Source. MBS data file effective 1 November 2026 and MBS Book (July 2026), item 11607 and explanatory notes (DR.1.1, DN.1.35); ambulatory ECG items 11716, 11717, 11723, 11735. Fees index annually on 1 July — verify the current fee and the full exclusion list on MBS Online before billing. Clinical reference for health professionals; confirm against the current Schedule.
When a GP can claim item 11607 for 24-hour ambulatory blood pressure monitoring — and the one rule most people get wrong.
Item 11607 is claimable by a medical practitioner (not specialist-restricted), so GPs can bill it where the criteria are met. The key point: it is for confirming suspected hypertension in an untreated patient — not for monitoring someone already on treatment.
11607 ABPM · once / 12 months
Changes to item 11607 from 1 November 2026 (MBS data file effective 1 Nov 2026; fee unchanged at $123.20). 1. New paediatric pathway: for a patient aged 5 years or more and under 18, the blood-pressure criterion can be met by measurements, on consecutive clinic visits, of systolic or diastolic pressure in a range defined by the 95th percentile — the schedule words it as “between the 95th percentile and 95th percentile ‑ 30 mmHg, based on limits appropriate to the patient’s age, sex and height”. The threshold wording reads unusually, so confirm it on MBS Online before applying it. 2. Longer exclusion list: the four new phone chronic-condition-plan items (92033, 92034, 92063, 92064) are added to the services 11607 cannot be associated with. The adult criteria (140–180 and/or 90–110 mmHg), the “not yet on antihypertensive therapy” rule and the once-per-12-months rule are unchanged.
From 1 November 2026, item 11607 is expanded to include children and adolescents aged 5 to under 18 (percentile-based thresholds). See MBS item 11607.
Is 11607 likely claimable? Tick what applies
Tick the criteria above to see whether 11607 is likely claimable.
Schedule fee $123.20 (85% benefit ≈ $104.75) as at July 2026 — indexed annually on 1 July. Claimable once in any 12-month period.
🫀 Holter / ambulatory ECG is different. Items 11716, 11717, 11723, 11735 (continuous ≥12-hour, 7-day, and patient-activated/loop ECG monitoring) are billed by a specialist or consultant physician — a GP refers, and the reporting service claims the item. There is no GP item for Holter.
Full item 11607 requirements (a–g)
Continuous ambulatory BP recording for 24 hours or more for a patient if:
(a) clinic BP (sphygmomanometer or validated oscillometric) of systolic ≥140 and ≤180 mmHg, and/or diastolic ≥90 and ≤110 mmHg;
(b) the patient has not commenced antihypertensive therapy;
(c) the recording includes the patient’s resting blood pressure;
(d) conducted using microprocessor-based analysis equipment;
(e) interpreted by a medical practitioner, with a report prepared by the same practitioner;
(f) a treatment plan is provided for the patient;
(g) not provided in association with ambulatory ECG, and not associated with the excluded items below.
A comprehensive written plan must be prepared, and the equipment must be ARTG-listed and recalibrated per the manufacturer.
Co-claim exclusions & frequency
11607 is not claimable in association with ambulatory ECG, or with a service to which any of these items apply (schedule effective 1 Nov 2026): 177; 224–228; 231–244; 392, 393; 699; 701–707; 715; 729, 731, 965, 967; 735–758; 92004, 92011, 92026, 92027, 92029, 92030, 92033, 92034, 92057, 92058, 92060, 92061, 92063, 92064 (92033, 92034, 92063 and 92064 are new from 1 Nov 2026). It does not apply to an admitted patient, and is claimable once in any 12-month period. Check the full current exclusion list on MBS Online before claiming.