fee ≠ Full Description Optical coherence tomography for diagnosis of an ocular condition for the treatment of which there is a medication that is: (a) listed on the pharmaceutical benefits scheme; and (b) indicated for intraocular administration Applicable only once in any 12 month period Sign in to watch this code → Get an email alert when this item changes
	11220	OPTICAL COHERENCE TOMOGRAPHY for the assessment of the need for treatment following provision of pharmaceutical benefits scheme-subsidised ocriplasmin. Maximum of one service per eye per lifetime. Group D1	Category 2 — Diagnostic Procedures & Investigations	$47.80	—	≠ CHANGED
Item Number 11220 Schedule Fee $47.80 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.2016 Gov. Change Flags Fee ≠ Full Description OPTICAL COHERENCE TOMOGRAPHY for the assessment of the need for treatment following provision of pharmaceutical benefits scheme-subsidised ocriplasmin. Maximum of one service per eye per lifetime. Sign in to watch this code → Get an email alert when this item changes
	11221	Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 3 examinations (including examinations to which item 11224 applies) in any 12 month period Group D1	Category 2 — Diagnostic Procedures & Investigations	$81.15	—	≠ CHANGED
Item Number 11221 Schedule Fee $81.15 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 3 examinations (including examinations to which item 11224 applies) in any 12 month period Sign in to watch this code → Get an email alert when this item changes
	11224	Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 3 examinations (including examinations to which item 11221 applies) in any 12 month period Group D1	Category 2 — Diagnostic Procedures & Investigations	$48.85	—	≠ CHANGED
Item Number 11224 Schedule Fee $48.85 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 3 examinations (including examinations to which item 11221 applies) in any 12 month period Sign in to watch this code → Get an email alert when this item changes
	11235	EXAMINATION OF THE EYE BY IMPRESSION CYTOLOGY OF CORNEA for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of report Group D1	Category 2 — Diagnostic Procedures & Investigations	$146.85	—	≠ CHANGED
Item Number 11235 Schedule Fee $146.85 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1996 Gov. Change Flags Fee ≠ Full Description EXAMINATION OF THE EYE BY IMPRESSION CYTOLOGY OF CORNEA for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of report Sign in to watch this code → Get an email alert when this item changes
	11237	OCULAR CONTENTS, simultaneous ultrasonic echography by both unidimensional and bidimensional techniques, for the diagnosis, monitoring or measurement of choroidal and ciliary body melanomas, retinoblastoma or suspicious naevi or simulating lesions, one eye, not being a service associated with a service to which items in Group I1 of Category 5 apply Group D1	Category 2 — Diagnostic Procedures & Investigations	$97.50	—	≠ CHANGED
Item Number 11237 Schedule Fee $97.50 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2003 Gov. Change Flags Fee ≠ Full Description OCULAR CONTENTS, simultaneous ultrasonic echography by both unidimensional and bidimensional techniques, for the diagnosis, monitoring or measurement of choroidal and ciliary body melanomas, retinoblastoma or suspicious naevi or simulating lesions, one eye, not being a service associated with a service to which items in Group I1 of Category 5 apply Sign in to watch this code → Get an email alert when this item changes
	11240	ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of one eye prior to lens surgery on that eye, not being a service associated with a service to which items in Group I1 of Category 5 apply. Group D1	Category 2 — Diagnostic Procedures & Investigations	$97.50	—	≠ CHANGED
Item Number 11240 Schedule Fee $97.50 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.03.1999 Gov. Change Flags Fee ≠ Full Description ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of one eye prior to lens surgery on that eye, not being a service associated with a service to which items in Group I1 of Category 5 apply. Sign in to watch this code → Get an email alert when this item changes
	11241	ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for bilateral eye measurement prior to lens surgery on both eyes, not being a service associated with a service to which items in Group I1 apply Group D1	Category 2 — Diagnostic Procedures & Investigations	$124.10	—	≠ CHANGED
Item Number 11241 Schedule Fee $124.10 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for bilateral eye measurement prior to lens surgery on both eyes, not being a service associated with a service to which items in Group I1 apply Sign in to watch this code → Get an email alert when this item changes
	11242	ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of an eye previously measured and on which lens surgery has been performed, and where further lens surgery is contemplated in that eye, not being a service associated with a service to which items in Group I1 apply Group D1	Category 2 — Diagnostic Procedures & Investigations	$95.95	—	≠ CHANGED
Item Number 11242 Schedule Fee $95.95 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of an eye previously measured and on which lens surgery has been performed, and where further lens surgery is contemplated in that eye, not being a service associated with a service to which items in Group I1 apply Sign in to watch this code → Get an email alert when this item changes
	11243	ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of a second eye where surgery for the first eye has resulted in more than 1 dioptre of error or where more than 3 years have elapsed since the surgery for the first eye, not being a service associated with a service to which items in Group I1 apply Group D1	Category 2 — Diagnostic Procedures & Investigations	$95.95	—	≠ CHANGED
Item Number 11243 Schedule Fee $95.95 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of a second eye where surgery for the first eye has resulted in more than 1 dioptre of error or where more than 3 years have elapsed since the surgery for the first eye, not being a service associated with a service to which items in Group I1 apply Sign in to watch this code → Get an email alert when this item changes
	11244	Orbital contents, diagnostic B-scan of, by a specialist practising in his or her speciality of ophthalmology, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies. Group D1	Category 2 — Diagnostic Procedures & Investigations	$92.15	—	≠ CHANGED
Item Number 11244 Schedule Fee $92.15 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.03.2013 Gov. Change Flags Fee ≠ Full Description Orbital contents, diagnostic B-scan of, by a specialist practising in his or her speciality of ophthalmology, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies. Sign in to watch this code → Get an email alert when this item changes
	11300	Brain stem evoked response audiometry, if: (a) the service is not for the purposes of programming either an auditory implant or the sound processor of an auditory implant; and (b) a service to which item 82300 applies has not been performed on the patient on the same day (Anaes.) Group D1	Category 2 — Diagnostic Procedures & Investigations	$230.40	—	≠ CHANGED
Item Number 11300 Schedule Fee $230.40 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Brain stem evoked response audiometry, if: (a) the service is not for the purposes of programming either an auditory implant or the sound processor of an auditory implant; and (b) a service to which item 82300 applies has not been performed on the patient on the same day (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	11302	Programming an auditory implant or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which item 82301, 82302 or 82304 applies has not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 11342 or item 11345 applies on the same day Group D1	Category 2 — Diagnostic Procedures & Investigations	$230.40	—	≠ CHANGED
Item Number 11302 Schedule Fee $230.40 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Programming an auditory implant or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which item 82301, 82302 or 82304 applies has not been performed on the patient on the same day Applicable up to a total of 4 services to which this item, item 11342 or item 11345 applies on the same day Sign in to watch this code → Get an email alert when this item changes
	11303	ELECTROCOCHLEOGRAPHY, extratympanic method, 1 or both ears Group D1	Category 2 — Diagnostic Procedures & Investigations	$230.40	—	≠ CHANGED
Item Number 11303 Schedule Fee $230.40 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ELECTROCOCHLEOGRAPHY, extratympanic method, 1 or both ears Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Mental health service provided to a patient by an eligible mental health worker if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Occupational therapy health service provided to a patient by an eligible occupational therapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Physiotherapy health service provided to a patient by an eligible physiotherapist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Podiatry health service provided to a patient by an eligible podiatrist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Chiropractic health service provided to a patient by an eligible chiropractor if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Osteopathy health service provided to a patient by an eligible osteopath if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Psychology health service provided to a patient by an eligible psychologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Speech pathology health service provided to a patient by an eligible speech pathologist if: (a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or (iii) a multidisciplinary care plan; and (b) the service is recommended in the patient’s plan or arrangements as part of the management of the patient’s chronic condition and complex care needs; and (c) the service is of at least 20 minutes duration; to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth Attendance Determination applies) in a calendar year

100% Benefit

$38.85

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Attendance by a practice nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b) is not an admitted patient

100% Benefit

$28.70

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Follow‑up service, to a maximum of 10 services per patient in a calendar year, provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the service is consistent with the needs identified through the health assessment.

100% Benefit

$14.35

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital.

100% Benefit

$14.35

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital.

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; other than a service associated with a service: (e) to which another item in this Group applies; or (f) that is a general practice support service; or (g) that is a MyMedicare service

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph (a) or (b) applying to the service

100% Benefit

$14.35

Fee From

01.07.2026

Category

Category 8 — Miscellaneous

Description

Service provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic condition, if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital; and (c) the person has in place: (i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or (ii) until the end of 30 June 2027—a GP management plan, or team care arrangements, prepared before 1 July 2025; or (iii) a multidisciplinary care plan; and (d) the service is consistent with the plan or arrangements Applicable up to a total of 5 services to which this item, item 92301 or item 93203 applies in a calendar year

Fee From

01.07.2026

Category