[WWW - 2023.07.31]

Data Element Detail

Healthcare service-Medicare Benefits Schedule (MBS)
Identifying and Definitional Attributes
QH 042727 v1
Data Element
Data Element
Draft
01-Sep-2017		Current
17-Jul-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Sep-2017
The Medicare Benefits Schedule (MBS) is a listing of the Medicare services subsidised by the Australian government.
Medicare Benefits Schedule (MBS)
MBS item number
Representational Attributes
Numeric
Code
N(5)
5
5
Permissible Values

Permissible_values

A valid code from the Medicare Benefits Schedule (MBS)
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The Medicare Benefits Schedule is a list of the medical services for which the Australian Government will pay a Medicare rebate, to provide patients with financial assistance towards the costs of their medical services.

Each professional service contained in the Schedule has been allocated a unique item number. Located with the item number and description for each service is the Schedule fee and Medicare benefit, together with a reference to an explanatory note relating to the item (if applicable).

If the service attracts an anaesthetic, the word (Anaes.) appears following the description. Where an operation qualifies for the payment of benefits for an assistant, the relevant items are identified by the inclusion of the word (Assist.) in the item description. Medicare benefits are not payable for surgical assistance associated with procedures which have not been so identified.

In some cases two levels of fees are applied to the same service in General Medical Services, with each level of fee being allocated a separate item number. The item identified by the letter "S" applies in the case where the procedure has been rendered by a recognised specialist in the practice of his or her specialty and the patient has been referred. The item identified by the letter "G" applies in any other circumstance.

Higher rates of benefits are also provided for consultations by a recognised consultant physician where the patient has been referred by another medical practitioner or an approved dental practitioner (oral surgeons).
Differential fees and benefits also apply to services listed in Category 5 (Diagnostic Imaging Services). The conditions relating to these services are set out in Category 5.
Relational Attributes
Related Metadata References

Related Metadata References_IR

No Metadata Items
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionImaging Examination CatalogueQH 020423 Version 1OptionalCurrent01-Sep-2017
Source and Reference Attributes
Australian Government Department of Health
MBS Online: http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Home
MBS; Medicare; Medicare Benefits Schedule;