Which incentive goes with a 25-minute video consult?

It depends on MyMedicare. If the patient is registered in MyMedicare at your practice, the MyMedicare longer telehealth incentive applies (75880 in MM 1). If not, the general incentive applies (10990 in MM 1).

Does a Level A consult get the Level B incentive?

No. Level A goes with the general incentive (10990 in MM 1). The Level B incentive (75870 in MM 1) goes with Level B in any mode and with in-person Levels C, D and E.

Is the Modified Monash area where the patient lives?

No. It's where your practice is located, for the provider number you use, even for a home visit or a telehealth consult. The two after-hours incentives, 10992 and 75872, are the exception.

Bulk-billing incentives by Modified Monash area

Checked against the MBS in force from 1 November 2026 · Last updated 12 November 2026

When you bulk bill an unreferred service, a bulk-billing incentive goes with it. Which one depends on the service, on whether the patient is registered in MyMedicare at your practice, and on your practice’s Modified Monash area. The explanatory note on MBS Online is the authority: MN.1.1.

Three kinds of incentive

Level B, and in-person Levels C to E (75870 in MM 1): any Level B attendance, in person, by video or by phone, and in-person Levels C, D and E, including the residential care home, out-of-rooms and after-hours versions.
MyMedicare longer telehealth (75880 in MM 1): for a patient registered in MyMedicare at your practice only, with video Levels C, D and E and phone Levels C and D.
General (10990 in MM 1): every other unreferred service, such as Level A, video and phone Levels C to E for a patient not registered in MyMedicare at your practice, chronic condition plans and health assessments, mental health and eating disorder items, antenatal care and minor procedures.

The items and fees by area

Area	General	Level B, and in-person C to E	MyMedicare, longer telehealth
MM 1 · Metropolitan	10990 · A$8.80	75870 · A$26.35	75880 · A$26.35
MM 2 · Regional centres	10991 · A$13.35	75871 · A$40.10	75881 · A$40.10
MM 3 to 4 · Large and medium rural towns	75855 · A$14.10	75873 · A$42.60	75882 · A$42.60
MM 5 · Small rural towns	75856 · A$15.10	75874 · A$45.30	75883 · A$45.30
MM 6 · Remote communities	75857 · A$15.85	75875 · A$47.80	75884 · A$47.80
MM 7 · Very remote communities	75858 · A$16.95	75876 · A$50.75	75885 · A$50.75

Schedule fees from the 1 November 2026 MBS. MBS Online shows each item’s Medicare benefit. MM 3 and MM 4 share items.

Which area counts

The Modified Monash area is where your practice is located: the location tied to the Medicare provider number you use. That holds wherever the service is given, such as a home or a residential care home, and wherever a telehealth patient is. You can check your practice’s area on the Health Workforce Locator.

The rules

Both the service and the incentive are bulk billed, and the service is unreferred.
The patient isn’t an admitted hospital patient. All patients eligible for Medicare are eligible otherwise.
One incentive per service, that is per MBS item.
Not with pathology or diagnostic imaging, which have their own incentives.

The after-hours incentives: 10992 and 75872

Two more items, 10992 and 75872, are for a practice in an MM 1 area that gives certain after-hours services outside consulting rooms in an MM 2 to 7 area. For these two, where the service is given counts as well. For a practice in MM 1, the claim check lists the after-hours incentive next to the usual one for those services: 585, 594, 599, 5003 and 5010 with 10990 or 10992, and the after-hours Levels B to E away from the rooms with 75870 or 75872. Both show as Possible until you confirm where the service was given, and one counts per service. The versions of these items for other medical practitioners aren’t in the claim check.

How the claim check shows it

Set your practice’s Modified Monash area in Settings, and the claim check picks the incentive item for that area. It chooses the kind from the attendance level and the patient’s MyMedicare registration, and keeps to one incentive per service. The incentive is Supported only when you bulk bill and the item it goes with is Supported. It shows as Possible while billing isn’t decided, while MyMedicare registration or your area isn’t known, or while the item it goes with is Possible: an incentive is never more certain than its item. See how the claim check works.

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Questions

Which incentive goes with a 25-minute video consult?: It depends on MyMedicare. If the patient is registered in MyMedicare at your practice, the MyMedicare longer telehealth incentive applies (75880 in MM 1). If not, the general incentive applies (10990 in MM 1).
Does a Level A consult get the Level B incentive?: No. Level A goes with the general incentive (10990 in MM 1). The Level B incentive (75870 in MM 1) goes with Level B in any mode and with in-person Levels C, D and E.
Is the Modified Monash area where the patient lives?: No. It's where your practice is located, for the provider number you use, even for a home visit or a telehealth consult. The two after-hours incentives, 10992 and 75872, are the exception.

This page paraphrases the MBS and describes how MBS Scribe’s claim check reads these items. It isn’t billing advice. The full descriptors and claiming tables are on MBS Online: MN.1.1 and the tables for each area, MN.1.3 to MN.1.8. See also the telehealth items.