Chronic Disease Management - MBS Item Numbers


All information regarding the Medicare Benefits Schedule, can be accessed through the Department’s website at www.health.gov.au/mbsonline.


 GROUP A15 - GP MANAGEMENT PLANS, TEAM CARE ARRANGEMENTS, MULTIDISCIPLINARY CARE PLANS AND CASE CONFERENCES

SUBGROUP 1 - GP MANAGEMENT PLANS, TEAM CARE ARRANGEMENTS AND MULTIDISCIPLINARY CARE PLANS

MBS Item

Notes

721

PREPARATION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) of a GP MANAGEMENT PLAN for a patient (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within twelve months of a previous claim for the same item or former item 720, or within three months of a claim for items 725, 727, 729 or 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new GP Management Plan.

Fee: $130.65 Benefit: 75% = $98.00 100% = $130.65

(See para A33 of explanatory notes to this Category)
 

723

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE the development of TEAM CARE ARRANGEMENTS for a patient (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within twelve months of a previous claim for the same item, or within three months of a claim for item 727, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the coordination of new Team Care Arrangements.
Fee: $103.50 Benefit: 75% = $77.65 100% = $103.50

(See para A33 of explanatory notes to this Category) 
 

725

 Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to REVIEW:

(a) a GP MANAGEMENT PLAN prepared by that medical practitioner (or an associated medical practitioner) to which item 721 applies; or

(b) a multidisciplinary community care plan to which former item 720 applied, or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner); (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 721, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the preparation of a new review of a GP Management Plan.

Fee: $65.30 Benefit: 75% = $49.00 100% = $65.30

(See para A33 of explanatory notes to this Category)
 

727

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to COORDINATE a REVIEW of

(a) TEAM CARE ARRANGEMENTS coordinated by that medical practitioner (or an associated medical practitioner) to which item 723 applies; or

(b) a multidisciplinary community care plan to which former item 720 applied or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner); (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 723, except where there has been a significant change in the patient's clinical condition or care circumstances that requires the coordination of a new review of Team Care Arrangements.

Fee: $65.30 Benefit: 75% = $49.00 100% = $65.30
(See para A33 of explanatory notes to this Category)  
 

729

CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to a multidisciplinary care plan prepared by another provider or to a REVIEW of a multidisciplinary care plan prepared by another provider (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within twelve months of a claim by the same practitioner for item 721 or 723, within three months of a claim for the same item or within three months of a claim for item 725, item 727, or item 731, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan.

Fee: $63.75 Benefit: 100% = $63.75
(See para A33 of explanatory notes to this Category)  
 

731

CONTRIBUTION by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to:

(a) a multidisciplinary care plan for a patient in A RESIDENTIAL AGED CARE FACILITY, prepared by that facility, or to a REVIEW of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a resident by another provider before the resident is discharged from a hospital or an approved day-hospital facility, or to a review of such a plan prepared by another provider; (not being a service associated with a service to which items 734 to 779 apply).

A rebate will not be paid within three months of a previous claim for the same item or within three months of a claim for item 721, 723, 725, 727, 729, except where there has been a significant change in the patient's clinical condition or care circumstances that requires a new contribution to the multidisciplinary care plan.

Fee: $63.75 Benefit: 100% = $63.75
(See para A33 of explanatory notes to this Category)  
 










Practice Staff Links

Forms
 Electronic Templates
 Paper Based MD Templates
 Patient Care
 Patient Services
 Referrals

Information Bulletins  

Links

News and Information

Professional Development
 Practice Nurses
 Practice Staff

MBS 
 Fees Update
 Presentations
 Chronic Disease Management
 New MBS Items

Programs
 Aged Care Panel
 Chronic Disease
 Member Services
 Wheatbelt Resilience Program
 Wheatbelt Support Services

Resources & Publications

Wheatbelt Contacts
 Allied Health Avon & Central District
 Allied Health Eastern District
 Allied Health Western District
 Practices