MBS Review Items (MSAC) – March 2015

Please note that there is a review of the previous Government’s decisions. MSAC reviews are continuing as per the published MSAC review process.

Look up any current MBS item number on line in the schedule at MBS Online.
Draw a report from Medicare on MBS Item number utilization and payments from Medicare Australia.

ASPS Fees Committee follows the Medical Services Advisory Committee (MSAC) process. The pathway includes the:

  • development of a protocol;
  • collection and evaluation of evidence on the basis of the protocol, ending in a review report; and
  • advice and recommendations to the appropriate Minister.

Thereafter, any reports from the MSAC are sent to the Minister of Finance for a final decision.

Read more about the MBS Review Process. The following plastic and reconstructive surgery MBS Items are currently under review. A legend of abbreviations is given at bottom of this page.

  1. MBS 45051 Contour restoration
    ASPS advocated for the inclusion of autologous fat transfer as part of this descriptor.
    Read DoH’s letter (August 2014)
    Read ASPS’ response (October 2014)
  2. Skin services – Specialty review (updated March 2015)
    ASPS Representative was: Hugh Bartholomeusz (QLD)
    Status: Skin RCC last met on 20 February 2015 in Canberra. Proposed items were “test driven” with stakeholders following its meeting on 21 February 2014. Next steps will be the review of the new report from MSAC for preparation to submit to the Evaluation Subcommittee of MSAC and thereafter to the Department of Health.
    Overview: Since 2007, ASPS Council has attended committees and working groups, initially through the AMA Skin Group up until late 2011. Thereafter regulatory reforms provided greater powers to MSAC including the review of new technologies and existing MBS item numbers. Associated with the reforms was a structured review process (read more on MSAC website). The proposed amendments for skin item numbers have changed since work first began. The current status, as dated above, includes the following amendments:
    – Small muscle and myocutaeneous flaps (especially those on the face) will be combined into one item number;
    – A provision exists for flaps smaller than the threshold size above where accurate contemporaneous note for the necessity of the flap are kept.
    – Defect size NOT lesion size will be used to appropriately select an item number. (**Defect size is calculated by adding the measurement of the length and breadth of necessary excision size (i.e. the lesion plus the clinically appropriate margin) and dividing by two.)
    – Region changes have been accepted by the committee. Areas of the body (and necessary defect size for flaps) are as follows:
    • Area 1 (defect • Area 2 (defect • Area 3 (defect
    Read more about the MBS Review on MSAC’s website.
    Historical documents are archived below for reference:
    – Download ASPS’ proposal for changes relating to skin flaps and grafts (excluding burns) (Sept 2011)
    – Download ASPS’ proposal for changes relating to MBS Review Items (MSAC)Please note that there is a review of the previous Government’s decisions. MSAC reviews are continuing as per the published MSAC review process.Look up any current MBS item number on line in the schedule at MBS Online.
    Draw a report from Medicare on MBS Item number utilization and payments from Medicare Australia.

    ASPS Fees Committee follows the Medical Services Advisory Committee (MSAC) process. The pathway includes the:

    • development of a protocol;
    • collection and evaluation of evidence on the basis of the protocol, ending in a review report; and
    • advice and recommendations to the appropriate Minister.

    Thereafter, any reports from the MSAC are sent to the Minister of Finance for a final decision.

    Read more about the MBS Review Process. The following plastic and reconstructive surgery MBS Items are currently under review. A legend of abbreviations is given at bottom of this page.

    1. MBS 45051 Contour restoration
      ASPS advocated for the inclusion of autologous fat transfer as part of this descriptor.
      Read DoH’s letter (August 2014)
      Read ASPS’ response (October 2014)
    2. Skin services – Specialty review (updated March 2015)
      ASPS Representative was: Hugh Bartholomeusz (QLD)
      Status: Skin RCC last met on 20 February 2015 in Canberra. Proposed items were “test driven” with stakeholders following its meeting on 21 February 2014. Next steps will be the review of the new report from MSAC for preparation to submit to the Evaluation Subcommittee of MSAC and thereafter to the Department of Health.
      Overview: Since 2007, ASPS Council has attended committees and working groups, initially through the AMA Skin Group up until late 2011. Thereafter regulatory reforms provided greater powers to MSAC including the review of new technologies and existing MBS item numbers. Associated with the reforms was a structured review process (read more on MSAC website). The proposed amendments for skin item numbers have changed since work first began. The current status, as dated above, includes the following amendments:
      – Small muscle and myocutaeneous flaps (especially those on the face) will be combined into one item number;
      – A provision exists for flaps smaller than the threshold size above where accurate contemporaneous note for the necessity of the flap are kept.
      – Defect size NOT lesion size will be used to appropriately select an item number. (**Defect size is calculated by adding the measurement of the length and breadth of necessary excision size (i.e. the lesion plus the clinically appropriate margin) and dividing by two.)
      – Region changes have been accepted by the committee. Areas of the body (and necessary defect size for flaps) are as follows:
      • Area 1 (defect • Area 2 (defect • Area 3 (defect
      Read more about the MBS Review on MSAC’s website.
      Historical documents are archived below for reference:
      – Download ASPS’ proposal for changes relating to skin flaps and grafts (excluding burns) (Sept 2011)
      – Download ASPS’ proposal for changes relating to skin tumours (Aug 2010)
      – Download ASPS’ proposal for changes relating to breasts and abdomen (May 2010)
      – Download the Flaps and Closure presentation by Peter Callan (Aug 2010).
    3. Lipectomy services (December 2015)
      See Decisions on MBS Items.A secondary review for abdominoplasty relating to DR in post partum women has been spawned from this review by the Department of Health.  James Savundra has represented ASPS on th review working group.
    4. Free transfer of tissue
      – Download ASPS’ letter to Medicare (Jan 2012)
    5. Rhinoplasty services (October 2014)
      See Decisions on MBS Items.
    6. Labioplasty/vulvoplasty services (updated October 2014)
      See Decisions on MBS Items.
    7. Botulinum Toxin Services (updated October 2014)
      See Decisions on MBS Items.
    8. Wrist Ganglia surgery (updated October 2013)
      See Decisions on MBS Items.

    Legend of terms:

    DAP – Decision Analytic Protocol
    PASC – Protocol Advisory Sub-Committee
    ESC – Evaluation Sub-Committee
    MSAC – Medical Services Advisory Committee
    RCC – Review Consultation Committee
    RWG – Review Working Group

    /Skin%20Tumours_org.pdf”>skin tumours (Aug 2010)
    – Download ASPS’ proposal for changes relating to breasts and abdomen (May 2010)
    – Download the Flaps and Closure presentation by Peter Callan (Aug 2010).

  3. Lipectomy services (December 2015)
    See Decisions on MBS Items.A secondary review for abdominoplasty relating to DR in post partum women has been spawned from this review by the Department of Health.  James Savundra has represented ASPS on th review working group.
  4. Free transfer of tissue
    – Download ASPS’ letter to Medicare (Jan 2012)
  5. Rhinoplasty services (October 2014)
    See Decisions on MBS Items.
  6. Labioplasty/vulvoplasty services (updated October 2014)
    See Decisions on MBS Items.
  7. Botulinum Toxin Services (updated October 2014)
    See Decisions on MBS Items.
  8. Wrist Ganglia surgery (updated October 2013)
    See Decisions on MBS Items.

Legend of terms:

DAP – Decision Analytic Protocol
PASC – Protocol Advisory Sub-Committee
ESC – Evaluation Sub-Committee
MSAC – Medical Services Advisory Committee
RCC – Review Consultation Committee
RWG – Review Working Group