MBS EPC Items

Medical Benefits Schedule Enhanced Primary Care Chronic Disease Management - Item numbers for General Practice

Northern and Western Divisions of General Practice have compiled a summary of MBS Items that can be used for Enhanced Primary Care delivery.

Many of these items are useful in paediatrics, for example:

Items 2546, 2552, 2558
For ongoing follow-up and a structured program of regular review to help decrease asthma morbidity

Items 2517, 2521, 2525
Ongoing follow-up and annual cycle of care for type 2 diabetic paediatric patients

Items 2710, 2712, 2713
Mental Health Comprehensive assessment, long consultations, review and care plans - including children / youth

Item 10996
Practice nurses – wound management – including paediatrics

Item 10993
Immunisations by credentialed practice nurses (some eligibility criteria)

Item 708
Aboriginal and Torres Strait Islanders child health check

Items 714, 716
Refugee and other humanitarian entrants detailed health assessment - including comprehensive infection screen, Malaria, TB etc, children and adults.

Items 718, 719
Health assessment of a child with intellectual disability

Item 721
GP Management Plan – for paediatric patients with chronic illness

Item 723
GP Team care arrangement if needed for their patients

Other new items which further enhance multidisciplinary care can be used by specialists when a child is referred by the GP for a management plan or further management. GPs can also refer specifically for Item 132. Children with at least two morbidities are eligible. For example, diabetes with other related co-morbidity such as kidney disease or neuropathies.

Item 132
Comprehensive management plan. If the child is already on a GP Management Plan or TCA (Team Care Arrangement), the Specialist Management plan must enhance or complement the existing plan.
Can be claimed once in 12 months by the same consulting physician.

Item 133
Review of the plan, revise diagnosis or treatment.
Can be claimed twice in 12 months by the same consulting physician.

Please click here for the full PDF version for your wall - our thanks to Northern Division of General Practice for sharing this with us.

QUESTIONS?? CALL MEDICARE ON tel 132150

Last Updated 31-Jul-2009. Authorised by: Annie Moulden. Enquiries: Susan Jury.