May 2020 Item Update

May 2020 Item Update

The May 2020 item update is now available to download.

Please read through all these notes prior to running your item update.

If you are prompted, please update your Medcomms.

Current annual support customers can download the new fees via the item update button in Impulse. If you are unsure of this process, you can find the instructions here: https://support.mednet.com.au/portal/kb/articles/updating-items

Released

  1. Medicare
  2. AHSA
  3. BUPA
  4. HCF
  5. Medibank Private

Not Released

  1. DVA
  2. Mildura Health Fund
  3. NIB
  4. St Luke's

Summary of Changes

GENERAL MEDICAL SERVICES CHANGES
Nuclear medicine items 12503, 12506, 12509, 12512, 12515, 12518, 12521 and 12530
Eight nuclear medicine items (12503, 12506, 12509, 12512, 12515, 12518, 12521 and 12530) will cease as they no longer reflect clinical practice. This was recommended by MBS Review Taskforce.

Anaesthesia items
Item 25015 will be replaced by two new anaesthesia items 25013 and 25014 to clarify the ages of eligible patients.

Item 25013 is for patients under 4 years and item 25014 for patients 75 years or over.

Breast biopsy items as recommended by the MBS Taskforce

    · Three bore-enbloc stereotactic biopsy breast biopsy items (31539, 31542 and 31545) will cease as they no longer reflect clinical practice.
    · The schedule fee for mechanical breast biopsy item 31548 will increase from $140.10 to $203.20 to reflect the higher costs, clinical superiority and technical difficulty of mechanical breast biopsy compared to fine needle aspiration biopsy.
Colonoscopy items
Items 32084, 32087 and 32224 have been amended to clarify their intended purpose and to remove redundant terminology:
    · items 32084 and 32087 have been amended to remove the requirement that sigmoidoscopies and colonoscopies must be ‘flexible’ or ‘fibreoptic’. These terms are redundant as all contemporary colonoscopies and sigmoidoscopy use flexible endoscopes with digital technology;
    · item 32087 has been further amended by deleting “the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding by argon plasma coagulation” in the descriptor. This change will clarify that doctors should generally be claiming item 32227 for therapeutic colonoscopy service for the treatment of radiation proctitis, angiodysplasia or post-polypectomy bleeding; and
    · amendment to item 32224 to ensure patient entitlement where a certain adenoma is exactly 10 mm in diameter.
Micro-bypass glaucoma surgery (MBGS) standalone procedure
A new MBS item for Micro-bypass glaucoma surgery (MBGS) as a standalone procedure. This change inserts a new glaucoma item (42504) for the insertion of micro-stents in the eye. The new item is for patients with open angle glaucoma for whom conservative treatment has failed or is contraindicated. This change is the result of an MSAC recommendation (application 1541) to Government. MSAC determined that the micro-bypass glaucoma surgery procedure has an acceptable safety profile and may delay or avoid the need for trabeculectomy (a more invasive procedure) in some patients not adequately controlled with medical therapy.

The new item can be performed by specialists and consultant physicians who have certification and training recognised by the Conjoint Committee for the Recognition of Training in Micro-Bypass Glaucoma Surgery. The Conjoint Committee comprises representatives from the Australian and New Zealand Glaucoma Society and the Royal Australian and New Zealand College of Ophthalmologists.

New item 37226 for prostate MRI under MRI guidance
This change will create a new MBS item for biopsy of the prostate when guided by MRI. This new item was recommended by MSAC Executive at its meeting of 29 June 2018, as an addition to ultrasound- guided prostate biopsy. This change will provide doctors flexibility to choose the most appropriate modality to guide biopsy, allow a Medicare rebate to be paid for patients who receive a prostate biopsy under MRI-guidance.

Schedule fee increase for items 37207 and 37208
Schedule fees for items 37207 and 37208 were increased to align with transurethral resection of the prostate items 37203 and 37206.
    DIAGNOSTIC IMAGING SERVICES CHANGES
    Changes to Subgroup descriptors in Category 5 Diagnostic Imaging Services Group 5 Magnetic Resonance Imaging
      • Subgroup 6—Scan of spine—one region or 2 contiguous regions— for infection or tumour
      • Subgroup 7—Scan of spine—one region or 2 contiguous regions— for other conditions
      • Subgroup 8—Scan of spine—3 contiguous or 2 non contiguous regions— for infection or tumour
      • Subgroup 9—Scan of spine—3 contiguous or 2 non contiguous regions— for other conditions
      • Subgroup 11—Scan of musculoskeletal system— for tumour, infection or osteonecrosis
      • Subgroup 12—Scan of musculoskeletal system— for joint derangement
      • Subgroup 13—Scan of musculoskeletal system— for Gaucher disease
      • Subgroup 17—Magnetic resonance imaging— person under the age of 16 years – for physeal fusion or Gaucher disease
      • Subgroup 18—Magnetic resonance imaging— person under the age of 16 years – for other conditions
      • Subgroup 20—Scan of pelvis and upper abdomen— for specified conditions
      • Subgroup 21—Scan of body— for suspected hepato-biliary or pancreatic pathology
      • Subgroup 33—Scan of body— person under the age of 16 years – general practice requests
      • Subgroup 34—Scan of body— person over the age of 16 years – general practice requests
      Item 63454 moved from Subgroup 19 - Scan of body - for specified conditions to Subgroup 20 - Scan of pelvis and upper abdomen - for specified conditions

      Capital sensitivity
      • From 1 May 2020, benefits will no longer be payable for diagnostic imaging services rendered on equipment that has reached its effective life age or maximum extended life age unless there is a remote area exemption or special exemption in place.
      • All ‘NK’ items will be deleted from the MBS and remaining items will no longer include the annotation ‘K’.
      Ultrasound
      • Two new items for ultrasound of the breast in conjunction with a surgical procedure 55066 (both breasts) and 55071 (one breast). The relevant surgical procedure item in the General Medical Services Table is able to be claimed in conjunction with these items.
      • Items covering musculo-skeletal ultrasound of the extremities will be deleted and replaced with items covering unilateral and bilateral scans. The unilateral scans will retain the same schedule fee as the items being deleted. The bilateral scan fees will be approximately 11% higher than the unilateral scan fees.
      • Item descriptors for general ultrasound, obstetric and gynaecological ultrasound and musculoskeletal ultrasound will be amended to remove co-claiming restrictions with cardiac or vascular ultrasound. A restriction will still apply for vascular ultrasound of the lower leg and musculo-skeletal ultrasound of the lower leg.
      • The general pelvic ultrasound items 55065 and 55068 will no longer be able to claimed where an obstetric ultrasound item would apply.
      • The descriptor for breast ultrasound items 55076 and 55079 will be amended so that they also apply to post mastectomy surveillance. The chest or abdominal wall items 55812 and 55814 will no longer be able to be co-claimed with the breast ultrasound items (items 55070, 55073, 55076 and 55079).
      • The schedule fees for the interventional ultrasound items 55848 and 55850 will be increased.
      • The list of conditions in the obstetric ultrasound items will be deleted. For the less than 12 week scan items (item 55700 and 55703), the items apply where the scan is for ‘determining the gestation, location, viability or number of foetuses’. For the 12 to 16 week scan, the items (55704 and 55705) apply for determining the structure, gestation, viability or number of foetuses’. The later obstetric scans apply where clinically appropriate.
      • MSAC change: the descriptors for abdominal ultrasound items 55036 and 55037 will be amended to include the term ‘morphological assessment’ so that the items should only be used for imaging purposes, not for non-imaging techniques such as transient elastography.
      Computed tomography (CT)
      • The scan of extremities items 56619 and 56625 will be deleted and replaced by items covering the lower and upper limbs. The new items will be 56622 (scan of lower limb or limbs without contrast), 56623 (scan of lower limb or limbs with contrast), 56627 (scan of upper limb or limbs without contrast) and 56628 (scan of upper limb or limbs with contrast). The schedule fees for these items will be the same as the replaced contrast and non contrast items.
      • The descriptor for item 57341 (CT in conjunction with a surgical procedure) will be amended to allow it to be co-claimed with any other diagnostic imaging item.
      • The CT spiral angiography item 57350 will be deleted and replaced by three new items overing CT angiography of different arterial regions. The schedule fees for these items will remain the same as the items they replaced.
      • MSAC change: item 57362 (cone beam computed tomography – CBCT) will be able to be claimed when the service is rendered on equipment that can also provide other services (such as x-ray and OPG). Currently, CBCT services can only be rendered on dedicated CBCT equipment in order to attract Medicare benefits. ‘Approved dental practitioners’ will be able to request this service.
      Diagnostic radiology
      • Items 57903 (radiographic examination of the sinuses) and 57912 (radiographic examination of the facial bones) will be deleted and replaced with one item covering either the sinuses or facial bones. The new item will be item 57907 and have a schedule fee of $47.30.
      • Items 57906 (radiographic examination of the mastoids) and 57909 (radiographic examination of the petrous temporal bones) will be deleted and replaced with one item covering either the mastoids or petrous temporal bones. The new item will be item 57905 and have a schedule fee of $64.50.
      • The descriptors for the mammography items 59300 (both breasts), 59303 (one breast), 59302 (three dimensional breast tomosynthesis - both breasts) and 59305 (three dimensional breast tomosynthesis - one breast) will be amended to ensure that the items are used in the investigation of a clinical abnormality of the breast/s and not for individual, group or opportunistic screening of asymptomatic patients.
      • Items 59306 (mammary ductogram – one breast) and 59309 (mammary ductogram – both breasts) will be deleted.
      • Fluoroscopy items 60506, 60509 and 61109 will now be able to be co-claimed with any other diagnostic imaging service, except a diagnostic radiology service in Group I03 of the Diagnostic Imaging Services Table (DIST). Currently, the items cannot be co-claimed with any other item in the DIST.
      Nuclear Medicine Imaging
      • Items 61302, 61306, 61352, 61401, 61405, 61417, 61437, 61458 and 61484 will be deleted. The items cover various procedures considered to be obsolete.
      • Items 61316, 61317 and 61320 (cardiac blood studies) will be deleted and the indications for these items will be included in item 61314.
      • The item descriptors for most items that contain a reference to planar imaging or single photon emission tomography (SPECT) will be amended to remove those references.
      • The descriptor for item 61473 will be amended to remove the phrase ‘including uptake measurement when undertaken’.
      • Item 61505 (CT for attenuation correction and anatomical localisation of single photon emission tomography) will now be able to be co-claimed with positron emission tomography (PET). Consequently, the descriptor for item 61647 (Whole body 68Ga-DOTA-peptide PET study) will be amended to exclude references to CT for attenuation correction and anatomical localisation and the schedule fee item 61647 will be reduced by $100.
      • MSAC change: the descriptors for items 61446 and 61449 (regional bone studies) will be amended so that they can be claimed for scans on other body parts.
      Magnetic resonance imaging (MRI)
      • Items 63501 and 63502 (MRI of the breasts for Poly Implant Prosthése implant integrity) will now be only able to claimed once in 24 months. Currently, these items can be claimed every 12 months.
      PATHOLOGY SERVICES CHANGES
      Heritable mutations associated with Familial Hypercholesterolaemia - item 73352
      The introduction of a new MBS Item: diagnostic genetic testing for heritable mutations predisposing to familial hypercholesterolaemia (FH) in clinically affected individuals.

      Heritable mutations associated with Familial Hypercholesterolaemia - cascade testing
      Predictive genetic testing (or ‘cascade testing’) of the family members of those affected individuals who are shown to have heritable mutations predisposing to familial hypercholesterolaemia diagnosed under MBS Item 73352.

      Heritable mutations which increase risk in colorectal and endometrial cancer - items 73354, 73355, 73356
      New MBS listings for genetic testing to identify inheritable mutations predisposing to colorectal and endometrial cancer, specifically the identification of heritable mutations associated with the clinical presentations of Lynch Syndrome (LS), Familial Adenomatous Polyposis (FAP), MUTYH-Associated Polyposis (MAP), Juvenile Polyposis Syndrome (JPS), Peutz-Jeghers Syndrome (PJS), and Hereditary Mixed Polyposis Syndrome (HMPS).

      Heritable mutations which increase risk in colorectal and endometrial cancer - item 73357
      MBS listing for genetic testing to identify inheritable mutations predisposing to colorectal and endometrial cancer, specifically the identification of heritable mutations associated with the clinical presentations of Lynch Syndrome (LS), Familial Adenomatous Polyposis (FAP), MUTYH-Associated Polyposis (MAP), Juvenile Polyposis Syndrome (JPS), Peutz-Jeghers Syndrome (PJS), or Hereditary Mixed Polyposis Syndrome (HMPS), in family members of affected individuals identified under MBS item 73354, 73355 or 73356.

      Genetic testing for childhood syndromes - item 73358
      New item for whole exome sequencing (WES) or whole genome sequencing (WGS) to identify childhood syndromes in affected individuals.

      Genetic testing for childhood syndromes - trio testing item 73359
      Whole exome sequencing (WES) or whole genome sequencing (WGS) for childhood syndromes in affected individuals, where characterisation is performed using samples from the patient and their biological parents (trio testing)

      Genetic testing for childhood syndromes - reanalysis item 73360
      Reanalysis of whole exome sequencing (WES) or whole genome sequencing (WGS) results for characterisation of previously unreported germline gene variants related to the clinical phenotype, for childhood syndromes in affected individuals

      Genetic testing for childhood syndromes - cascade testing 1 item 73361
      Detection of a single gene variant for diagnostic purposes in a biological sibling of a patient with a known monogenic condition

      Genetic testing for childhood syndromes - cascade testing 2 item 73362
      Testing for a single gene variant to inform reproductive decision making, where a patient has a first degree relative with a known monogenic condition.

      Genetic testing for childhood syndromes - cascade testing 3 item 73363
      Testing for a single gene variant for segregation purposes in relation to a person, where the patient is a biological relative of the person and has similarities in phenotype to the person or has a suspected monogenic condition. Results are then used to help characterise the monogenic condition of the person.

      Twenty new genetic testing items for the diagnosis and prognosis of certain cancers
      The introduction of 20 new items on the MBS to test for somatic gene variants to aid in the diagnosis and prognosis of certain cancers.

      Items announced on 30 April, commencing on 1 May 2020
      Pathology items
      Item 72860 - retrieval and review of archival tissue - the application of this item has been updated to remove the requirement for the treating practitioner to specifically request item 72860, as item 72860 will be pathologist determinable from 1 May 2020.

      Item 73341 - fluorescence in situ hybridisation (FISH) testing of tumour tissues - this item has been expanded to replace the list of individual PBS listed medicines with reference to the therapeutic class - "anaplastic lymphoma kinase inhibitors". The amendment will enable access to the anaplastic lymphoma kinase inhibitors currently specified in MBS item 73341 as well as brigatinib, which is scheduled to be listed on the PBS for this purpose on 1 May 2020.

      PROFESSIONAL ATTENDANCES
      Explanatory notes AN.7.12 and AN.0.69 ADF Post-Discharge Health Assessment have been renamed to One-Off Veterans' Health Check
      Explanatory notes AN.0.57 and AN.7.23 have been amended to include Eye Movement Desensitisation Reprocessing therapy under focussed psychological strategies

      MISCELLANEOUS SERVICES (Allied mental health)
      Explanatory notes MN.7.1, and MN.17.1 have been amended to include Eye Movement Desensitisation Reprocessing therapy under focussed psychological strategies

      Deleted Items
      12503
      12506
      12509
      12512
      12515
      12518
      12521
      12530
      25012
      25015
      31539
      31542
      31545
      55005
      55007
      55008
      55010
      55011
      55013
      55014
      55016
      55017
      55019
      55023
      55025
      55026
      55059
      55060
      55061
      55062
      55063
      55064
      55067
      55069
      55119
      55120
      55121
      55122
      55123
      55125
      55131
      55136
      55220
      55221
      55222
      55223
      55224
      55226
      55227
      55228
      55229
      55230
      55232
      55233
      55235
      55236
      55601
      55604
      55701
      55702
      55710
      55711
      55713
      55714
      55716
      55717
      55719
      55720
      55722
      55724
      55726
      55727
      55730
      55735
      55737
      55760
      55763
      55765
      55767
      55769
      55771
      55773
      55775
      55800
      55801
      55802
      55803
      55804
      55805
      55806
      55807
      55808
      55809
      55810
      55811
      55813
      55815
      55816
      55817
      55818
      55819
      55820
      55821
      55822
      55823
      55824
      55825
      55826
      55827
      55828
      55829
      55830
      55831
      55832
      55833
      55834
      55835
      55836
      55837
      55838
      55839
      55840
      55841
      55842
      55843
      55845
      55847
      55849
      55851
      55853
      55855
      56041
      56047
      56050
      56053
      56056
      56062
      56068
      56070
      56076
      56141
      56147
      56227
      56228
      56229
      56230
      56231
      56232
      56235
      56236
      56239
      56240
      56259
      56341
      56347
      56441
      56447
      56449
      56452
      56541
      56547
      56555
      56619
      56625
      56659
      56660
      56665
      56666
      56841
      56847
      57041
      57047
      57247
      57345
      57350
      57355
      57356
      57361
      57363
      57529
      57530
      57532
      57533
      57535
      57536
      57537
      57538
      57539
      57540
      57702
      57705
      57708
      57711
      57714
      57717
      57723
      57903
      57906
      57909
      57911
      57912
      57914
      57917
      57920
      57923
      57926
      57929
      57932
      57935
      57938
      57941
      57944
      57947
      57950
      57953
      57956
      57959
      57962
      57965
      57968
      58102
      58105
      58111
      58114
      58117
      58123
      58124
      58126
      58127
      58302
      58308
      58502
      58505
      58508
      58511
      58523
      58526
      58529
      58702
      58708
      58717
      58720
      58723
      58902
      58905
      58911
      58914
      58917
      58920
      58923
      58929
      58935
      58938
      58941
      59104
      59301
      59304
      59306
      59307
      59309
      59310
      59313
      59315
      59319
      59701
      59704
      59713
      59716
      59719
      59725
      59734
      59740
      59752
      59755
      59764
      59971
      59972
      59973
      59974
      60001
      60004
      60007
      60010
      60013
      60016
      60019
      60022
      60025
      60028
      60031
      60034
      60037
      60040
      60043
      60046
      60049
      60052
      60055
      60058
      60061
      60064
      60067
      60070
      60073
      60076
      60079
      60501
      60504
      60507
      60510
      61110
      61316
      61317
      61320
      61352
      61401
      61405
      61417
      61437
      61458
      61484
      61651
      61652
      61653
      61654
      61655
      61656
      61657
      61658
      61659
      61660
      61661
      61662
      61663
      61664
      61665
      61666
      61667
      61668
      61669
      61670
      61671
      61672
      61673
      61674
      61675
      61676
      61677
      61678
      61679
      61680
      61681
      61682
      61683
      61684
      61685
      61686
      61687
      61688
      61689
      61690
      61691
      61692
      61693
      61694
      61695
      61696
      61697
      61698
      61699
      61700
      61701
      61702
      61703
      61704
      61705
      61706
      61707
      61708
      61709
      61710
      61712
      61713
      61714
      61715
      61716
      61717
      61718
      61719
      61729
      63013
      63014
      63016
      63017
      63074
      63075
      63076
      63077
      63078
      63079
      63080
      63081
      63082
      63083
      63084
      63085
      63104
      63117
      63119
      63134
      63135
      63136
      63157
      63158
      63186
      63187
      63188
      63189
      63190
      63191
      63192
      63193
      63194
      63207
      63208
      63257
      63258
      63259
      63260
      63261
      63262
      63263
      63264
      63265
      63282
      63283
      63284
      63285
      63310
      63311
      63313
      63341
      63342
      63343
      63345
      63346
      63347
      63348
      63364
      63392
      63393
      63394
      63396
      63398
      63407
      63408
      63419
      63432
      63433
      63447
      63448
      63449
      63455
      63457
      63458
      63479
      63481
      63484
      63486
      63488
      63490
      63508
      63511
      63514
      63517
      63520
      63523
      63532
      63534
      63548
      63552
      63555
      63558
      63561
      63744
      63746
      63747

      New Items
      25013
      25014
      37226
      42504
      55066
      55071
      55856
      55857
      55858
      55859
      55860
      55861
      55862
      55863
      55864
      55865
      55866
      55867
      55868
      55869
      55870
      55871
      55872
      55873
      55874
      55875
      55876
      55877
      55878
      55879
      55880
      55881
      55882
      55883
      55884
      55885
      55886
      55887
      55888
      55889
      55890
      55891
      55892
      55893
      55894
      55895
      56622
      56623
      56627
      56628
      56629
      56630
      57352
      57353
      57354
      57905
      57907
      73352
      73353
      73354
      73355
      73356
      73357
      73358
      73359
      73360
      73361
      73362
      73363
      73364
      73365
      73366
      73367
      73368
      73369
      73370
      73371
      73372
      73373
      73374
      73375
      73376
      73377
      73378
      73379
      73380
      73381
      73382
      73383

      Description Amended

      31530
      31536
      31548
      32084
      32087
      32224
      37207
      55028
      55029
      55030
      55031
      55032
      55033
      55036
      55037
      55038
      55039
      55048
      55049
      55054
      55065
      55068
      55070
      55073
      55076
      55079
      55084
      55085
      55113
      55114
      55115
      55116
      55117
      55118
      55130
      55135
      55238
      55244
      55246
      55248
      55252
      55274
      55276
      55278
      55280
      55282
      55284
      55292
      55294
      55296
      55600
      55603
      55700
      55703
      55704
      55705
      55706
      55707
      55708
      55709
      55712
      55715
      55718
      55721
      55723
      55725
      55729
      55736
      55739
      55759
      55762
      55764
      55766
      55768
      55770
      55772
      55774
      55812
      55814
      55844
      55846
      55848
      55850
      55852
      55854
      56001
      56007
      56010
      56013
      56016
      56022
      56028
      56030
      56036
      56101
      56107
      56219
      56220
      56221
      56223
      56224
      56225
      56226
      56233
      56234
      56237
      56238
      56301
      56307
      56401
      56407
      56409
      56412
      56501
      56507
      56553
      56620
      56626
      56801
      56807
      57001
      57007
      57201
      57341
      57351
      57360
      57362
      57506
      57509
      57512
      57515
      57518
      57521
      57522
      57523
      57524
      57527
      57700
      57703
      57706
      57709
      57712
      57715
      57721
      57901
      57902
      57915
      57918
      57921
      57924
      57927
      57930
      57933
      57939
      57942
      57945
      57960
      57963
      57966
      57969
      58100
      58103
      58106
      58108
      58109
      58112
      58115
      58120
      58121
      58300
      58306
      58500
      58503
      58506
      58509
      58521
      58524
      58527
      58700
      58706
      58715
      58718
      58721
      58900
      58903
      58909
      58912
      58915
      58916
      58921
      58927
      58933
      58936
      58939
      59300
      59302
      59303
      59305
      59312
      59314
      59318
      59700
      59703
      59712
      59715
      59718
      59724
      59733
      59739
      59751
      59754
      59763
      59903
      59912
      59925
      59970
      60000
      60003
      60006
      60009
      60012
      60015
      60018
      60021
      60024
      60027
      60030
      60033
      60036
      60039
      60042
      60045
      60048
      60051
      60054
      60057
      60060
      60063
      60066
      60069
      60072
      60075
      60078
      60500
      60503
      60506
      60509
      60918
      60927
      61109
      61302
      61303
      61306
      61307
      61310
      61313
      61314
      61328
      61340
      61348
      61353
      61356
      61360
      61361
      61364
      61368
      61369
      61372
      61373
      61376
      61381
      61383
      61384
      61386
      61387
      61389
      61390
      61393
      61397
      61402
      61409
      61413
      61421
      61425
      61426
      61429
      61430
      61433
      61434
      61438
      61441
      61442
      61445
      61446
      61449
      61450
      61453
      61454
      61457
      61461
      61462
      61469
      61473
      61480
      61485
      61495
      61499
      61505
      61647
      61650
      63001
      63004
      63007
      63010
      63040
      63043
      63046
      63049
      63052
      63055
      63058
      63061
      63064
      63067
      63070
      63073
      63101
      63111
      63114
      63125
      63128
      63131
      63151
      63154
      63161
      63164
      63167
      63170
      63173
      63176
      63179
      63182
      63185
      63201
      63204
      63219
      63222
      63225
      63228
      63231
      63234
      63237
      63240
      63243
      63271
      63274
      63277
      63280
      63301
      63304
      63307
      63322
      63325
      63328
      63331
      63334
      63337
      63340
      63361
      63385
      63388
      63391
      63395
      63397
      63401
      63404
      63416
      63425
      63428
      63440
      63443
      63446
      63454
      63461
      63464
      63467
      63470
      63473
      63476
      63482
      63487
      63489
      63491
      63494
      63496
      63497
      63501
      63502
      63507
      63510
      63513
      63516
      63519
      63522
      63531
      63533
      63545
      63546
      63547
      63551
      63554
      63557
      63560
      63740
      63741
      63743

      Fee Amended
      31548
      37207
      37208
      55848
      55850
      61647

      EMSN Amended
      55054


        • Related Articles

        • July 2020 Item Update

          The July 1 2020 item update is now available to download. Please read through all these notes prior to running your item update. If you are prompted, please update your Medcomms. Current annual support customers can download the new fees via the item ...
        • January 2020 Item Update

          The January 2020 item update is now available to download. Please read through all these notes prior to running your item update. If you are prompted, please update your Medcomms. Current annual support customers can download the new fees via the ...
        • 1 July 2021 Item Update

          The July 1 2020 item update is now available to download. Please read through all these notes prior to running your item update. If you are prompted, please update your Medcomms. Current annual support customers can download the new fees via the item ...
        • 1st August 2020 MBS Item Update

          The August 1 2020 item update is now available to download. Please read through all these notes prior to running your item update. If you are prompted, please update your Medcomms. Current annual support customers can download the new fees via the ...
        • 20 April 2020 (Covid-19) MBS Item Update

          The 20 April 2020 (COVID-19) MBS item update is now available to download. Please read through all these notes prior to running your item update. If you are prompted, please update your Medcomms. Current annual support customers can download the new ...