Safe and Best Practice Urology Services

The Australian Government is making changes to Medicare-funded urology services to support high-value care, reflect current medical practice and improve patient experience and safety. These changes follow recommendations from the Medicare Benefits Schedule (MBS) Review Taskforce.

Page last updated: 04 April 2019

Safe and Best Practice Urology Services (PDF 81 KB)

What are the changes?

From 1 July 2020, changes to the urology services in the MBS will be made to mandate analgesia for circumcision and image guidance for urological items and encourage transperineal biopsies of the prostate which are safer than alternative approaches.

Other changes include tightening clinical indicators, deleting obsolete items and restricting co-claiming in item descriptors to improve patient care and professional standards.

Why are these changes being made?

The changes to urology services in the MBS aim to improve quality of care, encourage high value care, and in turn improve patient experience and safety.

The changes are the outcome of the Government agreeing to recommendations from the Taskforce following extensive consultation and discussion with key stakeholders. These discussions identified the key priorities needed to modernise the urology component of the MBS.

The Taskforce is conducting a clinician-led review, and makes recommendations to the Government on how the MBS can be modernised to improve patient safety, support equity of access and reduce waste.

What does this mean for patients?

Patients will benefit from the changes which address concerns regarding patient safety and quality of care. The changes also help ensure that MBS funded services represent value for the patient and the community.

These changes will also enable consumers to be better informed when choosing treatment options for prostate cancer by encouraging consultations with both a urologist and a radiation oncologist.

Patients will receive contemporary clinical services and the MBS items may reduce variability in the billing of MBS items.

What does this mean for providers?

Providers will benefit by being able to claim items that reflect contemporary clinical practice and have an appropriate fee.

New items will be created for procedures commonly performed together that reflect a complete medical service, simplifying the MBS.

Providers affected by these changes will receive further information closer to the implementation date.

Further detail will be available on

In this section