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 .

Better AccessMental Health Occupational Therapist (eligible under Better Access)

Item 80145

Better Access — Mental Health Occupational Therapist (group)

Focussed psychological strategies group service provided in person by an eligible occupational therapist to a group of 4 to 10 patients, at least 60 minutes duration.

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

Time

At least 60 minutes

Frequency

Not capped

Referral

Required

Profession

Mental Health Occupational Therapist (eligible under Better Access)

Requirements to bill

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

  • 1Each patient in the group must have a current Better Access referral.
  • 2Provider must be an eligible mental health occupational therapist.
  • 3Group size 4 to 10 patients, in person, at least 60 minutes.
  • 4Each session counts toward the patient's annual Better Access group cap (10 group sessions per calendar year).

Your notes must show

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

  • Date, start time, end time, location, and item number claimed.
  • Number of patients in attendance, facilitator(s).
  • Session topic and the focussed psychological strategy delivered.
  • Per-member: attendance, participation, response, risk concerns flagged.
  • Group-level dynamics and any incidents.
  • Reference to each member's MHTP goals.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

  • Session under 60 minutes.
  • Per-member attendance not recorded.
  • Per-member files contain identifying information about other members.
  • No reference to MHTP goals.
  • Group size below 4 or above 10.

Related MBS items

Diagnostic codes commonly billed under this item

ICD-10-AM diagnoses whose Medicare pathway includes this item. Click through to the diagnostic-code reference for differential codes and clinical context.

F10

Mental and Behavioural Disorders Due to Alcohol Use

Substance Use Disorders

F11

Mental and Behavioural Disorders Due to Opioid Use

Substance Use Disorders

F12

Mental and Behavioural Disorders Due to Cannabinoid Use

Substance Use Disorders

F13

Mental and Behavioural Disorders Due to Sedatives or Hypnotics

Substance Use Disorders

F14

Mental and Behavioural Disorders Due to Cocaine Use

Substance Use Disorders

F15

Mental and Behavioural Disorders Due to Other Stimulants Including Caffeine

Substance Use Disorders

F16

Mental and Behavioural Disorders Due to Hallucinogens

Substance Use Disorders

F19

Mental and Behavioural Disorders Due to Multiple Drug Use

Substance Use Disorders

F20

Schizophrenia

Psychotic Disorders

F21

Schizotypal Disorder

Psychotic Disorders

F22

Persistent Delusional Disorders

Psychotic Disorders

F23

Acute and Transient Psychotic Disorders

Psychotic Disorders

F24

Induced Delusional Disorder

Psychotic Disorders

F25

Schizoaffective Disorders

Psychotic Disorders

F28

Other Nonorganic Psychotic Disorders

Psychotic Disorders

F29

Unspecified Nonorganic Psychosis

Psychotic Disorders

F30

Manic Episode

Mood Disorders

F31

Bipolar Affective Disorder

Mood Disorders

F32

Depressive Episode

Mood Disorders

F33

Recurrent Depressive Disorder

Mood Disorders

F34

Persistent Mood Disorders

Mood Disorders

F35

Other Recurrent Mood Disorders — Unipolar Mania

Mood Disorders

F38

Other Mood (Affective) Disorders

Mood Disorders

F39

Unspecified Mood Disorder

Mood Disorders

F40

Phobic Anxiety Disorders

Anxiety Disorders

F41

Other Anxiety Disorders

Anxiety Disorders

F42

Obsessive-Compulsive Disorder

Anxiety Disorders

F43

Reaction to Severe Stress and Adjustment Disorders

Anxiety Disorders

F44

Dissociative (Conversion) Disorders

Anxiety Disorders

F45

Somatoform Disorders

Anxiety Disorders

F48

Other Neurotic Disorders

Anxiety Disorders

F51

Nonorganic Sleep Disorders

Behavioural Syndromes

F52

Sexual Dysfunction Not Caused by Organic Disorder or Disease

Behavioural Syndromes

F53

Mental and Behavioural Disorders Associated with the Puerperium

Behavioural Syndromes

F54

Psychological and Behavioural Factors Associated with Disorders or Diseases Classified Elsewhere

Behavioural Syndromes

F55

Abuse of Non-Dependence-Producing Substances

Behavioural Syndromes

F60

Specific Personality Disorders

Personality Disorders

F61

Mixed and Other Personality Disorders

Personality Disorders

F62

Enduring Personality Changes Not Attributable to Brain Damage and Disease

Personality Disorders

F63

Habit and Impulse Disorders

Personality Disorders

F64

Gender Identity Disorders

Personality Disorders

F65

Disorders of Sexual Preference

Personality Disorders

F66

Psychological and Behavioural Disorders Associated with Sexual Development and Orientation

Personality Disorders

F68

Other Disorders of Adult Personality and Behaviour

Personality Disorders

F80

Specific Developmental Disorders of Speech and Language

Developmental Disorders

F81

Specific Developmental Disorders of Scholastic Skills

Developmental Disorders

F82

Specific Developmental Disorder of Motor Function

Developmental Disorders

F83

Mixed Specific Developmental Disorders

Developmental Disorders

F88

Other Disorders of Psychological Development

Developmental Disorders

F89

Unspecified Disorder of Psychological Development

Developmental Disorders

F90

Hyperkinetic Disorders / ADHD

Childhood & Adolescent Disorders

F91

Conduct Disorders

Childhood & Adolescent Disorders

F92

Mixed Disorders of Conduct and Emotions

Childhood & Adolescent Disorders

F93

Emotional Disorders with Onset Specific to Childhood

Childhood & Adolescent Disorders

F94

Disorders of Social Functioning with Onset in Childhood

Childhood & Adolescent Disorders

F95

Tic Disorders

Childhood & Adolescent Disorders

F98

Other Behavioural and Emotional Disorders with Onset in Childhood

Childhood & Adolescent Disorders

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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 80145 — Documentation Requirements | Grounded Scribe | Grounded Scribe