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MBS items that have an Extended Medicare Safety Net cap from 1 November 2012

This fact sheet shows the MBS items that have Extended Medicare Safety Net (EMSN) benefit caps from 1 November 2012.



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Consultation Items that have an EMSN cap from 1 November 2012

MBS groupName of groupItem numbers
Group A1GP attendances3 – 51
Group A2Other non-referred attendances52 – 96
Group A3Specialist attendances99 – 109
Group A4Consultant physician attendances110 – 133
Group A5Prolonged attendances160 – 164
Group A6Group therapy170 – 172
Group A7Acupuncture173 – 199
Group A8Consultant psychiatrist288 – 370
Group A9Contact lenses – attendances10801 – 10816
Group A11Urgent attendance after hours597 – 600
Group A12Consultant occupational physician385 – 389
Group A13Public health physician410 – 417
Group A14Health assessments701 – 715
Group A15GP management plans, team care arrangements, multidisciplinary care plans721 – 880
Group A17Domiciliary and residential management reviews900 – 903
Group A18GP attendance associated with a PIP incentive payment2497 – 2559
Group A19Other non-referred attendances associated with a PIP incentive payment2598 – 2677
Group A20GP mental health treatment2700 – 2727
Group A21Emergency physician501 – 536
Group A22GP after hours attendances5000 – 5067
Group A23Other non-referred after hours attendances5200 – 5267
Group A24Pain and palliative medicine2801 – 3093
Group A25Outer metropolitan specialist trainees5906 – 5912
Group A26Neurosurgery attendances6007 – 6016
Group A27Pregnancy support counselling4001
Group A28Geriatric medicine141 – 149
Group A29Early intervention services for children with autism, pervasive developmental disorder or disability135 – 139
Group A30Medical practitioner telehealth attendances2100 – 2220
Group T6Anaesthetic consultations17609 – 17690
Group C1Orthodontic services75001 – 75004
Group C2Oral and maxillofacial services75150 – 75153
Group C3General and prosthodontic services75800
Group M3Allied health services10950 – 10970
Group M6Psychological therapy services80000 – 80020
Group M7Focussed psychological strategies (allied mental health)80100 – 80170
Group M8Pregnancy support counselling81000 – 81010
Group M9Allied health group services81100 – 81125
Group M10Autism, pervasive developmental disorder and disability services82000 – 82035
Group M11Allied health services for Indigenous Australians who have had a health check81300 – 81360
Group M12Services provided by a practice nurse or registered Aboriginal health worker on behalf of a medical practitioner10983 – 10989, 10997
Group M14Nurse practitioners82200 - 82225

Procedural items and one ultrasound item that have an EMSN cap from 1 November 2012
Item Number
Description of service
11700Electrocardiography, tracing and report.
14100Laser photocoagulation for the treatment of vascular lesions
20142Initiation of management of anaesthesia for lens surgery
30071Diagnostic biopsy of skin or mucous membrane
31200Removal of tumour, cyst, ulcer or scar by surgical excision
31205Removal of tumour, cyst, ulcer or scar by surgical excision
31521Total male mastectomy
31527Subcutaneous male mastectomy
31560Excision of accessory breast tissue
32501Varicose vein treatment
32504Varicose vein treatment
32507Varicose vein treatment
34106Ligation of artery or vein
35533Vulvoplasty or labioplasty
37619Reversal of male sterilisation – vasovasostomy or vasoepididymostomy
42590Canthoplasty – eyelid surgery
42738Injection of a therapeutic substance into the eye
42739Injection of a therapeutic substance into the eye
42740Injection of a therapeutic substance into the eye
45003Single stage local myocutaneous flap repair to 1 defect, simple and small
45025Carbon dioxide laser for scaring on face or neck
45026Carbon dioxide laser for scaring on face or neck – more than 1 area
45200Single stage local flap, where indicated, to repair 1 defect, simple or small,
45203Single stage local flap, where indicated, to repair 1 defect, complicated or large,
45206Single stage local flap, where indicated, to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals
45545Reconstruction of nipple areola or both
45584Liposuction
45585Liposuction
45587Meloplasty for correction of facial asymmetry due to soft tissue abnormality
45614Whole thickness reconstruction of eyelid other than by direct suture
45617Upper eyelid reduction
45620Lower eyelid reduction
45623Ptosis of eyelid (unilateral), correction of
45624Ptosis of eyelid, correction of, where previous ptosis surgery has been performed
45632Rhinoplasty, correction of lateral or alar cartilages
45635Rhinoplasty, correction of bony vault only
45652Rhinophyma, carbon dioxide laser or erbium laser excision-ablation of
45659Correction of lop ear, bat ear or similar deformity
55054Ulrasonic cross-sectional echography in conjunction with a surgical procedure using interventional techniques

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