Private Health Insurance classification of MBS items 1 August 2022
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The ‘Private Health Insurance classification of MBS items 1 August 2022’ is derived from MBS XML Data file ’XML‑220719‑MBS’ released on 18 July 2022 and ‘XML‑220801‑MBS’ released on 20 July 2022.
The 18 July 2022 XML file includes two new temporary telehealth phone services for General Practitioners (93716) and Other Medical Practitioners (93717) for assessing a patient’s eligibility to receive a prescription for a COVID-19 oral anti-viral medication. The new temporary telehealth phone consultation MBS items have nil impact for private health insurance minimum benefit assignment.
The 20 July 2022 XML incorporates 1 August 2022 changes which include, one new temporary substitute positron emission tomography (PET) item for use during gallium-67 (Ga‑67) supply disruptions (61527), clarification of co-claiming arrangements for colorectal surgery item 32006, increased fee for gynaecological surgery item 35723, minor amendments to the descriptors for seven other gynaecological services and other minor administrative changes. Only the new temporary MBS item 61527 has an impact for private health insurance minimum benefit assignment.
Further information on changes to the MBS 19 July 2022 and 1 August 2022, including fact sheets and quick reference guides is available at MBS Online.
PHI Spreadsheets reflect the assignment of MBS items by clinical category and procedure type set out in PHI rules, accessible on the Federal Register of Legislation.
We only update PHI Spreadsheets when MBS item changes result in changes to PHI clinical categorisations and procedure type classifications. Not all MBS XML Data File releases result in PHI Spreadsheet updates.
Receive notification of updates to PHI Spreadsheets, and other PHI information, by emailing PHI@health.gov.au requesting subscription to the email newsletter.
For older versions of this publication, review the Private health insurance clinical category and procedure type collection, or visit the National Library's web archive.