MBS Item · new from 1 November 2026
Item 92064 — PMP Phone Attendance to review a GPCCMP
The Australian Medicare Benefits Schedule listing, with schedule fee and plain-English explanation. Last updated 4 October 2026.
Schedule fee
A$128.55
✓ Verified against the MBS data file (1 Nov 2026)
Category
Chronic condition management (phone)
What item 92064 is used for
A phone attendance by a prescribed medical practitioner to review a GP chronic condition management plan (GPCCMP), prepared by the same practitioner or an associated medical practitioner. It is the telephone counterpart of the video item 92061 and the face-to-face item 393, at the same schedule fee.
What changes on 1 November 2026
Item 92064 is new on 1 November 2026. Until then a plan can be reviewd face-to-face (393) or by video (92061). The MBS Online November 2026 news page lists four new phone items for chronic condition management: 92033 and 92034 (GP), and 92063 and 92064 (prescribed medical practitioner).
Conditions that apply
From the Determination as amended by F2026L01101 (clause references in brackets). Starts 1 November 2026.
- Chronic condition. The patient must have at least one chronic condition (clause 1.1.04(1)). MBS Online and Services Australia describe this as a medical condition that has been, or is likely to be, present for at least 6 months, or is terminal.
- Not in residential aged care. The patient must not be a care recipient in a residential aged care facility (clause 1.1.04(4)(a)).
- MyMedicare or usual doctor. If the patient is enrolled in MyMedicare, the service must be provided at the practice where they are enrolled. If they are not enrolled, it must be provided by their usual medical practitioner (clause 1.1.04(4)(b)).
- No 12-month relationship rule. Like the video items, the phone items are exempt from the “eligible telehealth practitioner” requirement (section 7(6A)(c)). Separately, section 7(6C) of the Determination provides that, for the exemptions in subsections (6), (6A) and (6B), the provider must document in the patient’s clinical notes which exemption has been used and the clinical justification. The sources we read do not say how the Department applies this to the care-plan items.
- A genuine phone consultation. The practitioner must be able to provide the full service safely by phone, be satisfied that it is clinically appropriate, and keep an audio link with the patient (definition of “phone attendance”, section 5).
- One practitioner, one patient. Provided in a personal attendance by a single GP (92033, 92034) or prescribed medical practitioner (92063, 92064) on a single patient. Practice nurses, Aboriginal health workers and Aboriginal and Torres Strait Islander health practitioners may assist under supervision (clause 1.1.07).
- Timing. Prepare items (92033, 92063): not within 12 months of an earlier prepare item (392, 965, 92029, 92033, 92060, 92063), and not within 3 months of a review or multidisciplinary care plan item. Review items (92034, 92064): not within 3 months of an earlier review item (393, 967, 92030, 92034, 92061, 92064). These limits do not apply if exceptional circumstances exist (a significant change in the patient’s clinical condition or care circumstances). Different rules apply for palliative medicine (clause 1.1.06). MBS Online summarises the current video-item position as one plan every 12 months and reviews once every 3 months, unless exceptional circumstances apply.
- Same day. Clause 1.1.05 of the Determination extends to these items the rule that the items specified in paragraphs 2.16.11(a) to (f) of the general medical services table do not apply to the same patient on the same day when the same GP or prescribed medical practitioner provides the care-plan service. MBS Online’s note on item 23 states that general attendance items and the existing chronic condition management items cannot be claimed on the same day for the same patient.
- Not for admitted patients. The items do not apply to an admitted patient (section 7(1)).
Full explainer for items 92033, 92034, 92063 and 92064 →
Key facts
Schedule fee: $128.55. Medicare benefit: 100% of the schedule fee (benefit type E in the data file). Extended Medicare Safety Net cap: $385.65 (300% of the fee, maximum $500). Legal basis: the Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Amendment (Chronic Condition Management Phone Services) Determination 2026 (F2026L01101), made 20 August 2026 and registered 24 August 2026, which adds this item to the rules that already apply to the video items. Read the instrument and MBS Online before billing.
Common questions
Can I claim item 92064 now?
No. Item 92064 starts on 1 November 2026. Until then, use the face-to-face item 393 or the video item 92061 as the situation allows.
How much does item 92064 pay?
The schedule fee is $128.55, the same as the video item 92061 and the face-to-face item 393. Medicare pays 100% of the schedule fee; the Extended Medicare Safety Net cap is $385.65.
What conditions apply to the phone items?
The patient must have a chronic condition and must not be a care recipient in residential aged care. If the patient is enrolled in MyMedicare the service must be provided at the enrolled practice; otherwise by the patient's usual medical practitioner. The same timing and same-day rules as the video items apply. See our explainer for the clause references.
General information only. Descriptor wording is a plain-English summary — always confirm current descriptor, restrictions and co-claiming rules against the MBS Book or MBS Online before billing. AskMyGP provides information, not billing or clinical advice.