MBS item 32219: positive FOBT colonoscopy

From 1 July 2026, MBS item 32219 was introduced for colonoscopy following a positive faecal occult blood test undertaken for screening purposes. Item 32222 was amended to remove those FOBT services.

What practices should check

• The current official descriptor and explanatory notes.
• Evidence of the positive screening FOBT and the relevant clinical documentation.
• Whether all frequency, provider, procedural and anaesthesia or sedation conditions are satisfied.
• The fee and benefit applicable on the date of service.

Billing workflow

1. Confirm the procedure and indication from the clinical record.
2. Check the item descriptor current on the date of service.
3. Confirm patient, provider and location details.
4. Lodge through the appropriate Medicare and health fund pathway.
5. Review any return code or rejection and correct it promptly.

Read the official MBS factsheet