What changes in the Medicare Benefits Schedule on 1 November 2026, what it means for general practice, and what to check. No fees change. Last updated 4 October 2026.
Key takeaways
• No MBS fees change on 1 November 2026.
• Four new phone care-plan items (92033, 92034, 92063, 92064), at the same fees as video and face-to-face.
• Medicare Healthy Kids Check for 3-year-olds, using items 701–707 and 224–227.
• ABPM item 11607 now includes ages 5 to under 18.
• Nurse practitioners can refer for bone density scans (12306–12322).
A health assessment for Medicare-eligible 3-year-olds, available once per child per lifetime and billed with the existing time-tiered items 701–707 and 224–227. MBS Online’s factsheet (28 August) says it starts on 1 November 2026 “subject to the passage of legislation”; the November News page (1 October) says it “will be introduced”.
92033 and 92034 (GP, $160.60) and 92063 and 92064 (prescribed medical practitioner, $128.55) to prepare or review a GP chronic condition management plan by phone. They follow the video-item rules: a chronic condition, not in residential aged care, and the patient’s MyMedicare practice (or usual doctor).
Item 11607 now also covers ages 5 to under 18, using percentile-based thresholds. Fee unchanged at $123.20.
Participating nurse practitioners will be able to refer patients for bone mineral densitometry (items 12306 to 12322).
“Residential aged care facility” becomes “residential care home” in item wording, to match the Aged Care Act 2024. Modified Monash (MM) location categories are aligned with the 2023 classification, so check your practice’s category.
The 1 November 2026 data file has no schedule fee changes. Every fee we publish matches it. Fees last changed on 1 July 2026.
1. Confirm the Healthy Kids Check wording on MBS Online and whether the “subject to legislation” line has gone.
2. Read our phone care-plan explainer and the Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Amendment (Chronic Condition Management Phone Services) Determination 2026 (F2026L01101) before billing the phone items.
3. Check your practice’s Modified Monash category (it sets the bulk-billing incentive amount).
4. Update templates that say “residential aged care facility”.
No. The MBS data file effective 1 November 2026 contains no schedule fee changes. Fees last changed on 1 July 2026.
A health assessment for Medicare-eligible 3-year-olds, billed using the existing time-tiered health assessment items 701 to 707 (GPs) and 224 to 227 (prescribed medical practitioners), available once per child per lifetime. It is part of the Thriving Kids initiative. MBS Online's factsheet (28 August 2026) says it starts on 1 November 2026, subject to the passage of legislation.
Four new phone attendance items from 1 November 2026 to prepare or review a GP chronic condition management plan: 92033 and 92034 for GPs ($160.60) and 92063 and 92064 for prescribed medical practitioners ($128.55). They are added to the same rules as the video items: the patient must have a chronic condition and not be in residential aged care, MyMedicare-enrolled patients must be seen at their enrolled practice, and the video-item timing and same-day rules apply.
Yes. It is expanded to include patients aged 5 years to under 18 years, using clinic blood pressure thresholds based on percentiles for age, sex and height.
From 1 November 2026 participating nurse practitioners will be able to refer patients for bone mineral densitometry items 12306 to 12322.
GP updates 2026 · MBS Item Lookup · Care plan tips · Telehealth eligibility checker · Patient version
General information for clinicians, not billing or clinical advice. We will update this page on 1 November 2026.