The 1 November 2012 RTF, PDF & ZIP files - now available

Page last updated: 11 October 2012

The updated 1 November MBS files are available to download from the 1 November 2012 downloads page.



The following changes will take effect from the 1 November 2012:



SUMMARY OF CHANGES



New Items                                      
30687 48694 63507 63508 63510 63511 63513 63514 63516 63517 63519 63520 63522 63523 73333 73334 73335 82300 82306 82309 82312
82315 82318 82324 82327 82332                                
                                         
Deleted Items                                      
11203 11212 42560 42566 42722 42728 42771                            
                                         
Amended Description                                    
99 112 149 288 389 2100 2122 2126 2137 2143 2147 2195 2199 2820 3015 6016 10983 11200 13015 13210 16399
17609 21927 31527 32103 32104 32106 42551 42554 42557 42563 42569 42644 42701 42702 42703 42704 42707 42710 42713 42719 42725
42731 42746 42752 42755 42773 42779 42782 42783 42812 42815 42818 45585 51300 51303 51315 51800 51803 63482 63491 75001 75004
75150 75153 75156 75200 75203 75206 75400 75403 75406 75409 75412 75415 75600 75603 75606 75609 75612 75615 75618 75621 75800
82150 82151 82152 82220 82221 82222 82223 82224 82225                        
                                         
EMSN Change                                      
3 4 20 23 24 35 36 37 43 44 47 51 52 53 54 57 58 59 60 65 92
93 95 96 99 104 105 106 107 108 109 110 112 116 119 122 128 131 132 133 135 137
139 141 143 145 147 149 160 161 162 163 164 170 171 172 173 193 195 197 199 288 289
291 293 296 297 299 300 302 304 306 308 310 312 314 316 318 319 320 322 324 326 328
330 332 334 336 338 342 344 346 348 350 352 353 355 356 357 358 359 361 364 366 367
369 370 385 386 387 388 389 410 411 412 413 414 415 416 417 501 503 507 511 515 519
520 530 532 534 536 597 598 599 600 701 703 705 707 715 721 723 729 731 732 735 739
743 747 750 758 820 822 823 825 826 828 830 832 834 835 837 838 855 857 858 861 864
866 871 872 880 900 903 2100 2122 2125 2126 2137 2138 2143 2147 2179 2195 2199 2220 2497 2501 2503
2504 2506 2507 2509 2517 2518 2521 2522 2525 2526 2546 2547 2552 2553 2558 2559 2598 2600 2603 2606 2610
2613 2616 2620 2622 2624 2631 2633 2635 2664 2666 2668 2673 2675 2677 2700 2701 2712 2713 2715 2717 2721
2723 2725 2727 2801 2806 2814 2820 2824 2832 2840 2946 2949 2954 2958 2972 2974 2978 2984 2988 2992 2996
3000 3005 3010 3014 3015 3018 3023 3028 3032 3040 3044 3051 3055 3062 3069 3074 3078 3083 3088 3093 4001
5000 5003 5010 5020 5023 5028 5040 5043 5049 5060 5063 5067 5200 5203 5207 5208 5220 5223 5227 5228 5260
5263 5265 5267 6007 6009 6011 6013 6015 6016 10801 10802 10803 10804 10805 10806 10807 10808 10809 10816 10950 10951
10952 10953 10954 10956 10958 10960 10962 10964 10966 10968 10970 10983 10984 10986 10987 10988 10989 10997 11700 14100 17609
17610 17615 17620 17625 17640 17645 17650 17655 17680 17690 20142 30071 31200 31205 31521 31527 31560 32501 32504 32507 34106
35533 37619 42590 42738 42739 42740 45003 45025 45026 45200 45203 45206 45545 45584 45585 45587 45614 45617 45620 45623 45624
31560 32501 32504 32507 34106 35533 37619 42590 42738 42739 42740 45003 45025 45026 45200 45203 45206 45545 45584 45585 45587
45614 45617 45620 45623 45624 45632 45635 45652 45659 55054 80000 80005 80010 80015 80020 80100 80105 80110 80115 80120 80125
80135 80140 80145 80150 80155 80160 80165 80170 81000 81005 81010 81100 81105 81110 81115 81120 81125 81300 81305 81310 81315
81325 81330 81335 81340 81345 81350 81355 81360 82000 82005 82010 82015 82020 82025 82030 82035 82120 82125 82150 82151 82152
82200 82205 82210 82215 82220 82221 82222 82223 82224 82225                      


NOTES


1 November Amendments


REVIEW OF GENERAL MEDICAL SERVICES
    Extended Medicare Safety Net - Capping Benefits for Including Items with Excessive Fees - In the 2012-13 Budget, the Government announced that it would place Extended Medicare Safety Net (EMSN) benefit caps on an additional 38 Medicare Benefits Schedule (MBS) procedural items, one diagnostic imaging item and all consultation items, including for allied health services.
    Ophthalmology Review - Following the outcomes from the whole-of-speciality review of Ophthalmology Stage 1 in consultation with The Royal Australian and New Zealand College of Ophthalmologists and the Australian Society of Ophthalmologists, items 11203, 11212, 42560, 42566, 42722, 42728 and 42771 have been removed from the schedule. Additionally, 29 Ophthalmology items have been amended to reflect contemporary clinical practice.
    Minor Amendment to MBS items 32103, 32104 and 32106 - The MSAC executive approved the amendment of the MBS item descriptors 32103, 32104 and 32106 for implementation from 1 November 2012. The amendments allow the use of monocular equipment with 2D optic capacity in addition to equipment with 3D stereoscopic optic capacity for Trans-anal Endoscopic Microsurgery (TEM).
    Cervical artificial intervertebral total disc replacement - A new MBS item for the above procedure is to be implemented for 1 November 2012. Application 1145 - Artificial intervertebral disc replacement in patients with cervical degenerative disc disease was found by the Medical Advisory Services Committee (MSAC) to be safe, effective and cost -effective.
    Changes to Telehealth - As announced in the 2012-13 Budget there is an introduction of a new rule for 20 items (99, 112, 288, 389, 2820, 3015, 6016, 149, 16399, 13210, 17609, 2100, 2122, 2126, 2137, 2143, 2147, 2195, 2199, and 10983) to ensure the patient-end and specialist services are more than 15 kilometres apart (by the most direct route by road). Additionally, item 10983 has been amended to re-introduce the inner metropolitan criterion.

REVIEW OF ALLIED HEALTH
    New Diagnostic Audiology services for Allied Health - New diagnostic audiology services have been introduced under items 82300 to 82332 as part of a 2012-13 Budget measure. The items enable an audiologist to perform diagnostic tests upon written request from an Ear, Nose and Throat specialists or for some services, a neurologist.
    Changes to eligibility requirements for psychologists providing allied health services - The wording relating to the qualifications of psychologists who can obtain a Medicare Provider Number and provide services under Medicare has been changed to enable psychologists holding general registration with conditions attached to their registration to provide Medicare-rebateable allied health services. Psychologists with provisional registration who require further supervised practice prior to gaining general registration and psychologists with non-practising registration remain ineligible to provide Medicare-eligible services.

    REVIEW OF DIAGNOSTIC IMAGING SERVICES
    New MRI Items

      New GP MRI items - As of 1 November 2012 six new GP magnetic resonance imaging requesting items for children under the age of 16 years will commence. The items can be requested by GPs only and performed at all Medicare-eligible and partially Medicare-eligible MRI units across Australia.
      Changes to Medicare-eligible diagnostic radiology services - As of 1 November 2012 there will be a change to all Medicare-eligible diagnostic radiology services (excluding mammography) requiring that the procedure must be performed by a medical practitioner or a medical radiation practitioner who is employed by or who is providing the service under the supervision of a medical practitioner in accordance with accepted medical practice. However, for items 57901 to 57969, a diagnostic imaging procedure may also be performed by a dental practitioner, if they are approved by the Minister under paragraph (b) of the definition of professional service in subsection 3 (1) of the Health Insurance Act 1973 and, who is employed by or who is providing the service under the supervision of a medical practitioner in accordance with accepted medical practice.

    REVIEW OF THE PATHOLOGY SERVICES