MN.1.5
Bulk Billing Incentives in Modified Monash Area 3 and 4
Explanatory note · departmental guidance · published 1 Nov 2025
Note MN.1.5
Publication Date: 1 November 2025
General Practitioners1
Bulk billing incentives – Modified Monash 3 and 4 (Medium and Large Rural Towns)2
| Applicable BBI Item | 75855 | 75873 | 75882 (MyMedicare registered patients only) |
| Standard hours consultations - in consulting rooms | 3 | 23, 36, 44, 123 | |
| Standard hours consultations - out of consulting rooms | 4 | 24. 37, 47, 124 | |
| Standard hours consultations - residential aged care facility | 90020 | 90035, 90043, 90051, 90054 | |
| Video consultation | 91790 (all) 91801, 91802, 91920 if not MyMedicare registered |
91800 | 91801, 91802, 91920 |
| Phone consultation | 91890 | 91891 | 91900, 91910 |
| After hours consultations - in consulting rooms | 5000 | 5020, 5040, 5060, 5071 | |
| After hours consultations - out of consulting rooms | 5003 | 5023, 5043, 5063, 5076 | |
| After hours consultations - residential aged care facility | 5010 | 5028, 5049, 5067, 5077 | |
| Other | All other “unreferred services”, including but not limited to: chronic condition management items, Better Access mental health items, health assessments, minor procedures etc. |
1 For the definition of GP for MBS purposes see GN.4.13
2 Practice located in Modified Monash area www.health.gov.au/resources/apps-and-tools/health-workforce-locator/app
Medical Practitioners1
Bulk billing incentives – Modified Monash 3 and 4 (Medium and Large Rural Towns)2
| Applicable BBI Item | 75855 | 75873 | 75882 (MyMedicare registered patients only) |
| Standard hours consultations - in consulting rooms | 52, 179 | 53, 54, 57, 151, 185, 189, 203, 301 | |
| Standard hours consultations - out of consulting rooms | 58, 181 | 59, 60, 65, 165, 187, 191, 206, 303 | |
| Standard hours consultations - residential aged care facility | 90092, 90183 | 90093, 90095, 90096, 90098, 90188, 90202, 90212, 90215 | |
| Video consultations | 91792, 91794 (all) 91804, 91805, 91923, 91807, 91808, 91926 if not MyMedicare registered |
91803, 91806 | 91804, 91805, 91923, 91807, 91808, 91926 |
| Phone consultations | 91892 | 91893 | 91903, 91913, 91906, 91916 |
| After hours consultations - in consulting rooms | 5200, 733 | 5203, 5207, 5208, 5209, 737, 741, 745, 2197 | |
| After hours consultations - out of consulting rooms | 5220, 761 | 5223, 5227, 5228, 5261, 763, 766, 769, 2198 | |
| After hours consultations - residential aged care facility | 5260, 772 | 5263, 5265, 5267, 5262, 776, 788, 789, 2200 | |
| Other | All other “unreferred services”, including but not limited to: chronic condition management items, Better Access mental health items, health assessments, minor procedures etc. |
1 Items in italics can only be claimed by prescribed medical practitioners, that is, medical practitioners that are not GPs, specialists or consultant physicians. Other items can be claimed by medical practitioners that are not GPs.
2 Practice located in Modified Monash area www.health.gov.au/resources/apps-and-tools/healt
Applies to 118 items in this tool
3Level A consultation, in rooms4Level A consultation, out of rooms23Level B consultation, in rooms24Level B consultation, out of rooms36Level C consultation, in rooms37Level C consultation, out of rooms44Level D consultation, in rooms47Level D consultation, out of rooms52Attendance at consulting rooms of not more than 5 minutes in duration, in… — any other item…53Attendance at consulting rooms of more than 5 minutes in duration but not… — each attendance…54Attendance at consulting rooms of more than 25 minutes in duration but… — each attendance, by…57Attendance at consulting rooms lasting more than 45 minutes, but not more…58Other non-referred attendances to which no other item applies, out of… — not more than 5…59Other non-referred attendances to which no other item applies, out of… — by: (a) a medical…60Other non-referred attendances to which no other item applies, out of… — by: (a) a medical…65Other non-referred attendances to which no other item applies, out of… — this Schedule applies)…123Level E consultation, in rooms124Level E consultation, out of rooms151Attendance at consulting rooms lasting more than 60 minutes, in rooms165Other non-referred attendances to which no other item applies, out of… — this Schedule applies)…179Attendance at consulting rooms lasting not more than 5 minutes…181Acupuncture and non-specialist practitioner items, prescribed… — lasting not more than 5…185Attendance at consulting rooms lasting more than 5 minutes but not more…187Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 5 minutes…189Attendance at consulting rooms lasting more than 25 minutes but not more…191Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 25 minutes…203Attendance at consulting rooms lasting more than 45 minutes but not more…206Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 45 minutes…301Attendance at consulting rooms lasting more than 60 minutes, prescribed…303Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 60…733Attendance at consulting rooms of not more than 5 minutes in duration…737Attendance at consulting rooms of more than 5 minutes in duration but not…741Attendance at consulting rooms of more than 25 minutes in duration but…745Attendance at consulting rooms of more than 45 minutes in duration but…761Acupuncture and non-specialist practitioner items, prescribed… — lasting not more than 5…763Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 5 minutes…766Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 25 minutes…769Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 45 minutes…772Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…776Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…788Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…789Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…2197Attendance at consulting rooms of more than 60 minutes in duration…2198Acupuncture and non-specialist practitioner items, prescribed… — lasting more than 60…2200Acupuncture and non-specialist practitioner items, prescribed… — at a residential aged care…5000Level A consultation, in rooms, after hours5003Level A consultation, out of rooms, after hours5010Level A consultation, aged care, after hours5020Level B consultation, in rooms, after hours5023Level B consultation, out of rooms, after hours5028Level B consultation, aged care, after hours5040Level C consultation, in rooms, after hours5043Level C consultation, out of rooms, after hours5049Level C consultation, aged care, after hours5060Level D consultation, in rooms, after hours5063Level D consultation, out of rooms, after hours5067Level D consultation, aged care, after hours5071Level E consultation, in rooms, after hours5076Level E consultation, out of rooms, after hours5077Level E consultation, aged care, after hours
and 58 more
As at 1 Aug 2026