Private Health Insurance classification of MBS items 6 July 2022

The ‘Private Health Insurance classification of MBS items 1 July 2022’ is derived from the MBS XML Data file ‘MBS‑XML‑220701’ released on 8 April 2022, and includes 1 July 2022 changes which includes indexation and changes to the General Medical Services Table (GMST), Pathology Services Table (PST) and Diagnostic Imaging Services Table (DIST).

Further information on changes to the MBS 1 July 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.

Update 8 July 2022: The ‘Private Health Insurance classifications of MBS items 6 July 2022 – as at 8 July 2022 is derived from the MBS XML files ‘XML-220701v2-MBS’ published on 30 June and ‘XML-220706-MBS’ published on 5 July 2022. It replaces the 22 April 2022 PHI spreadsheet.

PHI classifications and categorisations in the PHI Spreadsheet include:

• four new co-dependent pathology services (73430, 73431, 73432 and 73433) introduced from 1 July 2022
• adding existing MBS item 32218, inadvertently omitted from the Private Health Insurance Legislative Amendment Rules (No.5) 2022 to the Type B Non-band procedures from 1 July 2022 and
• one new temporary item for ventral rectopexy (32118) introduced from 6 July 2022

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.