Non-VR GP Billing Guide

⚠️ PMP items (179/181 series) are only available in Modified Monash 2–7 areas. In MM1 (metropolitan), PMPs use the same items as MPs (52–65 series). RACF items for PMPs: 90183, 90188, 90202, 90212, 90215.

Checking whether two items can be billed on the same day? MBS Item Conflict Checker →  ·  Need a fee or descriptor for something else? MBS Item Lookup →

The same time-bracket consult attracts a different schedule fee depending on your provider category. Non-VR practitioners are subsidised at a lower percentage of the notional fee for the equivalent service. PMPs (in eligible rural areas) receive higher rebates than OMPs. Fees below from the MBS Book (March 2026) — verify current values against MBS Online before billing.

PMPs consistently receive around 78% of the equivalent VR GP fee. OMPs (in metropolitan / MM1 areas) receive around 44–48% for standard consults. VR GP fees shown here are the current 1 July 2026 indexed fees; non-VR fees are the March 2026 fees pending July 2026 indexation. Source: MBS Book, MBS Online.

⚠️ Phone Level C/D items (91903, 91913, 91906, 91916) require MyMedicare registration. PMP items for video require Modified Monash 2–7.

Phone items 92033/92034 (GP, $160.60) and 92063/92064 (PMP, $128.55) are new from 1 November 2026 (MBS data file); chronic condition management telehealth items are not subject to the eligible-telehealth-practitioner requirement, but MyMedicare-registered patients must use their registered practice (AN.0.47); confirm in AN.0.47 whether the phone items add any further condition before billing. The official list of 1 November 2026 changes is on MBS Online; the legal instrument is the Health Insurance (Section 3C General Medical Services – Telehealth Attendances) Amendment (Chronic Condition Management Phone Services) Determination 2026 (F2026L01101). The amending determination (F2026L01101) adds the four phone items to the same provisions as the video items, so they carry the same MyMedicare-practice or usual-practitioner rule and the same exemption from the eligible telehealth practitioner requirement — see the phone care-plan items explainer. Same MyMedicare and usual medical practitioner requirements apply to 392/393 as to 965/967. Cannot co-claim with consultation items on the same day. Non-VR CDM fees are approximately 80% of the VR equivalent ($128.55 vs $160.60 for the plan; and vs $160.60 for the review).

Non-VR practitioners cannot bill the standard GP MHTP items (2715, 2717). They use a separate item set — subdivided by whether the practitioner has completed the mental health skills training, and by the time bracket. GP-registered PMPs (those on Register B of the GP Register) receive lower fees than PMPs with mental-health-skills-training who are not GP-registered.

Compared to VR GP MHTP items 2715 ($108.95, 20–40 min) and 2717 ($160.50, 40+ min). MHTP review items are billed under the standard non-VR consult items — there's no dedicated non-VR MHTP review item.

PMPs use items 224–227 as the equivalent of the VR GP 701–707 series. Time brackets and eligibility criteria are the same. From 1 November 2026 (subject to legislation) PMPs can also use 224–227 for the Medicare Healthy Kids Check for Medicare-eligible 3-year-olds (once per child, lifetime). The PMP equivalent of the ATSI health assessment (item 715) is item 228 ($203.25); video equivalent 92011. The 9-month rule is shared across 715, 228, 92004 and 92011. OMPs (Register A / non-PMP) do not have access to health assessment items at all.

PMP health assessment fees are approximately 80% of the equivalent VR GP fee. Fees indexed to 1 July 2026 from MBS Book. ATSI health assessment (VR item 715, $254.10) has no non-VR equivalent.