Medicare Bulk Billing Eligible Services Item Checker

Quickly check whether an MBS item number is eligible for the 12.5% Medicare bulk billing practice incentive. Built for Australian general practice teams with links to official guidance.
Medicare Bulk Billing Item Checker

Medicare Bulk Billing Item Checker

Check if a Medicare item number is eligible for the Bulk Billing Practice Incentive.

Enter an item number and click “Check Eligibility”.

This item checker GP tool is based on the Bulk Billing Practice Incentive Program: Eligible Services from 1 November 2025 document published here by The Department of Health. We will strive to keep this tool updated with any changes as they occur. However you should always refer to the most recently published documentation from The Department of Health to ensure that your billing aligns with the items that are eligible for the 12.5% bulk billing practice incentive.

What this tool covers

  • Eligibility status for the 12.5% Bulk Billing Practice Incentive
  • Notes on item category and any known limitations (where applicable)
  • Link to source guidance for verification

Important billing considerations

For clinics that are universally bulk billed, all items on the eligibility list must be bulk billed for the practice to maintain eligibility for the 12.5% incentive (paid quarterly). Always verify requirements and exceptions in the most recent Department of Health guidance.

Which items are eligible?

Eligibility is defined by the Department of Health’s current “Eligible Services” list. Use this checker, then verify against the latest official document.

What if guidance changes?

We will strive to update the tool when new guidance is released. Always cross-check with the newest published document before billing.

Is this legal or billing advice?

No. This is an informational tool. Refer to official Medicare documents and your practice’s billing policies.


Disclaimer

This tool is based on “Bulk Billing Practice Incentive Program: Eligible Services” (effective 1 November 2025). It is provided for general information only. Always refer to the latest official Medicare guidance at MBS Online.

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