Recently, some ANZSVS members raised concerns and expressed frustrations around submission of accounts to health funds for Angiography items (60039 – 60069 DSA items). These items have the condition “(R)” in the descriptor which allows for these imaging items to be self-determined. Medicare had been rejecting these claims with various error codes and justifications.
We contacted MBS Clinical Policy Section within Medicare Benefits & Digital Health department. This issue occurred following a MBS update which took effect on 01/03/2025 and the ability of clinicians to self-determine had been removed. This was never the intention. The Department has acknowledged and corrected the error as of 07/04/2025. Practices are advised to resume billing the items the conventional way.
The ANZSVS has sought reassurance from the Department to avoid similar errors in future. We are aware of the difficulties that your practice staff may experience in seeking clarification of such billing issues when they arise. We have requested a more direct avenue or mechanism for clarification in future. Please alert us via our email: [email protected], for the attention of the Chair, MBS Review Subcommittee and/or President, ANZSVS.