All information is current as at 1 November 2016.
About practice nurse MBS item numbers
Medicare rebates are available where practice nurses (or Aboriginal health workers) provide specific types of services on behalf of a general practitioner. These items are for:
- provision of monitoring and support for a person with a chronic disease on a GP Management Plan, Team Care Arrangements or an MBS multidisciplinary care plan
- provision of follow-up services for Aboriginal and Torres Strait Islander people who have received a health check #715
- antenatal service provided from an eligible practice
- location in a regional, rural or remote area
- patient-end consultation during a telehealth consultation with a specialist, consultant physician or consultant psychiatrist
- ECGs and Spirometery testing of patients may be performed.
A summary of the relevant MBS items is provided on this page under 'Practice nurse services'.
Practice Nurse Incentive Program
The Commonwealth government introduced the Practice Nurse Incentive Program (PNIP) on 1 January 2012. The program provides incentive payments to eligible general practices to offset the costs of employing a practice nurse and support an expanded role for nurses working in general practice.
General practices, including those in urban areas as well as Aboriginal Medical Services and Aboriginal Community Controlled Health Services, may be eligible for these incentive payments. One of the eligibility requirements is that the practice is accredited under the Royal Australian College of General Practitioners Standards for general practice.
Payments are made to eligible general practices that apply for the PNIP. Practices not eligible for incentive payments under the PNIP may be eligible for grand parenting payments if they are financially disadvantaged by the removal of the six MBS practice nurse items related to immunisation, wound management and pap smears.
For further information about the range of financial incentives available through the PNIP, visit the Medicare website.
Practice nurses services
||MBS item 10983 Patient end Telehealth Service - in the community
MBS item 10984 Patient end Telehealth Service - in a RACF
MBS item 10987 Follow up service for a person who has received an Aboriginal and Torres Strait Islander Health check
MBS Item 10997 Monitoring and support of a client with a chronic disease
MBS Item 10987 Follow up services for an Indigenous person following a Health Assessment
MBS Item 16400 Antenatal Service
These services are provided by Practice Nurses; Aboriginal health workers or Midwives (Item 16400) on behalf of and under the supervision of a GP.
MBS Item 10983
The patient is located both within a telehealth eligible area; and at the time of the attendance is at least 15 kms by road from the specialist, physician or psychiatrist.
MBS item 10984
The patient is receiving care in a RACF.
MBS Item 10987
For an Indigenous patient who has received an Aboriginal and Torres Strait Islander people's Health Assessment.
MBS Item 10997
For a patient with a chronic disease condition who has a GP Management plan, Team care Arrangement or Multidisciplinary plan in place.
MBS Item 16400
For a patient requiring an antenatal service.
|Role of the GP
|PN; AHW or Midwife role
|MBS Item 10983
To provide clinical support to a patient who's participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist, including documentation of the service that was provided.
MBS Item 10984
To provide clinical support to a patient living in a RACF who's participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist, including documentation of the service that was provided.
MBS Item 10987
To assist Indigenous patients who have received a health check, which has identified a need for follow up services.
MBS Item 10997
To assist patients who require access to ongoing care, routine treatment and ongoing monitoring and support between structured reviews of the GP Management Plan.
MBS Item 16400
To provide an antenatal service from a practice location in a regional, rural or remote area.
|Frequency of service
MBS Item 10983 / 10984 not defined.
MBS Item 10987 maximum of 10 times per calendar year.
MBS Item 10997 maximum of 5 services per patient in a calendar year.
MBS Item 16400 can only claimed 10 times per pregnancy.
||MBS Online - Medicare Benefits Schedule
Australian Department of Health - Primary care (GP, nursing, allied health)
Australian Department of Human Services - Education services for health professionals
MBS Online - Telehealth: Specialist video consultations under Medicare