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Chronic disease managementGeneral Practitioner

Item 92030

GP Chronic Condition Management Plan — review (video telehealth)

Video attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner. Item 92030 is the video-telehealth equivalent of in-person item 967. Reviews are billed at most once every 3 months unless exceptional circumstances apply. There is no phone equivalent.

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

Time

Not specified

Frequency

Not more than once every 3 months unless exceptional circumstances apply.

Referral

Not required

Profession

General Practitioner

Requirements to bill

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

  • 1A GPCCMP prepared under item 965 (or 92029 telehealth, or a legacy GPMP under item 721 transitioning to the new framework) must be in place for the patient.
  • 2Service must be by videoconference — audio + visual link must be used.
  • 3Phone-only attendance does NOT satisfy 92030 — there is no phone equivalent for GPCCMP review.
  • 4The review must reassess the plan — progress against agreed goals, the appropriateness of the patient's and GP's actions, and any required modifications.
  • 5Where the previous 92030 (or 967) review was within the past 3 months, exceptional circumstances must be documented to justify the earlier review.

Your notes must show

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

  • Date of review, date the plan was prepared (or last reviewed), and confirmation that at least 3 months have elapsed since the previous 967 / 92030 review (or that exceptional circumstances apply, with documentation).
  • Modality — videoconference, with confirmation that audio + visual link was clinically appropriate.
  • Progress against each agreed goal in the plan — specific, not generic.
  • Reassessment of the patient's actions, the GP's actions, and the services from other providers.
  • Any modifications to the plan — explicit changes documented and agreed with the patient (or "no changes required" with rationale).
  • Distribution — confirmation that an updated plan was provided to the patient (e.g. emailed, posted, or via the patient's My Health Record).
  • Next review interval set.
  • Any adaptations made for the telehealth context.

Common audit failures

Patterns the Professional Services Review scheme and Medicare audits flag.

  • Phone-only attendance billed as 92030 — 92030 requires audio + video.
  • Item 92030 claimed within 3 months of the previous review (967 or 92030) without exceptional-circumstances documentation.
  • A note that says "GPCCMP video review, all stable, continue current management, review 3 months" — no goal-by-goal progress, no review of patient/GP/other-provider actions.
  • In-person review billed as 92030 instead of 967 — modality must match the item.
  • Item 92030 claimed where no GPCCMP exists for the patient.

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 92030 — Documentation Requirements | Grounded Scribe | Grounded Scribe