Private Health Insurance classification of MBS items 1 March 2023
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The ‘Private Health Insurance classification of MBS items 1 March 2023’ is derived from MBS XML Data file ’MBS-XML-20230301’ released on 25 November 2022, and includes changes to the General Medical Services Table (GMST) 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.
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 is intended to be made and published on the Federal Register of Legislation after commencement of 1 January MBS changes, and once the additional MBS XML for 1 March 2023 has been published. Formal notification will be provided via a Private Health Insurance Circular and on the Federal Register of Legislation following the finalisation of regulatory approval processes.
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.