Cardio-thoracic procedures: Co-claiming restrictions on Medicare Benefit Schedule (MBS) items 38511 and 45018

This page provides the factsheet for restrictions to co-claiming of cardio-thoracic MBS items 38511 and 45018

Page last updated: 19 February 2026

From 1 March 2026, MBS items 38511 and 45018 will be amended. These changes will prevent co-claiming of item 45018 with item 38502 during the same episode. It will also permit claiming of item 38511 once with item 38502 in the same episode of care. These changes will ensure Medicare benefits are paid appropriately to patients.

Further information can be found in the factsheet below:

Word Version - Co-claiming restrictions on MBS items 38511 and 45018.DOCXWord Version - Co-claiming restrictions on MBS items 38511 and 45018.DOCXPDF Version - Co-claiming restrictions on MBS items 38511 and 45018.PDFPDF Version - Co-claiming restrictions on MBS items 38511 and 45018.PDF

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