Medication management review (HMR or RMMR)
MBS item 900: GP home medicines review (DMMR)
Checked against the MBS in force from . Fee current from .
Item 900: A GP's part in a domiciliary (home) medication management review with a pharmacist for a community patient with a chronic condition or complex medicines who isn't meeting treatment goals. The schedule fee is $185.35, and the Medicare benefit is 100% of it ($185.35).
Also written as HMR, home medication review, HMR referral, and pharmacist medication review at home.
- Schedule fee
- $185.35
- Medicare benefit (100%)
- $185.35
- Consult the same day
- Only if distinct
Official MBS wording
Participation by a general practitioner (not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient’s consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and(ii) not having their therapeutic goals met; and(b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and(ii) provides relevant clinical information required for the DMMR; and(c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and(d) develops a written medication management plan following discussion with the patient; and(e) provides the written medication management plan to a community pharmacy chosen by the patientFor any particular patient—applicable not more than once in each 12 month period, and only if item 245 does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR
What to check before you bill item 900
Each line links to the MBS passage it comes from.
- By a GP (not a specialist or consultant physician); a non-VR doctor uses the prescribed medical practitioner version Item 900
- Lives in the community, not in residential aged care (a resident has the residential review instead) Item 900
- Not a hospital in-patient AN.0.52
- Until 30 June 2027 no care plan is needed; from 1 July 2027, a GP chronic condition management plan prepared or reviewed in the last 18 months AN.0.52
- Done with the patient’s consent AN.0.52
- Assessed as having a chronic medical condition or a complex medication regimen AN.0.52
- Assessed as not meeting their therapeutic goals AN.0.52
- Referred the patient to a community pharmacy or an accredited pharmacist for the review AN.0.52
- Gave the pharmacist the clinical information the review needs AN.0.52
- Discussed the review’s results and suggested medication strategies with the reviewing pharmacist (in writing, by phone, or by video is fine) AN.0.52
- Developed a written medication management plan after discussing it with the patient AN.0.52
- Sent the written plan to a community pharmacy the patient chose AN.0.52
- You saw the patient in person as part of the review AN.0.52
- Bill once every step is done, at the end of the review, not at the referral AN.0.52
- The date of service is the day you saw the patient for the review AN.0.52
How often item 900 can be claimed
- Once in 12 months across both versions, unless a significant change in the patient’s condition or medicines needs a new review (record why, and flag it on the claim) Item 900
Billing item 900 with other items
With a consultation on the same day: only if it’s distinct. A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
Only in some cases with item 900
- Acupuncture (items 193, 195, 197, and 199)
- A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
- General consultation (all 153 items, including 91891, 23, 36, 91790, 91800, and 91801)
- A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
- Prolonged attendance on a patient in imminent danger of death (all 10 items, including 160, 161, 162, 163, 164, and 214)
- A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
- Patient-end support for a specialist video consultation (all 32 items, including 2485, 2488, 2491, 2494, 2484, and 2487)
- A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
- Urgent after-hours attendance (all 8 items, including 585, 599, 92210, 594, 588, and 591)
- A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52
Bulk-billing incentive
An extra payment when a doctor bulk bills an unreferred service. With item 900, one of these:
| Item | What it is | Fee |
|---|---|---|
| 10990 | Bulk billing incentive, other services (MM1 practice) | $8.80 |
| 10991 | Bulk billing incentive, other services (MM2 practice) | $13.35 |
| 75855 | Bulk billing incentive, other services (MM3–4 practice) | $14.10 |
| 75856 | Bulk billing incentive, other services (MM5 practice) | $15.10 |
| 75857 | Bulk billing incentive, other services (MM6 practice) | $15.85 |
| 75858 | Bulk billing incentive, other services (MM7 practice) | $16.95 |
Other versions
Medication management review (HMR or RMMR) has 4 items. The others:
| Item | What it is | Fee |
|---|---|---|
| 245 | Home medicines review (DMMR) | $148.25 |
| 903 | GP residential aged care medicines review (RMMR) | $126.90 |
| 249 | Residential medication management review (RMMR) | $101.45 |
Common questions
- What is the fee for MBS item 900?
- The schedule fee is $185.35, and the Medicare benefit is 100% of it ($185.35). That’s under the MBS in force from 1 August 2026.
- Who can bill item 900?
- By a GP (not a specialist or consultant physician); a non-VR doctor uses the prescribed medical practitioner version.
- How often can item 900 be claimed?
- Once in 12 months across both versions, unless a significant change in the patient’s condition or medicines needs a new review (record why, and flag it on the claim).
- Can item 900 be claimed on the same day as a consultation?
- Yes, if it’s distinct. A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it.
- Can you bill 900 and 23 together?
- Only in some cases. A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it. (Source: MBS AN.0.52.)
- Can item 900 be billed with a bulk-billing incentive?
- Yes. An extra payment when a doctor bulk bills an unreferred service. The items are 10990, 10991, 75855, 75856, 75857, and 75858.
Sources
- Item 900: Group A17 Domiciliary And Residential Management Reviews
- Note AN.0.52: Domiciliary Medication Management Reviews (MBS items 245 and 900)
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