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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 2 May 2026.

  • Chronic disease management
  • Prescribed Medical Practitioner

Item 231

PMP contribution to a multidisciplinary care plan (non-RACF, face-to-face)

Contribution by a prescribed medical practitioner (PMP) to a multidisciplinary care plan prepared by another provider, or to a review of such a plan, where the patient is not a resident of an aged care facility. Face-to-face attendance. PMP-only (not for general practitioners — the GP equivalent is item 729 — and not for specialists or consultant physicians). Telehealth video equivalent is item 92057.

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

  • TimeNot specified
  • FrequencyOnce per 3-month period (exceptions for significant clinical changes documented as exceptional circumstances).
  • ReferralNot required
  • ProfessionPrescribed Medical Practitioner

Requirements to bill

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

  1. A multidisciplinary care plan must already have been prepared for the patient by another provider — 231 is a contribution item.
  2. Patient must NOT be a resident of an aged care facility (use item 232 if RACF or hospital discharge).
  3. Provider must be a prescribed medical practitioner — NOT a GP (729 applies to GPs), and NOT a specialist or consultant physician.
  4. Service must be face-to-face (telehealth video equivalent is 92057).
  5. Service must not have been associated with items 235–240, 735, 739, 743, 747, 750, or 758.
  6. Patient must not have received a GP chronic condition management plan service (965 / 967 / 92029 / 92030) within the preceding 12 months — the GPCCMP framework excludes 231 contribution claims during the same care episode.
  7. At least 3 months must have elapsed since the previous 231 / 92057 claim, unless exceptional circumstances apply.

Your notes must show

Documentation tests — what clinical notes need to record to match what the item asks.

  • Identification of the multidisciplinary care plan being contributed to — the lead provider, the date the plan was prepared, and the patient's clinical context.
  • The PMP's specific clinical contribution.
  • Communication evidence — written contribution provided to the lead provider or care team.
  • Confirmation that the practitioner billing is a prescribed medical practitioner (not a GP, specialist, or consultant physician).
  • Date of the previous 231 / 92057 claim (if any).

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

  • Item 231 claimed by a GP — should be 729.
  • Item 231 claimed by a specialist or consultant physician — neither is eligible for this item.
  • Item billed for a RACF resident — should be 232.
  • No identification of the lead provider who prepared the plan.
  • Item claimed within 3 months of the previous 231 / 92057 claim without exceptional-circumstances documentation.

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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