Bridge Street Surgery News Update: Medicare Changes Effective Since 1 July 2023

At Bridge Street Surgery, it’s our commitment to ensure our community stays informed about key changes in the healthcare landscape. In July there were significant updates to the Medicare Benefits Schedule (MBS).

Summary of Changes

Medicare Benefits Schedule Updates

Beginning on 1 July 2023, the MBS underwent several alterations, encompassing annual fee indexation, administrative tweaks, and the adoption of suggestions from both the independent MBS Review Taskforce on plastic and reconstructive surgery services and the independent Medical Services Advisory Committee’s (MSAC) regarding specific pathology and diagnostic imaging services.

Areas Impacted by Changes

The changes influenced the following regulations:

  • Health Insurance (General Medical Services Table) Regulations 2021 (GMST)
  • Health Insurance (Pathology Services Table) Regulations 2020 (PST)
  • Health Insurance (Diagnostic Imaging Services Table) Regulations (No.2) 2020 (DIST)
  • Health Insurance Regulations 2018


From July, annual fee indexation applied to the majority of general medical service items, many diagnostic imaging services (excluding nuclear imaging), and several pathology items in Group P12. The MBS indexation factor set for this period was 3.6%.

Plastic and Reconstructive Surgery Services

There were changes focusing on updating and simplifying procedures to mirror modern surgical practices, streamline claim processes, and limit the cosmetic misuse of certain services.

Mental Health Case Conferencing Services

July saw the introduction of 21 new items to aid patients under the Better Access initiative or those following an eating disorder treatment plan.

Additional Changes to General Medical Services

Several modifications, from amendments in cardio-thoracic items to increased fees for specific procedures, came into play. There were also some repeals and alterations to ensure accurate, efficient services for patients.

Diagnostic Imaging Services

July ushered in the introduction of a new nuclear medicine item and other alterations to enhance the precision and efficacy of diagnostic imaging.

Pathology Services

Changes to pathology services were also noteworthy. New items were introduced, especially for gene panel testing, and existing items were revised for enhanced clarity and service delivery.

These adjustments to the MBS ensure our patients receive the most updated, comprehensive, and efficient care available. As always, we’re here to guide, inform, and support your healthcare journey.