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.

Time

Not specified

Frequency

Once per 3-month period (exceptions for significant clinical changes documented as exceptional circumstances).

Referral

Not required

Profession

Prescribed Medical Practitioner

Requirements to bill

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

1A multidisciplinary care plan must already have been prepared for the patient by another provider — 231 is a contribution item.
2Patient must NOT be a resident of an aged care facility (use item 232 if RACF or hospital discharge).
3Provider must be a prescribed medical practitioner — NOT a GP (729 applies to GPs), and NOT a specialist or consultant physician.
4Service must be face-to-face (telehealth video equivalent is 92057).
5Service must not have been associated with items 235–240, 735, 739, 743, 747, 750, or 758.
6Patient 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.
7At 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 demonstrate to survive a PSR audit.

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

729

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

232

PMP contribution to a multidisciplinary care plan (RACF / hospital discharge, face-to-face)

92057

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

Templates that document this item

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

GP Chronic Condition Management Plan (965)

GP Chronic Condition Management Plan (MBS item 965) for patients with chronic and complex conditions. Documents the diagnoses, agreed goals, patient and GP actions, services from other providers, and a mandatory review date. Structured to satisfy the post-1-Jul-2025 GPCCMP framework that replaced the legacy GPMP (721) and TCA (723) items, and to support the patient's ongoing chronic care.

In-depth reading in the Library

Medicare Audit-Ready Documentation: A GP's Guide to MBS Item Number Compliance

Professional Services Review audits can result in repayment demands, exclusion from Medicare, and public referral. Your clinical notes are the primary evidence in any PSR investigation. This guide details exactly what your documentation must contain to withstand scrutiny.

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.

Item 231 on MBS Online

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