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Private Health Insurance classification of MBS items 1 January 2025
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The ‘Private Health Insurance classification of MBS items 1 January 2025’ (the ‘PHI Spreadsheet’) released on 6 December 2024, is derived from the MBS XML Data file ‘MBS-XML-20250101 [XML 7973 KB]’ released on 6 December 2024, effective 1 January 2025.
Reflected in the ‘PHI Spreadsheet’ are MBS 1 January 2025 changes to the Diagnostic Imaging Services Table (DIST) and Pathology Services Table (PST).
Key MBS item changes of potential interest to stakeholders are summarised below, and outlined in the MBS Online – January 2025 News:
- diagnostic Imaging services
- pathology services.
Further information including fact sheets and quick reference guides is at MBS Online.
PHI Spreadsheets reflect the assignment of MBS items by clinical category and procedure type set out in the Private Health Insurance Legislation Amendment Rules for 1 January 2025 which will be published on the Federal Register of Legislation following the finalisation of regulatory approval processes. Details of the changes will be available in the Explanatory Statement that will accompany the Amendment Rules.
Formal notification of the Amendment Rules registration from the Department of Health and Aged Care will be via Private Health Insurance Circular.
Receive notification of updates to PHI Spreadsheets, and other PHI information, by emailing PHI@health.gov.au 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.