Changes to MBS items for orthopaedic surgery services

Changes to MBS items for orthopaedic surgery services

Page last updated: 09 March 2021

From 1 July 2021 the Australian Government is making changes to Medicare funded orthopaedic surgery services. These changes follow recommendations from the Medicare Benefits Schedule (MBS) Review Taskforce and extensive consultation with key stakeholders.

What

The changes include the addition of new items, the amendment, deletion, consolidation and simplification of existing items, and consequential amendments to explanatory notes.

Why

MBS items for orthopaedic surgery will be changing to ensure services are clinically appropriate, reflect contemporary clinical practice and improve quality of care and safety for patients.

Who

These changes are relevant for all specialists involved in the provision of orthopaedic services, consumers claiming these services, private hospitals and private health insurers.

When

The changes to orthopaedic surgery services will be effective from 1 July 2021. These changes are subject to legislative processes.

Where can I find more information?


Webinar presentation

Orthopaedic Surgery Webinar Presentation

Orthopaedic surgery item mapping document

Item map of changes to orthopaedic surgery services – pdf (274 KB)

    Orthopaedic surgery factsheets

    Factsheet on upcoming communications for orthopaedic surgery – pdf (274 KB)

    Factsheet on upcoming communications for orthopaedic surgery – docx (96 KB)

      Disclaimer:
      Please note that the information provided is a general guide only and subject to revision. It is ultimately the responsibility of treating practitioners to use their professional judgment to determine the most clinically appropriate services to provide, and then to ensure that any services billed to Medicare fully meet the eligibility requirements outlined in the legislation.

      To find out more or subscribe for updates visit www.mbsonline.gov.au.

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