Private Health Insurance classification of MBS items 1 March 2023

This spreadsheet classifies MBS items by private health insurance clinical category and procedure type and includes MBS items commencing 1 March 2023.


Private Health Insurance classification of MBS items 1 March 2023

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The ‘Private Health Insurance classification of MBS items 1 March 2023v2’ (the ‘PHI Spreadsheet’) is derived from Medicare Benefits Schedule (MBS)  XML Data file ‘MBS-XML-20230301.V2 (XML 7816 KB)' released on 6 February 2023 and replaces the interim file that had been derived from the MBS XML released 25 November 2022.

This PHI Spreadsheet1 March 2023 v2 reflects changes made to items of the MBS General Medical Services Table (GMST), Pathology Services Table (PST), Diagnostic Imaging Services Tables (DIST) and the Health Insurance Regulations 2018. This file also includes changes to various instruments made under subsection 3C(1) of the Health Insurance Act 1973.

PHI classifications and categorisations in the PHI Spreadsheet include:

  • Thoracic surgery item changes
  • Otolaryngology, Head and Neck Surgery item changes
  • new MBS item (63564) for a whole body (W/B) MRI scan to enable the detection of cancer in individuals with germline pathogenic TP53 variants
  • amendments to attendance services for complex neurodevelopmental disorders and disabilities
  • other minor technical and administrative amendments.

Further information on changes to the MBS 1 March 2023, including fact sheets and quick reference guides will be available at MBS Online

PHI Spreadsheets reflect the assignment of MBS items by clinical category and procedure type set out in PHI rules. The PHI Rules for 1 March 2023 will be published on the Federal Register of Legislation and formal notification will be provided via a Private Health Insurance Circular.  Receive the latest news and announcements including new PHI Circulars through our Really Simple Syndication (RSS) feed.

Notification of updates to PHI spreadsheets, and other PHI information is available by emailing requesting subscription to the PHI 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.

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