BMD MBS Item Code Generator

BMD MBS Item Code Generator
Important note: To generate the most accurate result, the date of the patient's most recent BMD, as well as the MBS Item Code used, must be obtained:
- For healthcare providers, use the MBS Items Online checker (access via HPOS with your PRODA account).
- For patients, use Medicare Online Services via your MyGov account or call Medicare on 132 011.
Today's date

DayMonthYear
Date
Patient's Name*

First NameLast Name
Patient's Date of Birth*

DayMonthYear
Date
Has the patient had a BMD before?*

YesNo
When was the patient's most recent BMD completed? Please note that an answer is required to generate an item code/s. If unknown, see the note at the top of the form on how to obtain this information.

DayMonthYear
Date
Referring to your answer above, please select how long ago the patient's most recent BMD was completed.
What was the MBS Item Code used for the patient's most recent BMD? If unknown, select 'unknown' or see note above on how to obtain.
What was the result of the patient's most recent BMD?
What is the patient's age?*

Under age 70Age 70 or over
As an adult, has the patient ever fractured a bone with MINIMAL force or trauma? Eg. Falling from own height, coughing, or compression/crush fractures of the spine.*

YesNo
Please provide details of the most recent minimal trauma fracture ie. What was fractured, how and when it occurred.
Did the most recent minimal trauma fracture occur before or after the patient's last BMD?*

Fracture occurred before last BMDFracture occurred after last BMD, or patient has never had a BMDNot applicable (never had a minimal trauma fracture)
Has the patient been diagnosed with Osteoporosis or low bone mineral density? Ie. T score -2.5 or lower, or Z score -2.0 or lower.*

YesNo
Has the patient ever been on medication for Osteoporosis? Ie. Alendronate (Fosamax), Risedronate (Actonel), Zoledronate infusion (Aclasta), Denosumab injection (Prolia) or Romosozumab injection (Evenity).*
Please provide medication details ie. Name of medication, when commenced or ceased and if the type of medication has changed since the last BMD.
Has the patient commenced, ceased or changed the type of medication for Osteoporosis SINCE their last BMD?

YesNoPatient has never had an BMD
Is the patient currently using any oral or inhaled steroid, glucocorticoid or cortisone medication (7.5mg Prednisolone or similar) for any medical condition?*

YesNo
Please provide the medication name, dose and duration of course.
Does the patient have an adrenal or pituitary gland disorder that causes production of excess cortisol? Eg. Tumours, Cushing's Syndrome.*

YesNo
Please specify
Has the patient been diagnosed with hypogonadism?*

Yes, male hypogonadism ie. serum testosterone levels below the age-matched normal rangeYes, female hypogonadism ie. serum oestrogen levels below the age-matched normal range or menopause lasting more than 6 months before age 45 ie. periods ceased or bilateral oophorectemy (both ovaries removed) before age 45.No
Has the patient been diagnosed with any of the following:*

Primary hyperparathyroidism Eg. adenoma or enlarged parathyroid glandChronic liver diseaseChronic renal (kidney) diseaseMalabsorption or malnutrition disorders eg. Bowel disease, Crohn's, Coeliac or Ulcerative ColitisRheumatoid Arthritis (not Osteoarthritis)Any condition associated with thyroxine excess eg overactive thyroid (hyperthyroidism), Graves' Disease.None of the above
MBS Item Code Eligibility

Important note: ALL form questions must be completed for an accurate result. If there are no item codes listed below then the patient is not currently eligible under any rebateable item code (use code BMDNR; No Rebate).
- Eligible for item code 12320 if the patient has never had a BMD, and
  
  The patient is 70 years of age or over
- Eligible for item code 12320 if the patient has NOT had a BMD within the last 5 years and 1 day, and
  (a) The patient is 70 years of age or over, and
  
  (b) The t-score for the patient's last bone mineral density is -1.5 or more
- Eligible for item code 12322 if the patient has NOT had a BMD within the last 2 years and 1 day, and
  
  (a) the patient is 70 years of age or over; and
  (b) the t‑score for the patient's last bone mineral density is less than ‑1.5 but more than ‑2.5
- Eligible for item code 12306 if the patient has NOT had a BMD within the last 2 years and 1 day, and
  
  (a) has one or more fractures occurring after minimal trauma; or
  
  (b) has been diagnosed with Osteoporosis proven by bone densitometry at least 12 months previously
- Eligible for item code 12321 if the patient has NOT had a BMD within the last 1 year and 1 day, and
  
  Has had a significant change in therapy for diagnosed Osteoporosis (Ceased, commenced or changed type of medication for Osteoporosis)
- Eligible for item code 12312 if the patient has NOT had a BMD within the last 1 year and 1 day, and one or more of the following:
  
  (a) prolonged glucocorticoid therapy;
  
  (b) any condition associated with excess glucocorticoid secretion;
  
  (c) male hypogonadism;
  
  (d) female hypogonadism lasting more than 6 months before the age of 45
- Eligible for item code 12315 if the patient has NOT had a BMD within the last 2 years and 1 day, and one or more of the following:
  
  (a) primary hyperparathyroidism;
  
  (b) chronic liver disease;
  
  (c) chronic renal disease;
  
  (d) any proven malabsorptive disorder;
  
  (e) rheumatoid arthritis;
  
  (f) any condition associated with thyroxine excess
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BMD MBS Item Code Generator

MBS Item Code Eligibility