Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

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Total Items
6045
MBS item numbers
Showing 5401–5450 of 6045 Pg 109/121
Item No. Description Schedule Fee Status
75039
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—initial 3 months of active treatment
Group C1
$664.65 ≠ CHANGED
Item Number
75039
Schedule Fee
$664.65
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—initial 3 months of active treatment
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75042
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
Group C1
$248.40 ≠ CHANGED
Item Number
75042
Schedule Fee
$248.40
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
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75045
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—initial 3 months of active treatment
Group C1
$1330.40 ≠ CHANGED
Item Number
75045
Schedule Fee
$1330.40
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—initial 3 months of active treatment
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75048
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
Group C1
$341.20 ≠ CHANGED
Item Number
75048
Schedule Fee
$341.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
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75049
Retention, fixed or removable, single arch (mandibular or maxillary)—supply of retainer and supervision of retention
Group C1
$399.30 ≠ CHANGED
Item Number
75049
Schedule Fee
$399.30
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
Retention, fixed or removable, single arch (mandibular or maxillary)—supply of retainer and supervision of retention
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75050
Retention, fixed or removable, 2‑arch (mandibular and maxillary)—supply of retainers and supervision of retention
Group C1
$770.85 ≠ CHANGED
Item Number
75050
Schedule Fee
$770.85
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
Retention, fixed or removable, 2‑arch (mandibular and maxillary)—supply of retainers and supervision of retention
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75051
Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances
Group C1
$1183.35 ≠ CHANGED
Item Number
75051
Schedule Fee
$1183.35
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances
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75200
Removal of tooth or tooth fragment (other than treatment to which item 75402 or 75405 applies)
Group C1
$65.70 ≠ CHANGED
Item Number
75200
Schedule Fee
$65.70
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Removal of tooth or tooth fragment (other than treatment to which item 75402 or 75405 applies)
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75203
Removal of tooth or tooth fragment under general anaesthesia (H)
Group C1
$98.60 ≠ CHANGED
Item Number
75203
Schedule Fee
$98.60
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Removal of tooth or tooth fragment under general anaesthesia (H)
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75206
Removal of each additional tooth or tooth fragment if provided in association with a service to which item 75200 or 75203 applies
Group C1
$32.75 ≠ CHANGED
Item Number
75206
Schedule Fee
$32.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Removal of each additional tooth or tooth fragment if provided in association with a service to which item 75200 or 75203 applies
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75400
Surgical removal of erupted tooth
Group C1
$197.20 ≠ CHANGED
Item Number
75400
Schedule Fee
$197.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Surgical removal of erupted tooth
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75402
Surgical removal of tooth, or tooth fragment requiring incision of soft tissue only
Group C1
$194.90 ≠ CHANGED
Item Number
75402
Schedule Fee
$194.90
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Surgical removal of tooth, or tooth fragment requiring incision of soft tissue only
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75405
Surgical removal of tooth, or tooth fragment requiring removal of bone, where the patient is referred by a referring dentist or medical practitioner
Group C1
$249.20 ≠ CHANGED
Item Number
75405
Schedule Fee
$249.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Surgical removal of tooth, or tooth fragment requiring removal of bone, where the patient is referred by a referring dentist or medical practitioner
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75600
Surgical exposure and packing of unerupted tooth
Group C1
$277.75 ≠ CHANGED
Item Number
75600
Schedule Fee
$277.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Surgical exposure and packing of unerupted tooth
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75603
Surgical exposure of unerupted tooth for the purpose of fitting a traction device or placement of a temporary anchorage device
Group C1
$326.45 ≠ CHANGED
Item Number
75603
Schedule Fee
$326.45
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Surgical exposure of unerupted tooth for the purpose of fitting a traction device or placement of a temporary anchorage device
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75606
Surgical repositioning of unerupted tooth where the patient is referred by a referring dentist or medical practitioner
Group C1
$326.45 ≠ CHANGED
Item Number
75606
Schedule Fee
$326.45
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Surgical repositioning of unerupted tooth where the patient is referred by a referring dentist or medical practitioner
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75609
Transplantation of tooth bud where the patient is referred by a referring dentist or medical practitioner
Group C1
$487.40 ≠ CHANGED
Item Number
75609
Schedule Fee
$487.40
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Transplantation of tooth bud where the patient is referred by a referring dentist or medical practitioner
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75610
Surgical procedure for intraoral implantation of an osseointegrated fixture and placement of transmucosal abutments where the patient is referred by a referring dentist or medical practitioner (H)
Group C1
$413.20 ≠ CHANGED
Item Number
75610
Schedule Fee
$413.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Surgical procedure for intraoral implantation of an osseointegrated fixture and placement of transmucosal abutments where the patient is referred by a referring dentist or medical practitioner (H)
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75618
Fabrication and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome
Group C1
$277.15 ≠ CHANGED
Item Number
75618
Schedule Fee
$277.15
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome
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75621
The fabrication and fitting of surgical splint or guide in conjunction with orthognathic surgical procedures and implant treatment, if provided in association with a service to which: (a) any item in the following series applies: (i) any of items 46150 to 46161 apply; or (ii) any of items 52342 to 52375 apply; or (b) item 52380 or 52382 applies; (c) item 75610 applies
Group C1
$277.15 ≠ CHANGED
Item Number
75621
Schedule Fee
$277.15
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
The fabrication and fitting of surgical splint or guide in conjunction with orthognathic surgical procedures and implant treatment, if provided in association with a service to which: (a) any item in the following series applies: (i) any of items 46150 to 46161 apply; or (ii) any of items 52342 to 52375 apply; or (b) item 52380 or 52382 applies; (c) item 75610 applies
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75800
Attendance involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration for each attendance to a maximum of 3 attendances in any 12 month period (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Group C1
$98.60 ≠ CHANGED
Item Number
75800
Schedule Fee
$98.60
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Attendance involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration for each attendance to a maximum of 3 attendances in any 12 month period (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
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75802
Fabrication and fitting of acrylic base partial denture, including retainers—1 to 4 teeth
Group C1
$503.65 ≠ CHANGED
Item Number
75802
Schedule Fee
$503.65
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of acrylic base partial denture, including retainers—1 to 4 teeth
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75815
Fabrication and fitting of acrylic base partial denture, including retainers—5 to 9 teeth
Group C1
$743.20 ≠ CHANGED
Item Number
75815
Schedule Fee
$743.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of acrylic base partial denture, including retainers—5 to 9 teeth
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75818
Fabrication and fitting of acrylic base partial denture or complete denture or overdenture, including retainers—10 to 12 teeth
Group C1
$876.95 ≠ CHANGED
Item Number
75818
Schedule Fee
$876.95
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of acrylic base partial denture or complete denture or overdenture, including retainers—10 to 12 teeth
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75820
Fabrication and fitting of metal framework partial denture, including all components—1 to 4 teeth
Group C1
$874.05 ≠ CHANGED
Item Number
75820
Schedule Fee
$874.05
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of metal framework partial denture, including all components—1 to 4 teeth
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75833
Fabrication and fitting of metal framework partial denture including all components—5 to 9 teeth
Group C1
$1266.75 ≠ CHANGED
Item Number
75833
Schedule Fee
$1266.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of metal framework partial denture including all components—5 to 9 teeth
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75836
Fabrication and fitting of metal framework partial denture or complete denture or overdenture including all components—10 to 12 teeth
Group C1
$1449.55 ≠ CHANGED
Item Number
75836
Schedule Fee
$1449.55
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of metal framework partial denture or complete denture or overdenture including all components—10 to 12 teeth
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75842
Adjustment of denture (other than a service associated with a service to which item 75802, 75815, 75818, 75820, 75833 or 75836 applies)
Group C1
$48.75 ≠ CHANGED
Item Number
75842
Schedule Fee
$48.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Adjustment of denture (other than a service associated with a service to which item 75802, 75815, 75818, 75820, 75833 or 75836 applies)
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75845
Relining of denture by laboratory process and associated fitting
Group C1
$243.75 ≠ CHANGED
Item Number
75845
Schedule Fee
$243.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Relining of denture by laboratory process and associated fitting
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75848
Remodelling and fitting of denture of more than 4 teeth
Group C1
$292.30 ≠ CHANGED
Item Number
75848
Schedule Fee
$292.30
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Remodelling and fitting of denture of more than 4 teeth
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75851
Repair to metal framework of denture—1 or more points
Group C1
$146.20 ≠ CHANGED
Item Number
75851
Schedule Fee
$146.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Repair to metal framework of denture—1 or more points
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75854
Addition of a tooth or teeth to a denture to replace extracted tooth or teeth, including taking of necessary impression
Group C1
$146.20 ≠ CHANGED
Item Number
75854
Schedule Fee
$146.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Addition of a tooth or teeth to a denture to replace extracted tooth or teeth, including taking of necessary impression
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75855
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: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 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
$14.10 ≠ CHANGED
Item Number
75855
Schedule Fee
$14.10
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: 01.01.2022
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: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 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
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75856
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 5 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
$15.10 ≠ CHANGED
Item Number
75856
Schedule Fee
$15.10
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: 01.01.2022
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 5 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
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75857
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 6 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
$15.85 ≠ CHANGED
Item Number
75857
Schedule Fee
$15.85
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: 01.01.2022
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 6 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
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75858
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 7 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
$16.95 ≠ CHANGED
Item Number
75858
Schedule Fee
$16.95
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: 01.01.2022
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 7 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
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75861
A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area
Group P12
$13.30 ≠ CHANGED
Item Number
75861
Schedule Fee
$13.30
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area
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75862
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area
Group P12
$14.05 ≠ CHANGED
Item Number
75862
Schedule Fee
$14.05
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area
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75863
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area
Group P12
$15.00 ≠ CHANGED
Item Number
75863
Schedule Fee
$15.00
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area
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75864
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area
Group P12
$16.35 ≠ CHANGED
Item Number
75864
Schedule Fee
$16.35
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area
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75870
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$26.35 ≠ CHANGED
Item Number
75870
Schedule Fee
$26.35
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75871
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$40.10 ≠ CHANGED
Item Number
75871
Schedule Fee
$40.10
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75872
Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and (b) the attendance service is an unreferred service; and (c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (e) the attendance service is not provided in consulting rooms; and (f) the attendance 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 (g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and (h) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) an item mentioned in paragraph (a) that applies to the service
Group M1
$40.10 ≠ CHANGED
Item Number
75872
Schedule Fee
$40.10
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and (b) the attendance service is an unreferred service; and (c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (e) the attendance service is not provided in consulting rooms; and (f) the attendance 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 (g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and (h) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) an item mentioned in paragraph (a) that applies to the service
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75873
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$42.60 ≠ CHANGED
Item Number
75873
Schedule Fee
$42.60
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75874
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$45.30 ≠ CHANGED
Item Number
75874
Schedule Fee
$45.30
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75875
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$47.80 ≠ CHANGED
Item Number
75875
Schedule Fee
$47.80
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75876
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Group M1
$50.75 ≠ CHANGED
Item Number
75876
Schedule Fee
$50.75
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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75880
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
Group M1
$26.35 ≠ CHANGED
Item Number
75880
Schedule Fee
$26.35
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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75881
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
Group M1
$40.10 ≠ CHANGED
Item Number
75881
Schedule Fee
$40.10
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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75882
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
Group M1
$42.60 ≠ CHANGED
Item Number
75882
Schedule Fee
$42.60
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: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—initial 3 months of active treatment
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—initial 3 months of active treatment
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Retention, fixed or removable, single arch (mandibular or maxillary)—supply of retainer and supervision of retention
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Retention, fixed or removable, 2‑arch (mandibular and maxillary)—supply of retainers and supervision of retention
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Removal of tooth or tooth fragment (other than treatment to which item 75402 or 75405 applies)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Removal of tooth or tooth fragment under general anaesthesia (H)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Removal of each additional tooth or tooth fragment if provided in association with a service to which item 75200 or 75203 applies
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical removal of erupted tooth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical removal of tooth, or tooth fragment requiring incision of soft tissue only
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical removal of tooth, or tooth fragment requiring removal of bone, where the patient is referred by a referring dentist or medical practitioner
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical exposure and packing of unerupted tooth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical exposure of unerupted tooth for the purpose of fitting a traction device or placement of a temporary anchorage device
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical repositioning of unerupted tooth where the patient is referred by a referring dentist or medical practitioner
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Transplantation of tooth bud where the patient is referred by a referring dentist or medical practitioner
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Surgical procedure for intraoral implantation of an osseointegrated fixture and placement of transmucosal abutments where the patient is referred by a referring dentist or medical practitioner (H)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
The fabrication and fitting of surgical splint or guide in conjunction with orthognathic surgical procedures and implant treatment, if provided in association with a service to which: (a) any item in the following series applies: (i) any of items 46150 to 46161 apply; or (ii) any of items 52342 to 52375 apply; or (b) item 52380 or 52382 applies; (c) item 75610 applies
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Attendance involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration for each attendance to a maximum of 3 attendances in any 12 month period (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of acrylic base partial denture, including retainers—1 to 4 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of acrylic base partial denture, including retainers—5 to 9 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of acrylic base partial denture or complete denture or overdenture, including retainers—10 to 12 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of metal framework partial denture, including all components—1 to 4 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of metal framework partial denture including all components—5 to 9 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Fabrication and fitting of metal framework partial denture or complete denture or overdenture including all components—10 to 12 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Adjustment of denture (other than a service associated with a service to which item 75802, 75815, 75818, 75820, 75833 or 75836 applies)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Relining of denture by laboratory process and associated fitting
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Remodelling and fitting of denture of more than 4 teeth
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Repair to metal framework of denture—1 or more points
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Addition of a tooth or teeth to a denture to replace extracted tooth or teeth, including taking of necessary impression
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: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 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 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 5 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 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 6 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 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 7 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 6 — Pathology
Description
A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person 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) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and (b) the attendance service is an unreferred service; and (c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (e) the attendance service is not provided in consulting rooms; and (f) the attendance 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 (g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and (h) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) an item mentioned in paragraph (a) that applies to the service
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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