CDM Decision Tool
Please be patient while we update this page to reflect the new MBS changes. There's a lot to do!
This resource is designed to assist General Practice in the use of MBS items for Chronic Disease Management. It is not meant to be a complete list.
Also check out the companion pages, CDM useful guides and Chronic Disease Management
Prices current as of the 1st of May 2010.
Acknowledgements
The Ballarat and District Division of General Practice received funding from the Australian Government to develop this resource.
75+ health assessment
| Overview | Health assessment by the patient's usual GP 5 for people aged 75 years and over. |
| Rebate | Brief, standard, long or prolonged |
| Might also be eligible for | |
| Templates |
|
| More |
Item 704: ATSI health assessment (in practice)
| Overview | Health assessment by the patient's usual GP 5 for people aged 55 years and over, and of Aboriginal or Torres Straight Islander descent, in the GP's practice |
| Rebate | $179.15 |
| Might also be eligible for | |
| Templates |
|
| More | MBS Online's explanatory notes on this item |
Item 706: ATSI health assessment (not in practice)
| Overview | Health assessment by the patient's usual GP 5 for people aged 55 years and over, and of Aboriginal or Torres Straight Islander descent, not in the GP's practice |
| Rebate | $253.30 |
| Might also be eligible for | |
| Templates |
|
| More | MBS Online's explanatory notes on this item |
Healthy kids check
| Overview | A one-off check by the patient's usual GP 5 to ensure every four year old child in Australia has a basic health check to promote healthy lifestyles and introduce early intervention strategies. |
| Rebate |
If performed by GP; brief, standard, long or prolonged If performed by PH or AHW; item 10986 |
| Might also be eligible for | Can not be claimed in conjunction with another unrelated GP attendance item on the same day except where this is clinically required. In these exception cases, the claim for the attendance item should be annotated to indicate that the attendance was not related to the Healthy Kids Check. |
| Eligibility | Children 3.5 to 5 years who have not previously had a health assessment, and is receiving pre-school immunisation |
| Templates | Medical Director four year old health assessment template (thanks to NEVDGP) |
| More |
|
Item 10986: Healthy kids check (by practice nurse)
| Overview | A one-off check by a practice nurse 5 to ensure every four year old child in Australia has a basic health check to promote healthy lifestyles and introduce early intervention strategies. |
| Rebate | $55.00 |
| Might also be eligible for | Can not be claimed in conjunction with another unrelated GP attendance item on the same day except where this is clinically required. In these exception cases, the claim for the attendance item should be annotated to indicate that the attendance was not related to the Healthy Kids Check. |
| Eligibility | Children 3.5 to 5 years who have not previously had a health assessment, and is receiving pre-school immunisation |
| Templates | Medical Director four year old health assessment template (thanks to NEVDGP) |
| More |
|
Comprehensive medical assessment (CMA)
| Overview | Comprehensive medical assessment (CMA) undertaken on a resident in an Aged Care Facility by the patient's usual GP 5. |
| Rebate | Brief, standard, long or prolonged |
| Might also be eligible for |
|
| Templates |
|
| More |
CMA Fact Sheet, checklist and flowchart. More (including the CMA service delivery model, referring from GP to Practice Nurse) can be found on the CDM Useful Guides page. Don't want to do a CMA, but want to inform ACF of resident's care needs? Use this medical directive letter. |
Diabetes Risk Assessment for patients aged 40-49 yrs
| Overview | Provision of a type 2 diabetes risk evaluation for a patient who is 40 to 49 years of age (inclusive) with a high risk of developing type 2 diabetes as determined by the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) |
| Rebate | Brief, standard, long or prolonged |
| Might also be eligible for |
|
| Templates |
|
| More |
|
45-49 year old health check
| Overview | Attendance by a GP at a place other than a hospital to undertake a health check for a patient between the age of 45 and 49 (inclusive) at risk of developing a chronic disease. |
| Rebate | Brief, standard, long or prolonged |
| Might also be eligible for | |
| Referral |
45 year old health check patient request letter 1, patient request letter 2 and recall letter. These are suitable for Medical Director, but can also be used in Microsoft Word. |
| More |
45-49 health check to be billed only once and cannot be billed within 3 years of a 40-49 yr high risk of type 2 diabetes health assessment. Following a 45-49 year old health check may be eligible for an LMP. Indigenous people are encouraged to use item 715. MBS Online's explanatory notes on this item. RACGP - Organisational issues for consideration, including:
45+ health check fact sheet, waiting room poster and tips. Other resources: RACGP's 45-49 health check page, LifeScripts, Green Book, Red Book and SNAP |
| Optionals |
|
Health Assessment for People with Intellectual Disabilty
| Overview | Attendance by a general practitioner for a patient with an intellectual disability. Claim item 718 if the attendance is in the practice, otherwise item 719. |
| Rebate | Brief, standard, long or prolonged |
| Might also be eligible for | |
| Forms |
Referral form for disability services to complete. Pro forma for practices in PDF or Medical Director format. |
| More |
DoHA's explanatory notes on this item Patient brochure and Q&A |
Item 721: GP Management Plan (GPMP)
| Overview | Preparation of a GP Management Plan by the patient's usual GP 5 |
| Rebate | $133.65 |
| Might also be eligible for |
|
| Management Plans |
|
| More | DoHA's CDM resources Recommended freqency is every two years, with a minimum claiming period of twelve months except in exceptional circumstances 1. |
Item 723: Team Care Arrangement (TCA)
| Overview | Coordination of a Team Care Arrangment by the patient's usual GP 5. |
| Rebate | $105.90 |
| Might also be eligible for |
|
| Referral |
|
| More |
Recommended freqency is every two years, with a minimum claiming period of twelve months except in exceptional circumstances 1. DoHA's CDM resources |
Item 729: Contribution or review of multi-disciplinary care plan
| Overview | Contribution to, or review of, a multi-disciplinary care plan established by another health provider. |
| Rebate | $65.20 |
| Might also be eligible for |
|
| Referral |
|
| More | MBS Online's explanatory notes on this item Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances 1. |
Item 731: Contribution or review of multi-disciplinary care plan (in RACF)
| Overview | Contribution to, or review of, a multi-disciplinary care plan prepared by a residential aged care facility or another health provider for a resident in an aged care facility. |
| Rebate | $65.20 |
| Might also be eligible for |
|
| Referral |
|
| More | MBS Online's explanatory notes on this item Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances 1. |
Item 732: Review a GPMP or coordinate review of a TCA
| Overview | Review of the GP Management Plan by the patient's usual GP 5 or an associated medical practitioner (a GP who, if not engaged in the same general practice as the usual GP, performs the review at the request of the patient or patient's guardian). |
| Rebate | $66.80 |
| Might also be eligible for |
|
| Referral | Not currently available |
| More | DoHA's CDM resources Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances 1. This item number can be claimed twice on the same day where a review of GPManagement Plan & Coordination of Team Care Arrangement Review are completed on that day, otherwise the minimum three month claiming period will be enforced. MBS online: item 732 |
Item 900: Home Medication Review (HMR or DMMR)
| Overview | Home Medication Review (HMR or DMMR), a review of the patient's medications occurring in the patient's home by the patient's preferred pharmacist. |
| Rebate | $143.30 |
| Might also be eligible for | |
| Referral |
|
| For GPs and pharmacists |
HMR fact sheet and flowchart. |
| For patients |
Recommended frequency every twelve months, minimum claiming period can be less than twelve months except in exceptional circumstances 1. |
Item 903: Residential Medication Management Review (RMMR)
| Overview | Residential Medication Management Review (RMMR), a review of the patients' medications occurring in an aged care facility by a pharmacist. RMMRs can be undertaken in two ways;
GPs can only claim for a collaborative RMMR (item 903) where they have sent a signed referral to the pharmacist. GPs cannot claim for an annual pharmacist RMMR. |
| Rebate | $98.20 |
| Might also be eligible for | |
| Referral |
|
| For GPs and pharmacists |
RMMR info for GPs and RACFs, and some RMMR questions and answers. Recommended frequency every twelve months, minimum claiming period can be less than twelve months except in exceptional circumstances 1. |
Item 701: brief health assessment
| Overview | Brief health assessment lasting less than 30 minutes, including:
|
| Rebate | $55.00 |
| More |
Account must be annotated with service type delivered, e.g. "Risk of Type 2 Diabetes check" |
Item 703: standard health assessment
| Overview | Standard Health Assessment lasting between 30 and 45 minutes, including:
|
| Rebate | $127.80 |
| More | Medicare descriptor |
Item 705: long health assessment
| Overview | Long Health Assessment lasting between 45 and 60 minutes, including:
|
| Rebate | $176.30 |
| More | Medicare descriptor |
Item 707: prolonged health assessment
| Overview | Prolonged Health Assessment lasting more than 60 minutes, including:
|
| Rebate | $249.10 |
| More | Medicare descriptor |
References
- Chronic Disease and Cancer Management, Using MBS Items: for General Practice. Ballarat & District Division of General Practice, 2007
- Department of Health and Ageing (DoHA)
- Royal Australian College of General Practitioners (RACGP)
- MBS Online
Disclaimer
The information on this web site is restricted to a group of MBS items, and is not intended to represent all available MBS items. While efforts have been made to keep this MBS information up to date, the Ballarat & District Division of General Practice does not guarantee total accuracy or legislative compliance. It is the responsibility of the claimant to ensure that all Medicare claims comply with Medicare Australia's requirements.
Footnotes
1 Exceptional cirumstances - significant change in the patient's clinical conditions or care circumstances. Medicare voucher annotated with;
- clinically indicated
- discharged
- exceptional circumstances
- significant change
2 If not already claimed
3 Only claimed at 85% of the full bulk billing amount
5 The patient's usual GP is the GP, or a GP working in the same medical practice, that has provided the majority of care to the patient over the previous 12 months and/or will be providing the majority of care to the patient over the next 12 months

