GP care plan item numbers (GPCCMP)

GP chronic condition management plan (care plan)

• Preparing a GP chronic condition management plan with the patient Item 965
• Setting the patient’s goals, roles and responsibilities, and a structured plan for their care AN.0.47

Rules to know

• A written plan describing the patient’s chronic condition and health care needs AN.0.47
• Health and lifestyle goals developed with the patient (shared decision making) AN.0.47
• Actions the patient will take AN.0.47
• Treatments and services the patient is likely to need, with any referrals and their purpose AN.0.47
• Arrangements to review the plan, with a proposed timeframe AN.0.47
• One new plan in 12 months, unless exceptional circumstances (a significant change in the patient’s condition or care circumstances, documented in the record and flagged on the claim) AN.0.47
• At least 3 months after the patient’s last plan review: no other plan or review in the 3 months up to this one, unless exceptional circumstances AN.0.47
• No general attendance (consult) for the same patient on the same day AN.0.9

Care plan review (GP chronic condition management plan)

• Reviewing the patient’s GP chronic condition management plan, prepared by you or an associated doctor Item 967
• Discussing progress against the goals, updating the plan and when it will next be reviewed AN.0.47

Rules to know

• Discussed and documented the patient’s progress against the plan’s goals AN.0.47
• Updated the arrangements and timeframe for the next review AN.0.47
• If referring to other providers: the patient’s consent to share relevant parts of the updated plan with them, and those parts sent AN.0.47
• Recorded the patient’s consent and agreement to the updates AN.0.47
• One review in 3 months, unless exceptional circumstances (a significant change in the patient’s condition or care circumstances, documented and flagged on the claim) AN.0.47
• No general attendance (consult) for the same patient on the same day AN.0.9

Practice nurse service for a patient with a care plan

• A service by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on the doctor’s behalf, to a patient with a chronic condition Item 10997
• Ongoing care, monitoring, support, or routine treatment that follows the patient’s plan, between the doctor’s reviews MN.12.4
• In person, by video, or by phone MN.12.4

Rules to know

• The service follows the patient’s plan (the kind of care the plan sets out) Item 10997
• The nurse gave a service of their own, not help with preparing or reviewing the plan MN.12.4
• Given on your behalf and under your supervision Item 10997
• You were in Australia and readily contactable for clinical advice MN.12.6
• Up to 5 a calendar year across the in-person, video, and phone versions; the count resets each 1 January and unused services don’t roll over MN.12.4
• A consult on the same day if it is a distinct, clinically relevant service with no duplication MN.12.6

Common questions

What is the item number for a GP care plan?

Item 965, for a GP preparing the plan in person, or 92029 by video. A prescribed medical practitioner (a non-VR doctor) uses 392, or 92060 by video. Item 965 Item 92029 Item 392

What is the item number for a care plan review?

Item 967, for a GP reviewing the plan in person, or 92030 by video. A prescribed medical practitioner uses 393, or 92061 by video. The plan must have been prepared by you or an associated doctor. Item 967 AN.0.47

Is there a telehealth care plan item number?

Yes, by video: 92029 to prepare the plan and 92030 to review it (92060 and 92061 for prescribed medical practitioners). Phone versions start on 1 November 2026: 92033 and 92034, and 92063 and 92064. Item 92029 Item 92030 MBS release of 1 November 2026

How often can a care plan be prepared or reviewed?

A new plan once in 12 months, and at least 3 months after the last review. A review once in 3 months. Sooner only in exceptional circumstances (a significant change in the patient’s condition or care), documented in the record and flagged on the claim. AN.0.47

Can I bill a consult on the same day as a care plan?

No. A general consultation can’t be claimed for the same patient on the same day as preparing or reviewing a GP chronic condition management plan. AN.0.9 AN.0.47

Is item 721 still used?

No. GP management plans (229, 721, 92024, and 92055) and team care arrangements (230, 723, 92025, and 92056) were replaced by the GP chronic condition management plan. A patient with a plan made before 1 July 2025 gets a new plan (965), not a review. AN.15.5

Can a practice nurse service (10997) be billed on the same day as a care plan?

Yes, when the nurse gives a service of their own that the plan calls for, such as a vaccine or a wound dressing. Not for the nurse’s help preparing or reviewing the plan. MN.12.4

How many practice nurse services does a care plan cover?

Up to 5 a calendar year across the in-person, video, and phone versions of 10997, while the plan has been prepared or reviewed in the last 18 months. MN.12.4

Sources

• Item 965: Group A15 GP chronic condition management plans, multidisciplinary care plans and case conferences › Subgroup 1 GP chronic condition management plans and multidisciplinary care plans
• Item 967: Group A15 GP chronic condition management plans, multidisciplinary care plans and case conferences › Subgroup 1 GP chronic condition management plans and multidisciplinary care plans
• Note AN.0.47: GP chronic condition management plans (MBS items 392, 393, 965, 967, 92029, 92030, 92060, 92061)
• Note AN.15.5: GP chronic condition management plans – transition arrangements for existing patients with a GP Management Plan and/or Team Care Arrangement
• Item 92029: Group A40 Telehealth attendance services › Subgroup 13 GP management plans, team care arrangements and multidisciplinary care plans services – Video Services
• Note MN.12.4: Services for a person with a chronic medical condition by a practice nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner (MBS Items 10997, 93201, 93203)
• Item 392: Group A7 Acupuncture and Non-Specialist Practitioner Items › Subgroup 6 Prescribed medical practitioner chronic condition management plans, multidisciplinary care plans and case conferences
• Item 92030: Group A40 Telehealth attendance services › Subgroup 13 GP management plans, team care arrangements and multidisciplinary care plans services – Video Services
• Note AN.0.9: Using time-tiered professional (general) attendance items
• Item 10997: Group M12 Services Provided by a Practice Nurse, an Aboriginal and Torres Strait Islander Health Worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a Medical Practitioner › Subgroup 3 Services Provided By A Practice Nurse Or Aboriginal And Torres Strait Islander Health Practitioner On Behalf Of A Medical Practitioner
• Note MN.12.6: Services provided on behalf of a medical practitioner by a practice nurse and/or Aboriginal and Torres Strait Islander primary health care professionals (MBS Items 10983, 10987, 10988, 10989, 10997, 93200, 93201, 93202, 93203)
• MBS release of 1 November 2026