MBS and health assessments

Medical practitioners may use MBS items 701, 703, 705, 707 or 715 to provide a health assessment service to eligible patients.

Medical practitioners may use 1 of the 4 Medicare Benefit Schedule (MBS) health assessment items – 701, 703, 705 or 707 – to provide a health assessment service to eligible patients. MBS item 715 is also available when providing health assessments for Aboriginal or Torres Strait Islander Australians.

About health assessments

Claiming a time-based health assessment item that is claimed depends on the:

  • time taken to complete the health assessment service
  • complexity of the patient’s presentation
  • specific requirements for each target group eligible for health assessments

Practice nurses and Aboriginal and Torres Strait Islander health practitioners may assist General Practitioners (GPs) in performing a health assessment. However it must be under the supervision of a GP and in accordance with accepted medical practice. This may include activities associated with:

  • collecting patient information for the medical practitioner and taking and recording of routine measurements
  • at the direction of the GP, providing patients with information about recommended interventions, at the direction of the GP

All other components of the health assessment must include personal attendance by the GP.

Visit the Department of Health for more information about health assessment services.

Healthy Kids Check

Medical practitioners who perform Healthy Kids Checks should bill an attendance item for the service.

Healthy Kids Checks can no longer be billed under MBS health assessment items:

  • 701
  • 703
  • 705
  • 707

State and territory funded infant health clinics can also provide health assessments for young children.

Item 10986 is no longer listed on the MBS. This item was for Healthy Kids Checks performed by a practice nurse or Aboriginal and Torres Strait Islander health practitioner.

Aboriginal and Torres Strait Islander children are still eligible for a health assessment every 9 months under MBS item 715.

Type 2 diabetes risk evaluation for a patient aged 40-49 years

Items 701, 703, 705 and 707 may be used to undertake a type 2 diabetes risk evaluation for people aged 40 to 49 years inclusive with a high risk of developing type 2 diabetes, as determined by the Australian Type 2 Diabetes Risk Assessment Tool.

The aim of this health assessment is to review the factors underlying the ‘high risk’ score identified by the Australian Type 2 Diabetes Risk Assessment Tool. This will enable early interventions, such as lifestyle modification programs, to help prevent type 2 diabetes.

This health assessment may be performed once every 3 years for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

People aged 45-49 years who are at risk of developing a chronic disease

Items 701, 703, 705 and 707 may be used to undertake a health assessment for people aged 45 to 49 years inclusive who are at risk of developing chronic disease.

A patient is at risk of developing a chronic disease if, in the clinical judgement of the attending medical practitioner, a specific risk factor for chronic disease is identified.

A chronic disease or condition is one that has been, or is likely to be, present for at least 6 months. These diseases include:

  • asthma
  • cancer
  • cardiovascular illness
  • diabetes mellitus
  • mental health conditions
  • arthritis and
  • musculoskeletal conditions

This health assessment may be performed once only for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

People aged 75 years or older

Items 701, 703, 705 and 707 may be used to undertake a health assessment for people aged 75 years or older.

A health assessment for people aged 75 years or older is an assessment of a patient’s health and physical, psychological and social function. Its aim is to initiate preventive health care or medical interventions as appropriate.

This health assessment may be performed once every 12 months for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

Permanent residents of a residential aged care facility

Items 701, 703, 705 and 707 may be used to undertake a comprehensive medical assessment of a resident of a residential aged care facility.

Residential aged care facilities are facilities in which residential care services, as defined in the Aged Care Act 1997, are provided. They include facilities that were formerly known as nursing homes and hostels. A person is a resident of a residential aged care facility if they have been admitted as a permanent resident of that facility.

This health assessment is available to new residents on admission into a residential aged care facility. It is recommended that new residents should receive the health assessment as soon as possible after admission, preferably within 6 weeks.

This health assessment may be performed once every 12 months for an eligible patient.

Visit the MBS Online Website for more detailed requirements for this health assessment type.

People with an intellectual disability

Items 701, 703, 705 and 707 may be used to undertake a health assessment for people with an intellectual disability.

A person is considered to have an intellectual disability if they have significantly below-average general intellectual functioning 2 standard deviations below the average intelligence quotient (IQ), and would benefit from assistance with daily living activities. To confirm intellectual disability and a patient’s need for assistance, medical practitioners may seek verification from a:

  • paediatrician registered to practise in Australia, or
  • government-provided or government-funded disability service that has assessed the patient’s intellectual function

This health assessment may be performed once every 12 months for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

Refugees and other humanitarian entrants

Items 701, 703, 705 and 707 may be used to undertake a health assessment for refugees and other humanitarian entrants to Australia.

This health assessment aims to introduce new refugees and other humanitarian entrants to the Australian primary health care system, as soon as possible after they arrive in Australia, within 12 months of arrival.

This health assessment may be performed once only for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

Australian Defence Force Post-Discharge GP health assessment

Items 701, 703, 705 and 707 may be used to undertake a health assessment for a former serving member of the Australian Defence Force (ADF), including permanent and reserve forces.

A medical practitioner may use the ADF Post-discharge GP Health Assessment Tool as a screening tool for the health assessment. This can be viewed on the At Ease portal of the Department of Veterans' Affairs website. Other assessment tools noted in the Department of Veterans’ Affairs Mental Health Advice Book may be relevant and can also be viewed on the At Ease portal.

This health assessment may be performed once only for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

Aboriginal and Torres Strait Islander people

Item 715 is available to people of Aboriginal or Torres Strait Islander descent.

This health assessment includes the assessment of a patient's health and physical, psychological and social function. It considers whether preventive health care and education should be offered to improve their health and physical, psychological and social function.

This health assessment may be performed once every 9 months for an eligible patient.

Visit the MBS Online website for more detailed requirements for this health assessment type.

Page last updated: 5 February 2016

This information was printed Tuesday 27 September 2016 from humanservices.gov.au/health-professionals/subjects/mbs-and-health-assessments It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.