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
  • Bulk billing incentive 10991 ($8.55) 3
  • GP Management Plan 721 and review 732
  • Team Care Arrangement 723 and review 732 732
  • Contribution to Multidisciplinary Care Plan 729
  • Home Medicine Review 900
  • GP Mental Health Care Plan 2710
Templates
  • Medical Director users can select a patient, go to Assessments, then select Health Assessments
  • NEVDGP's health assessment form for Medical Director users incorporates GP and PN time spent
  • MedTech32 users can select Module > Clinical > Extended Primary Care > Health Assessment (patient record must be open)
More

DoHA's checklists and questions and answers

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
  • Medical Director users can select a patient, go to Assessments, then select Health Assessments
  • MedTech32 users can select Module > Clinical > Extended Primary Care > Health Assessment (patient record must be open)
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
  • Medical Director users can select a patient, go to Assessments, then select Health Assessments
  • MedTech32 users can select Module > Clinical > Extended Primary Care > Health Assessment (patient record must be open)
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
  • Bulk billing incentive 10991 ($8.55) 3
  • Contribution to Multidisplinary Care Plan for resident in Aged Care Facility 731
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35) only if a 731 has already been claimed
  • RMMR 903
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)

RebateBrief, standard, long or prolonged
Might also be eligible for
  • Bulk billing incentive 10991 ($8.55) 3
Templates
  • NEVDGP's LMP referral for Medical Director (suitable for referral of all patients over 40 to both a Lifestyle Modification Program (LMP) or Life! program)
  • DoHA's printable GP referral form (suitable for referral of patients 40-49 years of age to a LMP)
  • Risk Assessment Tool (AusDrisk) and Health Assessment templates available for Medical Director and ZedMed
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.

RebateBrief, standard, long or prolonged
Might also be eligible for
  • Bulk billing incentive 10991 ($8.55) 3
  • GP Management Plan 721 and review 732
  • Team Care Arrangement 723 and review 732
  • Contribution to Multidisciplinary Care Plan 729
  • Home Medicine Review 900
  • GP Mental Health Care Plan 2710
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:

  • Identifying eligible patients
  • Patients readiness to change
  • Referrals

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
  • Baseline ECG
  • Lung function test, e.g. Piko test or spirometry

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.
RebateBrief, 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
  • Bulk billing incentive 10991 ($8.55) 3
  • Team Care Arrangement 723 and review 732
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35)
  • Home Medicine Review 900
  • GP Mental Health Care Plan 2710
Management Plans
More

DoHA's CDM resources

Patient fact sheet

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
  • Bulk billing incentive 10991 ($8.55) 3
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35)
  • Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes
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
  • Bulk billing incentive 10991 ($8.55) 3
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35)
  • Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes
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
  • Bulk billing incentive 10991 ($8.55) 3
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35)
  • Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes
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
  • Bulk billing incentive 10991 ($8.55) 3
  • Team care arrangment 723 2
  • PN or AHW providing chronic disease support and monitoring, item 10997 ($11.35)
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;

  • collaborative RMMR initiated by a GP, and/or
  • annual RMMR initiated by a pharmacist

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
  • Bulk billing incentive 10991 ($8.55) 3
  • CMA 712 (ideally RMMR is done as part of CMA)
  • Contribution or review of multi-disciplinary care plan (in RACF) 731
Referral
For GPs and pharmacists

RMMR checklist and flowchart.

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:

  1. Collection of relevant information, including taking a patient history;
  2. A basic physical examination;
  3. Initiating interventions and referrals as indicated; and
  4. Providing the patient with preventive health care advice and information.
Rebate $55.00
More

Account must be annotated with service type delivered, e.g. "Risk of Type 2 Diabetes check"

Medicare descriptor

Item 703: standard health assessment

Overview

Standard Health Assessment lasting between 30 and 45 minutes, including:

  1. Detailed information collection, including taking a patient history;
  2. A extensive physical examination;
  3. Initiating interventions and referrals as indicated; and
  4. Providing a preventive health care strategy for the patient.
Rebate $127.80
More Medicare descriptor

Item 705: long health assessment

Overview

Long Health Assessment lasting between 45 and 60 minutes, including:

  1. Comprehensive information collection, including taking a patient history;
  2. A extensive physical examination of the patients medical condition and function;
  3. Initiating interventions and referrals as indicated; and
  4. Providing a basic preventive health care management plan for the patient.
Rebate $176.30
More Medicare descriptor

Item 707: prolonged health assessment

Overview

Prolonged Health Assessment lasting more than 60 minutes, including:

  1. Comprehensive information collection, including taking a patient history;
  2. A extensive physical examination of the patients medical condition and and physical, psychological and social function;
  3. Initiating interventions and referrals as indicated; and
  4. Providing a comprehensive preventive health care management plan for the patient.
Rebate $249.10
More Medicare descriptor

References

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