top of page
BG RR_edited_edited_edited.png

MBS Update

1st Mar 2026

Overview

Previous Update

The Medicare Benefits Schedule (MBS) is updated several times a year. We’re here to help you stay up to date with the changes. â€‹Our free overview makes it easy to understand the latest updates and what they mean for you.

6,039

New MBS Item Total

​

153

Modified Benefit Types

0

Modified Schedule Fee

34

New MBS Items

​

194

Modified Descriptions

0

Modified Eligible Age

0

Deleted Items

​

0

Modified Referral Requirements

43

Modified Subgroup

238

Modified Items

​

1

Modified Claim Frequency Limits

15

New Schedule Fee Start Date

What we do

At RebateRight, we specialise in addressing the challenges of Medicare eligibility, reducing billing errors and preventing financial losses caused by claim rejections. 

check.png

Medicare Eligibility Checks

RebateRight offers instant patient eligibility checks, enabling healthcare providers to quote patients accurately and efficiently on demand.

New Items: 34

Item Numbers: 373, 374, 375, 376, 377, 378, 379, 380, 381, 382, 390, 391, 2484, 2485, 2486, 2487, 2488, 2489, 2490, 2491, 2492, 2493, 2494, 2495, 18355, 38620, 82250, 82251, 82252, 82253, 82254, 82255, 82256, 82257.

Modified Descriptions: 194

Item Numbers: 132, 133, 141, 143, 145, 147, 228, 294, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 715, 830, 832, 834, 835, 837, 838, 861, 864, 866, 6023, 6024, 6057, 6058, 92004, 92011, 92422, 92623, 92748, 92751, 92755, 92758, 92760, 92762, 92763, 92767, 92768, 11600, 11707, 11714, 13015, 13020, 13025, 13212, 13706, 13760, 15912, 15916, 15938, 15940, 16567, 16570, 16609, 16615, 16618, 18354, 18361, 20124, 20146, 20160, 20164, 20305, 20440, 20475, 20630, 20703, 20750, 20799, 20803, 20804, 20815, 20832, 20842, 20886, 20946, 20948, 20950, 20952, 20958, 21110, 21112, 21114, 21300, 21321, 21610, 21710, 21740, 21770, 21780, 21810, 21850, 21878, 21900, 21906, 21908, 21912, 21914, 21926, 21935, 21939, 21945, 21949, 21955, 21959, 21962, 21965, 21970, 21973, 21976, 21980, 21992, 22052, 22053, 22054, 25000, 25014, 30105, 30281, 33070, 35527, 35609, 35610, 35674, 36833, 36836, 37204, 37205, 37318, 37613, 38376, 38511, 38616, 38621, 42505, 42610, 42611, 42805, 45018, 45545, 45629, 45650, 45831, 45939, 46126, 46130, 46308, 46336, 46423, 46438, 46441, 47045, 47672, 47970, 47973, 49800, 91852, 51904, 51906, 52060, 52073, 52609, 52621, 52824, 52826, 53015, 53225, 59302, 59305, 73839, 73840, 73932, 73933, 73934, 73935, 75610.

Modified Benefit Type: 153

Item Numbers: 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 830, 832, 834, 835, 837, 838, 861, 864, 866, 11600, 13015, 13020, 13025, 13212, 13706, 13760, 16567, 16570, 16609, 16615, 16618, 20124, 20146, 20160, 20164, 20305, 20440, 20475, 20630, 20703, 20750, 20799, 20803, 20804, 20815, 20832, 20842, 20886, 20946, 20948, 20950, 20952, 20958, 21110, 21112, 21114, 21300, 21321, 21610, 21710, 21740, 21770, 21780, 21810, 21850, 21878, 21900, 21906, 21908, 21912, 21914, 21926, 21935, 21939, 21945, 21949, 21955, 21959, 21962, 21965, 21970, 21973, 21976, 21980, 21992, 22052, 22053, 22054, 25000, 25014, 30105, 30281, 33070, 35527, 35609, 35610, 35674, 36833, 36836, 37204, 37205, 37318, 37613, 42505, 42610, 42611, 42805, 45545, 45629, 45650, 45831, 45939, 46126, 46130, 46308, 46336, 46423, 46438, 46441, 47045, 47672, 47970, 47973, 49800, 51904, 51906, 52060, 52073, 52609, 52621, 52824, 52826, 53015, 53225, 57541, 73839, 73840, 73844, 75610, 82301, 93048

Modified Subgroup: 43

Item Numbers: 15900, 15902, 15904, 15906, 15908, 15910, 15912, 15914, 15916, 15918, 15920, 15922, 15924, 15926, 15928, 15930, 15932, 15934, 15936, 15938, 15940, 15942, 15944, 15946, 15948, 15950, 15952, 15954, 15956, 15958, 15960, 15962, 15964, 15966, 15968, 15970, 15972, 15974, 15976, 15978, 15980, 15982, 15984

New Schedule Fee Start Date: 15

Item Numbers: 20160, 20475, 20799, 20804, 20815, 20832, 20886, 21300, 21878, 21900, 21908, 21914, 21939, 22052, 22053

Claim Limit Changes: 1

Item Numbers: 38511

 

Old Limit: Nil

 

New Limit: Applicable only once in conjunction with each service

 

Description: Coronary artery bypass, with the aid of tissue stabilisers, if: (a) the service is performed without cardiopulmonary bypass; and (b) the service is performed in conjunction with a service to which item 38502 applies Applicable only once in conjunction with each service to which item 38502 applies (H) (Anaes.) (Assist.).

​

Request demo

Automate MBS Updates

Never miss a Medicare update again. Our MBS API delivers every change in real time, so you can ditch spreadsheets and embrace automation.

Sample MBS Update

Old Values

 

Item Number: 42863

​

Description: Previous: EYELID, recession of (Anaes.) (Assist.)

Schedule Fee: $882.45

​

Claim Frequency Limit: Once per patient, per eye, per 12-month period.

​

Schedule Fee: $850.00

New Values

Item Number: 42863

 

Description: Updated: Eyelid (upper or lower), recession of, by open operation on and direct release of the lid retractors, one eye (Anaes.) (Assist.)
 

Claim Frequency Limit: None

​

Schedule Fee: $903.65

Request demo

Keen to learn more about RebateRight?

bottom of page