New from 1 March 2026. Be physically present with your patient during a specialist video consult and bill Medicare for your time.
A Patient End Support (PES) service is when a GP (or nurse practitioner, or prescribed medical practitioner) is physically present with the patient while the patient attends a video consultation with a specialist or consultant physician.
The GP supports the patient to attend and participate in the video call — for example, assisting with the technology, conducting examinations the specialist directs, or providing clinical handover.
All items: 100% benefit. Source: MBS Book July 2026, Group A48 Subgroup 1.
| Item | Location | Duration | Fee |
|---|---|---|---|
| 2484 | Consulting rooms | 6–19 min | $63.90 |
| 2485 | Other location | 6–19 min | $74.15 |
| 2486 | Aged care facility | 6–19 min | $63.90 |
| 2487 | Consulting rooms | 20–39 min | $104.90 |
| 2488 | Other location | 20–39 min | $115.15 |
| 2489 | Aged care facility | 20–39 min | $104.90 |
| 2490 | Consulting rooms | 40–59 min | $145.10 |
| 2491 | Other location | 40–59 min | $152.75 |
| 2492 | Aged care facility | 40–59 min | $145.10 |
| 2493 | Consulting rooms | 60+ min | $222.65 |
| 2494 | Other location | 60+ min | $232.90 |
| 2495 | Aged care facility | 60+ min | $222.65 |
Items 2484–2495 are for GPs only. Prescribed medical practitioners (PMPs) have their own items (373–391). Nurse practitioners have items 82250–82257. Use the correct item for your provider type.
Yes. PES services can only be billed where the specialist or consultant physician is working in private practice and has also billed the service to the MBS. If the specialist does not claim an MBS item, you cannot claim a PES item.
Yes. The item descriptor requires that the GP is located in the same room as the patient for the whole of the attendance. The duration is measured by your total time attending to the patient — including time after the video call ends if you continue supporting the patient.
Yes, provided the second attendance is a separate, distinct service and not a continuation of the PES attendance. Both consultations must be documented with their times on the patient’s account or bulk billing voucher.
Only clinical details recorded at the time of the attendance count toward the duration. Notes added at a later time do not count. The duration is not restricted to the specialist’s time on the call — it includes any additional time you spend with the patient after the video call to complete what was discussed.
Contemporaneous notes must include:
— That the service was performed face-to-face simultaneously with a video conference from a specialist or consultant physician
— The date and start/end time of the attendance
— The people who participated (patient, GP, specialist name)
Keep records for at least 2 years as Services Australia conducts post-payment auditing.
No. PES items are not payable for admitted hospital patients, including Hospital in the Home patients. They apply in consulting rooms, other locations, and residential aged care facilities only.
The referral procedure for the video consultation is the same as for a conventional face-to-face consultation with a specialist. PES is available for a referred private specialist or consultant physician video consultation.
| Provider | Items | Group |
|---|---|---|
| GP | 2484–2495 | Group A48 — GP Telehealth Related |
| Prescribed Medical Practitioner (PMP / non-VR) | 373–391 | Group A7 Subgroup 13 |
| Nurse Practitioner | 82250–82257 | Group M14 Subgroup 5 |