It’s the schedule fee: the fee the Medicare Benefits Schedule sets for each item number. Medicare’s benefit is worked out from it, and the benefit is never more than the fee the doctor charges. Doctors are free to set their own fees.

What is the MBS fee for a GP?

Item 23, GP Level B consult in rooms (6 to under 20 min), is $45.05, and Medicare pays 100% of it. Item 36, GP Level C consult in rooms (20 min or more), is $87.10. Item 44, GP Level D consult in rooms (40 min or more), is $128.35. Every GP consult item and its fee, by time and place, is in the table at the top of this page.

What does MBS stand for in Medicare?

The Medicare Benefits Schedule: the list of services Medicare pays a benefit for. Each service has its own item number, listed with its description, its schedule fee, and its Medicare benefit.

How is the fee for a GP home visit worked out?

From the number of patients seen at the one place. For item 24, GP Level B consult out of rooms (6 to under 20 min), it’s item 23’s fee ($45.05) plus $31.50 shared between the patients seen, up to 6: $76.55 for one patient, and $60.80 each for two. From 7 patients, it’s item 23’s fee plus $2.50 each.

Which bulk billing incentive do I claim?

The one for your practice’s Modified Monash area and the service you bulk bill. In a Modified Monash 1 area, Level B–E consults carry 75870 ($26.35), and other services 10990 ($8.80). Check your practice’s area on the Health Workforce Locator.

MBS cheat sheet 2026: GP item numbers and fees

Checked 15 October 2026 against the MBS in force from 1 August 2026.

The GP items Medicare pays most often, by section, each with its fee and what Medicare pays. Item 23, GP Level B consult in rooms (6 to under 20 min), is $45.05, and Medicare pays 100% of it.

Download the one-page cheat sheet (PDF)

GP consultations

In business hours

Level	In the rooms	Home or other place	Aged care home	Video	Phone
Level ABrief, straightforward	3$20.55	4$52.05*	90020$20.55	91790$20.55	91890$20.55under 6 min
Level B6 to under 20 min	23$45.05	24$76.55*	90035$45.05	91800$45.05	91891$45.056+ min
Level C20+ min	36$87.10	37$118.60*	90043$87.10	91801$87.10	91900$87.10MyMedicare patients
Level D40+ min	44$128.35	47$159.85*	90051$128.35	91802$128.35	91910$128.35MyMedicare patients
Level E60+ min	123$207.90	124$239.40*	90054$207.90	91920$207.90	—

In the rooms: In business hours for consulting rooms: started on a weekday from 8am to 8pm, or a Saturday from 8am to 1pm, not a public holiday. AN.0.9
Home or other place: Seen out of the rooms: at home, in hospital, or elsewhere, not a resident at a residential aged care facility (a self-contained unit counts as home). Item 4
Home or other place: In hospital, only for an admitted patient (a hospital outpatient clinic you routinely use for private patients counts as your rooms). AN.0.13
Home or other place: In business hours out of the rooms (a weekday from 8am to 6pm, or a Saturday from 8am to 12 noon, not a public holiday), or any time in hospital, which has no after-hours item. AN.0.9
Home or other place: The fee shown is for one patient. Seen with others at the one place, each patient’s fee is the rooms fee at the same level plus $31.50 shared between them, up to 6, or plus $2.50 each from 7. Item 4
Aged care home: The patient lives in the facility (a resident, not in a self-contained unit). AN.0.9
Aged care home: In business hours at the facility: started on a weekday from 8am to 6pm, or a Saturday from 8am to 12 noon, not a public holiday. AN.0.9
Video: By the patient’s eligible telehealth practitioner: your practice has seen them face to face in the last 12 months, or they’re registered with your practice in MyMedicare, or an exemption applies (AN.1.1). AN.0.9
Video, Phone: Not an admitted hospital patient (the general rule for telehealth). AN.0.47

Other GP consultations

Item	What it is	Fee	Medicare pays
92718	BBV/sexual health video, GP, 5–20 min	$45.05	$45.05 100%
92721	BBV/sexual health video, GP, 20–40 min	$87.10	$87.10 100%
92731	GP phone sexual/repro/BBV consult, up to 5 min	$20.55	$20.55 100%
92734	GP phone sexual/repro/BBV consult, 6–20 min	$45.05	$45.05 100%
92737	GP phone sexual/repro/BBV consult, 21–40 min	$87.10	$87.10 100%

After hours

After-hours consultations

Level	In the rooms	Home or other place	Aged care home
Level ABrief	5000$34.70	5003$65.80*	5010$90.65*
Level B6 to under 20 min	5020$58.65	5023$89.75*	5028$114.60*
Level C20+ min	5040$100.55	5043$131.65*	5049$156.50*
Level D40+ min	5060$140.95	5063$172.05*	5067$196.90*
Level E60+ min	5071$239.45	5076$270.55*	5077$295.40*

In the rooms: After hours for consulting rooms: started on a Sunday or public holiday, a Saturday before 8am or after 1pm, or a weekday before 8am or after 8pm. AN.0.19
Home or other place: Seen at home or elsewhere out of the rooms, not in hospital or as a resident at a residential aged care facility (a self-contained unit counts as home). Item 5003
Home or other place, Aged care home: After hours out of the rooms: started on a Sunday or public holiday, a Saturday before 8am or after 12 noon, or a weekday before 8am or after 6pm. AN.0.19
Home or other place: The fee shown is for one patient. Seen with others at the one place, each patient’s fee is the rooms fee at the same level plus $31.10 shared between them, up to 6, or plus $2.45 each from 7. Item 5003
Aged care home: The patient lives in the facility (a resident, not in a self-contained unit). AN.0.9
Aged care home: The fee shown is for one patient. Seen with others at the one place, each patient’s fee is the rooms fee at the same level plus $55.95 shared between them, up to 6, or plus $4.00 each from 7. Item 5010

Urgent after hours

Item	What it is	Fee	Medicare pays
585	GP urgent after-hours attendance (not 11pm–7am)	$155.40	$155.40 100%
599	GP urgent attendance, unsociable hours (11pm–7am)	$183.15	$183.15 100%
92210	GP urgent video attendance, unsociable hours	$183.15	$183.15 100%

Care plans, case conferences, and medication reviews

Item	What it is	Fee	Medicare pays
965	Prepare a GP chronic condition management planOne new plan in 12 months (and 1 more limit) Rules (3) 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	$160.60	$160.60 100%
92029	GP video: prepare chronic condition management planOne new plan in 12 months (and 1 more limit) Rules (3) 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	$160.60	$160.60 100%
92033	Prepare a GP chronic condition management plan by phoneStarts 1 November 2026	$160.60	$160.60 100%
967	Review a GP chronic condition management planOne review in 3 months Rules (3) 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 A GP chronic condition management plan already prepared (by you or an associated doctor) AN.0.47 No general attendance (consult) for the same patient on the same day AN.0.9	$160.60	$160.60 100%
92030	GP video: review chronic condition management planOne review in 3 months Rules (3) 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 A GP chronic condition management plan already prepared (by you or an associated doctor) AN.0.47 No general attendance (consult) for the same patient on the same day AN.0.9	$160.60	$160.60 100%
92034	Review a GP chronic condition management plan by phoneStarts 1 November 2026	$160.60	$160.60 100%
10997	Nurse or ATSIHP service under a chronic condition planUp to 5 a calendar year across the in-person, video, and phone versions Rules (2) 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	$14.35	$14.35 100%
93203	Nurse or ATSIHP phone service under a chronic condition planUp to 5 a calendar year across the in-person, video, and phone versions Rules (2) 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	$17.00	$14.45 85%
731	Multidisciplinary care plan input: aged care or dischargeOnce in 3 months across the aged care versions (and 1 more limit) Rules (3) Once in 3 months across the aged care versions; sooner only in exceptional circumstances (a significant change in the resident’s condition or care, recorded in the notes and flagged on the claim) AN.15.8 Not within 3 months after a GP chronic condition management plan or its review AN.15.8 A consultation the same day only if clinically relevant and distinct from the contribution AN.0.9	$84.25	$84.25 100%
735	GP organises multidisciplinary case conference, 15–19 min Rules (1) A consultation the same day only if clinically relevant and distinct from the case conference AN.0.9	$84.65	$84.65 100%
739	GP organises multidisciplinary case conference, 20–39 min Rules (1) A consultation the same day only if clinically relevant and distinct from the case conference AN.0.9	$144.70	$144.70 100%
743	GP organises multidisciplinary case conference, 40+ min Rules (1) A consultation the same day only if clinically relevant and distinct from the case conference AN.0.9	$241.25	$241.25 100%
871	Lead cancer multidisciplinary case conference, 10+ minGenerally no more than two cancer case conferences a year for the patient by the same doctor Rules (2) Generally no more than two cancer case conferences a year for the patient by the same doctor (an expectation, not a fixed limit) AN.0.65 A consultation the same day only if clinically relevant and distinct from the case conference AN.0.9	$97.55	$82.95 85%
872	Join cancer multidisciplinary case conference, 10+ minGenerally no more than two cancer case conferences a year for the patient by the same doctor Rules (2) Generally no more than two cancer case conferences a year for the patient by the same doctor (an expectation, not a fixed limit) AN.0.65 A consultation the same day only if clinically relevant and distinct from the case conference AN.0.9	$45.45	$38.65 85%
900	GP home medicines review (DMMR)Once in 12 months across both versions Rules (2) 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 A consultation the same day only if clinically relevant and distinct: one solely about the review is part of it AN.0.52	$185.35	$185.35 100%
903	GP residential aged care medicines review (RMMR)Once in 12 months across both versions Rules (2) Once in 12 months across both versions, unless a significant change in the resident’s condition or medication plan needs a new review (record why, and flag it on the claim) Item 903 A consultation the same day only if clinically relevant and distinct from the review AN.7.18	$126.90	$126.90 100%

Mental health

Item	What it is	Fee	Medicare pays
2700	GP mental health plan, no MH training, 20–39 minGenerally one new plan in 12 months: not within 12 months of a previous plan Rules (2) Generally one new plan in 12 months: not within 12 months of a previous plan unless clinically required or exceptional circumstances (e.g. a significant change in mental health) AN.0.56 Another attendance the same day only if both are clinically relevant and distinct; its time isn't counted in the plan AN.0.56	$85.80	$85.80 100%
2701	GP mental health plan, no MH training, 40+ minGenerally one new plan in 12 months: not within 12 months of a previous plan Rules (2) Generally one new plan in 12 months: not within 12 months of a previous plan unless clinically required or exceptional circumstances (e.g. a significant change in mental health) AN.0.56 Another attendance the same day only if both are clinically relevant and distinct; its time isn't counted in the plan AN.0.56	$126.35	$126.35 100%
2715	GP mental health plan, MH trained, 20–39 minGenerally one new plan in 12 months: not within 12 months of a previous plan Rules (2) Generally one new plan in 12 months: not within 12 months of a previous plan unless clinically required or exceptional circumstances (e.g. a significant change in mental health) AN.0.56 Another attendance the same day only if both are clinically relevant and distinct; its time isn't counted in the plan AN.0.56	$108.95	$108.95 100%
2717	GP mental health plan, MH trained, 40+ minGenerally one new plan in 12 months: not within 12 months of a previous plan Rules (2) Generally one new plan in 12 months: not within 12 months of a previous plan unless clinically required or exceptional circumstances (e.g. a significant change in mental health) AN.0.56 Another attendance the same day only if both are clinically relevant and distinct; its time isn't counted in the plan AN.0.56	$160.50	$160.50 100%
92116	GP video mental health plan, MH trained, 20–39 minGenerally one new plan in 12 months: not within 12 months of a previous plan Rules (2) Generally one new plan in 12 months: not within 12 months of a previous plan unless clinically required or exceptional circumstances (e.g. a significant change in mental health) AN.0.56 Another attendance the same day only if both are clinically relevant and distinct; its time isn't counted in the plan AN.0.56	$108.95	$108.95 100%
2725	GP focussed psychological strategies, rooms, 40+ minUp to 10 individual Better Access sessions a calendar year, across all providers (and 1 more limit) Rules (3) Up to 10 individual Better Access sessions a calendar year, across all providers (psychologists, social workers, OTs, GPs; family or carer sessions count too) MN.7.4 Up to 6 sessions in the initial course of treatment, as many as the referral states (for a later course, see open) MN.7.4 A consult on the same day only if both are clinically relevant and distinct AN.0.9	$158.90	$158.90 100%
4001	GP pregnancy support counselling, rooms, 20+ minUp to 3 pregnancy support counselling services per pregnancy, counting GPs, PMPs Rules (2) Up to 3 pregnancy support counselling services per pregnancy, counting GPs, PMPs, psychologists, social workers, and mental health nurses, in person or by telehealth MN.8.2 A consult on the same day only if both are clinically relevant and distinct AN.0.9	$91.65	$91.65 100%

Health assessments

Item	What it is	Fee	Medicare pays
701	Brief health assessment, up to 30 minType 2 diabetes risk evaluation (40–49, high risk): once every 3 years (and 6 more limits) Rules (8) Type 2 diabetes risk evaluation (40–49, high risk): once every 3 years. Counts only assessments for this group; a patient in several groups can have each group’s assessment AN.0.36 45–49 at risk of chronic disease: once only. Counts only assessments for this group AN.0.36 75 or older: once a year. Counts only assessments for this group AN.0.36 Comprehensive medical assessment of a permanent aged care resident: once a year. Counts only assessments for this group AN.0.36 Intellectual disability: once a year. Counts only assessments for this group AN.0.36 Refugee or other humanitarian entrant: once only. Counts only assessments for this group AN.0.36 Former member of the Australian Defence Force: once only. Counts only assessments for this group AN.0.36 A separate consult on the same day only if clinically necessary AN.0.36	$71.00	$71.00 100%
703	Standard health assessment, over 30 to under 45 minType 2 diabetes risk evaluation (40–49, high risk): once every 3 years (and 6 more limits) Rules (8) Type 2 diabetes risk evaluation (40–49, high risk): once every 3 years. Counts only assessments for this group; a patient in several groups can have each group’s assessment AN.0.36 45–49 at risk of chronic disease: once only. Counts only assessments for this group AN.0.36 75 or older: once a year. Counts only assessments for this group AN.0.36 Comprehensive medical assessment of a permanent aged care resident: once a year. Counts only assessments for this group AN.0.36 Intellectual disability: once a year. Counts only assessments for this group AN.0.36 Refugee or other humanitarian entrant: once only. Counts only assessments for this group AN.0.36 Former member of the Australian Defence Force: once only. Counts only assessments for this group AN.0.36 A separate consult on the same day only if clinically necessary AN.0.36	$165.05	$165.05 100%
705	Long health assessment, 45 to under 60 minType 2 diabetes risk evaluation (40–49, high risk): once every 3 years (and 6 more limits) Rules (8) Type 2 diabetes risk evaluation (40–49, high risk): once every 3 years. Counts only assessments for this group; a patient in several groups can have each group’s assessment AN.0.36 45–49 at risk of chronic disease: once only. Counts only assessments for this group AN.0.36 75 or older: once a year. Counts only assessments for this group AN.0.36 Comprehensive medical assessment of a permanent aged care resident: once a year. Counts only assessments for this group AN.0.36 Intellectual disability: once a year. Counts only assessments for this group AN.0.36 Refugee or other humanitarian entrant: once only. Counts only assessments for this group AN.0.36 Former member of the Australian Defence Force: once only. Counts only assessments for this group AN.0.36 A separate consult on the same day only if clinically necessary AN.0.36	$227.75	$227.75 100%
707	Prolonged health assessment, 60+ minType 2 diabetes risk evaluation (40–49, high risk): once every 3 years (and 6 more limits) Rules (8) Type 2 diabetes risk evaluation (40–49, high risk): once every 3 years. Counts only assessments for this group; a patient in several groups can have each group’s assessment AN.0.36 45–49 at risk of chronic disease: once only. Counts only assessments for this group AN.0.36 75 or older: once a year. Counts only assessments for this group AN.0.36 Comprehensive medical assessment of a permanent aged care resident: once a year. Counts only assessments for this group AN.0.36 Intellectual disability: once a year. Counts only assessments for this group AN.0.36 Refugee or other humanitarian entrant: once only. Counts only assessments for this group AN.0.36 Former member of the Australian Defence Force: once only. Counts only assessments for this group AN.0.36 A separate consult on the same day only if clinically necessary AN.0.36	$321.75	$321.75 100%
699	Heart health assessment, age 30+, 20+ minOnce per patient in 12 months (and 1 more limit) Rules (3) Once per patient in 12 months AN.14.2 Not if the patient has had another health assessment in the previous 12 months (a time-tiered or menopause health assessment, or another heart health check); an Aboriginal and Torres Strait Islander health assessment doesn’t count AN.14.2 A separate consult on the same day only for an acute problem that needs managing separately from the assessment AN.14.2	$87.10	$87.10 100%
695	Menopause/perimenopause health assessment, 20+ minOnce in 12 months (either version) Rules (2) Once in 12 months (either version) AN.14.3 A separate consultation the same day only if clinically necessary AN.14.3	$104.55	$104.55 100%
715	Aboriginal and Torres Strait Islander health assessmentNot within 9 months of another Aboriginal and Torres Strait Islander health assessment Rules (2) Not within 9 months of another Aboriginal and Torres Strait Islander health assessment (in person or by video, GP or non-VR doctor) Item 715 A separate consult on the same day only if clinically necessary, as a distinct service AN.0.43	$254.10	$254.10 100%
10987	Nurse or ATSIHP follow-up after Indigenous health checkUp to 10 a calendar year across the in-person, video, and phone versions Rules (2) Up to 10 a calendar year across the in-person, video, and phone versions, however many health assessments; unused services don’t roll over MN.12.3 A consult on the same day if it is a distinct, clinically relevant service with no duplication MN.12.6	$28.70	$28.70 100%

Pregnancy, contraception, and women’s health

Item	What it is	Fee	Medicare pays
16500	Routine antenatal attendance Rules (1) A general consultation the same day only for a problem not directly related to the pregnancy TN.4.3	$56.45	$48.00 85%
91858	Routine antenatal phone attendance Rules (1) A general consultation the same day only for a problem not directly related to the pregnancy TN.4.15	$56.45	$48.00 85%
16400	Nurse, midwife, or ATSIHP antenatal visit in personUp to 10 a pregnancy across the in-person, video, and phone versions Rules (2) Up to 10 a pregnancy across the in-person, video, and phone versions TN.4.15 If the doctor also consults the patient before or after, the doctor bills their own attendance instead of this TN.4.1	$32.65	$27.80 85%
16590	Pregnancy planning and management, doing the birthOnce a pregnancy, and not if the shared care version was given for the same pregnancy Rules (2) Once a pregnancy, and not if the shared care version was given for the same pregnancy Item 16590 A consultation the same day only if clinically relevant and distinct from the planning visit AN.0.9	$446.15	$379.25 85%
16591	Pregnancy planning and management, shared careOnce a pregnancy, and not if the doing-the-birth version was given for the same pregnancy Rules (2) Once a pregnancy, and not if the doing-the-birth version was given for the same pregnancy Item 16591 A consultation the same day only if clinically relevant and distinct from the planning visit AN.0.9	$170.75	$145.15 85%
16407	Postnatal check 4–8 weeks, 20+ min, with mental healthOnce per pregnancy (and 1 more limit) Rules (3) Once per pregnancy Item 16407 Once per pregnancy across the in-person, video, and phone versions TN.4.15 A consultation the same day only if clinically relevant and distinct from the postnatal check AN.0.9	$85.80	$72.95 85%
73806	Pregnancy test in rooms Rules (1) A consult on the same day only if clinically relevant and distinct from the test AN.0.9	$10.15	$8.65 85%
35503	IUD insertion Rules (1) A consult on the same day only if clinically relevant and distinct from the insertion AN.0.9	$221.55	$188.35 85%
14206	Hormone implant insertion by cannula Rules (1) A consultation the same day only if clinically relevant and distinct from the implant AN.0.9	$103.00	$87.55 85%
30062	Contraceptive implant removal (etonogestrel) Rules (1) A consultation the same day only if clinically relevant and distinct from the removal AN.0.9	$107.90	$91.75 85%
35608	Cervical biopsy, cautery, diathermy, or curettage Rules (1) A consult on the same day only if clinically relevant and distinct from the cervical procedure AN.0.9	$76.55	$65.10 85%

Skin

Item	What it is	Fee	Medicare pays
30071	Skin biopsy sent for histology Rules (1) A consult on the same day only if clinically relevant and distinct from the biopsy AN.0.9	$62.55	$53.20 85%
31356	Skin cancer excision, nose/lip/ear/digit area, under 6 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$264.90	$225.20 85%
31357	Non-malignant lesion, nose/lip/ear/digit area, under 6 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$131.25	$111.60 85%
31358	Skin cancer excision, nose/lip/ear/digit area, 6 mm+ Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$324.20	$275.60 85%
31360	Non-malignant lesion, nose/lip/ear/digit area, 6 mm+ Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$201.10	$170.95 85%
31361	Skin cancer excision, face/neck/scalp/distal limb, <14 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$223.45	$189.95 85%
31362	Non-malignant lesion, face/neck/scalp/distal limb, <14 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$160.30	$136.30 85%
31363	Skin cancer excision, face/neck/scalp/distal limb, 14 mm+ Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$292.35	$248.50 85%
31364	Non-malignant lesion, face/neck/scalp/distal limb, 14 mm+ Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$201.10	$170.95 85%
31365	Skin cancer excision, trunk/other sites, under 15 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$189.45	$161.05 85%
31366	Non-malignant lesion, trunk/other sites, under 15 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$114.30	$97.20 85%
31367	BCC/SCC excision and repair, other sites, 15-30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$255.70	$217.35 85%
31368	Non-malignant lesion excision, other sites, 15-30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$150.30	$127.80 85%
31369	BCC/SCC excision, other sites, over 30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$294.30	$250.20 85%
31370	Non-malignant lesion excision, other sites, over 30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$171.90	$146.15 85%
31373	Melanoma wide excision, face/neck/distal limbs, 14 mm+ Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$427.05	$363.00 85%
31375	Melanoma wide excision, other sites, 15-30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$363.10	$308.65 85%
31376	Melanoma wide excision, other sites, over 30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$420.85	$357.75 85%
31379	Suspected melanoma, face/neck/distal limbs, under 14 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$160.30	$136.30 85%
31381	Suspected melanoma, other sites, under 15 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$114.30	$97.20 85%
31382	Suspected melanoma, other sites, 15-30 mm Rules (1) A consult on the same day only if clinically relevant and distinct from the excision AN.0.9	$150.30	$127.80 85%
45200	Local flap, simple and small Rules (1) A consult on the same day only if clinically relevant and distinct from the flap repair AN.0.9	$340.30	$289.30 85%
45201	Skin lesion excision flap, larger excision, once per defect Rules (2) Only with one of the larger skin lesion excisions (or Mohs surgery) for the same defect Item 45201 A consult on the same day only if clinically relevant and distinct from the flap repair AN.0.9	$495.40	$421.10 85%
45451	Full-thickness skin graft, defect 5 mm or more Rules (1) A consult on the same day only if clinically relevant and distinct from the graft AN.0.9	$567.05	$482.00 85%
30192	Solar keratoses, ablative treatment of 10 or more Rules (1) A consult on the same day only if clinically relevant and distinct from the treatment AN.0.9	$47.30	$40.25 85%
30196	Skin cancer removal by serial curettage or laser Rules (1) A consult on the same day only if clinically relevant and distinct from the treatment AN.0.9	$151.10	$128.45 85%
30202	Skin cancer removal by liquid nitrogen cryotherapy Rules (1) A consult on the same day only if clinically relevant and distinct from the treatment AN.0.9	$57.80	$49.15 85%
30207	Skin lesions, multiple steroid injections Rules (1) A consult on the same day only if clinically relevant and distinct from the injections AN.0.9	$53.35	$45.35 85%

Wounds and other procedures

Item	What it is	Fee	Medicare pays
30026	Wound repair, not face/neck, ≤7 cm, superficial Rules (1) A consult on the same day only if clinically relevant and distinct from the repair AN.0.9	$62.55	$53.20 85%
30029	Wound repair, not face/neck, ≤7 cm, deeper tissue Rules (1) A consult on the same day only if clinically relevant and distinct from the repair AN.0.9	$107.75	$91.60 85%
30032	Wound repair, face/neck, ≤7 cm, superficial Rules (1) A consult on the same day only if clinically relevant and distinct from the repair AN.0.9	$98.70	$83.90 85%
30023	Debridement of deep or contaminated traumatic wound Rules (1) A consult on the same day only if clinically relevant and distinct from the debridement AN.0.9	$390.25	$331.75 85%
30003	Burns dressing, 1% to <3% TBSA, no anaesthesia Rules (1) No consultation at the same attendance: the dressing is paid for each attendance at which it's done, and a consultation on the same occasion isn't paid on top GN.14.36	$43.50	$37.00 85%
30061	Superficial foreign body removal (incl. cornea) Rules (1) A consult on the same day only if clinically relevant and distinct from the removal AN.0.9	$28.15	$23.95 85%
30064	Subcutaneous foreign body removal by incision Rules (1) A consult on the same day only if clinically relevant and distinct from the removal AN.0.9	$131.55	$111.85 85%
30219	Incision and drainage of small abscess, in rooms Rules (1) A consult on the same day only if clinically relevant and distinct from the drainage AN.0.9	$32.75	$27.85 85%
47915	Ingrown nail wedge resection, toe Rules (1) A consult on the same day only if clinically relevant and distinct from the wedge resection AN.0.9	$202.90	$172.50 85%
14221	Accessing a long-term implanted device (port, PICC) Rules (1) A consult on the same day only if clinically relevant and distinct from accessing the port or line AN.0.9	$62.85	$53.45 85%
13757	Therapeutic venesection Rules (1) A consult on the same day only if clinically relevant and distinct from the venesection: a consult isn't charged with every venesection AN.0.9	$87.30	$74.25 85%

Tests in the practice

Item	What it is	Fee	Medicare pays
11707	12-lead ECG, trace only, sent for specialist reportNot more than twice on the same day Rules (2) Not more than twice on the same day Item 11707 A consult on the same day only if clinically relevant and distinct from the ECG AN.0.9	$22.00	$18.70 85%
11714	12-lead ECG, trace and clinical noteNot more than twice on the same day Rules (2) Not more than twice on the same day Item 11714 A consult on the same day can be claimed, since the ECG informs decisions at that consult; the item's own note says the opposite, so verify DR.1.4	$29.00	$24.65 85%
11505	Spirometry to confirm asthma/COPD diagnosisOnce in any 12 months Rules (2) Once in any 12 months Item 11505 A consult on the same day only if clinically relevant and distinct from the spirometry AN.0.9	$49.30	$41.95 85%
11506	Spirometry to monitor or assess asthma/COPD Rules (1) A consult on the same day only if clinically relevant and distinct from the spirometry AN.0.9	$24.60	$20.95 85%
11607	24-hour ambulatory BP monitoring (ABPM)Once in any 12 months Rules (2) Once in any 12 months Item 11607 A separate consultation on the same day only if a separate problem must be treated then; annotate that consultation’s invoice DN.1.35	$123.20	$104.75 85%
11610	Ankle-brachial index with waveform analysis Rules (1) A consult on the same day only if clinically relevant and distinct from the ankle-brachial index AN.0.9	$76.25	$64.85 85%

Practice nurse and health worker services

Item	What it is	Fee	Medicare pays
10983	Nurse or health worker support for specialist video consult Rules (1) A consult on the same day if it is a distinct, clinically relevant service with no duplication MN.12.6	$38.85	$38.85 100%
10988	Immunisation by an ATSI health practitioner (on behalf) Rules (1) A consult on the same day if the vaccine is a separate, clinically relevant service with no duplication MN.12.1	$14.35	$14.35 100%

Bulk billing incentives and loadings

Bulk billing incentives by Modified Monash area

Incentive	MM1	MM2	MM3–4	MM5	MM6	MM7
Level B–E consultsClaimed with a Level B–E face-to-face consult or a Level B video or phone consult (in the rooms, away from them, in aged care, or after hours): the middle column of the MM 1 claiming table (see requires). Item 75870	75870$26.35	75871$40.10	75873$42.60	75874$45.30	75875$47.80	75876$50.75
MyMedicare telehealthClaimed with a Level C–E video consult or a Level C–D phone consult: the right-hand column of the MM 1 claiming table (see requires). Item 75880	75880$26.35	75881$40.10	75882$42.60	75883$45.30	75884$47.80	75885$50.75
Other servicesNot with a Level B–E face-to-face consult or a Level B video or phone consult (a general practice support service: 75870), nor with a Level C–E video or Level C–D phone consult for a patient registered in MyMedicare with the practice (a MyMedicare service: 75880). The items are those in the MM 1 claiming table's other two columns (MN.1.3#0). Item 10990	10990$8.80	10991$13.35	75855$14.10	75856$15.10	75857$15.85	75858$16.95
Level B–E after hours in MM2–7Claimed with one of the listed Level B–E after-hours attendances away from the rooms or in aged care (GP 5023–5077; other medical practitioners 5223–5267, 763–789, 2198, 2200). Item 75872	75872$40.10	—	—	—	—	—
Other after hours in MM2–7Claimed with one of these after-hours items: urgent after-hours attendances (585, 588, 591, 594, 599, 600) or Level A after-hours attendances away from the rooms or in aged care (5003, 5010, 5220, 5260, 761, 772). Item 10992	10992$13.35	—	—	—	—	—

An extra payment when a doctor bulk bills an unreferred service. MN.1.8
One incentive goes with each MBS item billed: a consultation and a procedure at the same visit each carry their own. MN.1.8
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Loadings

Item	What it is	Fee	Medicare pays
90001	Aged care facility flag fall, GP (first patient) Rules (1) Claimed with the first patient’s GP aged care attendance item Item 90001	$65.80	$65.80 100%
35501	LARC bulk-billing loading (40%) Rules (2) Only with one or more LARC insertion or removal items claimed for the service TN.0.1 One loading for each LARC item it goes with, claimed straight after that item (e.g. implant removal, loading, IUD insertion, loading) TN.0.1	40% of the fee for 35503, 35506, 14206, or 30062

Common questions

What is an MBS fee?: It’s the schedule fee: the fee the Medicare Benefits Schedule sets for each item number. Medicare’s benefit is worked out from it, and the benefit is never more than the fee the doctor charges. Doctors are free to set their own fees. GN.10.26 GN.1.3
What is the MBS fee for a GP?: Item 23, GP Level B consult in rooms (6 to under 20 min), is $45.05, and Medicare pays 100% of it. Item 36, GP Level C consult in rooms (20 min or more), is $87.10. Item 44, GP Level D consult in rooms (40 min or more), is $128.35. Every GP consult item and its fee, by time and place, is in the table at the top of this page. Item 23 Item 36 Item 44
What does MBS stand for in Medicare?: The Medicare Benefits Schedule: the list of services Medicare pays a benefit for. Each service has its own item number, listed with its description, its schedule fee, and its Medicare benefit. GN.1.1
How is the fee for a GP home visit worked out?: From the number of patients seen at the one place. For item 24, GP Level B consult out of rooms (6 to under 20 min), it’s item 23’s fee ($45.05) plus $31.50 shared between the patients seen, up to 6: $76.55 for one patient, and $60.80 each for two. From 7 patients, it’s item 23’s fee plus $2.50 each. Item 24 AN.0.11
Which bulk billing incentive do I claim?: The one for your practice’s Modified Monash area and the service you bulk bill. In a Modified Monash 1 area, Level B–E consults carry 75870 ($26.35), and other services 10990 ($8.80). Check your practice’s area on the Health Workforce Locator. Item 75870 Item 10990 MN.1.1 Health Workforce Locator

Sources

MBS Online: Fees, item wording, and rules, from the MBS in force from 1 August 2026
Services Australia, Medicare Statistics: August 2026 MBS item data: Which items are on this page: the GP items Medicare paid most often that month (CC BY 3.0 AU)

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