New chronic condition management MBS items for general practice
08 Jul 2025
New chronic condition management MBS items came into effect on 1 July, bringing changes to how general practices bill and manage care for patients with chronic conditions.
What does this mean for your general practice?
- Existing Chronic Disease Management (CDM) plans and referrals will remain valid until July 2027. There is no need to take immediate action to transition CDM patients to new GPCCMPs.
- Use the new GPCCM MBS item numbers (see table below) in place of the ceased CDM item numbers.
- When billing any new GPCCM plans or undertaking reviews of a CDM plan, use the MBS item numbers for an initial GPCCMP (965, 392, 29029, 29060). This is necessary as GPCCMP review item numbers cannot be claimed unless a new GPCCMP has been billed.
- If you are a MyMedicare practice, encourage any patients with a CDM plan or GPCCMP to register with your practice for MyMedicare.
- Explain to them MyMedicare establishes a unique link to the general practice they wish to see most of the time for ongoing care and management of their chronic health condition/s.
- If a patient does not wish to register for MyMedicare, they should be reassured MyMedicare is voluntary, and they can continue to access GPCCM care through their usual practice.
- Be sure to schedule regular CCM reviews at the conclusion of each first or review appointment, and clearly explain the care planned for the next review to each patient.
- Practice nurses, Aboriginal and Torres Strait Islander health practitioners, and Aboriginal health workers can assist the GP or prescribed medical practitioner to prepare or review a GPCCMP.
- Team Care Arrangements are no longer required and referral arrangements to allied health providers have been simplified.
- Check MyMedicare registration of your patients prior to scheduling CCM plans.
- Patients registered for MyMedicare at another general practice are not eligible for CCM MBS items at your practice.
Table 1: GP Chronic Condition Management Items commencing 1 July 2025
| Name of Item | GP MBS items | Prescribed medical practitioner MBS items |
|---|---|---|
| Prepare a GP chronic condition management plan – face to face | 965 | 392 |
| Prepare a GP chronic condition management plan – video | 92029 | 92060 |
| Review a GP chronic condition management plan – face to face | 967 | 393 |
| Review a GP chronic condition management plan – video | 92030 | 92061 |
For more information on GPCCM changes, MBS Online has released a series of factsheets here:
MBS Online – Upcoming changes to the MBS Chronic Disease Management Framework
For support on MyMedicare, GPCCM change queries, and quality improvement support, contact your Practice Advancement or Practice Support Officer.
This article appeared in Practice Pulse on Wednesday, 9 July 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.