A medical service to which

Miscellaneous services · Group M1 — Management of bulk-billed services

Schedule fee

$13.35

Benefit	Amount	Gap to fee
85%	$11.35	$2.00

Benefit amounts as published in the schedule, not recalculated.

Fee current from 1 Jul 2026.

Conditions in the descriptor

Out of roomsMMM 2, 3, 4, 5, 6, 7

Descriptor · the legislated text

A medical service to which: (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018); if: (c) the service is an unreferred service; and (d) the service is provided to a person who is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an area mentioned in paragraph (g); and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph (a) or (b) applying to the service

Descriptor current from 1 Nov 2025.

Claiming with other items

Requires

585Urgent attendance after hours, in rooms — general practitioner on one patient on one 588Urgent attendance after hours, in rooms — medical practitioner 591Urgent attendance after hours, in rooms — medical practitioner 594Urgent attendance after hours 599Urgent attendance after hours, in rooms — general practitioner on not more than one 600Urgent attendance after hours, in rooms — medical practitioner 761Acupuncture and non-specialist practitioner items, prescribed… — lasting not more than 5…772Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…5003Level A consultation, out of rooms, after hours 5010Level A consultation, aged care, after hours 5220Other non-referred after-hours attendances to which no other item… — lasting not more than 5…5260Consultation at a residential aged care facility, in rooms, after hours — complex if the…

Explanatory notes · departmental guidance · 3

MN.1.1 Bulk Billing Incentives

Note MN.1.1

Bulk billing incentives (BBIs) are additional payments made to medical practitioners when they bulk bill unreferred services. Admitted hospital patients are not eligible for BBIs. The specific BBI item that should be co-claimed with an elig… Read the full note

Shown as an excerpt: this note also governs 19 other items in this tool, so it has its own page rather than repeating in full on each one.

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MN.1.3 Bulk Billing Incentives in Modified Monash Area 1

Note MN.1.3

General Practitioners1 Bulk billing incentives – Modified Monash 1 (Metropolitan Area)2 Applicable BBI Item 10990 75870 75880 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23, 36, 44, 123 Standar… Read the full note

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MN.1.4 Bulk Billing Incentives in Modified Monash Area 2

Note MN.1.4

General Practitioners1 Bulk billing incentives for eligible patients2 – Modified Monash 2 (Regional Centre)3 Applicable BBI Item 10991 75871 75881 (MyMedicare registered patients only) Standard hours consultations - in consulting rooms 3 23… Read the full note

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Item number	10992
Category	8 — Miscellaneous services
Group	M1 — Management of bulk-billed services
Subheading	—
Item type	S
Fee type	N
In schedule since	1 Jan 2005
Fee current from	1 Jul 2026
GP scope	Yes · tier 3

Official page As at 1 Aug 2026