Private Health Insurance classification of MBS items – 1 January 2024

This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items effective 1 January 2024.


Private Health Insurance classification of MBS items – 1 January 2024

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date:
Publication type:
Health sector

The ‘Private Health Insurance classification of MBS items - 1 January 2024’ (the ‘PHI Spreadsheet’) released on 20 December 2023, is derived from the MBS XML Data file ‘MBS-XML-20240101 (XML 7969)’ released on 15 December 2023, effective 1 January 2024.

Reflected in the ‘PHI Spreadsheet’ are MBS 1 January 2024 changes include indexation of the Extended Medicare Safety Net, the introduction of a new co-dependent pathology item, the cessation of 23 items and minor administrative policy changes.

Key MBS item changes of potential interest to stakeholders are summarised below, and outlined in the MBS Online January 2024 News

  • Indexation of the fixed dollar EMSN benefit cap.
  • A range of COVID-19 health measures are being extended.
  • Cessation of 18 temporary items introduced on 21 July 2021 for smoking cessation counselling have expired and will no longer be available.
  • Introduction of a co-dependent MBS item (73307) to support pathology – genetics services.

Further information including fact sheets and quick reference guides is at MBS Online.

The recent modifications to the PHI spreadsheet do not require any corresponding amendments to the PHI Rules.

Subscribe for notification of new Circulars using Health’s Latest News RSS (Really Simple Syndication) feed.

Receive notification of updates to PHI Spreadsheets, and other PHI information, by emailing requesting subscription to the email newsletter.

For previous versions of PHI Spreadsheet publications, review the Private health insurance clinical category and procedure type collection, or visit the National Library's web archive.

Help us improve

If you would like a response please use the enquiries form instead.