Medicare & billing

Telehealth MBS item numbers 2026: GP video and phone quick reference

Every GP and non-GP telehealth MBS item number for video and phone, Levels A to E, with 1 July 2026 fees, the MyMedicare phone rules and the eligibility exemptions. Checked against MBS Online.

The MedCall Team 26 November 2025 6 min readUpdated 14 October 2026

This is a quick reference to the Medicare telehealth items for GPs and other medical practitioners, with video and phone side by side. We checked every item number and fee against its MBS Online page on 14 October 2026. Fees are the schedule fees from 1 July 2026.

Telehealth items mirror the face-to-face consultation levels, but video and phone have separate numbers. Longer phone consults are only for patients registered with your practice in MyMedicare.

GP telehealth items (vocationally registered GPs)

Level Video Phone Schedule fee (1 Jul 2026)
A: obvious problem 91790 91890 (under 6 min) $20.55
B: 6 to under 20 min 91800 91891 (6 min or more) $45.05
C: 20 min or more 91801 91900, MyMedicare patients only $87.10
D: 40 min or more 91802 91910, MyMedicare patients only $128.35
E: 60 min or more 91920 No phone item $207.90

Video and phone pay the same fee at each level. The difference is who you can bill them for.

Other medical practitioner items (non-GP)

Doctors who aren’t vocationally registered GPs use one of two sets of items (AN.7.2). The time bands differ from the GP items: Level A is 5 minutes or less, B is over 5 to 25, C is over 25 to 45, D is over 45 to 60, and E is over 60.

Medical practitioner (MP) items, for any medical practitioner who isn’t a GP, anywhere:

Level Video Phone Schedule fee
A 91792 91892 (under 6 min) $11.00
B 91803 91893 (6 min or more) $21.00
C 91804 91903, MyMedicare patients only $38.00
D 91805 91913, MyMedicare patients only $61.00
E 91923 No phone item $98.40

These fees weren’t indexed on 1 July 2026, so they’re the same as the previous year.

Prescribed medical practitioner (PMP) items, for doctors who aren’t GPs, specialists or consultant physicians, at a practice in a Modified Monash 2–7 area (what the MM areas are):

Level Video Phone Schedule fee (1 Jul 2026)
A 91794 No phone item $16.50
B 91806 No phone item $35.95
C 91807 91906, MyMedicare patients only $69.70
D 91808 91916, MyMedicare patients only $102.65
E 91926 No phone item $166.30

Who you can bill a telehealth item for

Every telehealth item carries an eligibility rule. One of these has to apply (AN.1.1):

  1. The patient is registered with your practice in MyMedicare. Since 1 November 2025 this is an alternative pathway to the face-to-face rule (MBS Online).

  2. You are the patient’s “eligible telehealth practitioner”. This used to be called the established clinical relationship (AskMBS). It means one of the following:

    • you saw the patient face to face in the last 12 months;
    • your practice arranged a face-to-face service for them in the last 12 months; or
    • you work for an approved medical deputising service with a formal agreement with a practice that saw them face to face in the last 12 months.

    Earlier video or phone consults don’t count as face to face.

  3. An exemption applies. These are covered below.

We explain the face-to-face rule in more depth in the telehealth 12-month rule.

Exemptions

These patients are exempt (AN.1.1):

  • children under 12 months
  • people experiencing homelessness
  • people living in a local government area declared a natural disaster area
  • patients of an Aboriginal Medical Service or Aboriginal Community Controlled Health Service
  • people isolating under a COVID-19 public health order. The advisory says this is inactive unless a jurisdiction turns it on.

These services are exempt:

  • urgent after-hours services in unsociable hours
  • focussed psychological strategies and eating disorder psychological treatment items
  • blood-borne virus, sexual or reproductive health services
  • preparing or reviewing a GP chronic condition management plan, which follows the MyMedicare or usual-practitioner rules instead

If you rely on an exemption, record it and your clinical reasoning in the notes at the time.

The advisory gives examples that are not exempt: pregnancy support counselling, waiting on a COVID-19 test result, and having a chronic condition or being immunocompromised. Telehealth items also can’t be used for admitted hospital patients, or when the patient or the doctor is overseas.

The 30/20 phone rule

Billing 30 or more phone services on each of 20 or more days in a rolling 12 months counts as inappropriate practice. This rule covers GP and other medical practitioner phone items, and it sits alongside the broader 80/20 rule for all attendances (Department of Health). Video consults don’t count towards it, which is one reason to default to video when it’s clinically appropriate.

What changed recently

  • 1 November 2023: the MyMedicare-only longer phone items (91900–91916) and the 60-minute-plus video items (91920, 91923, 91926) started.
  • 1 July 2025: chronic condition management plan items stopped being subject to the face-to-face eligibility rule.
  • 1 November 2025: several changes (MBS Online):
    • MyMedicare became an alternative eligibility pathway.
    • Mental health treatment plan telehealth items lost their exemption and are now tied to the patient’s MyMedicare practice or usual GP.
  • 1 July 2026: fees indexed by 2.6%. Some attendance items for doctors without vocational training were excluded. We found no telehealth rule changes.

Common mistakes

  • Phone billed as video. The item must match how the consult actually happened. If the video dropped and you finished by phone, check which item applies to the service you actually gave.
  • Longer phone items for non-MyMedicare patients. 91900 and 91910 (and the MP and PMP equivalents) need the patient registered in MyMedicare with your practice.
  • Counting a past video consult as face to face. It doesn’t count for the 12-month rule.
  • Using an exemption without documenting it. If the reason isn’t in the notes, the claim is exposed.

Where your telehealth platform fits

The platform doesn’t decide the item, but it decides whether you get a video consult or end up falling back to phone. Patients who can’t get the video working push you onto phone items, and phone items carry more restrictions. MedCall patients join by tapping a link, with no app or account, so more consults stay on video. See how MedCall works.

This is general information, not billing advice. Always check the item descriptor and explanatory notes on MBS Online before you claim, or ask AskMBS.

This article is general information for Australian clinicians and patients and reflects the rules and sources current at the date of publication. It is not medical, legal or billing advice, and it is not a substitute for the official guidance of Services Australia, the Department of Health and Aged Care, AHPRA or your professional college. Always check the primary sources linked above for the current position.

M

The MedCall Team

MedCall is secure telehealth video software built and run by Telehealth Australia Group, a registered Australian telehealth practice. We write these guides for the clinicians who use MedCall every day.

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