As part of the MBS Review process, the Department established a Review Consultation Committee (RCC). The RCC is a time-limited committee of nominated representatives to provide advice to the Department to inform the review process, such as the development of review reports, i.e. scope and protocol documents, clinical practice and policy issues.
The MBS item numbers for vitamin B12 testing in scope of this review include 66599 and 66602 (see Table A3.1). Both of the items relate to testing serum vitamin B12 or testing red cell (or serum) folate. Both of the items are subject to Rule 21 (i.e. no more than three of any combination of these tests are eligible for Medicare subsidy per patient per year).
Table A3.1: Description of folate testing funded under the MBS
Item number
MBS item number description
66599
Serum B12 or red cell folate and, if required, serum folate
(Item is subject to Rule 21)
Fee: $23.60 Benefit: 75% = $17.70 85% = $20.10
66602
Serum B12 and red cell folate and, if required, serum folate
(Item is subject to Rule 21)
Fee: $42.95 Benefit: 75% = $32.25 85% = $36.55
Both of the items are subject to Rule 21:
Serum B12 and red cell folate testing
21.(1) For items 66599 and 66602, a medicare benefit is not payable for more than 3 episodes of services described in item 66599 or 66602, or any combination of those items, in a 12 month period.
21.(2) A medicare benefit is not payable for a service described in item 66599 if the service was provided as part of the same patient episode as a service described in item 66602.
Source: Department of Human Services – Medicare Australia, accessed September 2013
Table A3.2 shows when the in-scope MBS item numbers were included on the MBS.
Table A3.2: Item number, descriptor and schedule fee start dates for MBS item numbers