Surgery reimbursement rates

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(This information relates to the Medical Services Reimbursement Rates)

The TAC has adopted the Medicare Benefits Schedule (MBS) items, explanations, definitions, rules and conditions for services provided by medical practitioners.  When invoicing for medical services, medical practitioners are expected to adhere to the MBS rules unless otherwise specified by the TAC in the Reimbursement Rates for Medical Services booklet or its medical policies.

The Reimbursement Rates for Medical Services must be read in conjunction with:

The government recently announced a temporary expansion of telehealth MBS items to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers. These services are for non-admitted patients and geographical restrictions do not apply.

The TAC will fund these temporary telehealth items for services provided by medical specialists, such as GPs, consulting physicians and psychiatrists at the MBS rate.

The TAC expects its providers to only use telehealth when it is clinically appropriate to do so and relates to a client’s accident injuries. Telehealth services must be provided in line with the TAC Clinical Framework.

General Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Video-conference attendances  
Attendance less than 20 minutes (existing MBS item 23) 91800 $44.90
Attendance at least 20 minutes (existing MBS item 36)  91801 $87.00
Attendance at least 40 minutes (existing MBS item 44)  91802 $128.05
Telephone attendances (for when video-conferencing is not available)   
Attendance less than 20 minutes (existing MBS item 23)  91809 $44.90
Attendance at least 20 minutes (existing MBS item 36)  91810 $87.00
Attendance at least 40 minutes (existing item MBS 44)  91811 $128.05

Specialist, Consultant Physican and Psychiatrist attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Specialist : Video-conference attendances  
Specialist. Initial attendance  (existing MBS item 104) 91822* $88.25
Specialist. Subsequent attendance  (existing MBS item 105) 91823* $44.35
Specialist : Telephone attendances (for when video-conferencing is not available)  
Specialist. Initial attendance  (existing MBS item 104)  91832* $88.25
Specialist. Subsequent attendance  (existing MBS item 105) 91833* $44.35
Consultant physician : Video-conference attendances  
Consultant physician. Initial attendance  (existing MBS item 110)  91824 ** $155.60
Consultant physician. Subsequent attendance  (existing MBS item 116) 91825 ** $77.90
Consultant physician. Minor attendance (existing item MBS 119)  91826 ** $44.35
Consultant physician : Telephone attendances (for when video-conferencing is not available)  
Consultant physician. Initial attendance  (existing MBS item 110)  91834 ** $155.60
Consultant physician. Subsequent attendance  (existing MBS item 116) 91835 ** $77.90
Consultant physician. Minor attendance (existing item MBS 119) 91836 ** $44.35
Consultant psychiatrist : Video-conference attendances  
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300) 91827 $44.70
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91828 $89.15
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304)  91829 $137.25
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306)  91830 $189.40
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308)  91831 $219.80
Consultant psychiatrist : Telephone attendances (for when video-conferencing is not available)  
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300)  91837 $44.70
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91838 $89.15
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304) 91839 $137.25
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306) 91840 $189.40
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308) 91841 $219.80

*For all specialties that have an existing arrangement to access consultations at the specialist rate.

**For all specialties that have an existing arrangement to access consultations at the consultant physician rate

Mental Health attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
General Practitioners (credentialed with CEM) : Video-conference attendances  
FPS treatment of 30 to 40 minutes (existing MBS item 2729)  91818 $110.85
FPS treatment of more than 40 minutes (existing MBS item 2731) 91819 $158.60
General Practitioners (credentialed with CEM) : Telephone attendances (for when video-conferencing is not available)  
FPS treatment of 30 to 40 minutes  (existing MBS item 2729)  91842 $110.85
FPS treatment of more than 40 minutes (existing MBS item 2731)  91843 $158.60
Other Medical Practitioners : Video-conference attendances   
FPS treatment of 30 to 40 minutes (existing MBS item 371)  91820 $88.70
FPS treatment of more than 40 minutes (existing MBS item 372) 91821 $126.90
Other Medical Practitioners : Telephone attendances (for when video-conferencing is not available)  
FPS treatment of 30 to 40 minutes  (existing MBS item 371) 91844 $88.70
FPS treatment of more than 40 minutes (existing MBS item 372) 91845 $126.90

Current Rates

Important: The Excel spreadsheet below was updated on 3 April with the early March 2020 MBS amendments (excluding the COVID19 telehealth items). Please replace any older versions you have previously downloaded.

At the time of production this publication contained up to date information as released by Medicare Australia (Medicare).  The relevant publication will be updated to reflect any further changes that are implemented by Medicare each year.  Please check our website for the latest version.

If you have any questions about these publications or the reimbursement rates, please contact the TAC on 1300 654 329. Alternatively, e-mail info@tac.vic.gov.au.