Medicare Benefits Scheme (MBS)
The below information has been adapted from a useful NWMPHN’s MBS remuneration to support planned palliative care for patients (1.3MB pdf) guide.
This guide aligns the below item number with a suggested timeframe and description of the item number – guiding practitioners on how to use Medicare item numbers to deliver palliative care.
Medicare item numbers are subject to change. Please also refer to MBS Online for any updates.
MBS remuneration for palliative care in general practice:
|
|
Item no.
|
|
Over 75 Year Health Assessment
|
701-707
|
|
GP Management Plan (GPMP)
|
721
|
|
Team Care Arrangement (TCA)
|
723
|
|
GP Mental Health Treatment Plan
|
2700-2717
|
|
Case Conference
|
739
|
|
Domiciliary Medication Management Review (‘HMR’)
|
900
|
|
Level D consultation
|
44
|
|
Review GP Mental Health Treatment Plan
|
2712
|
|
GPMP Review / TCA Review
|
732
|
|
Case Conference
|
735
|
|
Practice Nurse care plan monitoring
|
10997
|
MBS remuneration for palliative care in residential aged care:
|
|
Item no.
|
|
Comprehensive Medical Assessment (CMA)
|
701-707
|
|
Domiciliary Medication Management Review (HMR)
|
903
|
|
GP Mental Health Treatment Plan
|
2700-2717
|
|
Care Plan Contribution
|
731
|
|
Case Conference
|
739
|
|
Level D consultation
* Item 90001 provides a call-out fee for the initial attendance by a GP at one RACF, on one occasion, applicable only to the first patient seen on the RACF visit.
|
90051
90001*
|
|
Review GP Mental Health Treatment Plan
|
2712
|
|
GPMP Review / TCA Review
|
732
|
Other relevant Medicare renumeration:
- Standard GP attendance at hospital, institution or home 4, 24, 37, 47
- Consultation at a residential aged care facility by a GP: 90020, 90035, 90043, 90051
- Consultation at a residential aged care facility by a medical practitioner other than a GP: 90092, 90093, 90095, 90096, 90183, 90188, 90202, 90212
- After hours care 5003, 5023, 5043, 5063
- Aboriginal and Torres Strait Islander health 715, 10987
- General practitioner management plans 721, 732
- Team care arrangement 723, 732
- Multidisciplinary Care 729, 731
- Case conferencing—community setting 735, 747, 739, 750, 743, 758
- Mental healthcare items 2700, 2701, 2712, 2713, 2715, 2717, 2721, 2725