Reference only — not billing advice

MBS items change. Verify the current descriptor, fee, and rules on MBS Online before billing. This page does not include a fee amount. Last reviewed .

General consultationGeneral Practitioner

Item 23

Level B GP consultation

Professional attendance by a general practitioner at consulting rooms, lasting at least 6 minutes and less than 20 minutes, requiring the taking of a relevant history, performing a clinical examination, or both.

Plain-English summary. See MBS Online for the verbatim descriptor of each item.

Time

At least 6 minutes and less than 20 minutes

Frequency

Not capped

Referral

Not required

Profession

General Practitioner

Requirements to bill

Conditions imposed by the descriptor that must be met to claim this item.

  • 1Attendance must be at consulting rooms (the descriptor specifies "at consulting rooms" — non-rooms attendances bill against different items in the home/RACF/hospital ranges).
  • 2Consultation must last at least 6 minutes — the 6-minute minimum is a structural part of the descriptor and consultations under 6 minutes belong to Item 3 (Level A).
  • 3Consultation must involve taking a relevant history, performing an examination, or both — a brief assessment alone may not justify the item.
  • 4Item is not appropriate for "obvious, straightforward" presentations that fit Item 3 (Level A).

Your notes must show

Documentation tests — what clinical notes need to demonstrate to survive a PSR audit.

  • A presenting complaint or reason for attendance.
  • Relevant history (even if brief) OR clinical examination findings.
  • Your clinical assessment or impression.
  • Management plan or advice given.
  • When this attendance functions as an MHTP review (the previously dedicated review item 2712 has been retired): (a) AN.0.56 advisory timing — the explanatory note states an MHTP review "should not" be undertaken within 4 weeks of the original MHTP or within 3 months of the previous review. PSR review may apply this advisory wording even though Medicare does not auto-reject claims that fall outside it; document the dates regardless; (b) reassessment using the same validated tool used in the original MHTP, with current and previous scores recorded; (c) review of progress against each MHTP goal; (d) any modifications to the plan, with reasoning, OR an explicit "no changes required" rationale.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

  • Notes that show only a diagnosis and prescription with no history or examination ("sore throat, amoxicillin prescribed") — a PSR Committee may question whether Item 23 was appropriate rather than Item 3.
  • Templated notes identical across multiple patients — suggests documentation is not individualised.
  • MHTP review billed under Item 23 without documenting the AN.0.56 advisory timing dates (4 weeks since MHTP, 3 months since previous review — AN.0.56 uses "should not" wording, but PSR review may flag claims outside these intervals) or without reassessment against MHTP goals.

Related MBS items

Templates that document this item

Note templates inside Grounded Scribe that produce documentation aligned to this MBS item.

In-depth reading in the Library

Source authority

Documentation tests on this page reference the descriptor conditions and PSR-audit patterns covered in our existing Library guides. Always confirm current rules against the official descriptor.

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MBS Item 23 — Documentation Requirements | Grounded Scribe | Grounded Scribe