HEALTH INSURANCE ACT 1973

 

No. 42 of 1974

 

An Act providing for Payments by way of Medical Benefits and Payments for Hospital Services and for other purposes.

 

BE IT ENACTED by the Queen, the Senate and the House of Representatives of Australia, as follows:—

PART I—PRELIMINARY

Short title.

1. This Act may be cited as the Health Insurance Act 1973.

Commencement.

2. This Act shall come into operation on the day on which it receives the Royal Assent.

Interpretation.

3. (1) In this Act, unless the contrary intention appears—

“agreement” means an agreement under section 30;

“amendment alleviating the operation of the means test”, in relation to a person, means an amendment of the Social Services Act 1947-1967, or the Repatriation Act 1920-1966, that operates to diminish or eliminate any reduction that would otherwise be made in the rate of pension or allowance payable to or in respect of a person by reason of his means as assessed as defined by—

(a) section 18 or 59 of the Social Services Act 1947-1967 or of that Act as amended at any time; or

(b) section 83 of the Repatriation Act 1920-1966 or of that Act as amended at any time,

as the case may be;

“approved bed”, in relation to a hospital, means a bed included in the number of beds at the hospital to which the approval under section 24 in relation to the hospital relates;

“Australian resident” means a person who is residing in Australia and includes—

(a) a person whose domicile is in Australia, other than a person in respect of whom the Commission is satisfied that the person’s permanent place of abode is outside Australia; and

(b) a person who has been in Australia, whether continuously or intermittently, during more than one-half of the year ending on the day on which the question whether he


is or is not an Australian resident arises, other than a person in respect of whom the Commission is satisfied that—

(i) the person’s usual place of abode is outside Australia; and

(ii) the person does not intend to take up residence in Australia,

but does not include—

(c) the head of a diplomatic mission established in Australia;

(d) a member of the staff (not being an Australian citizen) of a diplomatic mission established in Australia; or

(e) a member of the family of a person referred to in paragraph (c) or (d) who forms part of the household of that person and is not an Australian citizen;

“Commission” means the Health Insurance Commission established by the Health Insurance Commission Act 1973;

“dental practitioner” means a person registered or licensed as a dental practitioner or dentist under a law of a State or Territory that provides for the registration or licensing of dental practitioners or dentists;

“dependant”, in relation to an eligible pensioner, means—

(a) the wife of the pensioner;

(b) a woman who is living with the pensioner as his wife on a permanent and bona fide domestic basis, although not legally married to him;

(c) a child under the age of 16 years in the custody, care and control of the pensioner or of the wife or husband of the pensioner; or

(d) a person wholly or substantially dependent on the pensioner or on the wife or husband of the pensioner, being a person who—

(i) has attained the age of 16 years;

(ii) is receiving full-time education at a school, college or university;

(iii) is not in receipt of an invalid pension under Part III of the Social Services Act 1947-1973; and

(iv) except where the pensioner is a person to whom, or in respect of whom, there is being paid a service pension under the Repatriation Act 1920-1973—is wholly or substantially dependent on the pensioner;


“diagnostic service” means a professional service covered by—

(a) unless the regulations otherwise provide, item 631, 632, 641, 651 or 661 or an item in Part VII or Part VIII of the table; or

(b) any other prescribed item,

and includes any professional service given for health-screening purposes;

“eligible pensioner” means—

(a) a person to whom or in respect of whom—

(i) there is being paid an age pension, an invalid pension, a widow’s pension or a sheltered employment allowance under the Social Services Act 1947-1973; or

(ii) such a pension or allowance would be payable if the person were not receiving vocational training under Part VIII of that Act,

other than such a person to whom or in respect of whom such a pension or allowance would not be payable if any amendment of that Act, being—

(iii) an amendment alleviating the operation of the means test in relation to that person made after the date on which the Social Services Act 1967 received the Royal Assent; or

(iv) an amendment of a rate of pension, allowance or benefit made after the date of commencement of the Social Services Act (No. 4) 1973,

had not been made;

(b) a person to whom or in respect of whom there is being paid a service pension under the Repatriation Act 1920-1973, other than such a person to whom or in respect of whom such a pension would not be payable if

(i) any amendment of that Act, being—

(A) an amendment alleviating the operation of the means test in relation to that person made after the date of commencement of the Repatriation Act 1966; or

(B) an amendment of a rate of pension, allowance or benefit under Division 5 of Part III made after the date of commencement of the Repatriation Act (No. 3) 1973,

had not been made; or

(ii) any amendment of the Social Services Act 1947-1967, being—

(A) an amendment alleviating the operation of the means test in relation to that person made after the date on which the Social Services Act 1967 received the Royal Assent; or

(B) an amendment of a rate of pension, allowance or benefit made after the date of commencement of the Social Services Act (No. 4) 1973,

had not been made; and

(c) a person to whom or in respect of whom there is being paid an allowance under the Tuberculosis Act 1948;

“eligible person” means an Australian resident and, except as otherwise prescribed, includes any other person in Australia;

“friendly society” means a society registered under a State Act or a law of a Territory providing for the registration of friendly or benefit societies;

“hospital” means premises approved as a hospital by the Minister under section 24;

“hospital patient”, in relation to a hospital, means an in-patient in respect of whom the hospital provides comprehensive care, including all necessary medical, nursing and diagnostic services and, if they are available at the hospital, dental and paramedical services, by means of its own staff or by other agreed arrangements;

“hospital treatment” means accommodation and nursing care for the purpose of permitting the provision of professional attention;

“in-patient”, in relation to a hospital, means a person who occupies an approved bed in a hospital for the purpose of hospital treatment but does not include—

(a) a member of the staff of the hospital who is receiving treatment in his or her own quarters; or

(b) except as provided by sub-section (2), a newly-born child whose mother also occupies a bed in the hospital;

“item” means an item in the table;

“medical benefit” means a medical benefit under Part II;

“medical expenses” means an amount payable in respect of a professional service;

“medical practitioner” means a person registered or licensed as a medical practitioner under a law of a State or Territory that provides for the registration or licensing of medical practitioners;

“net operating costs means—

(a) in relation to all recognized hospitals in a State—net operating costs as defined by the agreement with that State; or

(b) in relation to a recognized hospital in an internal Territorynet operating costs as prescribed;

“nursing care ” means nursing care given by or under the supervision of a registered nurse;

“organization” means a society, body or group of persons, whether corporate or unincorporate;

“out-patient service”, in relation to a hospital, means a health service or procedure provided by the hospital to an eligible person other than an in-patient of the hospital;

“practitioner” means a medical practitioner or a dental practitioner;

“private hospital” means a hospital that is not a recognized hospital;

“private patient”, in relation to a hospital, means an in-patient of the hospital who is not a hospital patient;

“professional attention” means—

(a) medical or surgical treatment by or under the supervision of a medical practitioner;

(b) obstetric treatment by or under the supervision of a medical practitioner or a registered nurse with obstetric qualifications; or

(c) dental treatment by or under the supervision of a dental practitioner,

“professional service” means—

(a) a medical service specified in an item that is rendered by or on behalf of a medical practitioner; or

(b) a prescribed medical service specified in an item that is rendered in an operating theatre of a hospital by a dental practitioner approved by the Minister for the purposes of this definition;

“proprietor”, in relation to premises, includes an authority or body of persons that has lawful control of the premises;

“recognized hospital” means a hospital that is a recognized hospital for the purposes of an agreement or for the purposes of section 32;

“registered nurse” means—

(a) a person registered under a law of a State or Territory (other than the State of South Australia) as a general nurse; or

(b) a person registered under a law of the State of South Australia as a nurse;

“table” means the table of medical services set out in Schedule 1.

(2) For the purposes of this Act—

(a) a newly-born child who occupies an approved bed in an intensive care facility in a hospital, being a facility approved by the Minister for the purposes of this sub-section, for the purpose of the provision of special care shall be deemed to be an in-patient of the hospital; and

(b) where there are two or more newly-born children of the same mother in a hospital—each such child in excess of one shall be deemed to be an in-patient of the hospital.

(3) Where an anaesthetic is administered to a patient—

(a) pre-medication of the patient in preparation for the administration of the anaesthetic; and

(b) pre-operative examination of the patient in preparation for the administration of the anaesthetic, being an examination carried out during the attendance at which the anaesthetic is administered,

shall, for the purposes of this Act, be deemed to form part of the professional service constituted by the administration of the anaesthetic.

(4) A reference in this Act to a professional attendance or to an attendance is a reference to an attendance by a medical practitioner on a patient, including an attendance at the medical practitioner’s rooms or surgery.

(5) Unless the Minister otherwise directs, a professional service, not being a service specified in an item in Part I of the table, shall be deemed to include all professional attendances necessary for the purposes of post-operative treatment of the person to whom the professional service is rendered.

(6) Where a professional service rendered to a person includes a medical procedure that would, but for this sub-section, itself be a professional service, that procedure shall, in respect of that person, be deemed not to be a professional service.

Variations and alterations of table of medical services.

4. (1) The regulations may provide that this Act shall have effect as if the table were varied—

(a) by omitting an item or rule of interpretation from the table;

(b) by inserting an item or rule of interpretation in the table; or

(c) by substituting another amount for an amount set out in an item in the table.

(2) The regulations may prescribe a table of medical services in accordance with the form of table set out in Schedule 1.

(3) On the commencement of a regulation prescribing a table of medical services—

(a) the table so prescribed has effect as if it were set out in Schedule 1 in the place of the table (in this sub-section referred to as “the superseded table”) in that Schedule; and

(b) the superseded table or, if another table has effect, by virtue of this section, in the place of the superseded table, that other table ceases to have effect.

(4) The regulations may amend a table that has effect by virtue of paragraph (3)(a) and, on the commencement of the amendment, the table as so amended has effect in the place of the first-mentioned table.

(5) In this section, a reference to a table of medical services shall be read as including a reference to rules for the interpretation of that table.

(6) Regulations under this section shall, unless sooner repealed, cease to be in force on the day next following the fifteenth sitting day of the House of Representatives after the expiration of a period of 12 months commencing on the day on which the regulations are notified in the Gazette, and shall be deemed to have been repealed on that first-mentioned day.

Health insurance cards.

5. (1) The Commission may, for the purpose of facilitating the handling of claims under this Act, issue to an eligible person a health insurance card setting out—

(a) the name of the eligible person and the number allotted to him by the Commission; and

(b) if the Commission thinks fit, the name or names of any child or children of whom the eligible person is a parent or guardian and the number allotted to that child or to each of those children.

(2) A health insurance card shall not contain any personal particulars other than those specified in sub-section (1).

Persons in Australia may apply for application of Act to them.

6. (1) A person who is in Australia but is not an eligible person may apply to the Commission for the application to him, during his stay in Australia, and to any child or children living with him in Australia, during the stay in Australia of that child or of those children, of this Act as if he or he and that child or each of those children were an eligible person or eligible persons.

(2) The Commission may approve an application under sub-section (1) subject to such conditions as it determines, including the payment of a premium by the applicant.

(3) An approval under sub-section (2) shall be expressed to relate to a specified period, which may commence on a date earlier than the date of the approval.

(4) Where an application under sub-section (1) has been approved, a person to whom the application relates shall, subject to any condition imposed under sub-section (2) and to sub-section (5), be treated as an eligible person for the purposes of this Act during the period to which the approval relates.

(5) A person to whom an application referred to in sub-section (4) relates shall not be treated as an eligible person for the purposes of this Act during any period during which he is outside Australia.

Agreement for reciprocal treatment of visitors to Australia and other countries.

7. (1) The Government of Australia may enter into an agreement with the Government of another country under which each Government agrees to arrange for visitors to the country of that Government from the country of that other Government to be treated, for the purpose of the provision of medical and hospital care, as if they were residents or citizens of the country of that Government.

(2) A visitor to Australia to whom an agreement under sub-section (1) relates shall, subject to the agreement, be treated as an eligible person for the purposes of this Act during his stay in Australia.

 

PART II—MEDICAL BENEFITS

Interpretation.

8. For the purposes of this Part, an internal Territory shall be deemed to form part of the State of New South Wales.

Medical benefits calculated by reference to fees.

9. Medical benefits under this Part shall be calculated by reference to the fees for medical services set out in the table.

Entitlement to medical benefits.

10. (1) Where, on or after a date to be fixed by Proclamation for the purposes of this section, medical expenses are incurred in respect of a professional service rendered in Australia to an eligible person, a medical benefit calculated in accordance with sub-section (2) is payable, subject to and in accordance with this Act, in respect of that professional service.

(2) A medical benefit under sub-section (1) in respect of a professional service is an amount equal to—

(a) 85 per centum of the fee specified in respect of that professional service in the table in relation to the State in which the service was rendered; or

(b) if the amount calculated under paragraph (a) is less by more than $5 than the fee from which it is calculated—an amount that is less by $5 than that fee.

(3) Where an amount calculated in accordance with sub-section (2) is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

Increased fee in complex cases.

11. (1) Where

(a) a claim for a medical benefit in respect of a professional service is received by the Commission; and

(b) the claimant—

(i) being the practitioner who rendered the service, states in the claim that the service was of unusual length or complexity; or

(ii) not being the practitioner who rendered the service, forwards with the claim a statement by the practitioner who rendered the service that the service was of unusual length or complexity,

the Commission shall deal with the claim in accordance with the succeeding provisions of this section.

(2) Where the Commission considers that the professional service referred to in the claim is of unusual length or complexity, the Commission shall—

(a) if the Commission considers that the service is of a kind in respect of which an increased fee may be fixed in accordance with principles furnished to the Commission under paragraph (b) or sub-section 12(5)—fix an increased fee for that service, in accordance with those principles, for the purposes of that claim; or

(b) in any other case—refer to the Medical Benefits Advisory Committee for its consideration and recommendation the question whether the fee specified in the item that relates to that service should, for the purpose of calculating the medical benefit under that claim, be increased, having regard to the unusual features of that service, and, if it is to be increased, what principles are to be followed in fixing the amount of the increased fee for that service for the purposes of that claim.

(3) Where the Commission receives a recommendation of the Committee under paragraph (2)(b) in favour of an increased fee in respect of a professional service to which a claim referred to in sub-section (1) relates, the Commission may fix an increased fee for that service, in accordance with the principles set out in that recommendation, for the purposes of that claim.

(4) Where an increased fee is fixed under paragraph (2)(a) or under sub-section (3) in respect of a professional service for the purposes of a claim referred to in sub-section (1), the Commission shall—

(a) inform the claimant, by notice in writing, of the amount of the increased fee so fixed; and

(b) calculate the medical benefit payable in respect of that professional service for the purposes of that claim as if the increased fee so fixed were set out in the item that relates to that professional service.


(5) Where the Commission considers that a professional service referred to in a claim under sub-section (1) is not of unusual length or complexity, the Commission shall inform the claimant, by notice in writing, accordingly.

Appeal from decision on increased fee.

12. (1) Where the Commission notifies a person under sub-section 11(4) or (5) of a decision of the Commission, the person may, within one month after the receipt of that notification, lodge with the Minister an appeal against that decision.

(2) The Minister shall refer an appeal under sub-section (1) to the Medical Benefits Advisory Committee for its consideration and recommendation whether the appeal should be allowed or dismissed and, if the appeal is to be allowed, what increased fee is to be fixed for the purposes of the claim to which the appeal relates.

(3) Where an appeal under sub-section (1) is against the amount of an increased fee fixed by the Commission and the appeal is to be allowed, the Committee shall not recommend an increased fee that is less than the amount of the increased fee to which the appeal relates.

(4) Where a recommendation of the Committee on an appeal under sub-section (1) specifies the amount of an increased fee to be fixed, the Committee may, in the recommendation, set out the principles followed by the Committee in calculating that amount.

(5) The Minister shall furnish to the Commission a statement of principles received by him in a recommendation referred to in subsection (4).

(6) When the Minister has received the recommendation of the Medical Benefits Advisory Committee on an appeal under sub-section (1), the Minister shall, in accordance with the recommendation, either allow or dismiss the appeal and, if he allows the appeal, shall give such directions to the Commission as are necessary to give effect to the recommendation of the Committee.

(7) Where the Minister allows or dismisses an appeal under this section he shall notify the appellant, in writing, accordingly.

Spectacle lenses.

13. The regulations may provide that, where, at an attendance, an examination of the patient’s eyes is made in consequence of which spectacle lenses are prescribed, the medical benefit in respect of any professional service or professional services covered by an item in Part I of the table that is, or are, rendered during that attendance is such portion as is prescribed of the medical benefit that would, but for the regulations, be payable in respect of that professional service or those professional services.


Medical benefit not to exceed medical expenses incurred.

14. A medical benefit payable in respect of a professional service shall not exceed the medical expenses incurred in respect of the professional service.

Calculation of medical benefit payable where two or more operations are performed.

15. (1) Subject to this section, for the purpose of calculating the amount of a medical benefit payable in respect of the medical expenses incurred in respect of two or more operations, each constituting a professional service covered by an item, that are performed on the one occasion on the one person—

(a) the amount specified in those items as fees, other than the greater or greatest of those amounts, shall be deemed to be reduced, as follows:—

(i) the greater or greatest of the amounts to be deemed to be reduced shall be deemed to be reduced by one-half; and

(ii) the other amount, or each of the other amounts, to be deemed to be reduced shall be deemed to be reduced by three-quarters; and

(b) the operations shall be deemed to constitute one professional service in respect of which the fee specified in the table in relation to the State in which the service was rendered is an amount equal to the aggregate of the amounts specified as fees in the items relating to those operations, being those amounts as reduced in accordance with paragraph (a).

(2) For the purposes of paragraph (1)(a)—

(a) where two or more amounts referred to in that sub-section are equal, one of those amounts shall be treated as being greater than the other or others of those amounts; and

(b) where, by virtue of a reduction in accordance with that subsection, an amount is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

(3) This section does not apply in relation to an operation, being one of two or more operations performed under the one anaesthetic on the one person, if the practitioner who performed the operation—

(a) did not perform, or assist at, the other operation or any of the other operations; and

(b) did not administer the anaesthetic.

(4) In this section, “operation” does not include a medical service specified in Division 2 of Part 10 of the table.

Administration of anaesthetic and assistance at operation.

16. (1) A medical benefit is not, except with the approval of the Commission, payable in respect of the administration of an anaesthetic in connexion with a professional service unless the anaesthetic is administered by a practitioner other than the practitioner who renders the professional service in connexion with which the anaesthetic is administered.

(2) A medical benefit in respect of assistance at an operation is not payable if the assistance is rendered by the anaesthetist or a practitioner assisting the anaesthetist.

(3) Where an item relates to a professional service constituted by—

(a) assistance at an operation;

(b) the administration of an anaesthetic; or

(c) assistance in the administration of an anaesthetic,

the amount of medical benefit payable in respect of that professional service is the same whether the assistance is rendered, or the anaesthetic is administered, by one or more than one practitioner.

(4) For the purpose of calculating the amount of medical benefit payable in respect of the medical expenses incurred in respect of the administration of an anaesthetic to a person for the purposes of two or more operations performed on that person while he is under that anaesthetic—

(a) the amounts specified as fees in the items that relate to the administration of an anaesthetic for the purposes of those operations, other than the greater or greatest of those amounts, shall be deemed to be reduced as prescribed; and

(b) the administration of the anaesthetic shall be deemed to constitute one professional service in respect of which the fee specified in the table in relation to the State in which the anaesthetic was administered is an amount equal to the aggregate of the amounts specified as fees in the items relating to the administration of an anaesthetic for the purposes of those operations, being those amounts as reduced in accordance with paragraph (a).

(5) For the purposes of paragraph (4)(a)—

(a) where two or more amounts referred to in that sub-section are equal, one of those amounts shall be treated as being greater than the other or others of those amounts; and

(b) where, by virtue of a reduction in accordance with that subsection, an amount is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

Medical benefit not payable in respect of certain medical expenses.

17. (1) A medical benefit is not payable in respect of a professional service if—

(a) the medical expenses in respect of that service have been paid, or are payable, to a recognized hospital;

(b) the medical practitioner who rendered the service was acting on behalf of an organization that was, when the service was rendered, an organization prescribed for the purposes of this paragraph; or

(c) any part of the service was rendered on the premises of an organization that was, when the service was rendered, an organization referred to in paragraph (b) or an approved organization for the purposes of Part IV.

(2) Unless the Minister otherwise directs, a medical benefit is not payable in respect of a professional service if the medical expenses in respect of that service have been paid, or are payable, by an organizaton to which an approval under section 34 relates in respect of a person who was, when the service was rendered, a hospital patient occupying a bed in a hospital controlled by the organization that was an approved bed for the purposes of that section.

Medical benefit not payable in respect of certain diagnostic services.

18. (1) Subject to this section, a medical benefit is not payable in respect of a diagnostic service if—

(a) the medical expenses in respect of that service have been paid, or are payable, by a recognized hospital in respect of a patient of diagnostic that hospital; or

(b) the diagnostic service is rendered by a medical practitioner acting on his own behalf to a private patient of a recognized hospital.

(2) Where the Minister is satisfied that—

(a) a recognized hospital cannot make satisfactory arrangements for the provision by the hospital of diagnostic services to private patients at the hospital;

(b) the hospital incurs medical expenses in respect of the provision by a medical practitioner of diagnostic services to private patients at the hospital; and

(c) the hospital does not charge private patients at the hospital, in whole or in part, for diagnostic services so provided,

the Minister may direct, in writing, that sub-section (1) does not apply, for a period specified in the direction, in relation to that hospital in respect of a diagnostic service referred to in paragraph (1)(a).


Medical benefit not payable in respect of certain professional services.

19. A medical benefit is not payable in respect of a professional service that is a medical examination for the purposes of life insurance or admission to membership of a friendly society.

Persons entitled to medical benefits.

20. (1) Subject to this section, a medical benefit payable in respect of a professional service rendered in Australia is payable to the person who has incurred the medical expenses in respect of that professional service.

(2) Where a person to whom a medical benefit is payable under subsection (1) in respect of a professional service has not paid the medical expenses that he has incurred in respect of that professional service, he shall not be paid the medical benefit but, if he so requests, there shall be given to him, in lieu of that payment, a cheque for the amount of the medical benefit drawn in favour of the person who rendered the professional service or, if the professional service was rendered by that person on behalf of another person, in favour of that other person.

(3) A person to whom a medical benefit is payable under sub-section (1) (in this sub-section referred to as “the first party”) may enter into an agreement, in accordance with the prescribed form, with the medical practitioner, or other person, by whom, or on whose behalf, the professional service was rendered (in this sub-section referred to as “the second party”) under which—

(a) the first party assigns his right to the payment of the medical benefit to the second party; and

(b) the second party accepts the assignment in full payment of the medical expenses incurred by the first party in respect of that professional service.

(4) Where an agreement in respect of a medical benefit is entered into under sub-section (3), the medical benefit is payable in accordance with the agreement.

(5) A reference in sub-section (3) to a medical practitioner by whom a professional service was rendered does not include a reference to a medical practitioner who renders a professional service on behalf of another person or organization.

Medical service outside Australia.

21. (1) Subject to this section, where medical expenses are incurred in respect of a medical service specified in an item rendered outside Australia, on or after the date fixed for the purposes of section 10, to an Australian resident by, or on behalf of, a prescribed person, medical benefit is payable in respect of that medical service as if that medical service had been rendered in Australia by, or on behalf of, a medical practitioner.

(2) A medical benefit under sub-section (1) is payable to the person who has incurred the medical expenses in respect of the medical service and shall be paid to that person in such manner as the Commission determines.

(3) In this section, prescribed person means—

(a) a person authorized to practise as a medical practitioner under the law of the place where the medical service was rendered; or

(b) any other person approved by the Commission for the purposes of this definition.

(4) This section does not apply in relation to a medical service rendered in a country the Government of which is, when the service is rendered, a party to an agreement with the Government of Australia under section 7.

Claims for medical benefits.

22. A claim for a medical benefit in respect of a professional service shall be made, in accordance with the prescribed form, to the Commission.


Undertakings with respect to pensioners.

23. (1) The Minister shall request every medical practitioner whom he considers is engaged in Australia in rendering professional services to persons to undertake that, where a professional service is rendered in Australia, on or after the date fixed for the purposes of section 10, by the medical practitioner on his own behalf or by a person acting on behalf of the medical practitioner to a person who identifies himself to the person rendering the service as an eligible pensioner or a dependant of an eligible pensioner, the medical practitioner will ensure that—

(a) the person who has incurred the medical expenses in respect of the professional service is asked whether he wishes to make an assignment under sub-section 20(3) of his right to the payment of the medical benefit in respect of the professional service; and

(b) if the person indicates that he so wishes—arrangements are made for the making and acceptance of the assignment under that sub-section.

(2) An undertaking under sub-section (1) shall be in writing and shall be lodged with the Minister.

(3) An undertaking under sub-section (1) does not apply in relation to a professional service rendered by a consultant physician, or a specialist, in the practice of his specialty to a patient who has not been referred to him if the professional service would, if the patient had been referred to him, be covered by an item that specifies a fee for the service that is higher than the fee applicable to the service.

PART III—PAYMENTS FOR HOSPITAL SERVICES

Approval of premises as hospital.

24. (1) The proprietor of premises may apply, in accordance with the prescribed form, for the approval of the premises as a hospital.

(2) Where the Minister is satisfied that the premises in respect of which an application under sub-section (1) is made—

(a) are used, or to be used, for the reception and lodging of patients exclusively or principally for the purpose of hospital treatment; and

(b) are properly fitted, furnished and staffed for that purpose,

he shall, subject to sub-section (3), approve the premises as a hospital for the purposes of this Act and determine the number of beds at the hospital to which the approval relates.

(3) The Minister shall not approve premises under sub-section (2) if he is satisfied that—

(a) the premises are used, or are to be used, exclusively or principally for the care or treatment of mentally ill or mentally defective persons and are under the control of, or the subject of a grant for maintenance from, Australia or a State; or

(b) the premises are a nursing home for the purposes of the National Health Act 1953-1973.

(4) The approval of premises as a hospital under this section is subject to such conditions as are determined, from time to time, by the Minister for the purpose of ensuring that the needs and welfare of patients at the hospital are satisfactorily provided for.

Issue of certificate of approval of premises as hospital.

25. (1) Upon approval of premises as a hospital, the Minister shall cause to be issued to the proprietor of the hospital a certificate of approval in accordance with the authorized form.

(2) Where the approval of premises as a hospital has been varied under section 29 and the certificate of approval has been forwarded to the Minister, the Minister shall cause to be issued to the proprietor of the hospital a new certificate of approval, in accordance with the prescribed form, setting out the approval as so varied.


Display of certificate of approval.

26. (1) The proprietor of a hospital shall cause the certificate of approval to be displayed in a prominent position in the hospital.

(2) Where the approval of premises as a hospital is revoked or varied the proprietor of the premises shall forthwith forward the certificate of approval to the Minister.

Penalty: $100.

Inspection of hospitals.

27. (1) The Minister may, by writing under his hand, authorize an officer or other person to inspect hospitals or any premises in respect of which an application for approval under section 24 has been made.

(2) The proprietor of premises referred to in sub-section (1) shall permit the officer or person so authorized to inspect the premises at any reasonable time.

Penalty: $100.

Notice of person ceasing to be proprietor of hospital.

28. (1) If the proprietor of a hospital ceases to be the proprietor of the hospital, he shall, by notice in writing, notify the Minister forthwith.

(2) If the proprietor of a hospital dies, the legal personal representative of the deceased proprietor shall, by notice in writing, notify the Minister forthwith.

Penalty: $100.

Revocation or variation of approval of premises as hospital.

29. (1) Where the Minister receives an application, in writing, by the proprietor of a hospital for a variation of the approval of the premises constituting the hospital, the Minister may vary that approval in accordance with the application.

(2) Where the Minister—

(a) considers that the nature of a hospital has changed since the approval of the hospital was given;

(b) receives a notice in writing under section 28 in respect of a hospital; or

(c) is satisfied that a condition determined by the Minister under sub-section 24(4) has not been complied with in respect of a hospital,

the Minister may revoke or vary the approval of the premises constituting the hospital.

(3) Where the Minister receives an application, in writing, by the proprietor of a hospital for revocation of the approval of the premises constituting the hospital, he shall revoke the approval accordingly.

Agreements with States for provision of hospital services.

30. (1) Australia may enter into an agreement with a State for the provision of hospital services by the State to eligible persons.

(2) An agreement referred to in sub-section (1) shall be substantially in accordance with the Heads of Agreement specified in Schedule 2 but may include provisions with respect to other matters.

(3) An agreement under this section shall not operate with respect to a period before a date to be fixed by Proclamation for the purposes of this section.


Daily bed payments to recognized hospitals.

31. (1) For the purposes of an agreement with a State or for the purposes of section 32, a daily bed payment, in relation to a recognized hospital, is a payment of $16 for each approved bed in the hospital for each day on which the bed is occupied by an eligible person who is an inpatient of the hospital.

(2) For the purposes of sub-section (1), a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

Payments to recognized hospitals in internal Territories.

32. (1) The Minister may approve such hospitals in an internal Territory as he thinks fit as recognized hospitals for the purposes of this section.

(2) On and after the date fixed for the purposes of section 30, there is payable by Australia to each recognized hospital in an internal Territory daily bed payments in accordance with section 31.

(3) On and after the date fixed for the purposes of section 30, there is payable by Australia, in respect of each financial year or such other period as the Minister fixes, to each recognized hospital in an internal Territory, in addition to the daily bed payments under sub-section (2) in respect of that financial year or other period, an amount equal to the amount by which the aggregate of those daily bed payments is less than an amount equal to 50 per centum of the net operating costs of that hospital in respect of that financial year or other period.

Daily bed payments to private hospitals.

33. (1) On and after the date fixed for the purposes of section 30, there is payable by Australia to a private hospital in a State that is a party to an agreement or in an internal Territory a daily bed payment of $16 for each approved bed in the hospital for each day on which the bed is occupied by an eligible person who is an in-patient at the hospital.

(2) Where the charge made by a hospital referred to in sub-section (1) in respect of the occupancy for a day of an approved bed in the hospital (other than a bed that is an approved bed for the purposes of section 34) is less than the amount of the daily bed payment specified in that sub-section, the daily bed payment in respect of that bed for that day shall not exceed the amount of that charge.

(3) Where the average cost to a hospital referred to in sub-section (1) of maintaining an approved bed in the hospital (other than a bed that is an approved bed for the purposes of section 34) for a day is less than the amount of the daily bed payment specified in that sub-section, the daily bed payment in respect of each approved bed in that hospital (other than a bed that is an approved bed for the purposes of section 34) for that day shall not exceed the amount of that average cost.

(4) For the purposes of this section, a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

Supplementary daily bed payments to private hospitals.

34. (1) This section applies to an organization that—

(a) is carried on otherwise than for the purpose of profit or gain to its individual members; and

(b) is

(i) a religious organization;

(ii) an organization the principal objects or purposes of which are charitable or benevolent; or

(iii) an organization approved by the Minister for the purposes of this section.

(2) An organization to which this section applies may make application to the Minister, in accordance with the prescribed form, for approval to provide care and treatment without charge for eligible persons as hospital patients at a hospital (other than a recognized hospital) controlled by the organization, being a hospital in a State that is a party to an agreement or in an internal Territory.

(3) Where the Minister approves an application under sub-section (1), he shall determine the number of beds at the hospital to which the approval relates.

(4) There is payable by Australia to an organization to which this section applies a supplementary daily bed payment, at a rate fixed by the Minister, for each approved bed in a hospital controlled by the organization to which an approval under this section relates for each day on which the bed is occupied without charge by an eligible person who is a hospital patient at the hospital.

(5) A supplementary daily bed payment under sub-section (4) is not payable in respect of any period before the date fixed for the purposes of section 30.

(6) For the purposes of sub-section (4), a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

(7) In fixing a rate for the purposes of sub-section (4), the Minister shall have regard to the loss of revenue of, and any increased cost to, the organization resulting from the provision of care and treatment without charge to eligible persons who are hospital patients occupying approved beds at the hospital.

(8) A supplementary daily bed payment under this section is payable in addition to a daily bed payment under section 33.

(9) Nothing in this section entitles an eligible person to admission as a hospital patient to a hospital controlled by an organization to which an approval under this section relates.

(10) In this section, “approved bed”, in relation to a hospital, means a bed included in the number of beds at the hospital to which the approval under this section relates.

Claims by proprietors of private hospitals.

35. A claim for a payment under this Part in respect of a private hospital—

(a) shall be made in accordance with the prescribed form to the Commission;

(b) shall relate to such period, and shall be submitted at such time, as the Commission determines; and

(c) shall be accompanied by such information relating to the claim as is shown in the prescribed form to be required or as the Minister determines.

Power to call for returns from proprietors of private hospitals.

36. The Minister may, by notice in writing, require the proprietor of a private hospital to furnish to him, within the time specified in the notice, such return or information in relation to matters relevant to the occupation of approved beds in the hospital as is specified in the notice, including a return or information verified by statutory declaration.

Access to premises.

37. (1) An authorized person may, with the consent of the occupier of any premises, enter the premises for the purpose of exercising the functions of an authorized person under this section.

(2) Where

(a) an occupier of premises has refused consent to the entry, at a reasonable time, on the premises, of an authorized person; and

(b) an authorized person has reason to believe that there are on the premises books, documents or papers relating to the occupation of approved beds in a hospital,

the authorized person may, within one month of the refusal, make application to a Magistrate for a warrant authorizing the authorized person who makes the application to enter the premises for the purpose of exercising the functions of an authorized person under this section.

(3) If, on an application under sub-section (2), the Magistrate is satisfied, by information on oath—

(a) that there is reasonable ground for believing that there are on the premises to which the application relates any books, documents or papers relating to the occupation of approved beds in a hospital; and

(b) that the issue of a warrant is reasonably required for the purposes of this Act,

the Magistrate may grant a warrant, in accordance with the prescribed form, authorizing the authorized person, with such assistance as he thinks necessary, to enter the premises, during such hours of the day or night as the warrant specifies or, if the warrant so specifies, at any time, if necessary by force, for the purpose of exercising the functions of an authorized person under this section.

(4) Where an authorized person has entered any premises in pursuance of sub-section (1) or in pursuance of a warrant granted under subsection (3), he may exercise the functions of an authorized person under this section.

(5) A person shall not, without reasonable excuse, obstruct or hinder an authorized person acting in pursuance of a warrant under sub-section (3) or in pursuance of sub-section (4).

Penalty: $200.

(6) The functions of an authorized person under this section are to search for, inspect, take extracts from, or make copies of, any books, documents or papers relating to the occupation of approved beds in a hospital.

(7) In this section—

“authorized person” means a person authorized, in writing, by the Minister for the purposes of this section;

“occupier”, in relation to premises, includes the person in charge of the premises.

Advances.

38. (1) The Minister may direct the Commission to make such advances in respect of amounts that may become payable under this Part as the Minister determines.

(2) Advances under sub-section (1) may be made subject to such conditions as the Minister determines.

 

PART IV—HEALTH PROGRAM GRANTS

Definitions.

39. In this Part, unless the contrary intention appears—

“approved health service” means a health service in respect of which an approval is in force under section 41;

“approved organization” means an organization in respect of which an approval is in force under section 40.

Approval of organizations.

40. (1) An organization may apply, in accordance with the prescribed form, to the Minister for approval as an organization under this Part.

(2) The Minister may require an organization that makes an application under sub-section (1) to furnish to him such further information in relation to the organization as the Minister requires.

(3) The Minister may approve an organization to which an application under sub-section (1) relates and, if he does so, he shall, in the

instrument of approval, fix a date (which may be a date earlier than the date of the approval) on and from which the approval has effect.

(4) An organization that was, immediately before this Act receives the Royal Assent, entitled, by virtue of an authorization under section 25 of the National Health Act 1953-1973, to payments under that section shall, on the day on which this Act receives the Royal Assent, be deemed to have been approved by the Minister under sub-section (3), but that approval may be revoked by the Minister at any time.

Approval of health services.

41. (1) An approved organization may apply, in accordance with the prescribed form, to the Minister for approval of a health service provided, or to be provided, by the organization.

(2) The Minister may require an organization that makes an application under sub-section (1) to furnish to him such further information in relation to the health service to which the application relates as he requires.

(3) The Minister may approve a health service to which an application under sub-section (1) relates and, if he does so, he shall, in the instrument of approval, fix a date (which may be a date earlier than the date of the approval) on and from which the approval has effect.

Entitlement to health program grant.

42. Subject to this Part, an approved organization is entitled to be paid an amount equal to the costs incurred by the organization in providing, on or after a date to be fixed by Proclamation for the purposes of this section, an approved health service (including such part of the management expenses of the organization as the Minister considers to be attributable to the provision of the health service) or such proportion of those costs as the Minister determines from time to time.

Conditions of payment of grant.

43. (1) A payment (including an advance) under this Part to an approved organization may be made subject to such conditions as the Minister determines, including conditions relating to the terms and conditions in accordance with which the services of practitioners providing the approved health service to which the payment relates are made available to the organization.

(2) If a condition subject to which a payment (including an advance) under this Part has been made is not complied with by an approved organization, the Minister may direct that the whole or a part of that payment be recovered from the organization and, on the service by post on that organization of a copy of that direction, the amount specified in the direction is recoverable by Australia from that organization as a debt due to Australia.

Minister to consult with Commission.

44. Before giving an approval under section 40 or 41 or making a determination under section 42 or 43, the Minister shall consult with the Australian Hospitals and Health Services Commission on the matter and shall have regard to any recommendation made to him by that Commission.

Claims for health program grants.

45. (1) A claim for a payment under this Part shall be submitted to the Commission in accordance with such form, and at such times, as the Minister directs.

(2) Where a claim has been made under sub-section (1), the Minister may require the organization that made the claim to furnish to the Minister such further information in relation to the claim as the Minister requires.

(3) Where the Minister considers that the management expenses of an approved organization that are attributable to the provision of an approved health service are excessive, he may direct that such part only of those expenses as he directs shall be taken into account in ascertaining the amount that the organization is entitled to be paid under this Part in respect of the provision of that health service.

Advances.

46. (1) The Minister may direct the Commission to make such advances in respect of amounts that may become payable under this Part as the Minister determines.

(2) Advances under sub-section (1) may be made subject to such conditions as the Minister determines.


PART V—COMMITTEES AND REVIEW TRIBUNALS

 

Division 1—Specialist Recognition Advisory Committees and the
Specialist Recognition Appeal Committee

Definitions.

47. In this Division, unless the contrary intention appears—

“Committee” means a Specialist Recognition Advisory Committee or the Specialist Recognition Appeal Committee;

“member” means a member of a Committee, and includes a person appointed under section 53 to act in the place of a member.

Establishment of Specialist Recognition Advisory Committees.

48. (1) The Minister shall establish for—

(a) each State;

(b) the Australian Capital Territory; and

(c) the Northern Territory,

a Specialist Recognition Advisory Committee.

(2) Each Specialist Recognition Advisory Committee shall consist of five medical practitioners appointed by the Minister in accordance with section 50.

(3) The exercise or performance of the powers or functions of a Specialist Recognition Advisory Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

(4) A member of a Specialist Recognition Advisory Committee holds office for a period of 3 years.

(5) A member of the Specialist Recognition Appeal Committee is not eligible to be appointed under this section to a Specialist Recognition Advisory Committee.

Establishment of Specialist Recognition Appeal Committee.

49. (1) There shall be a Specialist Recognition Appeal Committee, which shall consist of five medical practitioners appointed by the Minister in accordance with section 50.

(2) The exercise or performance of the powers or functions of the Specialist Recognition Appeal Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

(3) A member of the Specialist Recognition Appeal Committee holds office for a period of 3 years.

(4) A member of a Specialist Recognition Advisory Committee is not eligible to be appointed under this section to the Specialist Recognition Appeal Committee.

Panels for appointments to Committees.

50. (1) Before making appointments to a Committee, the Minister shall request each of the following bodies to nominate a panel of not less than three medical practitioners for consideration for appointment to the Committee:—

(a) the Australian Medical Association;

(b) the Royal Australasian College of Surgeons;

(c) the Royal Australasian College of Physicians;

(d) the Australian Council of the Royal College of Obstetricians and Gynaecologists; and

(e) the Royal Australian College of General Practitioners.

(2) When, in accordance with a request under sub-section (1), each of the bodies referred to in that sub-section has nominated a panel of medical practitioners for consideration for appointment to a Committee, the Minister shall appoint to the Committee one medical practitioner from each of the panels.

Members of Committees under the National Health Act maybe deemed to be members of Committees under this Division.

51. (1) The Minister may direct that a person who is a member of a Specialist Recognition Advisory Committee for a State or Territory under the National Health Act 1953-1973 shall be deemed to be a member of the Specialist Recognition Advisory Committee for that State or Territory under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first-mentioned Committee, as the Minister specifies in the direction.

(2) The Minister may direct that a person who is a member of the Specialist Recognition Appeal Committee under the National Health Act 1953-1973 shall be deemed to be a member of the Specialist Recognition Appeal Committee under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first-mentioned Committee, as the Minister specifies in the direction.

(3) Sections 54 and 55 apply in relation to a person referred to in sub-section (1) or (2) as if that person had been appointed a member of the relevant Committee under section 48 or 49.

Election of Chairman of Committee.

52. (1) The Minister shall convene a meeting of a Committee for the purpose of electing one of the members to be the Chairman of the Committee.

(2) Whenever a vacancy occurs in the office of Chairman of a Committee, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman.

(3) The Minister shall appoint one of the members of a Committee to preside at a meeting of the Committee under this section.

(4) The quorum for a meeting of a Committee under this section is three members of the Committee.

(5) The election of a Chairman of a Committee at a meeting under this section shall be made by a majority of votes of the members of the Committee present and voting.

(6) In the event of an equality of votes on a question before a meeting of a Committee under this section, the member of the Committee presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) A member of a Committee elected as a Chairman of the Committee holds that office until the expiration of the period of his appointment as a member of the Committee or, if he earlier ceases to be such a member, until he so ceases.

Appointment of persons to act in place of member.

53. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member of a Committee will be unable to attend a meeting or meetings of the Committee, appoint a person to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) Before making an appointment under sub-section (1), the Minister shall consult with the body that nominated the panel from which the absent member was appointed.

(3) A person appointed to act in the place of a member of a Committee who is the Chairman of the Committee is not entitled to act as the Chairman of the Committee.

(4) The Minister may, at any time, terminate an appointment made by him under this section.

Termination of appointment.

54. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

Resignation.

55. A member may resign his office by writing under his hand delivered to the Minister.

Appointment to vacant office.

56. Where a vacancy occurs in the office of a member, the Minister shall request the body by whom the member was nominated to nominate a panel of not less than three medical practitioners for consideration for appointment to that office, and the Minister shall appoint one of those medical practitioners to that office.

Irregularities in nomination of members.

57. The validity of the appointment of a member from a panel of persons nominated under section 50 or 56 shall not be called into question by reason only of a defect or irregularity in connexion with the nomination of persons to that panel.

Remuneration and allowances.

58. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, he shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

Meetings of Committees.

59. (1) The Chairman of a Committee shall convene such meetings of the Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman of a Committee shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman of a Committee from a meeting of the Committee, the members present shall elect one of their number to preside at that meeting and the member so elected shall preside accordingly.

(4) The quorum for a meeting of a Committee is three members of the Committee.

(5) A question arising at a meeting of a Committee shall be decided by a majority of the votes of the members of the Committee present and voting and, for that purpose, the member presiding shall have a deliberative vote only.

(6) In the event of an equality of votes on a question before a meeting of a Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(7) In this section, “meeting” does not include a meeting under section 52.

Proceedings at meetings.

60. (1) Subject to this Act and the regulations, a Committee may regulate and conduct proceedings at its meetings as it thinks fit.

(2)  The meetings of a Committee shall be held in private.

Recognition of consultant physician,

61. (1) The Minister may refer to a Specialist Recognition Advisory Committee the question whether a particular medical practitioner who is resident, or practises medicine, in the State or Territory for which the Committee is established should, having regard to his qualifications, experience and standing in the medical profession and the nature of his practice, be recognized for the purposes of this Act as a consultant physician, or as a specialist, in a particular specialty in respect of that State or Territory.

(2) A Committee shall consider a question referred to it under subsection (1) and may submit to the Minister—

(a) a recommendation that the medical practitioner to whom the question relates is to be recognized as a consultant physician, or as a specialist, in the specialty concerned; or

(b) a recommendation that the medical practitioner to whom the question relates is not to be recognized as a consultant physician, or as a specialist, in the specialty concerned.

(3) Subject to sub-section (4), on the receipt of a recommendation under sub-section (2), the Minister shall make a determination, for the purposes of this Act, giving effect to the recommendation.

(4) Where

(a) a recommendation under sub-section (2) is that a medical practitioner is not to be recognized as a consultant physician, or as a specialist, in a specialty; and

(b) the specialty is one in respect of which he is registered as a consultant physician or as a specialist, as the case may be, under the law of the State or Territory for which the Committee is established,

the Minister shall not make a determination giving effect to that recommendation.

(5) Where the Minister makes a determination under sub-section (3), he shall—

(a)  notify the Commission, in writing, accordingly; and

(b) where the determination is that the medical practitioner is not to be recognized—notify the medical practitioner, in writing, accordingly.

(6) A determination under sub-section (3) ceases to have effect when the medical practitioner to whom the determination relates ceases to be resident or to practise medicine, as the case may be, in the State or Territory for which the Committee is established.

(7) Nothing in this section prevents the recognition, for the purposes of this Act, as a consultant physician, or as a specialist, in a specialty, of a medical practitioner in relation to whom no determination under this section is in force.

(8) A determination of the Minister that a medical practitioner is not to be recognized as a consultant physician, or as a specialist, in a specialty does not affect entitlement to medical benefit in respect of a professional service rendered before the date of the determination.

Appeal against refusal of recognition as consultant physician.

62. (1) Where the Minister notifies a medical practitioner that the Minister has determined that the medical practitioner is not to be recognized, for the purposes of this Act, as a consultant physician, or as a specialist, in a specialty, the medical practitioner may, within 1 month after the receipt of that notification, lodge notice of appeal with the Specialist Recognition Appeal Committee and may accompany the notice with a statement of the case in support of the appeal.

(2) The Committee shall consider an appeal so lodged and, if the Committee is of the opinion that the appeal should be allowed, the Committee shall allow the appeal, but otherwise shall dismiss the appeal.

(3) Where the Committee allows or dismisses an appeal, it shall notify the appellant and the Minister, in writing, accordingly.

(4) Where the Committee allows an appeal, the Minister shall make the appropriate determination in relation to the appellant.

Committee may inform itself in any manner.

63. For the purposes of the consideration of any matter the subject of a reference or an appeal, a Committee may inform itself in such manner as it thinks fit.


Chairman may engage consultants.

64. With the approval of the Minister, the Chairman of a Committee may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

 

Division 2–Medical Benefits Advisory Committee

Definitions.

65. In this Division, unless the contrary intention appears—

“Chairman” means the Chairman of the Committee;

“Committee ” means the Medical Benefits Advisory Committee;

“Deputy Chairman” means the Deputy Chairman of the Committee;

“member” means a member of the Committee, and includes a person appointed under section 70 to act in the place of a member;

“reference” means a reference to the Committee under section 67.

Establishment of Medical Benefits Advisory Committee.

66. (1) The Minister may establish a Medical Benefits Advisory Committee consisting of eight members, including at least five medical practitioners.

(2) The members of the Committee shall be appointed by the Minister and four of the members who are required to be medical practitioners shall be so appointed after consultation by the Minister with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate.

(3) Subject to this Act, each member holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

(4) An act or decision of the Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

Functions of Committee.

67. (1) The functions of the Committee are—

(a) in pursuance of a reference to it by the Minister, to consider—

(i) in what manner, and to what extent, a particular treatment or combination of treatments should be specified in an item or items and the appropriate fee or fees that should be specified in that item or those items; or

(ii) whether the scope of, or the amount of the fee set out in, an item is anomalous, having regard to the other items,

and to make recommendations, in writing, to the Minister arising out of that consideration; and

(b) in pursuance of a reference to it by the Commission under section 11, to determine whether a fee with respect to a professional service should be increased for the purposes of a particular claim and, if it is to be so increased, to formulate the principles to be followed in fixing the increased fee, and to make recommendations, in writing, to the Commission accordingly; and

(c) in pursuance of a reference to it by the Minister under section 12, to determine whether an appeal under that section should be allowed or dismissed and, if the appeal is to be allowed, to determine the amount of the increased fee to be fixed with respect to the professional service concerned and, if the Committee thinks fit, to formulate the principles followed by the Committee in fixing that increased fee.

(2) In this section, “treatment” means a medical, surgical, obstetric or dental treatment.

Election of Chairman and Deputy Chairman.

68. (1) The Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the Chairman and another of the members to be the Deputy Chairman.

(2) Whenever a vacancy occurs in the office of Chairman or Deputy Chairman, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman or Deputy Chairman.

(3) The Minister shall appoint one of the members to preside at a meeting convened under this section.

(4) The quorum for a meeting under this section is five members, including three medical practitioners.

(5) The election of a Chairman or Deputy Chairman at a meeting convened under this section shall be made by a majority of votes of the members present and voting.

(6) In the event of an equality of votes on a question before a meeting convened under this section, the member presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) The member elected as the Chairman or the Deputy Chairman holds that office until the expiration of the period of his appointment as a member or, if he earlier ceases to be a member, until he so ceases.

Exercise of powers and functions of Chairman by Deputy Chairman.

69. The Deputy Chairman may, during any period when the Chairman is absent from duty or absent from Australia or, for any other reason, is unable to perform the duties of his office, exercise the powers of the Chairman.

Appointment of person to act in place of member.

70. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member will be unable to attend a meeting or meetings of the Committee, appoint a person to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) A person appointed to act in the place of a member who is a medical practitioner shall himself be a medical practitioner.

(3) A person appointed to act in the place of a member who is the Chairman or the Deputy Chairman is not entitled to act as the Chairman or the Deputy Chairman, as the case may be.

(4) The Minister may, at any time, terminate an appointment made by him under this section.

Termination of appointment.

71. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

Resignation of members.

72. A member may resign his office by writing under his hand delivered to the Minister.

Appointment to vacant office.

73. (1) Subject to sub-section (2), where a vacancy occurs in the office of a member, the Minister may appoint a person to that office.

(2) Where an office referred to in sub-section (1) was occupied by a medical practitioner who had been appointed after a consultation referred to in sub-section 66(2), the Minister shall appoint a medical practitioner to that office and, before making that appointment, shall consult the Australian Medical Association or such other associations or colleges of medical practitioners as he considers appropriate.

(3) Subject to this Act, a member appointed under this section holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

Remuneration and allowances.

74. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

Meetings of Committee.

75. (1) The Chairman shall convene such meetings of the Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman from a meeting the Deputy Chairman shall preside at that meeting.

(4) In the event of the absence of the Chairman and of the Deputy Chairman from a meeting, the members present shall elect one of their number to preside at that meeting.

(5) The quorum for a meeting shall be five members including three medical practitioners.

(6) A question arising at a meeting of the Committee shall be decided by a majority of the votes of the members present and voting and, for that purpose, the member presiding shall have a deliberative vote only.

(7) In the event of an equality of votes on a question before a meeting of the Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(8) In this section, “meeting” does not include a meeting under section 68.

Proceedings at meetings.

76. (1) Subject to this Act and the regulations, the Committee may regulate the proceedings at its meetings as it thinks fit.

(2) The meetings of the Committee shall be held in private.

Committee may inform itself in any manner.

77. For the purposes of the consideration of any matter the subject of a reference, the Committee may inform itself in such manner as it thinks fit.

Chairman may engage consultants.

78. With the approval of the Minister, the Chairman may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

Division 3—Medical Services Committees of Inquiry

Interpretation.

79. (1) In this Division, unless the contrary intention appears—

“Chairman” means the Chairman of a Committee;

“Committee” means a Medical Services Committee of Inquiry;

“Deputy Chairman” means the Deputy Chairman of a Committee;

“excessive services” means professional services, being services in respect of which medical benefit has become or may become payable, that are not reasonably necessary for the adequate medical care of the patient;

“hearing” means a hearing conducted under section 94;

“member” means a member of a Committee, and includes a person appointed under section 85 to act in the place of a member;

“reference” means a reference by the Minister to a Committee under section 82.

(2) For the purposes of this Division—

(a) the Australian Capital Territory shall be deemed to be part of the State of New South Wales; and

(b) the Northern Territory shall be deemed to be part of the State of South Australia.


Establishment of Medical Services Committees of Inquiry.

80. (1) The Minister shall establish for each State a Committee to be called a Medical Services Committee of Inquiry for that State and may establish two or more such Committees for a State.

(2) Each Committee shall consist of five medical practitioners.

(3) The members of each Committee shall be appointed by the Minister and four of them shall be so appointed after consultation by the Minister with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate.

(4) Subject to this Act, each member holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

(5) An act or decision of a Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

Members of Committees under the National Health Act may be deemed to be members of Committees under this Division.

81. (1) The Minister may direct that a person who is a member of a Medical Services Committee of Inquiry for a State under the National Health Act 1953-1973 shall be deemed to be a member of the Medical Services Committee of Inquiry for that State under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first- mentioned Committee, as the Minister specifies in the direction.

(2) Sections 86 and 87 apply in relation to a person referred to in sub-section (1) as if that person had been appointed a member of the relevant Committee under section 80.

Function of Committees.

82. (1) A Committee shall inquire into, and report to the Minister on, any matter referred to the Committee by the Minister, being a matter that is relevant to the operation or administration of this Act and arises out of or relates to—

(a) the rendering, on or after the date fixed for the purposes of section 10, in the State for which the Committee is established, of professional services to eligible pensioners or dependants of eligible pensioners; or

(b) the rendering, on or after that date, in the State for which the Committee is established, of such other professional services as are prescribed.

(2) Before making any regulations for the purposes of paragraph (1)(b), the Governor-General shall take into consideration any recommendation with respect to the matters to be prescribed made to the Minister by the Australian Medical Association.

Election of Chairman and Deputy Chairman.

83. (1) The Minister shall convene a meeting of each Committee for the purpose of electing one of the members of the Committee to be the Chairman of the Committee and another of the members to be the Deputy Chairman of the Committee.

(2) Whenever a vacancy occurs in the office of Chairman of a Committee or Deputy Chairman of a Committee, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman or Deputy Chairman.

(3) The Minister shall appoint one of the members of a Committee to preside at a meeting of the Committee convened under this section.

(4) The quorum for a meeting of a Committee under this section is three members of the Committee.

(5) The election of a Chairman of a Committee or Deputy Chairman of a Committee at a meeting convened under this section shall be made by a majority of votes of the members of the Committee present and voting.

(6) In the event of an equality of votes on a question before a meeting of a Committee convened under this section, the member of the Committee presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) A member of a Committee elected as the Chairman of the Committee or the Deputy Chairman of the Committee holds that office until the expiration of the period of his appointment as a member of the Committee or, if he earlier ceases to be such a member, until he so ceases.

Exercise of powers and functions of Chairman by Deputy Chairman.

84. The Deputy Chairman of a Committee may, during any period when the Chairman of the Committee is absent from duty or absent from Australia or, for any other reason, is unable to perform the duties of his office, exercise the powers of the Chairman of the Committee.

Appointment of person to act in place of member.

85. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member of a Committee will be unable to attend a meeting or meetings of the Committee, appoint a medical practitioner to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) A person appointed to act in the place of a member who is the Chairman or the Deputy Chairman is not entitled to act as the Chairman or the Deputy Chairman, as the case may be.

(3) The Minister may, at any time, terminate an appointment made by him under this section.

Termination of appointment.

86. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

Resignation.

87. A member may resign his office by writing under his hand delivered to the Minister.

Appointment to vacant office.

88. (1) Subject to sub-section (2), where a vacancy occurs in the office of a member, the Minister may appoint a person to that office.

(2) Where an office referred to in sub-section (1) was occupied by a medical practitioner who had been appointed after a consultation referred to in sub-section 80(3), the Minister shall appoint a medical practitioner to that office and, before making that appointment, shall consult the Australian Medical Association or such other associations or colleges of medical practitioners as he considers appropriate.

(3) Subject to this Act, a member appointed under this section holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

Remuneration and allowances.

89. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

Meetings of Committee.

90. (1) The Chairman of a Committee shall convene such meetings of the Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman of a Committee shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman from a meeting of a Committee the Deputy Chairman of that Committee shall preside at that meeting.

(4) In the event of the absence of the Chairman and of the Deputy Chairman from a meeting of a Committee, the members present shall elect one of their number to preside at that meeting.

(5) The quorum for a meeting of a Committee is three members.

(6) A question arising at a meeting of a Committee shall be decided by a majority of the votes of the members present and voting and, for that purpose, the member presiding shall have a deliberative vote only.

(7) In the event of an equality of votes on a question before a meeting of a Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(8) In this section, “meeting” does not include a meeting under section 83.

Proceedings at meetings.

91. (1) Subject to this Act and the regulations, a Committee may regulate the proceedings at its meetings as it thinks fit.

(2) The meetings of a Committee shall be held in private.

Committee may inform itself in any manner.

92. Subject to section 94, the Committee may, for the purpose of its inquiry into a matter the subject of a reference, inform itself in such manner as it thinks fit.

Chairman may engage consultants.

93. With the approval of the Minister, the Chairman of a Committee may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

Hearing by Committee.

94. Where, after consideration of a matter referred to a Committee by the Minister and of any documents that accompany the reference supplied by the Minister, it appears to the Committee that a practitioner may have rendered excessive services, the Committee shall conduct a hearing into the question whether the practitioner has rendered excessive services.

Notice to practitioner of hearing.

95. (1) A Committee shall cause a notice in writing of the time and place of a proposed hearing to be given to the practitioner, or to each of the practitioners, concerned at least 10 days before the date of the proposed hearing.

(2) A notice under sub-section (1) shall give particulars of the alleged conduct to which the hearing relates.

(3) A notice under sub-section (1) may be served on a person either personally or by post.

Rights of practitioner at hearing.

96. Where a notice has been served on a practitioner under section 95

(a) the practitioner may appear in person, or may be represented by another person, at the hearing to which the notice relates; and

(b) if the practitioner appears, or is represented, at the hearing, he or his representative shall be given the opportunity to give evidence, or to call witnesses, on behalf of the practitioner, to examine other witnesses appearing at the hearing and to address the Committee.

Conduct of hearing.

97. (1) A hearing shall be held in private.

(2) At a hearing, the Chairman or, in the absence of the Chairman, the Deputy Chairman or, in the absence of the Chairman and the Deputy Chairman, the member appointed for the purpose by the Committee shall preside.

(3) The rules of evidence do not apply in relation to a hearing and the procedure for conducting the hearing is, subject to this Act and the regulations, within the discretion of the member presiding.

(4) Where a document, book or writing is produced at a hearing—

(a) a member may inspect the document, book or writing;

(b) the member presiding at the hearing may retain the document, book or writing in his possession for such reasonable period as he thinks fit; and

(c) where the document, book or writing is so retained, a member may make copies of, or take extracts from, that document, book or writing.

(5) The member presiding at a hearing may adjourn the hearing from time to time as he thinks fit.

Evidence at hearing.

98. Evidence at a hearing shall be taken on oath or affirmation and, for the purposes of this Act, any member may administer an oath or affirmation.

Summons to give evidence, &c.

99. (1) For the purposes of this Act, a member may, by writing under his hand, summon a person to appear at a hearing to give evidence and to produce such document, book or writing as is referred to in the summons.

(2) A summons under sub-section (1) may be served on the person concerned personally or by post.

Allowances for witnesses at hearing.

100. A person appearing as a witness at a hearing, whether summoned under section 99 or not, shall be paid by Australia such allowances for expenses in respect of his attendance before the Committee as are prescribed.

Failure to attend.

101. A person served with a summons to appear at a hearing shall not fail, without reasonable excuse, so to appear.

Penalty: $200.

Refusal to be sworn or give evidence.

102. (1) A person appearing as a witness at a hearing (whether summoned to appear or not) shall not, without reasonable excuse—

(a) refuse or fail to be sworn or to make an affirmation;

(b) refuse or fail to answer a question that he is required by a member to answer; or

(c) refuse or fail to produce a document, book or writing that he is required under this Act to produce.

Penalty: $200.

(2) A statement or disclosure made by a witness at a hearing is not admissible in evidence against him in civil or criminal proceedings in a court except in a prosecution for giving false testimony at the hearing.

(3) It is a defence in proceedings for an offence of refusing or failing, without reasonable excuse, to produce a document, book or writing at a hearing if it is proved that the document, book or writing was not relevant to the subject matter of the hearing.


Protection of members’ representatives and witnesses at hearing.

103. (1) A member has, in the performance of his duties, the same protection and immunity as a Justice of the High Court.

(2) A person appearing at a hearing on behalf of another person has the same protection and immunity as a barrister has in appearing for a party in proceedings in the High Court.

(3) A person appearing at a hearing as a witness has the same protection, and is, in addition to the penalties provided by this Act, subject to the same liabilities, as a witness in proceedings in the High Court.

Report by Committee.

104. (1) After completion by a committee of a hearing under section 94 in relation to a practitioner, the Committee shall report to the Minister its opinion on the question whether the practitioner has rendered excessive services and, if the Committee is of opinion that the practitioner has rendered excessive services, the report shall identify the excessive services.

(2) Where, under sub-section (1), the Committee reports that it is of opinion that a practitioner has rendered excessive services, the Committee shall send to the Minister with the report a transcript of the proceedings at the hearing, and shall return any documents that accompanied the reference.

Recommendation by Committee.

105. Where—

(a) a Committee has, in a report under section 104, expressed the opinion that a practitioner has rendered excessive services, and has identified those services; and

(b) medical benefit is payable, or has been paid, whether to the practitioner or to another person in respect of any of those services,

the Committee may recommend in that report that—

(c) where the medical benefit is payable, but has not been paid, to the practitioner—the medical benefit or a specified part of the medical benefit cease to be payable; or

(d) where the medical benefit has been paid to the practitioner, or has been paid or is payable to another person—the amount of the medical benefit be payable to Australia by the practitioner.

Determination by Minister.

106. (1) Where a Committee makes a recommendation in accordance with section 105, the Minister may make a determination, in writing, in accordance with that recommendation.

(2) Where the Minister makes a determination under sub-section (1), he shall serve on the practitioner, either personally or by post, a notification in writing setting out the determination.

(3) Where the Minister makes a determination under sub-section (1), then—

(a) if no request for review of the determination under Division 4 is lodged within the period allowed for such a request—the determination takes effect at the expiration of that period;

(b) if a request for review of the determination under Division 4 is lodged within the period allowed for such a request—then—

(i) if the determination is disallowed on the review—the determination does not take effect; or

(ii) if the determination is upheld or varied on the review and no appeal against the decision on the review is made under section 122 within the period allowed for such an appeal—the determination takes effect, or takes effect as so varied, at the expiration of that period; or

(c) if an appeal against the decision on the review is made under section 122 within the period allowed for such an appeal, the determination does not have effect until the appeal, and any further appeal to the High Court, are determined and, upon the determination of the appeal and any such further appeal, the determination takes effect as varied or does not take effect, in accordance with the judgment or order on the appeal or further appeal.


(4) Where a determination under sub-section (1) that gives effect to a recommendation that an amount of medical benefit be payable to Australia by a practitioner takes effect, that amount is recoverable by Australia from the practitioner as a debt due to Australia.

 

Division 4—Medical Services Review Tribunals

Definitions.

107. In this Division, unless the contrary intention appears—

“determination” means a determination under section 106;

“judicial office” means an office of judge of a Federal Court or of the Supreme Court of a State or Territory;

“member” means a member of a Tribunal, and includes the President of a Tribunal;

“Tribunal” means a Medical Services Review Tribunal.

Establishment of Medical Services Review Tribunals.

108. (1) The Governor-General may establish one or more Medical Services Review Tribunals for the purposes of this Act.

(2) A Tribunal shall consist of a President and two other members, who shall be appointed in accordance with this section.

(3) The President of a Tribunal shall be a person who—

(a) is or has been the holder of a judicial office; or

(b) is a legal practitioner of the High Court or of a Supreme Court of a State or Territory of not less than 5 years’ standing.

(4) Of the members of a Tribunal other than the President—

(a) one shall be a medical practitioner nominated by the Minister after consultation with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate; and

(b) one shall be a medical practitioner employed in a Department of State.

(5) The members of a Tribunal shall be appointed by the Governor-General and, subject to this Act, each member holds office for such period, not exceeding 5 years, as is specified by the Governor-General in the instrument of his appointment and is eligible for re-appointment.

(6) A member of a Medical Services Committee of Inquiry shall not be eligible for appointment as a member of a Tribunal.

Termination of appointment.

109. The Governor-General may terminate the appointment of a member (other than the holder of a judicial office) for misbehaviour or physical or mental incapacity.

Resignation of members.

110. A member may resign his office by writing under his hand delivered to the Governor-General.

Appointment to vacant office.

111. Where a vacancy occurs in the office of a member, the Governor-General may appoint a person to that office in accordance with section 108.

Irregularities in nomination of members.

112. The validity of the appointment of a member other than the President of a Tribunal shall not be called into question by reason only of a defect or irregularity in connexion with the nomination of that member.

Remuneration and allowances.

113. (1) A member, not being the holder of a judicial office, shall be paid such remuneration and such annual allowances (if any) as the Parliament fixes, but, until 1 January 1975, shall be paid such remuneration and annual allowance (if any) as are prescribed.

(2) A member, not being the holder of a judicial office, shall be paid such allowances (not including an annual allowance) as are prescribed.

Request for review of determination.

114. (1) A practitioner to whom a determination relates may, by notice in writing given to the Minister within a period of 30 days after the date upon which the notification of the determination is served on him, request the Minister to refer the determination to a Medical Services Review Tribunal for review.

(2) There shall be set out in the request the grounds on which the request is made.

Request for review to be forwarded to Tribunal.

115. Upon receipt by the Minister of a request under section 114 for the review of a determination, the Minister shall forward the request to the President of a Tribunal together with—

(a) a copy of the reference that gave rise to the determination;

(b) a transcript of the proceedings at the hearing conducted for the purposes of that reference;

(c) the report on that reference and any documents sent to the Minister with that report; and

(d) the determination.

Review to be arranged.

116. Where the President of a Tribunal receives from the Minister under section 115a request for the review of a determination, the President shall—

(a) arrange for the determination to be reviewed in proceedings before the Tribunal; and

(b) serve, either personally or by post, on the Minister and on the practitioner to whom the determination relates a notification, in writing, setting out the time and place so arranged.

Rights of parties at proceedings on review.

117. (1) Where a practitioner makes a request for the review of a determination—

(a) the practitioner may appear in person, or may be represented by another person, at the proceedings on the review arranged under section 116; and

(b) if he appears, or is represented, at those proceedings—he or his representative shall be given the opportunity to address the Tribunal.

(2) The Minister may be represented at proceedings referred to in sub-section (1) and, if he is so represented, his representative shall be given the opportunity to address the Tribunal.

Procedure of Tribunals.

118. (1) Proceedings before a Tribunal—

(a) shall be in private; and

(b) shall be conducted with as little formality and technicality as a proper consideration of the matter before the Tribunal permits.

(2) The procedure of a Tribunal is, subject to this Act and the regulations, within the discretion of the President.

(3) The parties to the proceedings are the Minister and the practitioner who requested the review.

Proceedings on review.

119. (1) A tribunal that reviews a determination in accordance with a request—

(a) shall consider the matter to which the determination relates having regard to the grounds set out in the request, the documents forwarded by the Minister with the request and any


addresses made to the Tribunal during the proceedings on the review; and

(b) shall, subject to sub-section (2)—

(i) uphold the determination;

(ii) vary the determination in such manner as it thinks fit but so that the determination, as so varied, is one that the Minister could have made in giving effect to a recommendation of a Committee; or

(iii) disallow the determination.

(2) A Tribunal shall not uphold or vary a determination unless it is satisfied that the practitioner concerned has rendered the excessive services to which the determination relates.

(3) Subject to the Constitution, the decision of a Tribunal on a review is final except in so far as an appeal may be brought to the Australian Industrial Court in accordance with section 122 or an appeal may be brought to the High Court from a judgment or order of the Australian Industrial Court given or made under that section.

Costs of proceedings before Tribunal.

120. The costs incurred by a practitioner in relation to proceedings before a Tribunal shall be borne by Australia, unless the Tribunal is of opinion that the costs, or part of the costs, were unnecessarily incurred and directs that the costs, or that part of the costs, be borne by the practitioner.

Protection of members of Tribunal, &c.

121. (1) A member of a Tribunal has, in the performance of the duties of his office, the same protection and immunities as a Justice of the High Court.

(2) A person representing another person before a Tribunal has the same protection and immunities as a barrister has in appearing for a party in proceedings in the High Court.

Appeals.

122. (1) A party in proceedings before a Tribunal may, in such manner and within such time as is prescribed, appeal, on a question of law only, to the Australian Industrial Court from a decision of the Tribunal.

(2) The Australian Industrial Court has jurisdiction to hear and determine an appeal instituted in that Court in accordance with subsection (1).

(3) The Australian Industrial Court shall hear and determine the appeal and give such judgment, or make such order, as, in all the circumstances, it thinks fit, and, in particular—

(a) may uphold, vary or disallow the decision of the Tribunal; or

(b) may remit the matter the subject of the decision of the Tribunal to the Tribunal for further review in accordance with the directions of the Court.

Exercise of jurisdiction of Australian Industrial Court.

123. (1) Subject to sub-section (2), the jurisdiction of the Australian Industrial Court with respect to appeals under section 122 shall be exercised by a single judge.

(2) The Chief Judge of the Australian Industrial Court may, if in his opinion an appeal under section 122 involves the determination of a question of law of sufficient importance, direct that, for the purpose of that appeal, the Court shall be constituted by three judges.

Division 5—Other Committees

Other Committees.

124. In addition to the Committees for the establishment of which express provision is made in the preceding Divisions of this Part, the regulations may provide for the establishment of other Committees and may make provision for and in relation to the constitution, powers, functions, duties and procedure of, and the filling of vacancies on, those Committees.


PART VI—FINANCE

Payments to be made by Commission.

125. All amounts (including advances) payable by Australia under Part II, Part III (including an agreement under that Part) or Part IV and amounts of hospital benefits payable under the regulations shall be paid, on behalf of Australia, by the Commission.

Health Insurance Fund.

126. (1) There shall be a Health Insurance Fund.

(2) The Health Insurance Fund is a Trust Account for the purposes of section 62a of the Audit Act 1901-1969.

(3) There shall be paid into the Health Insurance Fund—

(a) such amounts as are appropriated by the Parliament from time to time for the purpose;

(b) amounts recovered by Australia under sub-section 43(2) or 106(4); and

(c) premiums referred to in sub-section 6(2).

(4) The time and manner of payment of the moneys referred to in paragraph (3)(a) shall be as determined by the Treasurer.

(5) There shall be paid to the Commission from time to time, out of the Health Insurance Fund, such amounts as the Treasurer thinks necessary for the purpose of enabling the Commission to make payments referred to in section 125.

(6) Interest from the investment of any moneys standing to the credit of the Health Insurance Fund shall be credited to the Fund.

 

PART VII—MISCELLANEOUS

Use of health insurance cards.

127. A person shall not use a health insurance card for the purpose of obtaining payment of a medical benefit payable in respect of a professional service rendered to a person other than a person whose name is on the card.

Penalty: $500.

Offences in relation to returns.

128. A person shall not fail or neglect duly to furnish a return or information that he is required under this Act or the regulations to furnish.

Penalty: $500.

False statements, &c.

129. (1) A person shall not make a statement, either orally or in writing, or issue or present a document, that is false or misleading in a material particular and is capable of being used in, in connexion with or in support of, an application for approval for the purposes of this Act or for payment of an amount under this Act.

Penalty: $500 or imprisonment for 6 months.

(2) A person shall not furnish, in pursuance of this Act or of the regulations, a return or information that is false or misleading in a material particular.

Penalty: $500 or imprisonment for 6 months.

(3) In a prosecution of a person for an offence against this section, it is a defence if the person shows that he did not know, and had no reason to suspect, that the statement, document, return or information to which the prosecution relates was false or misleading, as the case may be.

Officers to observe secrecy.

130. (1) A person shall not, directly or indirectly, except in the performance of his duties, or in the exercise of his powers or functions, under this Act, and while he is, or after he ceases to be, an officer, make a record of, or divulge or communicate to any person, any information with respect to the affairs of another person acquired by him in the performance of his duties, or in the exercise of his powers or functions, under this Act.

Penalty: $500.

(2) A person who is, or has been, an officer shall not, except for the purposes of this Act, be required—

(a) to produce in court any document that has come into his possession or under his control in the performance of his duties or functions under this Act; or

(b) to divulge or communicate to a court any matter or thing that has come under his notice in the performance of any such duties or functions.

(3) Notwithstanding anything contained in the preceding provisions of this section, an officer may—

(a) if the Minister certifies that it is necessary in the public interest that any information acquired by the officer in the performance of his duties, or in the exercise of his powers or functions, under this Act, should be divulged, divulge that information to such person as the Minister directs;

(b) divulge any such information to any prescribed authority or person; or

(c) divulge any such information to a person who, in the opinion of the Minister, is expressly or impliedly authorized by the person to whom the information relates to obtain it.

(4) An authority or person to whom information is divulged under sub-section (3), and any person or employee under the control of that authority or person, shall, in respect of that information, be subject to the same rights, privileges, obligations and liabilities under sub-sections (1) and (2) as if he were a person performing duties under this Act and had acquired the information in the performance of those duties.

(5) Nothing in this section prohibits the publication of statistics by the Commission or by the Commonwealth Statistician but such statistics shall not be published in a manner that enables the identification of an individual patient or an individual practitioner.

(6) In this section, “officer” means a person performing duties, or exercising powers or functions, under, or in relation to, this Act.

Delegation.

131. (1) Subject to this section, the Minister may, by writing under his hand, delegate all or any of his powers and functions under this Act (except this power of delegation) to any officer of the Department of Social Security.

(2) A power or function so delegated may be exercised or performed by the delegate in accordance with the instrument of delegation.

(3) A delegation under this section is revocable at will and does not prevent the exercise of a power or the performance of a function by the Minister.

Evidence.

132. (1) The Minister may, by writing under his hand, certify that, during a period or on a date specified in the certificate—

(a) any premises were, or were not, a hospital; or

(b) a document annexed to the certificate is a true copy of a determination or direction by the Minister under this Act or of any other document made or issued under this Act.

(2) In proceedings under this Act or another Act or under regulations under this Act or another Act, a certificate purporting to have been given under this section—

(a) is evidence of the facts stated in the certificate; and

(b) shall, unless the contrary is proved, be deemed to have been given by the person purporting to give the certificate.

Regulations.

133. (1) The Governor-General may make regulations, not inconsistent with this Act, prescribing all matters required or permitted by this Act to be prescribed, or necessary or convenient to be prescribed for carrying out or giving effect to this Act and, in particular—

(a) requiring the proprietor of a private hospital to keep records relating to, and to furnish, to such persons as are prescribed, returns or information relating to, the occupation of approved beds in the hospital; and

(b) prescribing penalties, not exceeding a fine of $200, for offences against the regulations.

(2) Where an item specifies a medical service that is to be rendered by a consultant physician, or a specialist, in the practice of his specialty to a patient who has been referred to him, the regulations may require that, for the purposes of the item, the patient be referred in a manner prescribed by the regulations.

(3) The regulations may provide for the payment by Australia of hospital benefits, at such rates and subject to such conditions as are prescribed by or under the regulations, to persons who have incurred expense in respect of the care and treatment outside Australia in hospitals, as defined by or under the regulations, of persons who are Australian residents temporarily absent from Australia.

 

________

 

SCHEDULE 1 Sections 9 and 10

RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

1. Where an item in Part 1, 3 or 4 of the table includes the symbol “(S)” the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty.

2. Where an item in Part 1,3 or 4 of the table includes the symbol “(G) ”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty.

3. Where an item, other than an item in Part 1, 3 or 4 of the table, includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty to a patient who has been referred to him.

4. Where an item, other than an item in Part 1, 3, or 4 of the table, includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty to a patient who has been referred to him.

5. A reference in rule 3 or 4 or in Part 1 of the table to the referring of a patient to a specialist shall be read as a reference to a referring by a medical practitioner and—

(a) where the specialist concerned is an ophthalmologist—shall be read as including a reference to a referring by a registered optometrist or by a registered optician; and


SCHEDULE-continued

(b) where a referring arises out of a dental service rendered to the person who has been referred—shall be read as including a reference to a referring by a dental practitioner.

6. Where an item includes the symbol “(D)”, the item shall be taken to relate to the service specified in the item when rendered in an operating theatre of a hospital in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of’ professional service’ in sub-section 3(1).

7. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and—

(a) in the case of item 2254—$5;

(b) in the case of item 2362 or 2367—$5.50; or

(c) in the case of item 2420—$3,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

8. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a dislocation or fracture of the kind treated and—

(a) in the case of item 6414, 6416, 6651 or 6652—one-half of that fee;

(b) in the case of item 6647 or 6648—one-third of that fee; or

(c) in the case of item 6655 or 6656—three-quarters of that fee,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

9. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to—

(a) in the case of item 6659, 6660, 6663 or 6664—one-half of the fee set out in that column in the item that would, but for that first-mentioned item, relate to the reduction effected;

(b) in the case of item 6667 or 6668—the fee set out in that column in the item that would but for that first-mentioned item, relate to the reduction effected; or

(c) in the case of item 6671—the fee set out in that column in the item that relates to a simple and uncomplicated fracture of the part treated,

and an amount equal to the amount so referred to shall be deemed to be set out in that column in the place of that reference.

TABLE OF MEDICAL SERVICES

 

Fees

 

Item

 

 

 

No.

Medical service

N.S.W

Vic.

Qld

S.A.

W.A.

Tas.

 

$

$

$

$

$

$

 

PART I—PROFESSIONAL ATTENDANCES NOT COVERED BY AN ITEM IN ANY OTHER PART OF THIS SCHEDULE

70

Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 72—each attendance

3.50

3.20

3.15

3.15

3.15

3.20


 

 

Fees

 

 

 

 

 

Item No.

 

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

72

Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

6.00

5.70

5.65

5.65

5.65

5.70

75

Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 78—each attendance

4.70

4.30

4.20

4.20

4.20

4.30

78

Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

7.20

6.80

6.70

6.70

6.70

6.80

81

Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 84—each attendance

9.00

8.30

8.10

8.10

8.10

8.30

84

Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

11.50

10.80

10.60

10.60

10.60

10.80

87

Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 90—each attendance

13.50

12.50

12.20

12.20

12.20

12.50

 


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

90

Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

16.00

15.00

14.70

14.70

14.70

15.00

93

Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 96—each attendance               

5.25

4.80

4.75

4.75

4.75

4.80

96

Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday             

7.75

7.30

7.25

7.25

7.25

7.30

99

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 102—each attendance             

7.00

6.45

6.30

6.30

6.30

6.45

102

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday             

9.50

9.00

8.80

8.80

8.80

9.00

105

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 108—each attendance              

11.35

11.00

10.75

10.75

10.75

11.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

108

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

13.85

13.50

13.25

13.25

13.25

13.50

111

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 114—each attendance             

15.85

15.25

15.00

15.00

15.00

15.25

114

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday             

18.35

17.75

17.50

17.50

17.50

17.75

117

Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 120—each attendance when only one patient is seen             

7.00

6.45

6.30

6.30

6.30

6.45

120

Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, when only one patient is seen             

9.50

9.00

8.80

8.80

8.80

9.00

123

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 126—each attendance on two or more patients in the one hospital on the one occasion—each patient             

4.70

4.30

4.20

4.20

4.20

4.30

 


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

126

Professional attendance at a nursing home (not being an attendance covered by any other item in this Part)—each attendance on two or more patients in the one nursing home on the one occasion—each patient              

3.50

3.20

3.15

3.15

3.15

3.20

188

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home              

12.10

11.00

11.00

11.00

9.40

8.80

189

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home             

17.60

16.50

16.50

16.50

14.90

14.30

190

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance that is a second or subsequent attendance in a single course of treatment             

6.10

6.10

5.50

5.50

5.50

5.50

191

Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home             

22.00

19.80

19.80

19.80

19.80

16.50

192

Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home             

27.50

25.30

25.30

25.30

25.30

22.00

193

Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitionereach attendance that is a second or subsequent attendance in a single course of treatment              

9.40

8.30

8.30

8.30

8.30

7.20


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

194

Prolonged professional attendance, for not less than 2 hours but less than 3 hours, on a patient in a critical condition arising from electric shock, drowning, caisson disease, tetanus, respiratory or circulatory failure or involving resuscitation of the new born, that requires constant attention to the exclusion of all other patients

22.00

22.00

22.00

22.00

22.00

22.00

195

Prolonged professional attendance, for a period of not less than 3 hours but less than 4 hours, in the circumstances referred to in item 194             

33.00

33.00

33.00

33.00

33.00

33.00

196

Prolonged professional attendance, for a period of not less than 4 hours but less than 5 hours, in the circumstances referred to in item 194              

43.50

43.50

43.50

43.50

43.50

43.50

197

Prolonged professional attendance, for a period of 5 hours or more, in the circumstances referred to in item 194             

55.00

55.00

55.00

55.00

55.00

55.00

198

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G)             

4.40

4.00

3.90

3.80

3.90

4.00

199

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S)             

5.50

5.00

5.50

5.00

5.50

4.40

PART 2OBSTETRICS

Division 1—General

202

Antenatal care where attendances do not exceed ten—each attendance 

4.00

3.60

3.50

3.40

3.50

3.60

205

Antenatal care where attendances exceed ten...

40.00

36.00

35.00

34.00

35.00

36.00

209

Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (G)             

33.00

30.00

30.00

25.00

25.00

25.00

210

Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (S)             

65.00

45.00

45.00

40.00

40.00

35.00

220

Confinement, including a professional attendance that would, but for this item, be covered by item 188 (S)             

30.00

25.00

25.00

25.00

25.00

20.00

221

Antenatal care, confinement and postnatal care for 9 days (G) 

50.00

50.00

45.00

40.00

40.00

40.00

222

Antenatal care, confinement and postnatal care for 9 days (S) 

100.00

80.00

70.00

80.00

70.00

60.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

 

Division 2—Special Services

225

Antenatal care, confinement and postnatal care for 9 days with surgical induction of labour (G) 

61.00

60.00

55.50

50.00

50.00

50.00

228

Antenatal care, confinement and postnatal care for 9 days with surgical induction of labour (S) 

111.00

90.00

80.50

90.00

80.00

70.00

232

Antenatal care, confinement and postnatal care for 9 days with surgical induction of labour; requiring major regional or field block (including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal) (G)             

77.50

75.00

71.50

65.00

65.00

64.00

233

Antenatal care, confinement and postnatal care for 9 days with surgical induction of labour; requiring major regional or field block (including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal) (S)             

127.50

105.00

96.50

105.00

95.00

84.00

235

Caesarean section and postnatal care for 9 days (G) 

80.00

80.00

70.00

70.00

70.00

60.00

236

Caesarean section and postnatal care for 9 days (S) 

120.00

100.00

100.00

90.00

100.00

70.00

243

Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of 12 injections              

2.80

2.00

2.10

2.35

2.40

2.10

247

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance             

2.80

2.00

2.50

2.35

2.40

2.10

251

Cervix, purse string ligation of, for threatened miscarriage (G) 

22.50

22.50

22.50

22.50

22.50

22.50

252

Cervix, purse string ligation of, for threatened miscarriage (S) 

30.00

30.00

30.00

30.00

30.00

30.00

255

Cervix, removal of purse string ligature of, under general anaesthesia (G)  

8.00

8.00

8.00

8.00

8.00

8.00

256

Cervix, removal of purse string ligature of, under general anaesthesia (S) 

11.00

11.00

11.00

11.00

11.00

11.00

259

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of— each attendance

2.80

2.00

2.50

2.35

2.40

2.10

260

Amnioscopy ......................

10.00

10.00

10.00

10.00

10.00

10.00

261

Amnioscopy with surgical induction of labour

15.00

15.00

15.00

15.00

15.00

15.00

263

Amniocentesis.....................

11.00

11.00

11.00

11.00

11.00

11.00

265

Version, external or internal, under anaesthesia (G) 

10.00

10.00

10.00

10.00

10.00

10.00

268

Version, external or internal, under anaesthesia (S) 

11.00

11.00

11.00

11.00

11.00

11.00

271

Surgical induction of labour.............

11.00

10.00

10.50

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

275

Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services 

44.00

44.00

44.00

44.00

44.00

44.00

279

Evacuation by intrauterine manual removal of the products of conception such as retained foetus, placenta, membranes or mole             

16.50

12.00

12.50

12.50

12.50

12.00

283

Manipulative correction of acute inversion of uterus, with or without incision of cervix  

48.00

48.00

48.00

48.00

48.00

48.00

287

Postpartum haemorrhage requiring special procedures such as packing, treatment of (G) 

8.00

8.00

8.00

8.00

8.00

8.00

288

Postpartum haemorrhage requiring special procedures such as packing, treatment of (S)

11.00

11.00

11.00

11.00

11.00

11.00

291

Third degree tear, repair of, involving anal sphincter muscles 70 

22.00

20.00

22.00

20.00

20.00

20.00

PART 3ANAESTHETICS

Division 1— Anaesthetics other than Gaseous Anaesthetics not Covered by an Item in any other Part of this Schedule

301

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees specified in this table, does not exceed $25 (G)             

6.50

8.00

7.50

6.50

7.50

7.00

302

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees specified in this table, does not exceed $25 (S)             

8.50

9.50

9.00

8.00

9.00

8.50

305

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees specified in this table, exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania(G)              

9.00

10.00

10.50

10.00

12.00

12.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

306

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania (S)             

11.00

12.00

12.50

12.00

14.00

14.00

309

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (G)              

16.50

16.00

16.00

15.00

16.00

15.00

310

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (S)             

20.00

19.00

19.00

18.00

19.00

18.00

313

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140

22.00

22.00

22.00

22.00

22.00

22.00

317

Administration of an anaesthetic (not including an anaesthetic referred to in Division 2 of this Part) in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $140             

33.00

33.00

33.00

33.00

33.00

33.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

321

Administration of an anaesthetic other than gaseous, in addition to a gaseous anaesthetic referred to in Division 2 of this part

3.50

3.00

3.00

2.50

2.50

3.00

 

323

Administration of neuroleptal analgesia 

12.00

12.00

12.00

12.00

12.00

12.00

 

Division 2—Gaseous Anaesthetics

341

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table, does not exceed $25 (G)             

10.00

10.00

10.50

9.00

10.00

10.00

342

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services for which the fee, or the aggregate of the fees specified in this table, does not exceed $25 (S)             

12.00

12.00

12.50

11.00

12.50

12.00

344

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services for which the fee, or the aggregate of the fees specified in this table, exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania (G)             

13.00

12.50

12.50

12.00

12.00

12.50

345

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services for which the fee, or the aggregate of the fees specified in this table, exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania (S)             

16.00

15.00

15.00

15.00

15.00

15.00

347

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (G)             

19.00

20.00

19.00

18.00

18.00

18.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

348

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (S)             

23.00

24.00

23.00

22.00

22.00

22.00

351

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceeds 140 (G)             

20.00

22.00

22.00

20.00

22.00

22.00

352

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140 (S)             

24.00

26.00

26.00

24.00

26.00

26.00

355

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $140 but does not exceed $200             

33.00

35.00

33.00

33.00

33.00

33.00

357

Administration of an anaesthetic in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $200             

45.00

45.00

45.00

45.00

45.00

45.00

 

Division 3—Groupings of Anaesthetics and Related Procedures

370

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table does not exceed $25 (G)             

13.50

13.00

13.50

11.50

12.50

13.00

371

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table does not exceed $25 (S)             

15.50

15.00

15.50

13.50

15.00

15.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

375

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44.00 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania (G)              

16.50

15.50

15.50

14.50

14.50

15.50

376

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $25, but does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania (S)             

19.50

18.00

18.00

17.50

17.50

18.00

378

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (G)

22.50

23.00

22.00

20.50

20.50

21.00

379

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90 (S)

26.50

27.00

26.00

24.50

24.50

25.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

381

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140 (G)             

23.50

25.00

25.00

22.50

24.50

25.00

382

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140 (S)             

27.50

29.00

29.00

26.50

28.50

29.00

384

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $140 but does not exceed $200             

36.50

38.00

36.00

35.50

35.50

36.00

386

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $200             

48.50

48.00

48.00

47.50

47.50

48.00

388

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90; and intravenous or subcutaneous infusion or injection of fluids—percutaneous (G)             

28.00

28.00

27.00

25.50

25.50

26.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

389

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90; and intravenous or subcutaneous infusion or injection of fluids—percutaneous (S)             

32.00

32.00

31.00

29.50

29.50

30.00

391

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140; and intravenous or subcutaneous infusion or injection of fluids—percutaneous (G)             

29.00

30.00

30.00

27.50

29.50

30.00

392

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140; and intravenous or subcutaneous infusion or injection of fluids—percutaneous (S)             

33.00

34.00

34.00

31.50

33.50

34.00

394

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $140 but does not exceed $200; and intravenous or subcutaneous infusion or injection of fluids—percutaneous             

42.00

43.00

41.00

40.50

40.50

41.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

396

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90; and blood transfusion, using blood already collected (G)             

33.50

35.00

32.50

31.50

31.50

31.00

397

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90; and blood transfusion, using blood already collected (S)             

37.50

39.00

36.50

35.50

35.50

35.00

399

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table, exceeds $90 but does not exceed $140; and blood transfusion using blood already collected (G)             

34.50

37.00

35.50

33.50

35.50

35.00

400

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140; and blood transfusion, using blood already collected (S)             

38.50

41.00

39.50

37.50

39.50

39.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

402

Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic, in connexion with a professional service, or a series or combination of professional services, for which the fee, or the aggregate of the fees, specified in this table, exceeds $140 but does not exceed $200; and blood transfusion, using blood already collected              

47.50

50.00

46.50

46.50

46.50

46.00

Division 4—Dental Anaesthetics

430

Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation             

8.00

8.00

8.00

8.00

8.00

8.00

435

Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation (G)             

13.00

15.00

15.00

12.00

12.00

12.00

436

Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation (S)             

15.50

18.00

18.00

14.50

14.50

14.50

PART 4REGIONAL NERVE OR FIELD BLOCK

451

Initial major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal

16.50

15.00

16.00

15.00

15.00

14.00

452

Subsequent major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal             

11.50

10.00

11.00

10.00

10.00

9.00

455

Intravenous regional anaesthesia of limb by retrograde perfusion (G) 

11.50

11.50

11.50

11.50

11.50

11.50

456

Intravenous regional anaesthesia of limb by retrograde perfusion (S) 

15.00

15.00

15.00

15.00

15.00

15.00

PART 5ASSISTANCE IN ADMINISTRATION OF AN ANAESTHETIC

501

Assistance in the administration of an anaesthetic in connexion with a professional service, or a series of combination of professional services, for which the fee, or the aggregate of the fees specified in this table exceeds $165              

12.00

12.00

12.00

12.00

12.00

12.00

PART 6—MISCELLANEOUS PROCEDURES

601

Electrocardiography, phonocardiography, stethography or ballistocardiography  

7.00

8.00

7.80

6.00

6.00

6.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

$

$

$

$

$

$

611

Continuous electrocardiographic monitoring during anaesthesia 

8.80

8.50

7.80

7.50

7.50

7.50

616

Restoration of cardiac rhythm by electrical stimulation, other than in the course of cardiac surgery 

14.00

14.00

14.00

14.00

14.00

14.00

621

Intracardiac pressure recording at operation..

33.00

33.00

33.00

33.00

33.00

33.00

625

Blood pressure recording by intravenous cannula 

30.00

30.00

30.00

30.00

30.00

30.00

631

Ultrasonic echography, unidimensional (including echoencephalography) 

11.00

11.00

11.00

11.00

11.00

11.00

632

Ultrasonic cross-sectional echography bidimensional 

30.00

30.00

30.00

30.00

30.00

30.00

641

Electroencephalography, not covered by item 631, 632, 651 or 661 

16.50

16.00

17.00

17.00

14.00

13.00

651

Electroencephalography, temporosphenoidal..

24.00

24.00

24.00

24.00

24.00

24.00

661

Electrocorticography.................

33.00

33.00

33.00

33.00

33.00

33.00

681

Electromyography—involving estimation of nerve conduction times or stimulating response recording 

8.20

8.20

8.20

8.20

8.20

8.20

691

Electromyography—involving sampling of muscle activity—each attendance at which procedure is performed              

6.60

6.60

6.60

6.60

6.60

6.60

698

Retinal angiography—one eye...........

15.00

15.00

15.00

15.00

15.00

15.00

699

Retinal angiography—both eyes..........

20.00

20.00

20.00

20.00

20.00

20.00

701

Tonography, in the management of glaucoma

10.00

7.00

10.50

10.00

8.00

8.00

703

Provocative test or tests for glaucoma, including water drinking 

6.00

6.00

6.00

6.00

6.00

6.00

705

Electroretinography..................

18.00

18.00

18.00

18.00

18.00

18.00

711

Audiogram, air conduction.............

4.50

4.50

4.50

4.50

4.50

4.50

712

Audiogram, air conduction and bone conduction

6.50

6.50

6.50

6.50

6.50

6.50

713

Audiogram, air conduction, bone conduction and speech 

8.50

8.50

8.50

8.50

8.50

8.50

714

Audiogram, air conduction, bone conduction and speech, with other cochlear tests 

10.50

10.50

10.50

10.50

10.50

10.50

723

Caloric tests of labyrinth or labyrinths......

7.50

7.50

7.50

7.50

7.50

7.50

725

Electronystagmography...............

7.50

7.50

7.50

7.50

7.50

7.50

731

Bronchospirometry, including gas analysis

27.50

27.50

27.50

27.50

27.50

27.50

741

Estimation of respiratory function by spirometer or other simple techniques—each attendance at which one or more tests are performed             

11.00

10.00

10.50

9.00

9.00

8.50

751

Estimation of respiratory function requiring complicated techniques— each attendance at which one or more tests are performed             

15.50

15.50

15.50

15.50

15.50

15.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

$

$

$

$

$

$

753

Hyperbaric oxygen therapy where the medical practitioner is not in the chamber 

25.00

25.00

25.00

25.00

25.00

25.00

755

Hyperbaric oxygen therapy where the medical practitioner is in the chamber 

40.00

40.00

40.00

40.00

40.00

40.00

756

Topical application of oxygen in hyperbaric chamber—as an independent procedure  

15.00

15.00

15.00

15.00

15.00

15.00

757

Administration of general anaesthesia (including oxygen administration) during hyperbaric therapy where the medical practitioner is in the chamber             

50.00

50.00

50.00

50.00

50.00

50.00

761

Perfusion of limb or organ using heart-lung machine or equivalent 

75.00

75.00

75.00

75.00

75.00

75.00

771

Whole body perfusion, cardiac by-pass, using heart-lung machine or equivalent 

110.00

110.00

110.00

110.00

110.00

110.00

782

Haemodialysis in hospital (where prolonged and constant medical supervision of the dialysis is required for the duration of the dialysis)             

60.00

60.00

60.00

60.00

60.00

60.00

784

Haemodialysis in hospital (where intermittent medical supervision of the dialysis is required) 

30.00

30.00

30.00

30.00

30.00

30.00

786

Haemodialysis in hospital (stabilised maintenance dialysis for chronic renal failure where a separate account for an attendance is not rendered under Part 1 of this Schedule)             

10.00

10.00

10.00

10.00

10.00

10.00

791

Dialysis, peritoneal..................

22.00

22.00

22.00

22.00

22.00

22.00

801

Induced controlled hypothermia—total body

18.50

18.50

18.50

18.50

18.50

18.50

831

Fluids, intravenous infusion of—Percutaneous 

5.50

5.00

5.00

5.00

5.00

5.00

841

Fluids, intravenous infusion of—by open exposure 

9.00

8.00

8.50

8.00

8.00

8.00

843

Umbilical vein catheterisation with or without infusion 

7.50

7.50

7.50

7.50

7.50

7.50

845

Umbilical artery catheterisation with or without infusion  

12.00

12.00

12.00

12.00

12.00

12.00

847

Scalp vein catheterisation with or without infusion 

7.50

7.50

7.50

7.50

7.50

7.50

851

Intravenous infusion or injection of a substance incorporating a cytotoxic agent 

8.50

8.50

8.50

8.50

8.50

8.50

861

Intra-arterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for 

14.00

14.00

14.00

14.00

14.00

14.00

866

Intralymphatic infusion or injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium              

22.00

22.00

22.00

22.00

22.00

22.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

868

Intralymphatic insertion of needle or cannula for the purpose of introduction of radio-active material 

22.00

22.00

22.00

22.00

22.00

22.00

871

Blood transfusion, including collection from donor 

16.50

16.50

16.50

16.50

16.50

16.50

881

Blood transfusion, using blood already collected 

11.00

12.00

10.50

11.00

11.00

10.00

891

Blood transfusion with venesection and complete replacement of blood, including collection from donor 

39.00

39.00

39.00

39.00

39.00

39.00

901

Blood transfusion with venesection and complete replacement of blood, using blood already collected 

33.00

33.00

33.00

33.00

33.00

33.00

906

Intrauterine foetal blood transfusion using blood already collected, including necessary amniocentesis 

39.00

39.00

39.00

39.00

39.00

39.00

911

Blood for purposes of transfusion, collection of, not covered by item 871 or 891  

8.20

8.20

8.20

8.20

8.20

8.20

915

Blood dye—dilution indicator test ……………

20.00

20.00

20.00

20.00

20.00

20.00

921

Venesection, not covered by item 891 or 901—each attendance at which venesection is performed 

3.10

3.10

3.10

3.10

3.10

3.10

931

Blood specimen for pathology test, intravenous collection of, for forwarding to another medical practitioner             

2.20

2.50

2.10

2.00

2.00

2.00

941

Blood for pathology test, collection of, by arterial puncture 

3.30

3.30

3.30

3.30

3.30

3.30

943

Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants 

4.00

4.00

4.00

4.00

4.00

4.00

945

Collection of specimen of sweat by iontophoresis 

6.00

6.00

6.00

6.00

6.00

6.00

951

Hormone or living tissue implantation—by incision 

8.80

8.80

8.80

8.80

8.80

8.80

961

Hormone or living tissue implantation—by cannula 

5.60

5.60

5.60

5.60

5.60

5.60

965

Oesophageal motility test, manometric.....

15.00

15.00

15.00

15.00

15.00

15.00

972

Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage             

30.00

30.00

30.00

30.00

30.00

30.00

975

Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage 

60.00

60.00

60.00

60.00

60.00

60.00

977

Gastric lavage in the treatment of ingested poison 

7.50

7.50

7.50

7.50

7.50

7.50

981

Electroconvulsive therapy—each attendance at which treatment is given 

10.00

10.00

8.00

9.00

9.00

9.00

985

Narcotherapy or similar psychiatric procedure involving intravenous injection—each attendance at which treatment is given             

12.00

12.00

12.00

12.00

12.00

12.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

s

$

$

$

$

988

Psychotherapy (including associated consultation) by a consultant physician in the practice of his recognised specialty of psychiatry where the patient is referred to him by a medical practitioner, any session of not less than 45 minutes duration subsequent to the first attendance in a single course of treatment             

13.50

13.50

13.50

13.50

13.50

13.50

990

Group psychotherapy (including associated consultation) of not less than one hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his recognised specialty of psychiatry, on a group of not more than four patients where each patient is referred to him by a medical practitionereach patient             

5.00

5.00

5.00

5.00

5.00

5.00

992

Group psychotherapy (including associated consultation) of not less than one hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his recognised specialty of psychiatry, on a group of not less than five patients but less than ten patients where each patient is referred to him by a medical practitioner—each patient             

3.50

3.50

3.50

3.50

3.50

3.50

994

Group psychotherapy (including associated consultation) of not less than one hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his recognised specialty of psychiatry, on a group of not less than ten patients where each patient is referred to him by a medical practitioner each patient

2.00

2.00

2.00

2.00

2.00

2.00

 

PART 7PATHOLOGY SERVICES

Division 1—Blood

Haematology—Erythrocytes

1000

Blood film, examination of.............

2.50

3.00

2.00

2.00

2.00

2.00

1002

Blood film, examination by special stains to demonstrate; basophilic stippling, foetal haemoglobin, haemoglobin H. Heinz bodies, reticulocytes, siderocytes or similar             

3.00

3.00

3.00

2.00

2.50

2.50

1004

Malarial or other parasites, examination of blood for 

4.00

4.00

3.00

2.50

2.50

2.50

1006

Sickling, examination of blood for........

3.00

3.00

3.00

3.00

3.00

3.00

1008

Haemoglobin estimation (where patient is referred by another medical practitioner for this service) 

2.50

2.50

2.00

2.00

2.00

2.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1010

Haemoglobin estimation and examination of blood film 

4.50

5.00

3.50

3.50

3.50

3.50

1012

Haemoglobin estimation and examination of blood film and blood grouping A, B, O and Rh 

10.00

11.00

9.00

8.50

8.50

8.50

1014

Haemoglobin estimation, leucocyte count, and differential leucocyte count 

7.50

7.00

5.50

5.00

6.00

5.50

1016

Haemoglobin estimation, haematocrit (packed cell volume) estimation, leucocyte count and differential leucocyte count             

8.00

8.50

7.50

7.00

8.50

8.00

1018

Haemoglobin estimation, haemotocrit (packed cell volume) estimation, leucocyte count and differential leucocyte count, and erythrocyte sedimentation rate             

12.00

13.00

10.50

9.00

11.00

11.00

1019

Haemoglobin estimation, erythrocyte count, haematocrit (packed cell volume) estimation, leucocyte count; one or more of these estimations or counts, when performed on a single specimen of blood simultaneously or consecutively on an automated haematology system             

2.50

2.50

2.50

2.50

2.50

2.50

1020

Haemoglobin estimation, blood grouping, A, B, O and Rh, indirect Coombs’ test, total bilirubin and compatibility testing              

23.50

20.00

20.50

19.00

21.00

21.00

1022

Erythrocyte count 

2.50

2.50

2.00

2.00

2.00

2.00

1024

Erythrocyte sedimentation rate (where patient is referred by another medical practitioner for this service)  

4.00

4.00

3.00

2.00

2.50

2.50

1026

Haematocrit (packed cell volume) estimation

3.00

2.50

3.00

2.00

2.50

2.50

1028

Erythrocyte fragility test, to hypotonic saline

8.00

8.00

7.50

5.00

6.50

6.00

1030

Erythrocyte fragility test, mechanical fragility

8.00

8.00

7.50

5.00

6.50

6.00

1032

Erythrocyte, autohaemolysis test.........

8.00

8.00

7.50

5.00

6.50

6.00

1034

Erythrocytes, estimation of mean cell diameter 

5.00

5.00

5.00

5.00

5.00

5.00

1036

Erythrocytes, tests for enzymes, acid phosphatase or similar, each enzyme 

7.00

7.00

7.00

7.00

7.00

7.00

1038

Erythrocytes, estimation of glutathione.....

8.00

8.00

8.00

8.00

8.00

8.00

1040

Erythrocytes, glutathione stability test.....

8.00

8.00

8.00

8.00

8.00

8.00

1042

Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, screening test 

7.00

7.50

5.00

5.00

4.50

4.50

1044

Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, quantitative estimation              

10.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1046

Erythrocytes, test for paroxysmal nocturnal haemoglobinuria—screening test (sucrose water test) 

4.00

4.00

4.00

4.00

4.00

4.00

1048

Erythrocytes, test for paroxysmal nocturnal haemoglobinuria-acid haemolysin test 

14.00

14.00

14.00

14.00

14.00

14.00

1050

Erythrocytes, folate estimation of........

10.00

10.00

10.00

7.50

6.50

7.00

1054

Erythrocytes, direct Coombs’test.........

4.00

3.00

3.00

2.50

2.50

2.50

Haematology—Leucocytes

1060

Leucocyte count....................

2.50

3.00

2.00

2.00

2.00

2.00

1062

Leucocyte count and differential count.....

4.50

4.50

3.50

3.00

4.00

3.50

1063

Differential leucocyte count............

2.00

2.00

2.00

2.00

2.00

2.00

1064

Eosinophil count, wet................

2.50

3.00

2.50

2.50

2.50

2.50

1066

Leucocyte agglutinins, detection of.......

6.00

6.00

6.00

6.00

6.00

6.00

1068

Lupus erythematosus cells, examination of blood film for 

6.50

6.50

6.00

5.00

5.00

5.00

1070

Cytological sex determination from blood film

6.00

6.00

5.00

5.00

5.00

5.00

1072

Leucocyte (neutrophil) alkaline phosphatase determination 

7.00

7.00

7.00

7.00

7.00

7.00

1074

Leucocyte tests for phagocytic activity.....

22.00

22.00

22.00

22.00

22.00

22.00

1076

Blood film examination using special stains (P.A.S., Sudan black or similar) for leucocytes 

3.00

3.00

3.00

3.00

3.00

3.00

Haematology—Platelets

1080

Platelet count......................

3.00

3.00

3.00

2.00

2.50

2.50

1082

Platelet agglutinin test................

6.00

6.00

6.00

6.00

6.00

6.00

1084

Platelet survival or life—radio-active technique 

25.00

25.00

25.00

25.00

20.00

20.00

Haematology—Blood Transfusion Procedures

1090

Blood grouping, A, B, O and Rh (D antigen)

5.00

5.00

5.00

4.50

4.50

4.50

1091

Blood grouping, Rh phenotyping, examination for C, D, E, c,e and other Rh antigens (five or more antigens)             

7.00

7.00

7.00

7.00

7.00

7.00

1092

Blood grouping, MN or other, each system, not covered by item 1090 or 1091 

5.00

5.00

5.00

5.00

5.00

5.00

1094

Compatability testing—for each bottle tested up to five bottles 

5.00

4.50

5.00

4.50

5.00

5.00

1096

Compatability testing—for each subsequent bottle tested in excess of five 

4.00

3.50

3.50

3.50

3.50

3.50

1098

Examination of serum for Rh or other blood group antibodies—screening test  

5.50

4.50

4.50

4.50

4.50

4.50

1100

Examination of serum for Rh or other blood group antibodies—quantitative estimation

6.50

5.50

5.50

5.50

5.50

5.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1102

Examination of serum for Rh or other blood group antibodies-screening and quantitative estimation 

10.00

9.00

9.00

9.00

9.00

9.00

1104

Coombs test—direct................

4.00

3.00

3.00

2.50

2.50

2.50

1106

Coombs’ test-indirect (if not part of Items 1094, 1096, 1098, 1100 or 1102) 

5.00

3.50

3.50

3.50

4.50

4.00

1108

Examination of serum for blood group haemolysins 

6.50

5.50

5.50

5.50

5.50

5.50

HaematologyHaemostasis

1110

Antihaemophilic globulin, assay of, or other blood coagulation factor quantitative 

15.00

15.00

15.00

12.00

12.00

12.00

1112

Bleeding time.....................

2.50

2.50

2.50

2.00

2.00

2.00

1114

Coagulation time (including qualitative clot retraction) 

3.00

3.00

2.50

2.00

2.00

2.00

1116

Bleeding time, coagulation time (including qualitative clot retraction), prothrombin estimation and platelet count             

14.00

13.00

12.50

10.00

11.00

11.00

1118

Clot retraction, quantitative............

5.00

5.00

5.00

3.50

4.00

4.00

1120

Euglobulinlysis time, or similar..........

12.00

12.00

12.00

12.00

12.00

12.00

1122

Fibrinogen estimation................

7.00

7.00

5.50

5.00

4.50

5.00

1124

Fibrinogen titre, determination of........

5.00

5.00

5.00

5.00

5.00

5.00

1126

Kaolin clotting time.................

6.00

6.00

6.00

6.00

6.00

6.00

1128

Platelet count......................

3.00

3.20

3.00

2.00

2.50

2.50

1130

Platelet adhesion test.................

8.00

8.00

8.00

8.00

8.00

8.00

1132

Platelet aggregation test, qualitative.......

5.00

5.00

5.00

5.00

5.00

5.00

1134

Platelet aggregation test, quantitative......

8.00

8.00

8.00

8.00

8.00

8.00

1136

Platelet factor III availability...........

12.00

12.00

12.00

12.00

12.00

12.00

1138

Prothrombin estimation...............

5.00

4.50

5.00

4.00

4.50

4.50

1140

Prothrombin estimation—two stage.......

7.00

7.50

6.60

6.00

6.00

6.00

1142

Prothrombin consumption test...........

7.50

6.00

6.00

6.00

6.00

6.00

1144

Recalcified plasma clotting time.........

5.00

5.00

5.00

5.00

4.00

4.50

1146

Thrombin clotting time...............

5.00

5.00

5.00

5.00

4.00

4.50

1148

Thromboplastin generation screening test...

7.00

7.00

7.00

6.00

6.00

6.00

1150

Thromboplastin generation test (full)......

12.00

12.00

12.00

10.00

10.00

10.00

1152

Thrombin time; determination of (including test for presence of an inhibitor) 

7.00

7.00

7.00

7.00

7.00

7.00

1154

Thrombin time serial test for fibrinogenolysis

6.00

6.00

6.00

6.00

6.00

6.00

1156

Thromboplastin time (partial) with or without kaolin 

6.00

6.00

6.00

6.00

6.00

6.00

Haematology—Miscellaneous Procedures

1160

Blood culture......................

7.00

8.00

5.00

5.00

5.00

5.00

1162

Blood volume (dye method)............

8.00

8.00

7.50

6.00

5.50

6.00

1164

Folic acid, estimation of, in serum or plasma

9.00

10.00

8.50

8.50

7.50

8.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1166

Vitamin B12, estimation of, in serum or plasma

9.00

10.00

8.50

8.50

7.50

8.00

1168

Marrow, examination of films made from aspirate  

10.00

11.00

7.00

9.00

6.00

8.00

1170

Marrow examination— histopathological examination of aspirate or trephine  

11.00

11.00

9.50

10.00

10.00

9.00

1172

Marrow, examination of films of by special staining, e.g. iron, P.A.S., peroxidase, Sudan black or similar 

3.00

3.00

3.00

3.00

3.00

3.00

1174

Spectroscopic examination of blood.......

5.00

5.50

5.00

5.00

4.50

4.50

1178

Assay of concentration of antibiotic or chemotherapeutic agents in serum or plasma

6.00

6.00

5.50

5.00

4.50

4.50

Haematology— Serology

1180

Agglutination tests, including agglutination tests for enteric fever, Brucella infection, one antigen 

5.00

5.00

3.50

3.00

3.00

3.00

1182

Agglutination tests, including agglutination tests for enteric fever, Brucella infection, more than one antigen, each additional antigen             

4.00

4.00

2.50

2.00

2.00

2.00

1184

Antistreptolysin titre, determination of.....

7.00

8.00

6.00

6.00

6.00

6.00

1186

Cold agglutinins, qualitative test.........

2.50

2.50

2.50

2.50

2.50

2.50

1188

Cold agglutinins, quantitative test........

5.00

5.00

5.00

5.00

5.00

5.00

1190

Complement, estimation of, in serum......

7.00

7.00

7.00

7.00

7.00

7.00

1192

Complement fixation tests for the diagnosis of gonorrhoea, hydatid infestation, or similar, each antigen 

7.00

7.00

5.00

5.00

5.00

5.00

1194

Complement fixation tests for the diagnosis of toxoplasmosis 

7.00

7.50

5.50

5.00

5.00

5.00

1196

Complement fixation tests to detect antibodies to other bacterial, viral, fungal or parasitic infection not covered by any other item in this Part             

7.00

7.00

7.00

7.00

7.00

7.00

1198

Haemagglutination or haemagglutination-inhibition test for the diagnosis of a virus infection 

7.00

6.00

5.50

5.00

5.00

5.00

1200

Latex flocculation test, or similar test, for rheumatoid arthritis or other conditions—each test 

4.50

3.50

3.00

2.50

2.50

2.50

1202

Methylene blue dye test for toxoplasmosis

7.50

7.50

5.50

5.00

5.00

5.00

1204

Paul Bunnell test—screening...........

4.50

3.50

3.00

3.50

3.50

3.50

1206

Paul Bunnell test—titre with absorptions ...

8.00

8.00

6.00

7.00

7.00

7.00

1208

Rose Waaler test...................

7.00

8.00

6.00

6.00

6.00

6.00

1210

Syphilis, complement fixation tests for the diagnosis of, one antigen 

7.00

7.00

5.50

5.00

5.00

5.00

1212

Syphilis, complement fixation tests for the diagnosis of, two antigens 

9.00

9.00

7.50

7.00

7.00

7.00

1214

Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, one antigen 

4.00

4.00

3.00

2.50

2.00

2.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1216

Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, two antigens 

5.50

5.50

4.50

4.00

3.50

4.00

1218

Syphilis, fluorescent antibody test for......

9.00

9.00

9.00

9.00

9.00

9.00

Haematology—Chemistry

1220

Alcohol, estimation of ...............

12.50

12.50

12.50

12.50

12.50

12.50

1222

Amino acids, total estimation of .........

12.50

12.50

12.50

12.50

12.50

12.50

1224

Amino acid pattern, qualitative (chromatography or high voltage electrophoresis), estimation of 

20.00

20.00

20.00

20.00

20.00

20.00

1226

Amino acid pattern, quantitative (ion exchange, gas liquid chromatography), estimation of

25.00

25.00

25.00

25.00

25.00

25.00

1228

Ammonia, estimation of...............

9.00

9.00

9.00

9.00

9.00

9.00

1230

Barbiturates, quantitive estimation of

12.50

12.50

12.50

12.50

12.50

12.50

1232

Bicarbonate (CO2 combining power, alkali-reserve), estimation of 

7.00

7.00

7.00

5.00

4.50

4.50

1234

Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) not exceeding 2 hours, each 

12.00

12.00

11.00

10.00

10.00

10.00

1236

Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) exceeding 2 hours but not exceeding 3 hours, each             

15.00

15.00

14.00

13.00

13.00

13.00

1238

Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) exceeding 3 hours, each 

18.00

18.00

17.00

16.00

16.00

16.00

1240

Carboxyhaemoglobin (carbon monoxide), qualitative estimation of 

5.00

5.00

5.00

5.00

5.00

5.00

1242

Carboxyhaemoglobin (carbon monoxide), quantitative estimation of 

8.00

8.00

8.00

8.00

8.00

8.00

1244

Congo red test.....................

13.00

13.00

12.00

11.00

10.00

10.50

1246

Cortisol, corticosteroids or similar, estimation of 

12.50

12.50

12.50

12.50

12.50

12.50

1248

Cryoglobulins—qualitative estimation of ...

3.50

2.50

3.00

2.50

2.50

2.50

1250

Electrolytes, estimation of sodium, potassium, calcium, magnesium, chloride or other electrolyte—estimation of one substance

7.00

7.00

5.50

5.00

5.00

5.00

1252

Estimation of two substances referred to in the last preceding item 

12.00

12.00

10.50

10.00

10.00

10.00

1254

Estimation of three substances referred to in Item 1250 

16.00

16.00

14.50

14.00

14.00

14.00

1256

Estimation of four substances referred to in Item 1250 

20.00

20.00

18.50

18.00

18.00

18.00

1258

Estimation of five substances referred to in Item 1250 

24.00

24.00

22.50

22.00

22.00

22.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1260

Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin, or other unspecified fractions, qualitative, each determination             

7.00

7.00

7.00

7.00

7.00

7.00

1262

Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin, or other unspecified fractions, quantitative, each determination             

11.00

11.00

11.00

11.00

11.00

11.00

1264

Enzymes (whole blood, serum or plasma), one estimation 

7.00

7.00

5.50

5.00

5.00

5.00

1266

Enzymes (whole blood, serum or plasma), two estimations 

12.00

12.00

10.50

10.00

10.00

10.00

1268

Enzymes (whole blood, serum or plasma), three estimations 

16.00

16.00

14.50

14.00

14.00

14.00

1270

Enzymes (whole blood, serum or plasma), four or more estimations 

20.00

20.00

18.50

18.00

18.00

18.00

1272

Folic acid, estimation of ..............

9.00

10.00

8.50

8.50

7.50

8.00

1274

Gas analysis including oxygen capacity, oxygen saturation and partial carbon dioxode(PCO2) 

25.00

25.00

25.00

25.00

25.00

25.00

1277

Chemical analysis of blood or serum, one or more tests performed simultaneously or consecutively on a single specimen on one or more multichannel analyser systems             

5.00

5.00

5.00

5.00

5.00

5.00

1278

Chemical tests, quantitative, of albumin, bromide, cholesterol, creatinine, globulin, glucose, phosphorus, salicylates, sulphonamides, total protein, urea, urea nitrogen, uric acid or similar substance, not covered by any other item, estimation of one substance, other than by reagent stick, strip, tablet or similar             

7.00

7.00

5.50

5.00

5.00

5.00

1280

Two estimations of any substance or substances referred to in the last preceding item 

12.00

12.00

10.50

10.00

10.00

10.00

1282

Three estimations of any substance or substances referred to in Item 1278 

16.00

16.00

14.50

14.00

14.00

14.00

1284

Four estimations of any substance or substances referred to in Item 1278 

20.00

20.00

18.50

18.00

18.00

18.00

1286

Five or more estimations of any substance or substances referred to in Item 1278 

24.00

24.00

22.50

22.00

22.00

22.00

1288

Hydrogen ion concentration (pH), estimation of 

10.00

10.00

10.00

10.00

10.00

10.00

1290

Insulin tolerance test.................

14.00

14.00

12.50

11.50

11.50

11.50

1292

Intravenous tolbutamide test............

14.00

14.00

12.50

11.50

11.50

11.50

1294

Iron, estimation of..................

7.00

7.00

5.50

5.00

5.00

5.00

1296

Iron-binding capacity, estimation of.......

5.00

5.00

5.00

5.00

4.50

4.50

1298

Iron and iron-binding capacity, estimation of

12.00

12.00

10.50

10.00

9.50

9.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1301

Liver function test (bilirubin, total; bilirubin, direct and indirect; enzymes; alkaline phosphatase, transaminase or similar; turbidity; or other liver function test not covered by any other item), any one test             

7.00

7.00

5.50

5.00

5.00

5.00

1302

Two of any test or tests referred to in the last preceding item  

12.00

12.00

10.50

10.00

10.00

10.00

1304

Three of any test or tests referred to in Item 1301 

16.00

16.00

14.50

14.00

14.00

14.00

1305

Four of any test or tests referred to in Item 1301 

20.00

20.00

18.50

18.00

18.00

18.00

1307

Five or more of any test or tests referred to in Item 1301 

24.00

24.00

22.50

22.00

22.00

22.00

1310

Other unspecified liver function test not covered by any other item 

7.00

7.00

5.50

5.00

5.00

5.00

1313

Methaemalbumin, qualitative test for......

5.00

5.00

5.00

5.00

5.00

5.00

1314

Phenylketonuria, bacterial inhibition assay for (Guthrie test), when performed as an isolated procedure on specimens from one patient only             

2.00

2.00

2.00

2.00

2.00

2.00

1317

Phenylketonuria, bacterial inhibition assay for (Guthrie test), when performed simultaneously on specimens from more than one patienttest for each patient             

1.00

1.00

1.00

1.00

1.00

1.00

1319

Protein bound iodine, estimation of.......

11.50

12.00

10.50

10.00

10.00

10.00

1322

Proteins, chemical estimation of, total (copper sulphate method) 

4.00

4.00

3.00

2.50

2.50

2.50

1325

Protamine sulphate titration............

3.00

3.00

2.80

2.50

2.50

2.50

1328

Spectroscopic examination for pigments ....

5.00

. 5.50

5.50

5.00

4.50

5.00

1331

Thyroxine, estimation of..............

12.50

12.50

10.50

10.00

9.50

10.50

1334

Triglycerides, phospholipids, total lipids, estimation of each substance 

8.00

8.00

6.50

6.00

6.00

6.00

1337

Estimation of any two substances referred to in the last preceding item  

13.00

13.00

11.50

11.00

11.00

11.00

1340

Estimation of any three or more substances referred to in Item 1334  

18.00

18.00

16.50

16.00

16.00

16.00

1343

Triglycerides, phospholipids, total lipids, estimation of one substance and estimation of cholesterol  

13.00

13.00

10.00

9.00

9.00

9.00

1346

Thyroxine, tri-iodothyronine or digoxin, free plasma estimation of 

20.00

20.00

20.00

20.00

20.00

20.00

1349

Trace elements (copper, lead, mercury, zinc or other unspecified trace elements), estimation of  

8.50

8.50

8.50

8.50

8.50

8.50

1352

Vitamin A or caratenoids, estimation of....

9.00

9.00

9.00

9.00

9.00

9.00

1355

Vitamin B12, estimation of ............

9.00

10.00

8.50

8.50

7.50

8.00

1358

Assay of concentration of antibiotic or chemotherapeutic agent  

6.00

6.00

5.50

5.00

4.50

4.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Division 2—Urine

Urine—Bacteriology

1380

Microscopical examination of urine concentrate (where patient is referred by another medical practitioner for this service)             

3.50

3.50

2.50

2.00

2.00

2.50

1382

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments (where patient is referred by another medical practitioner for this service)

4.00

4.00

3.00

2.50

2.50

3.00

1385

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments and cultural examination of urine specimen for isolation and identification of organisms             

7.00

7.00

5.50

5.00

5.00

5.00

1388

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments, cultural examination of urine specimen and antibiotic sensitivity testing, of urine organisms, up to eight antibiotics

12.00

12.00

10.50

10.00

10.00

10.00

1389

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments, cultural examination of urine specimen and antibiotic sensitivity test of urine organism (each organism), for nine or more antibiotics             

15.00

15.00

13.50

13.00

13.00

13.00

1391

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments, bacterial count for organisms in urine (colony count), simplified technique, and cultural examination of urine specimen for isolation and identification of organisms

10.00

10.00

8.00

7.50

7.50

7.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1392

Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments, bacterial count for organisms in urine (colony count), simplified technique, cultural examination of urine specimen and antibiotic sensitivity of urine organisms, up to eight antibiotics              

15.00

15.50

13.00

12.00

12.00

12.00

1394

Microscopical examination of urine concentrate and general examination for three of more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments, bacterial count for organisms in urine (colony count), simplified technique, cultural examination of urine specimen and antibiotics sensitivity of urine organisms, for nine or more antibiotics             

18.00

18.50

16.00

15.00

15.00

15.00

1395

Microscopical examination of urine concentrate by special stain—Ziehl Neelsen or similar

3.00

3.00

2.50

2.50

2.50

2.50

1397

Microscopical examination of urine concentrate by special stain—Ziehl Neelsen or similar, and cultural examination of urine specimen for special pathogens, such as M. tuberculosis              

7.50

7.50

7.50

6.50

6.50

6.50

1399

Bacterial count for organisms in urine (colony count), simplified technique 

2.50

2.50

2.50

2.50

2.50

2.50

1401

Bacterial count for organisms in urine (colony count), poured plate technique 

5.00

5.00

5.00

5.00

5.00

5.00

1404

Cultural examination of urine specimen, for isolation and identification of organisms

3.50

3.50

2.80

2.50

2.50

2.50

1407

Microscopical examination of urine concentrate and cultural examination of urine specimen, for isolation and identification of organisms

7.00

7.00

5.00

4.50

4.50

5.00

1410

Cultural examination of urine specimen for special pathogens, such as M. tuberculosis

5.00

5.00

5.00

4.50

4.50

4.50

1413

Antibiotic sensitivity of urine organism (each organism) up to eight antibiotics 

5.00

5.50

5.00

4.50

4.50

4.50

1416

Antibiotic sensitivity of urine organism (each organism) nine or more antibiotics 

8.00

8.50

8.00

7.50

7.50

7.50

1419

Sensitivity testing of mycobacteria, each antibiotic 

5.00

5.00

5.00

5.00

5.00

5.00

1421

Sensitivity testing—tube dilution, each antibiotic 

6.00

6.00

6.00

6.00

6.00

6.00


 

 

Fees

 

 

 

 

 

Item No.

 

 

 

 

 

 

 

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

$

$

$

$

$

$

1423

Assay of concentration of antibiotic or chemotherapeutic agents in urine 

6.00

6.00

5.50

5.00

4.50

4.50

1425

Examination by animal inoculation.......

10.00

10.00

10.00

10.00

10.00

10.00

1428

Addis count or quantitative estimation of sediments 

6.00

6.00

5.50

5.00

5.00

5.00

Urine—Chemistry

1430

Alcohol, quantitative estimation of........

12.50

12.50

12.50

12.50

12.50

12.50

1432

Aldosterone, estimation of.............

25.00

25.00

25.00

25.00

25.00

25.00

1434

Amino acid, total estimation of..........

7.00

7.00

7.00

7.00

7.00

7.00

1436

Amino acids, identification of, screening tests, by chromatography 

8.00

8.00

8.00

8.00

8.00

8.00

1438

Amino acids, identification of, qualitative pattern (high voltage electrophoresis or chromatography) 

25.00

25.00

25.00

25.00

25.00

25.00

1441

Amino-levulinic acid, estimation of.......

8.50

8.50

8.50

8.50

8.50

8.50

1444

Ascorbic acid, estimation of............

7.00

7.00

6.50

5.00

4.50

4.50

1447

Barbiturates, estimation of, quantitative....

12.50

12.50

12.50

12.50

12.50

12.50

1450

Catecholamines or similar, estimation of....

11.00

11.00

10.50

10.00

10.00

10.00

1453

Chromatography of urine for separation and identification of sugars and other substances of diagnostic significance other than amino acids             

7.00

7.00

6.50

5.50

4.50

5.50

1456

Electrophoresis of urinary protein, qualitative

9.00

9.00

8.00

8.00

8.00

8.00

1459

Chemical tests, quantitative, not covered by any other item (calcium, phosphorus, protein, sugar, urea, enzymes, uric acid or similar substance), one estimation, other than by reagent stick, strip, tablet or similar

7.00

7.00

6.00

5.00

5.00

5.00

1461

Two estimations of any substance or substances referred to in the last preceding item 

12.00

12.00

11.00

10.00

10.00

10.00

1463

Three estimations of any substance or substances referred to in Item 1459 

16.00

16.00

15.00

14.00

14.00

14.00

1466

Four or more estimations of any substance or substances referred to in Item 1459 

20.00

20.00

19.00

18.00

18.00

18.00

1468

Chorionic gonadotrophins (for diagnosis of pregnancy) using immunochemical methods

5.00

5.00

3.50

2.50

2.50

2.50

1470

Chorionic gonadotrophins (for diagnosis of pregnancy) using animals 

7.00

6.50

6.00

6.00

6.00

6.00

1472

Chorionic gonadotrophins, quantitative estimation of  

10.00

10.00

10.00

10.00

10.00

10.00

1474

Pituitary gonadotrophins, quantitative estimation of  

25.00

25.00

25.00

25.00

25.00

25.00

1475

Quantitative estimation of Luteinizing hormone using immunochemical methods 

20.00

20.00

20.00

20.00

20.00

20.00

1476

Hydroxycorticosteroids, estimation of.....

10.50

10.50

10.00

7.50

7.50

7.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1478

Hydroxyindole-acetic acid, quantitative estimation of 

8.50

8.50

8.50

7.50

7.50

7.50

1481

Lead, thallium, mercury or arsenic, estimation of 

8.50

8.50

8.50

8.50

8.50

8.50

1484

Oestrogens, total, estimation of..........

20.00

20.00

20.00

20.00

20.00

20.00

1487

Oxosteroids, estimation of.............

10.50

10.50

10.00

7.50

7.50

7.50

1490

Oxogenic steroids, estimation of.........

10.50

10.50

10.00

7.50

7.50

7.50

1491

Porphyrins, qualitative examination, other than by reagent stick, strip, tablet or similar 

5.00

5.00

2.50

2.50

2.50

2.50

1493

Porphyrins, quantitative examination, each substance 

20.00

20.00

20.00

20.00

20.00

20.00

1494

Quantitative estimation of pregnanediol, pregnanetriol or similar substances 

25.00

25.00

25.00

25.00

25.00

25.00

1495

Qualitative estimation of substances in urine (Bence-Jones protein, hydroxy- indole-acetic acid, indican, melanogen, porphobilinogen or other similar substances not covered by any other item), each substance, other than by reagent stick, strip, tablet or similar (where patient is referred by another medical practitioner for this service)

3.00

3.00

3.00

3.00

3.00

3.00

1496

Spectroscopic examination for pigments....

5.00

5.50

5.00

5.00

4.50

4.50

1497

Vanilmandelic acid, estimation of........

11.00

11.00

10.50

10.00

10.00

10.00

Urine—Cytology

1499

Cytological examination for malignancy....

10.00

10.00

9.00

9.00

9.00

9.00

Division 3—Body Fluids

Exudates including Pus, Sputum, Sweat and Amniotic, Ascitic, Cerebrospinal, Pleural, Prostatic, Seminal, Synovial and Vaginal Fluids
Body Fluids—Bacteriology and Parasitology

1500

Microscopical examination-wet film......

2.50

2.50

2.50

2.00

2.00

2.00

1502

Microscopical examination—gram stain or similar 

3.00

3.00

2.50

2.00

2.00

2.00

1504

Microscopical examination, by special stains, e.g. Ziehl Neelsen or similar 

3.00

3.00

2.50

2.00

2.00

2.00

1506

Microscopical examination by dark ground illumination or phase contrast 

6.00

6.00

6.00

5.00

5.00

5.00

1508

Cultural examination for, and identification of aerobic micro-organisms 

4.50

4.50

4.50

3.00

3.00

3.00

1511

Cultural examination for, and identification of anaerobic microorganisms 

5.00

5.00

5.00

5.00

5.00

5.00

1513

Cultural examination for special pathogens, such as M. tuberculosis, fungi, etc  

4.50

4.50

4.50

4.50

4.50

4.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1515

Microscopical examination, gram stain or similar and cultural examination for and identification of aerobic micro-organisms

7.50

7.50

7.00

5.00

5.00

5.00

1517

Microscopical examination, gram stain or similar and cultural examination for and identification of aerobic micro-organisms and microscopical examination, by special stains, e.g. Ziehl Neelsen or similar              

10.50

10.50

9.50

7.00

7.00

7.00

1519

Microscopical examination, gram stain or similar; cultural examination for and identification of aerobic microorganisms and sensitivity testing of up to eight antibiotics             

12.50

12.50

12.00

9.50

9.50

9.50

1521

Microscopical examination, gram stain or similar; cultural examination for and identification of aerobic microorganisms and sensitivity testing of up to eight antibiotics and microscopical examination, by special stains, e.g. Ziehl Neelsen or similar             

15.50

15.50

14.50

11.50

11.50

11.50

1523

Microscopical examination, gram stain or similar; cultural examination for and identification of aerobic microorganisms and sensitivity testing of nine or more antibiotics              

15.50

15.50

15.00

12.50

12.50

12.50

1525

Microscopical examination by special stains, e.g. Ziehl Neelsen or similar; and cultural examination for special pathogens, such as M. tuberculosis, fungi, etc              

7.50

7.50

7.00

6.50

6.50

6.50

1527

Examination by animal inoculation.......

10.00

10.00

10.00

10.00

10.00

10.00

1529

Autogenous vaccines, preparation of, for a single organism 

6.00

6.00

6.00

6.00

6.00

6.00

1531

Autogenous vaccines, preparation of, for multiple organisms 

11.00

11.00

11.00

11.00

11.00

11.00

1534

Sensitivity testing—up to eight antibiotics...

5.00

5.00

5.00

4.50

4.50

4.50

1537

Sensitivity testing—nine or more antibiotics.

8.00

8.00

8.00

7.50

7.50

7.50

1539

Sensitivity testing—tube dilution, each antibiotic 

6.00

6.00

6.00

6.00

6.00

6.00

1541

Sensitivity testing of mycobacteria, each antibiotic 

5.00

5.00

5.00

5.00

5.00

5.00

1543

Assay of concentration of antibiotic or chemotherapeutic agents in body fluids 

6.00

6.00

5.50

5.00

4.50

4.50

 

Body Fluids— Vaginal and Prostatic Fluids

1545

Microscopical examination—wet film.....

2.50

2.50

2.50

2.00

2.00

2.00

1546

Microscopical examination, wet film; microscopical examination gram stain or similar, cultural examination for and identification of aerobic micro-organisms               

10.00

10.00

9.50

7.00

7.00

7.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1548

Microscopical examination, wet film; microscopical examination gram stain or similar; cultural examination for and identification of aerobic micro-organisms and sensitivity testing of up to eight antibiotics              

15.00

15.00

14.50

11.50

11.50

11.50

Body Fluids—Cerebrospinal Fluid

1551

Cell count and differential; and quantitative chemical estimation of one substance 

10.00

10.00

8.00

7.50

7.50

7.50

1554

Cell count and differential; quantitative chemical estimation of one substance; and Lange colloidal gold reaction              

16.50

16.50

13.50

12.50

12.50

12.50

1557

Cell count and differential; quantitative chemical estimation of one substance; Lange colloidal gold reaction; and complement fixation test for syphilis              

23.00

23.00

18.50

17.50

17.50

17.50

1560

Cell count and differential; quantitative chemical estimation of one substance; and complement fixation test for syphilis              

16.50

16.50

13.00

12.50

12.50

12.50

1562

Cell count and differential; and quantitative chemical estimation of two substances  

15.00

15.00

13.00

12.50

12.50

12.50

1564

Cell count and differential; quantitative chemical estimation of two substances; and Lange colloidal gold reaction              

21.50

21.50

18.50

17.50

17.50

17.50

1566

Cell count and differential; and quantitative chemical estimation of three substances  

19.00

19.00

17.00

16.50

16.50

16.50

1568

Cell count and differential; quantitative chemical estimation of three substances; and Lange colloidal gold reaction              

25.50

25.50

22.50

21.50

21.50

21.50

Body Fluids—Seminal Fluid

1571

Cell count; microscopical examination, wet film; and microscopical examination, gram stain or similar 

8.50

8.50

7.50

6.50

6.50

6.50

Body Fluids—Serological Examination

1580

Serological procedures, not covered by any other item, to identify organisms 

5.00

5.00

5.00

5.00

5.00

5.00

1582

Rh or similar blood group antibodies, qualitative examination for 

5.50

5.00

5.00

4.50

4.50

4.50

1584

Rh or similar blood group antibodies, screening and quantitative examination for 

10.00

9.00

9.00

9.00

9.00

9.00

1586

Flocculation tests for syphilis, rheumatoid factor or similar 

4.50

4.00

3.00

2.50

2.50

2.50

1588

Syphilis, complement fixation tests for

7.00

7.00

5.50

5.00

5.00

5.00

1590

Complement, estimation of ............

7.00

7.00

7.00

7.00

7.00

7.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Body Fluids—Chemistry

1601

Quantitative chemical estimation of one substance 

7.00

7.00

5.50

5.00

5.00

5.00

1604

Quantitative chemical estimation of two substances 

12.00

12.00

10.50

10.00

10.00

10.00

1607

Quantitative chemical estimation of three substances 

16.00

16.00

14.50

14.00

14.00

14.00

1609

Quantitative chemical estimation of four or more substances 

20.00

20.00

18.50

18.00

18.00

18.00

1611

Lange colloidal gold reaction...........

6.50

6.50

5.50

5.00

5.00

5.00

1613

Amniotic fluid, spectroscopic examination of

8.50

8.50

8.50

8.50

8.50

8.50

1615

Electrophoresis of protein or enzyme, qualitative 

9.00

9.00

8.00

8.00

8.00

8.00

Body Fluids—Cytology

1616

Cytological examination for malignancy ...

10.00

10.00

9.00

9.00

9.00

9.00

Body Fluids—Miscellaneous

1621

Cell count and differential.............

3.00

3.00

2.50

2.50

2.50

2.50

1622

Microscopical examination of wet film.....

2.50

2.50

2.50

2.00

2.00

2.00

1623

Assay of concentration of antibiotic or chemotherapeutic agent  

6.00

6.00

5.50

5.00

4.50

4.50

1625

Sweat plate test....................

3.50

3.50

3.50

3.50

3.50

3.50

1627

Huhner’s test .....................

7.00

7.00

7.00

7.00

7.00

7.00

1629

Milk, human, chemical analysis of........

6.00

6.00

6.00

6.00

6.00

6.00

1631

Calculi (gall stones, urinary calculi and other body concretions), chemical examination of

5.00

5.00

4.50

4.50

4.50

4.50

Division 4—Immunology

1640

Immunoelectrophoresis of serum, cerebrospinal fluid, urine or other body fluids—qualitative

14.00

14.00

14.00

14.00

14.00

14.00

1643

Immunodiffusion for the detection of proteins in serum, cerebrospinal fluid, urine or other body fluids— quantitative—each protein

7.50

7.50

7.50

7.50

7.50

7.50

1645

Radio-immunodiffusion determination of protein in serum, cerebrospinal fluid, urine or other body fluids— quantitative—each protein             

7.50

7.50

7.50

7.50

7.50

7.50

1647

Radio immune precipitation of globulins....

25.00

25.00

25.00

25.00

25.00

25.00

1649

Lymphocyte (function studies) response to phytohaemagglutinin or antigen, visual transformation  

18.00

18.00

18.00

18.00

18.00

18.00

1651

Lymphocyte (function studies) response to phytohaemagglutinin or antigen—using radio-active techniques, estimation of              

25.00

25.00

25.00

25.00

25.00

25.00

1653

Skin sensitivity—induction and detection of sensitivity to chemical antigens 

10.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Immunology—Tissue Antibody Detection

1661

Flocculation tests, e.g. latex—each antibody 

4.50

3.50

3.00

2.50

2.50

2.50

1664

Agglutination immobilisation test........

15.00

15.00

15.00

15.00

15.00

15.00

1667

Tanned erythrocyte haemagglutination technique—each antibody 

7.00

7.00

5.00

5.00

5.00

5.00

1670

Complement fixation tests involving human tissue antibody—each antibody  

7.00

7.00

7.00

7.00

7.00

7.00

1673

Immunofluorescent detection of tissue antibody—each antibody  

9.00

9.00

9.00

9.00

9.00

9.00

Division 5—Faeces

Faeces—Bacteriology and Parasitology

1680

Microscopical examination of wet preparation

2.50

3.50

2.50

2.00

2.00

2.00

1682

Microscopical examination with simple staining  

3.00

3.00

2.50

2.00

2.00

2.00

1684

Microscopical examination with special staining (iron haematoxylin, trichrome or similar) 

3.00

3.00

2.50

2.50

2.50

2.50

1686

Microscopical examination for parasites or ova after concentration techniques 

3.50

3.50

3.50

3.50

3.50

3.50

1688

Identification of helminths.............

5.00

5.00

5.00

5.00

5.00

5.00

1691

Cultural examination for parasites........

5.00

5.00

5.00

5.00

5.00

5.00

1694

Cultural examination for isolation of micro-organisms, using selective media 

6.00

5.00

4.50

4.50

5.00

5.00

1697

Microscopical examination of wet preparation; and cultural examination for isolation of micro-organisms, using selective media             

8.50

8.50

7.00

6.50

7.00

7.00

1698

Microscopical examination of wet preparation; microscopical examination for parasites or ova after concentration techniques; and cultural examination for isolation of microorganisms, using selective media             

12.00

12.00

10.50

10.00

10.50

10.50

1700

Special cultural examination for identification of intestinal pathogenic micro-organisms, using biochemical reactions             

5.00

5.00

5.00

5.00

5.00

5.00

1701

Microscopical examination of wet preparation; microscopical examination for parasites or ova after concentration techniques; and cultural examination for isolation of micro-organisms; using selective media, and special cultural examination for identification of intestinal pathogenic micro-organisms using biochemical reactions             

17.00

17.00

15.50

15.00

15.50

15.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1703

Identification of intestinal pathogenic micro-organisms by specific serological techniques

5.00

5.00

5.00

5.00

5.00

5.00

1706

Sensitivity testing (each organism) using up to eight antibiotics 

5.00

5.00

5.00

4.50

4.50

4.50

1707

Sensitivity testing (each organism) using nine or more antibiotics 

8.00

8.00

8.00

7.50

7.50

7.50

Faeces—Chemistry

1710

Bilirubin, qualitative test, other than by reagent stick, strip, tablet or similar 

2.50

2.50

2.50

2.50

2.50

2.50

1712

Chloride, estimation of...............

7.00

7.00

6.00

5.00

4.50

5.00

1714

Calcium, estimation of ...............

7.00

7.00

6.00

5.00

4.50

5.00

1716

Enzyme assay for amylase, trypsin, mucinase or similar enzyme, qualitative, each substance  

3.00

3.00

3.00

3.00

3.00

3.00

1718

Fat, total, quantitative estimation of, one estimation  

9.00

9.00

7.50

7.50

7.50

7.50

1720

Fat, total, quantitative estimation of, two estimations 

18.00

18.00

15.00

15.00

15.00

15.00

1722

Fat, total, quantitative estimation of, three or more estimations 

27.00

27.00

22.50

22.50

22.50

22.50

1724

Fat, differential, quantitative estimation of, one estimation 

5.00

5.00

5.00

5.00

5.00

5.00

1726

Fat, differential, quantitative estimation of, two estimations 

10.00

10.00

10.00

10.00

10.00

10.00

1728

Fat, differential, quantitative estimation of, three or more estimations 

15.00

15.00

15.00

15.00

15.00

15.00

1730

Nitrogen, total, estimation of ...........

10.00

10.00

10.00

10.00

10.00

10.00

1732

Occult blood, chemical tests for, other than by reagent stick, strip, tablet or similar 

3.00

2.50

2.00

2.00

2.00

2.00

1734

Porphyrins, qualitative estimation of, other than by reagent stick, strip, tablet or similar 

5.00

5.00

2.50

2.50

2.50

2.50

1736

Porphyrins, quantitative estimation of (each substance)  

20.00

20.00

20.00

20.00

20.00

20.00

1738

Reducing substances, qualitative test other than by reagent stick, strip, tablet or similar 

3.00

3.00

3.00

3.00

3.00

3.00

1741

Phosphorus, estimation of.............

7.00

7.00

5.50

5.00

5.00

5.00

1744

Urobilin, urobilinogen, qualitative estimation of, other than by reagent stick, strip, tablet or similar 

3.00

3.00

3.00

3.00

3.00

3.00

1746

Urobilinogen, quantitative estimation of, other than by reagent stick, strip, tablet or similar

7.00

7.00

5.50

5.00

5.00

5.00

1748

Chemical estimation, quantitative, of any one substance not specified elsewhere, other than by reagent stick, strip, tablet or similar

7.00

7.00

5.50

5.00

5.00

5.00

Division 6—Skin, Hair, Nails

1761

Microscopical examination for fungi......

4.00

4.00

4.00

3.50

3.50

3.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1764

Microscopical and cultural examination for fungi 

7.00

7.00

7.00

6.00

6.00

6.00

1767

Chemical examination (qualitative)— each substance 

3.00

3.00

3.00

3.00

3.00

3.00

1770

Chemical examination (quantitative)— each substance 

7.00

7.00

6.00

5.00

5.00

5.00

1773

Skin sensitivity testing for allergens, using one to twenty allergens 

8.00

8.00

8.00

8.00

8.00

8.00

1776

Skin sensitivity testing for allergens, using more than twenty allergens 

12.00

12.00

12.00

12.00

12.00

12.00

1779

Skin sensitivity testing for hydatid disease (Casoni test) 

4.50

4.00

2.50

2.50

2.50

2.50

1782

Skin sensitivity testing for mycobacterial infection (Mantoux, Von Pirquet, Vollmer or similar test) 

4.50

4.00

2.50

2.50

2.50

2.50

1785

Skin sensitivity testing for diagnosis of disease not otherwise listed (Schick test, Frei test, Schultz-Charlton test, etc.)             

4.50

4.00

2.50

2.50

2.50

2.50

Division 7—Gastric and Duodenal Contents

Gastric and Duodenal Contents—Bacteriology

1790

Microscopical examination for mycobacteria including collection of gastric contents 

5.00

5.00

5.00

5.00

5.00

5.00

1792

Cultural examination for mycobacteria.....

5.00

5.00

5.00

4.50

4.50

4.50

1794

Microscopical examination for mycobacteria including collection of gastric contents and cultural examination for mycobacteria             

10.00

10.00

10.00

9.50

9.50

9.50

1796

Animal inoculation .................

10.00

10.00

10.00

10.00

10.00

10.00

1798

Sensitivity testing for mycobacteriaeach antibiotic 

5.00

5.00

5.00

5.00

5.00

5.00

Gastric and Duodenal Contents—Chemistry

1800

Qualitative tests for barbiturate, blood, alcohol, metallic poison or similar substances—each substance 

3.50

3.50

3.50

3.50

3.50

3.50

1802

Quantitative determination of acidity, single or multiple specimens, including collection (fractional test meal)             

10.50

10.50

10.00

8.00

9.00

8.00

1804

Collection of gastric juice specimens after stimulation by histamine, synthetic gastrin, alcohol or similar substance and quantitative determination of acidity              

15.00

15.00

14.50

12.50

13.50

12.50

1806

Quantitative determination of bicarbonatesingle determination 

7.00

7.00

7.00

5.00

4.50

4.50

1808

Quantitative determinations of bicarbonatemore than one determination  

15.00

15.00

15.00

11.00

10.00

10.00

1810

Quantitative determination of other substances—each substance  

7.00

7.00

7.00

5.00

4.50

4.50

1812

Stomach add secretion test by ingestion of dye 

7.00

7.00

5.00

4.50

4.50

4.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Division 8—Morbid Anatomy

1820

Histopathological examination of biopsy material when one or two pieces of tissue are separately identified, processed and examined              

12.00

12.00

10.00

10.00

10.00

10.00

1822

Histopathological examination of biopsy material when three or four pieces of tissue are separately identified, processed and examined             

18.00

18.00

16.00

16.00

16.00

16.00

1824

Histopathological examination of biopsy material when five or more pieces of tissue are separately identified, processed and examined             

24.00

24.00

22.00

22.00

22.00

22.00

1826

Immediate frozen section diagnosis and histopathological examination of biopsy material when one or two pieces of tissue are separately identified, processed and examined             

24.00

24.00

20.00

20.00

20.00

20.00

1828

Immediate frozen section diagnosis and histopathological examination of biopsy material when three or more pieces of tissue are separately identified, processed and examined             

30.00

30.00

26.00

26.00

26.00

26.00

Division 9—Special Investigations (includes Collection of Specimens, Administration of Drugs and All Relevant Chemical Determinations)

1840

Acth stimulation procedure (including synacthen) using multiple plasma steroid estimation 

35.00

35.00

35.00

35.00

35.00

35.00

1841

Acth stimulation procedure (including synacthen) using multiple urine steroid estimation 

45.00

45.00

45.00

45.00

45.00

45.00

1843

Adrenaline tolerance test ..............

14.00

14.00

12.50

11.50

11.50

11.50

1846

Arginine infusion test................

10.00

10.00

10.00

10.00

10.00

10.00

1849

Basal metabolic rate estimation..........

10.00

10.00

8.00

8.00

8.00

8.00

1850

Bromsulphthalein retention test..........

12.00

12.00

11.00

10.00

10.00

10.00

1852

Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) not exceeding 2 hours             

12.00

12.00

11.00

10.00

10.00

10.00

1853

Bromsulphthalein infusion test of liver function 

20.00

20.00

20.00

20.00

20.00

20.00

1855

Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding 2 hours but not exceeding 3 hours             

15.00

15.00

14.00

13.00

13.00

13.00

1858

Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding 3 hours             

18.00

18.00

17.00

16.00

16.00

16.00

1861

Congo red test.....................

13.00

13.00

12.00

11.00

10.00

10.50

1863

Creatinine clearance test..............

15.00

15.00

15.00

15.00

15.00

15.00

1865

Dexamethazone suppression test.........

40.00

40.00

40.00

40.00

40.00

40.00

1867

Glucagon tolerance test...............

14.00

14.00

12.50

11.50

11.50

11.50

1869

Histidine loaded figlu test..............

12.00

12.00

12.00

12.00

12.00

12.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1871

Inulin clearance test .................

20.00

20.00

20.00

20.00

20.00

20.00

1873

Metyropone suppression test............

40.00

40.00

40.00

40.00

40.00

40.00

1875

Para amino hippuric clearance test........

15.00

15.00

15.00

15.00

15.00

15.00

1877

Phenolsulphonphthalein excretion test.....

15.00

15.00

15.00

15.00

15.00

15.00

1879

Tolbutamide tolerance test.............

14.00

14.00

12.50

11.50

11.50

11.50

1881

Urea clearance test..................

11.50

11.50

9.50

8.50

8.50

8.50

1884

Urea concentration test ...............

10.00

10.00

8.00

7.00

7.00

7.00

1887

Urine acidification test (ammonium chloride or similar)  

10.00

10.00

10.00

10.00

10.00

10.00

1889

Vasopressin stimulation test............

35.00

35.00

35.00

35.00

35.00

35.00

1891

Water elimination or mosenthal kidney function test 

5.00

5.00

5.00

4.50

4.50

4.50

1893

Xylose absorption test ...............

11.00

11.00

10.50

10.00

10.00

10.00

Division 10—Cytology

1901

Cytological examination of smears from cervix and vagina, skin or mucous membrane for pathological change             

7.00

7.00

6.00

6.00

6.00

6.00

1903

Examination of sputum, urine or body fluids including bronchial, cerebrospinal, pericardial, peritoneal, or similar for malignant cells             

10.00

10.00

9.00

9.00

9.00

9.00

1905

Examination of colonic or duodenal washings for malignant cells 

10.00

10.00

9.00

9.00

9.00

9.00

1907

Examination of blood for circulating malignant cells 

15.00

15.00

14.00

14.00

14.00

14.00

1909

Oesophageal cytology including collection of specimen  

12.50

12.50

11.50

11.50

11.50

11.50

1911

Gastric cytology including collection of specimen  

18.00

18.00

17.00

17.00

17.00

17.00

1913

Hormonal assessment by cytological examination of vaginal epithelium 

6.00

6.00

5.00

5.00

5.00

5.00

1915

Cytological sex chromatin studies other than from blood film 

6.50

6.50

5.50

5.50

5.50

5.50

Division 11—Chromosome Studies

1921

Chromosome studies—including preparation, count and karyotyping of blood  

18.00

18.00

18.00

18.00

18.00

18.00

1923

Chromosome studies—including preparation, count and karyotyping of marrow or other tissue  

21.00

21.00

21.00

21.00

21.00

21.00

1925

Chromosome studies—including preparation, count and karyotyping of skin  

24.00

24.00

24.00

24.00

24.00

24.00

Division 12—Radioisotope Studies

1941

Erythrocyte radioactive uptake survival time

25.00

25.00

25.00

25.00

25.00

25.00

1943

Blood volume Cr51..................

10.00

10.00

10.00

10.00

9.00

10.00

1945

Radioiodine thyroid uptake ............

10.00

10.00

10.00

10.00

9.00

9.00

1947

Radioactive T3 test .................

11.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

1948

Gastrointestinal blood loss estimation with radioactive chromium involving serial examinations of stool specimens 

20.00

20.00

20.00

20.00

20.00

20.00

1949

Radioiodine, urinary estimation . …………

7.00

7.00

7.00

7.00

7.00

7.00

1951

Protein bound radioactive iodine test …….

10.00

10.00

10.00

10.00

10.00

10.00

1953

Hormonal immunoassay by radioactive techniques, each estimation . . …………….

10.00

10.00

10.00

10.00

10.00

10.00

1955

Radioactive B12 absorption test (Schilling test) 

11.00

11.00

11.00

11.00

11.00

11.00

1956

Brain scan ………………………………..

27.00

27.00

27.00

27.00

27.00

27.00

1958

Cisternal scan ………………………………

42.00

42.00

42.00

42.00

42.00

42.00

1959

Spinal cord scan ……………………………

18.00

18.00

18.00

18.00

18.00

18.00

1961

Parathyroid scan ……………………………. 

15.00

15.00

15.00

15.00

15.00

15.00

1963

Thyroid scan ………………………………....

11.00

11.00

11.00

11.00

11.00

11.00

1965

Mediastinal scan …………………………….. 

14.00

14.00

14.00

14.00

14.00

14.00

1966

Scan of lung or lungs ………………………… 

28.00

28.00

28.00

28.00

28.00

28.00

1968

Scan of heart and liver ……………………… 

27.00

27.00

27.00

27.00

27.00

27.00

1969

Heart scan …………………………………… 

14.00

14.00

14.00

14.00

14.00

14.00

1970

Scan of liver and lungs ……………………… 

48.00

48.00

48.00

48.00

48.00

48.00

1971

Liver scan ……………………………………

22.00

22.00

22.00

22.00

22.00

22.00

1972

Pancreas scan ………………………………. 

27.00

27.00

27.00

27.00

27.00

27.00

1974

Spleen scan …………………………………. 

15.00

15.00

15.00

15.00

15.00

15.00

1977

Renal scan …………………………………… 

18.00

18.00

18.00

18.00

18.00

18.00

1978

Scan of liver and spleen……………………… 

28.00

28.00

28.00

28.00

28.00

28.00

1979

Differential renal scan……………………….

10.00

10.00

10.00

10.00

10.00

10.00

1980

Renal scan and differential renal scan………

28.00

28.00

28.00

28.00

28.00

28.00

1985

Placental scan………………………………. 

27.00

27.00

27.00

27.00

27.00

27.00

1988

Scan of skull …………………………………

18.00

18.00

18.00

18.00

18.00

18.00

1990

Scan of vertebral column and sacrum………

27.00

27.00

27.00

27.00

27.00

27.00

1992

Scan of pelvis………………………………… 

27.00

27.00

27.00

27.00

27.00

27.00

1994

Scan of joint or long bone ....…………………

18.00

18.00

18.00

18.00

18.00

18.00

1996

Scan of bone or bones not covered by any other item in this Division …………………………

18.00

18.00

18.00

18.00

18.00

18.00

1999

Scan of region or organ not covered by any other item in this Division……………………

15.00

15.00

15.00

15.00

15.00

15.00

PART 8—RADIOLOGICAL SERVICES

Division 1—Radiographic Examination of Extremities and Report (with or without Fluoroscopy)

2011

Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his specialty)              

8.00

8.00

6.00

6.00

6.00

6.00

2013

Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his specialty)              

10.00

10.00

8.00

8.00

8.00

8.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

2015

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

8.00

8.00

6.00

6.00

6.00

6.00

2016

Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty)              

10.00

10.00

8.00

8.00

8.00

8.00

2019

Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

9.00

9.00

7.00

7.00

7.00

7.00

2020

Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty)              

11.00

11.00

9.00

9.00

9.00

9.00

2023

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his specialty)              

8.00

8.00

7.00

7.00

7.00

7.00

2024

Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his speciality)             

11.00

11.00

9.00

9.00

9.00

9.00

2027

Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

10.00

10.00

8.00

8.00

8.00

8.00

2028

Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his specialty)              

14.00

14.00

10.00

10.00

10.00

10.00

 

Division 2—Radiographic Examination of Shoulder or Hip Joint and Report

2041

Shoulder region, including clavicle and scapula (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

9.00

9.00

8.00

8.00

8.00

8.00

2042

Shoulder region, including clavicle and scapula (when the service is rendered by a specialist in the practice of his specialty)             

11.00

12.50

10.00

10.00

10.00

10.00

2045

Hip joint.........................

12.00

12.00

10.00

10.00

10.00

10.00

2049

Pelvic girdle ......................

15.00

15.00

10.00

10.00

10.00

10.00

2054

Smith-Petersen nail—insertion or similar procedure 

25.00

25.00

25.00

25.00

25.00

25.00

 

Division 3—Radiographic Examination of Head and Report

2061

Skull or mastoids...................

15.00

16.00

12.50

12.50

12.50

12.50

2063

Sinuses .........................

12.00

12.00

10.50

10.50

10.50

10.50

2066

Maxilla, or orbit, or both..............

12.00

12.00

10.50

10.50

10.50

10.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service....................

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

 

2069

Mandible, malar bones or salivary calculus..


12.00

 

12.00

 

10.50

 

12.00

 

10.50

 

10.50

2073

Nose or eye.......................

10.00

12.00

9.00

9.00

9.00

9.00

2076

Palate or pharynx, or palate and pharynx, by direct radiography with fluoroscopic screening 

 

 

15.00

 

 

15.00

 

 

13.50

 

 

13.50

 

 

13.50

 

 

13.50

2081

Larynx..........................

11.00

11.00

9.00

9.00

9.50

8.50

 

Division 4—Radiographic Examination of Spine and Report

2090

Spine—any one region (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

 

 

12.00

 

 

12.00

 

 

10.00

 

 

10.00

 

 

10.00

 

 

10.00

2092

Spine-any one region (when the service is rendered by a specialist in the practice of his specialty)  

 

 

16.00

 

 

16.00

 

 

13.00

 

 

13.00

 

 

13.00

 

 

13.00

2095

Spine—two regions .................

22.00

22.00

18.00

18.00

18.00

18.00

2099

Spine—three or more regions...........

30.00

30.00

24.00

24.00

24.00

24.00

 

Division 4A—Bone Age Study and Skeletal Surveys

2101

Bone age study, wrist and knee..........

12.00

12.00

12.00

12.00

12.00

12.00

2104

Skeletal survey involving four or more regions

22.00

22.00

22.00

22.00

22.00

22.00

 

Division 5—Radiographic Examination of Thoracic Region and Report

2111

Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his specialty)              

 

 

9.00

 

 

10.00

 

 

8.00

 

 

8.00

 

 

8.00

 

 

8.00

2113

Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his specialty)              

 

 

11.00

 

 

12.00

 

 

10.00

 

 

10.00

 

 

10.00

 

 

10.00

2116

Chest (lung fields) by direct radiography with fluoroscopic screening 

 

15.00

 

15.00

 

12.00

 

12.00

 

12.00

 

12.00

2119

Thoracic inlet.....................

10.00

10.00

9.00

10.00

10.00

9.50

2123

Chest, by miniature radiography .........

5.50

5.50

5.00

5.00

5.00

5.00

2128

Orthodiagraphy ....................

12.00

12.00

12.00

12.00

12.00

12.00

2132

Teleoroentgenography with cardiac measurements 

 

12.00

 

12.00

 

12.00

 

12.00

 

12.00

 

12.00

2137

Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

 

 

 

12.00

 

 

 

12.00

 

 

 

10.00

 

 

 

10.00

 

 

 

10.00

 

 

 

10.00

2138

Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his specialty)             

 

 

15.00

 

 

15.00

 

 

13.00

 

 

13.00

 

 

13.00

 

 

13.00

2141

Sternum or one or more ribs of any one side (when the service is rendered otherwise than by a specialist in the practice of his specialty)              

 

 

 

9.00

 

 

 

10.00

 

 

 

8.00

 

 

 

8.00

 

 

 

8.00

 

 

 

8.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

2142

Sternum or one or more ribs of any one side (when the service is rendered by a specialist in the practice of his specialty)             

11.00

12.00

10.00

10.00

10.00

10.00

2145

One or more ribs of both sides (when the service is rendered otherwise than by a specialist in the practice of his specialty)              

11.00

12.00

10.00

10.00

10.00

10.00

2146

One or more ribs of both sides (when the service is rendered by a specialist in the practice of his specialty)             

14.00

15.00

13.00

13.00

13.00

13.00

Division 6—Radiographic Examination of Urinary Tract and Report

2161

Plain renal only ....................

11.00

12.00

10.00

10.00

10.00

10.00

2164

Drip-infusion pyelography .............

33.00

33.00

33.00

33.00

33.00

33.00

2170

Intravenous pyelography, including preliminary plain film  

30.00

30.00

28.00

28.00

28.00

28.00

2174

Retrograde pyelography ..............

16.00

17.00

15.00

15.00

15.00

15.00

2177

Cystography, urethrography or vesiculography, as an independent procedure  

16.50

16.50

16.00

16.00

16.00

16.00

2181

Micturating cysto-urethrography, as an independent procedure 

20.00

20.00

20.00

20.00

20.00

20.00

2185

Perirenal insufflation.................

12.00

13.00

11.00

11.00

11.00

10.50

 

Division 7—Radiographic Examination of Alimentary Tract and Biliary System (with or without Fluoroscopy) and Report

2202

Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his specialty)             

9.00

10.00

8.00

8.00

8.00

8.00

2203

Plain abdominal only (when the service is rendered by a specialist in the practice of his specialty) 

11.00

12.00

10.00

10.00

10.00

10.00

2205

Pneumoperitoneum .................

11.00

11.00

10.00

10.00

10.00

9.00

2211

Oesophagus, with or without examination for foreign body or barium swallow 

17.00

17.00

15.00

15.00

15.00

15.00

2215

Barium or other opaque meal of oesphagus, stomach and duodenum, with or without screening of chest 

22.00

23.00

20.00

20.00

20.00

20.00

2219

Barium or other opaque meal of oesphagus, stomach, duodenum and follow through to colon, with or without screening of chest             

26.00

27.00

23.00

23.00

23.00

23.00

2222

Barium or other opaque meal, small bowel series only 

20.00

20.00

20.00

20.00

20.00

20.00

2227

Opaque enema.....................

22.00

23.00

20.00

20.00

20.00

20.00

2231

Opaque enema, including air contrast study (two stages) 

26.00

27.00

24.00

24.00

24.00

24.00

2235

Graham’s test (cholecystography)........

17.00

20.00

16.00

16.00

16.00

16.00

2238

Cholangiography direct, operative or post-operative 

18.00

19.50

17.00

17.00

16.00

16.00

2248

Cholangiography—intravenous .........

26.00

27.00

24.00

24.00

24.00

24.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Division 8—Radiographic Examination for Localisation of Foreign Bodies and Report

2250

Foreign body in eye (special method, Sweet’s or other) 

16.50

16.50

16.50

16.50

16.50

16.50

2254

Foreign body, localisation of and report, including a radiographic examination of the area concerned and report (not being a service covered by any other item in this Part)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 7

rule 7

rule 7

rule 7

rule 7

rule 7

Division 9—Radiographic Examination of Breasts and Report

2270

Radiographic examination of both breasts and report   

20.00

20.00

20.00

20.00

20.00

20.00

2274

Radiographic examination of one breast and report 

 

 

 

 

 

 

 

12.00

12.00

12.00

12.00

12.00

12.00

Division 10—Radiographic Examination in Connection with Pregnancy and Report

2291

Pregnant uterus ....................

11.00

12.50

10.00

10.00

10.00

10.00

2295

Pelvimetry or placentography...........

22.00

22.00

16.00

16.00

16.00

16.00

2298

Control x-rays associated with intra.......

 

 

 

 

 

 

 

uterine foetal blood transfusion..........

16.50

16.50

16.50

16.50

16.50

16.50

Division 11—Radiographic Examination with Opaque or Contrast Media, and Report (not including any service covered by Division 16 of this Part)

2310

Serial angiocardiography (rapid cassette changing) 

20.00

20.00

20.00

20.00

20.00

20.00

2314

Serial angiocardiography (single plane—direct roll-film method) 

27.50

27.50

27.50

27.50

27.50

27.50

2318

Serial angiocardiography (bi-plane— direct roll-film method) 

27.50

27.50

27.50

27.50

27.50

27.50

2322

Serial angiocardiography (indirect roll-film method) 

27.50

27.50

27.50

27.50

27.50

27.50

2326

Discography......................

16.50

18.00

15.00

15.00

18.00

16.50

2330

Dacryocystography..................

12.00

12.00

12.00

12.00

12.00

12.00

2334

Encephalography...................

26.00

26.00

26.00

26.00

26.00

26.00

2338

Intracranial angiography, one side........

20.00

20.00

20.00

20.00

20.00

20.00

2342

Cerebral ventriculography.............

22.00

22.00

22.00

22.00

22.00

22.00

2347

Hysterosalpingography...............

17.00

17.00

13.00

15.00

13.00

13.00

2350

Bronchography, arteriography, phlebography, aortography or splenography  

25.00

25.00

20.00

20.00

20.00

20.00

2354

Myelography......................

30.00

30.00

30.00

30.00

30.00

30.00

2359

Sialography or vasoepididymography......

17.00

17.00

17.00

17.00

17.00

17.00

2362

Sinuses and fistulae, including a radiographic examination of the area concerned and report 

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 7

rule 7

rule 7

rule 7

rule 7

rule 7


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

2367

Pneumarthrography, including a radiographic examination of the area concerned and report 

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

rule 7

rule 7

rule 7

rule 7

rule 7

rule 7

2371

Lymphangiography, including follow up radiography 

16.50

16.50

16.50

16.50

16.50

16.50

Division 12—Tomography and Report

2410

Tomography, any part and report.........

15.00

15.00

15.00

15.00

15.00

15.00

Division 13—Stereoscopic Examination and Report

2420

Stereoscopic examination and report, including a radiographic examination of the area concerned and report              

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 7

rule 7

rule 7

rule 7

rule 7

rule 7

Division 14—Fluoroscopic Examination and Report

(Fluoroscopic examination and report not covered by any other item in this Part—where radiograph is not taken)

2440

Examination with general anaesthesia......

11.00

11.00

11.00

11.00

11.00

11.00

2444

Examination without general anaesthesia...

7.00

7.00

7.00

7.00

7.00

7.00

Division 15—Radiotherapy

2458

Radiotherapy, superficial (including treatment by means of x-rays, or rays emitted by radium or other radioactive substances) not covered by any other item in this Part—each attendance at which one or two fields are irradiated              

7.50

7.00

7.00

6.50

6.50

6.50

2459

Radiotherapy, superficial (including treatment by means of x-rays, or rays emitted by radium or other radio-active substances) not covered by any other item in this Part—each attendance at which more than two fields are irradiated              

9.00

8.50

8.50

8.00

8.00

8.00

2463

Radiotherapy (other than superficial) or orthovoltage therapy (including treatment by means of X-rays, or rays emitted by radium or other radioactive substances) not covered by any other item in this Part—each attendance at which therapy is given             

8.00

8.00

8.00

8.00

8.00

8.00

2465

Radiotherapy (other than superficial), megavoltage therapy or telecobalt therapy not covered by any other item in this Part—each attendance at which treatment is given

10.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

2468

Radiotherapy, orthovoltage therapy or megavoltage therapy under hyperbaric conditions (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part—each attendance at which treatment is given              

14.00

14.00

14.00

14.00

14.00

14.00

Implantation of Radio-active Substances for Tumour

2510

Globe of eye ......................

65.00

65.00

65.00

65.00

65.00

65.00

2514

Retina ..........................

65.00

65.00

65.00

65.00

65.00

65.00

2518

Lip  ............................

23.00

23.00

23.00

23.00

23.00

23.00

2522

Mount or tongue or both ..............

39.00

39.00

39.00

39.00

39.00

39.00

2526

Bladder.........................

85.00

85.00

85.00

85.00

85.00

85.00

2530

Prostate.........................

65.00

65.00

65.00

65.00

65.00

65.00

2535

Cervix or corpus uteri ................

40.00

40.00

40.00

40.00

40.00

40.00

2538

Any region or organ not referred to in a preceding item under this heading, the implantation of which requires a major anaesthetic             

44.00

44.00

44.00

44.00

44.00

44.00

2542

Any region or organ referred to in the last preceding item, the implantation of which does not require a major anaesthetic             

16.50

16.50

16.50

16.50

16.50

16.50

Application of Moulds of Radio-active Substances

2570

Alveolus, palate or antrum, each attendance at which a mould is applied 

33.00

33.00

33.00

33.00

33.00

33.00

2574

Scar following radical mastectomy, each attendance at which a mould is applied  

16.50

16.50

16.50

16.50

16.50

16.50

2578

Hand or other skin area or mucous membrane, each attendance at which a mould is applied

16.50

16.50

16.50

16.50

16.50

16.50

Division 16—Preparation for Radiological Procedure, Being the Injection of Opaque or Contrast Media or the Removal of Fluid and its Replacement by Air, Oxygen or Other Contrast Media or Other Similar Preparation, including the Administration of an Anaesthetic for Radiotherapy

2620

Encephalography ...................

35.00

45.00

35.00

35.00

35.00

35.00

2624

Intracranial angiography-percutaneous.....

30.00

30.00

30.00

30.00

30.00

30.00

2628

Intracranial angiography-open exposure....

30.00

30.00

30.00

30.00

30.00

30.00

2632

Cerebral ventriculography.............

45.00

30.00

30.00

30.00

30.00

30.00

2636

Dacryocystography..................

10.00

10.00

10.00

10.00

10.00

10.00

2640

Bronchography....................

15.00

15.00

15.00

15.00

15.00

15.00

2644

Aortography ......................

15.00

15.00

15.00

15.00

15.00

15.00

2648

Arteriography-peripheral, phlebography or splenography 

12.00

12.00

12.00

12.00

12.00

12.00

2652

Perirenal insufflation ................

12.00

12.00

12.00

12.00

12.00

12.00

2657

Renal cyst or cysts, aspiration with injection of radio-opaque material 

15.00

15.00

15.00

15.00

15.00

15.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

2661

Pneumarthrography or radiography of pneumoperitoneum  

12.50

12.50

12.50

12.50

12.50

12.50

2666

Drip-infusion pyelography .............

7.50

7.50

7.50

7.50

7.50

7.50

2671

Hysterosalpingography ...............

15.00

15.00

15.00

15.00

15.00

15.00

2674

Discography ......................

10.00

10.00

10.00

10.00

10.00

10.00

2678

Intraosseous venography ..............

10.00

10.00

10.00

10.00

10.00

10.00

2683

Myelography .....................

30.00

30.00

30.00

30.00

30.00

30.00

2686

Sinus or fistula, injection into...........

5.00

5.00

5.00

5.00

5.00

5.00

2691

Lymphangiography..................

30.00

30.00

30.00

30.00

30.00

30.00

2696

Administration of an anaesthetic for radiotherapy under hyperbaric conditions  

16.50

16.50

16.50

16.50

16.50

16.50

2700

Intracavitary administration of radioactive substances 

14.00

14.00

14.00

14.00

14.00

14.00

PART 9ASSISTANCE AT OPERATIONS

2901

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table does not exceed $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania             

12.00

12.00

12.00

12.00

12.00

12.00

2904

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table exceeds $45 where the anaesthetic is administered in New South Wales or Victoria or $44 where the anaesthetic is administered in Queensland, South Australia, Western Australia or Tasmania, but does not exceed $90              

16.00

16.00

16.00

16.00

16.00

16.00

2907

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table exceeds $90 but does not exceed $140             

20.00

20.00

20.00

20.00

20.00

20.00

2910

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table exceeds $140 but does not exceed $200              

25.00

25.00

25.00

25.00

25.00

25.00

2913

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table exceeds $200 but does not exceed $250              

35.00

35.00

35.00

35.00

35.00

35.00

2915

Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified in this table exceeds $250             

50.00

50.00

50.00

50.00

50.00

50.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

$

$

$

$

$

$

PART 10—OPERATIONS

Division 1—General Surgical

3001

Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed             

4.00

3.60

3.50

3.40

3.50

3.60

3004

Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)             

5.00

5.00

5.00

5.00

5.00

5.00

3005

Dressing of burns, extensive, without anaesthesia (not involving grafting) each attendance at which the procedure is performed (S)             

6.60

6.60

6.60

6.60

6.60

6.60

3009

Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)              

8.25

8.25

8.25

8.25

8.25

8.25

3011

Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S)             

11.00

11.00

11.00

11.00

11.00

11.00

3015

Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)              

17.50

17.50

17.50

17.50

17.50

17.50

3017

Dressing of burns, extensive, under general anaesthesia (not involving grafting)each attendance at which the procedure is performed (S)             

23.00

23.00

23.00

23.00

23.00

23.00

3021

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), superficial, not covered by any item in Part 2 of this Schedule             

8.80

8.00

8.00

7.50

8.50

8.00

3025

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule             

16.50

14.00

14.50

14.00

14.00

12.50

3030

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial             

15.00

12.00

12.00

12.00

12.00

12.00

3031

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (D)             

15.00

12.00

12.00

12.00

12.00

12.00

3034

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue

22.00

22.00

22.00

22.00

22.00

22.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3036

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue (D)             

22.00

22.00

22.00

22.00

22.00

22.00

3037

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), superficial, not covered by any item in Part 2 of this Schedule             

16.50

15.00

12.50

12.50

14.00

12.00

3043

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule (6)             

20.00

20.00

20.00

20.00

20.00

20.00

3045

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule (S)             

26.50

26.50

26.50

26.50

26.50

26.50

3049

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (G)             

16.50

16.50

16.50

16.50

16.50

16.50

3051

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (S)             

22.00

22.00

22.00

22.00

22.00

22.00

3052

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (D)             

22.00

22.00

22.00

22.00

22.00

22.00

3055

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (G)             

24.00

24.00

24.00

24.00

24.00

24.00

3056

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (S)             

27.50

27.50

27.50

27.50

27.50

27.50

3057

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (D)             

27.50

27.50

27.50

27.50

27.50

27.50

3061

Superficial foreign body, removal of, not covered by any other item in this Part 

4.40

4.00

3.50

3.00

3.00

3.00

3062

Superficial foreign body, removal of, not covered by any other item in this Part (D) 

4.40

4.00

3.50

3.00

3.00

3.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3064

Subcutaneous foreign body, removal of, not covered by any other item in this Part (G)

8.80

8.00

8.00

7.50

8.00

7.50

3065

Subcutaneous foreign body, removal of, not covered by any other item in this Part (S)

20.00

20.00

20.00

20.00

20.00

20.00

3067

Subcutaneous foreign body, removal of, not covered by any other item in this Part (D)

20.00

20.00

20.00

20.00

20.00

20.00

3069

Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (G)             

27.50

27.50

26.50

25.00

25.00

25.00

3070

Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (S)             

40.00

40.00

40.00

35.00

35.00

35.00

3071

Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (D)             

40.00

40.00

40.00

35.00

35.00

35.00

3074

Biopsy of skin or mucous membrane, as an independent procedure 

10.00

9.00

10.00

9.00

7.00

8.00

3075

Biopsy of skin or mucous membrane, as an independent procedure (D) 

10.00

9.00

10.00

9.00

7.00

8.00

3078

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) 

16.50

15.00

15.00

15.00

15.00

15.00

3080

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) 

22.00

20.00

20.00

20.00

20.00

20.00

3081

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (D) 

22.00

20.00

20.00

20.00

20.00

20.00

3084

Aspiration biopsy of lymph gland, deep tissue or organ, as an independent procedure  

9.00

9.00

9.00

9.00

9.00

9.00

3089

Biopsy of bone marrow by trephine or burr-hole 

20.00

20.00

20.00

20.00

20.00

20.00

3093

Biopsy of bone marrow by aspiration......

5.50

5.50

5.50

5.50

5.50

5.50

3094

Punch biopsy of synovial membrane or pleura

5.50

5.50

5.50

5.50

5.50

5.50

3097

Scalene node biopsy (G)..............

20.50

20.50

20.50

20.50

20.50

20.50

3099

Scalene node biopsy (S)...............

27.50

27.50

27.50

27.50

27.50

27.50

3103

Sinus, excision of, involving superficial tissues only (G) 

12.50

12.50

12.50

12.50

12.50

12.50

3104

Sinus, excision of, involving superficial tissues only (S) 

16.50

16.50

16.50

16.50

16.50

16.50

3105

Sinus, excision of, involving superficial tissues only (D) 

16.50

16.50

16.50

16.50

16.50

16.50

3108

Sinus, excision of, involving muscle and deep tissue (G) 

20.50

20.50

20.50

20.50

20.50

20.50

3110

Sinus, excision of, involving muscle and deep tissue (S) 

27.50

27.50

27.50

27.50

27.50

27.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3112

Sinus, excision of, involving muscle and deep tissue (D) 

27.50

27.50

27.50

27.50

27.50

27.50

3115

Bursa, incision of...................

6.60

6.60

6.60

6.60

6.60

6.60

3119

Ganglion or small bursa, excision of (G)....

22.00

20.00

21.00

20.00

15.00

15.00

3121

Ganglion or small bursa, excision of (S)....

40.00

40.00

30.00

30.00

30.00

25.00

3125

Bursa (large), including olecranon, calcaneum or patella, excision of (G) 

52.50

37.50

37.50

37.50

37.50

37.50

3126

Bursa (large), including olecranon, calcaneum or patella, excision of (S) 

70.00

50.00

50.00

50.00

50.00

50.00

3131

Bursa, semimembranosus (or Baker’s cyst), excision of (G) 

45.00

45.00

45.00

45.00

45.00

45.00

3132

Bursa, semimembranosus (or Baker’s cyst), excision of (S) 

60.00

60.00

60.00

60.00

60.00

60.00

3137

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (G)              

10.00

9.00

9.00

9.00

9.00

8.00

3138

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (S)             

25.00

25.00

20.00

20.00

20.00

16.00

3140

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (D)             

25.00

25.00

20.00

20.00

20.00

16.00

3143

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (G)             

16.50

15.00

16.00

15.00

14.00

15.00

3144

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (S)             

25.00

25.00

20.00

20.00

20.00

20.00

3146

Tumour, cyst or scar removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (D)              

25.00

25.00

20.00

20.00

20.00

20.00

3149

Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (G)             

33.00

35.00

30.00

30.00

30.00

30.00

3150

Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (S)             

45.00

45.00

40.00

35.00

35.00

35.00

3152

Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (D)             

45.00

45.00

40.00

35.00

35.00

35.00

3155

Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (G) 

50.00

60.00

50.00

50.00

50.00

40.00

3156

Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (S) 

60.00

70.00

60.00

60.00

60.00

50.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3161

Tumours, malignant, operation for, not covered by any other item in this Part, requiring wide excision and dissection of glands or involving muscle, bone or viscera(G)             

90.00

90.00

90.00

90.00

90.00

90.00

3162

Tumours, malignant, operation for, not covered by any other item in this Part, requiring wide excision and dissection of glands or involving muscle, bone or viscera (S)             

135.00

120.00

120.00

120.00

120.00

120.00

3166

Lipectomy for abdominal apron or similar condition  

125.00

125.00

125.00

125.00

125.00

125.00

3170

Axillary hyperidrosis, wedge excision for ...

25.00

25.00

25.00

25.00

25.00

25.00

3174

Plantar wart, simple removal of..........

8.80

8.00

8.00

8.00

8.00

8.00

3177

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (G)             

6.50

5.00

5.00

5.00

6.00

5.00

3180

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (S)             

10.00

12.00

9.00

9.00

9.00

9.00

3181

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (D)             

10.00

12.00

9.00

9.00

9.00

9.00

3184

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than five but not more than ten lesions (G)             

8.80

8.00

7.50

7.50

8.00

8.00

3185

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than five but not more than ten lesions (S)             

13.00

13.00

10.00

10.00

10.00

10.00

3190

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than ten but not more than fifteen lesions (G)             

11.00

10.00

9.00

10.50

10.50

10.00

3191

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than ten but not more than fifteen lesions (S)             

16.00

15.00

15.00

15.00

15.00

15.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3196

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than fifteen but not more than twenty lesions (G)             

14.00

12.00

11.00

12.00

12.00

12.00

3197

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than fifteen but not more than twenty lesions (S)             

17.50

16.00

16.00

16.00

16.00

16.00

3201

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions (G)             

16.50

15.00

14.00

15.00

15.00

15.00

3202

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions (S)             

20.00

18.00

18.00

18.00

18.00

18.00

3204

Skin lesions, multiple injections with hydrocortisone or similar preparation 

8.00

8.00

8.00

8.00

8.00

8.00

3206

Keloid, extensive, multiple injections of hydrocortisone or similar preparation under general anaesthesia (G)             

22.50

22.50

22.50

22.50

22.50

22.50

3207

Keloid, extensive, multiple injections of hydrocortisone or similar preparation under general anaesthesia (S)             

30.00

30.00

30.00

30.00

30.00

30.00

3211

Haematoma, aspiration of..............

4.40

5.00

3.50

3.50

3.00

3.50

3216

Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of             

4.40

5.00

3.50

3.50

3.00

3.50

3220

Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (G)             

16.50

15.00

16.00

15.00

14.00

12.50

3221

Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (S)             

30.00

30.00

25.00

20.00

20.00

20.00

3222

Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (D)             

30.00

30.00

25.00

20.00

20.00

20.00

3225

Muscle, excision of (limited) (G).........

16.50

16.50

16.50

16.50

16.50

16.50

3226

Muscle, excision of (limited) (S).........

22.00

22.00

22.00

22.00

22.00

22.00

3230

Muscle, excision of (extensive) (G).......

29.50

29.50

29.50

29.50

29.50

29.50

3232

Muscle, excision of (extensive) (S).......

39.00

39.00

39.00

39.00

39.00

39.00

3236

Muscle, ruptured, repair of, not associated with external wound (G) 

29.50

29.50

29.50

29.50

29.50

29.50

3238

Muscle, ruptured, repair of, not associated with external wound (S) 

39.00

39.00

39.00

39.00

39.00

39.00

3242

Fascia, deep, repair of, for herniated muscle (G) 

16.50

16.50

16.50

16.50

16.50

16.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3244

Fascia, deep, repair of, for herniated muscle (S)

22.00

22.00

22.00

22.00

22.00

22.00

3248

Anatomical compartment of extremity, extensive exploration of, not involving any other procedure (G) 

17.50

17.50

17.50

17.50

17.50

17.50

3250

Anatomical compartment of extremity, extensive exploration of, not involving any other procedure (S) 

23.00

23.00

23.00

23.00

23.00

23.00

3254

Bone tumour, innocent, excision of, not covered by any other item in this Part (G) 

49.00

49.00

49.00

49.00

49.00

49.00

3255

Bone tumour, innocent, excision of, not covered by any other item in this Part (S) 

65.00

65.00

65.00

65.00

65.00

65.00

3256

Bone tumour, innocent, excision of, not covered by any other item in this Part (D) 

65.00

65.00

65.00

65.00

65.00

65.00

3259

Styloid process of temporal bone, removal of

65.00

65.00

65.00

65.00

65.00

65.00

3263

Parotid gland, total extirpation of.........

130.00

130.00

130.00

130.00

130.00

130.00

3267

Parotid gland, removal of tumour from (G)..

37.50

37.50

37.50

37.50

37.50

37.50

3269

Parotid gland, removal of tumour from (S)..

50.00

50.00

50.00

50.00

50.00

50.00

3273

Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (G) 

90.00

90.00

90.00

90.00

90.00

90.00

3274

Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (S) 

120.00

120.00

120.00

120.00

120.00

120.00

3279

Sublingual or submandibular gland, extirpation of (G) 

45.00

60.00

45.00

45.00

45.00

45.00

3280

Sublingual or submandibular gland, extirpation of (S) 

60.00

80.00

60.00

60.00

60.00

60.00

3282

Sublingual or submandibular gland, extirpation of (D) 

60.00

80.00

60.00

60.00

60.00

60.00

3285

Salivary gland, incision of, or transoral ligation of salivary duct (G) 

8.25

8.25

8.25

8.25

8.25

8.25

3286

Salivary gland, incision of, or transoral ligation of salivary duct (S)  

11.00

11.00

11.00

11.00

11.00

11.00

3288

Salivary gland, incision of, or transoral ligation of salivary duct (D) 

11.00

11.00

11.00

11.00

11.00

11.00

3291

Salivary gland, removal of calculus from (G).

20.50

20.50

20.50

20.50

20.50

20.50

3292

Salivary gland, removal of calculus from (S).

27.50

27.50

27.50

27.50

27.50

27.50

3294

Salivary gland, removal of calculus from (D).

27.50

27.50

27.50

27.50

27.50

27.50

3297

Salivary gland, dilation or diathermy of duct (G) 

6.60

6.60

6.60

6.60

6.60

6.60

3298

Salivary gland, dilation or diathermy of duct (S)

8.80

8.80

8.80

8.80

8.80

8.80

3300

Salivary gland, dilation or diathermy of duct (D) 

8.80

8.80

8.80

8.80

8.80

8.80


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3303

Salivary gland, removal of calculus from duct (G)  

16.50

16.50

16.50

16.50

16.50

16.50

3304

Salivary gland, removal of calculus from duct (S)  

22.00

22.00

22.00

22.00

22.00

22.00

3306

Salivary gland, removal of calculus from duct (D)  

22.00

22.00

22.00

22.00

22.00

22.00

3309

Salivary gland, repair of cutaneous fistula of

22.00

22.00

22.00

22.00

22.00

22.00

3313

Tongue, partial or complete excision of (G)..

97.50

97.50

97.50

97.50

97.50

97.50

3315

Tongue, partial or complete excision of (S)..

130.00

130.00

130.00

130.00

130.00

130.00

3316

Tongue, partial or complete excision of (D)..

130.00

130.00

130.00

130.00

130.00

130.00

3319

Tongue tie, repair of .................

6.60

6.60

6.60

6.60

6.60

6.60

3321

Tongue tie, repair of (D)..............

6.60

6.60

6.60

6.60

6.60

6.60

3323

Ranula, removal of (G)...............

29.50

29.50

29.50

29.50

29.50

29.50

3324

Ranula, removal of (S)...............

39.00

39.00

39.00

39.00

39.00

39.00

3325

Ranula, removal of (D)...............

39.00

39.00

39.00

39.00

39.00

39.00

3328

Cut throat, repair of, involving vessels or nerves, or both (G) 

37.50

37.50

37.50

37.50

37.50

37.50

3329

Cut throat, repair of, involving vessels or nerves, or both (S) 

50.00

50.00

50.00

50.00

50.00

50.00

3334

Cut throat, repair of, involving vessels and nerves and oesophagus or trachea (G)  

71.50

71.50

71.50

71.50

71.50

71.50

3335

Cut throat, repair of, involving vessels and nerves and oesophagus or trachea (S)  

95.00

95.00

95.00

95.00

95.00

95.00

3340

Neck, malignant tumour of, removal of ....

130.00

130.00

130.00

130.00

130.00

130.00

3344

Thymectomy......................

220.00

220.00

220.00

220.00

220.00

220.00

3350

Branchial cyst or branchial fistula, removal of (G) 

60.00

60.00

60.00

60.00

60.00

60.00

3351

Branchial cyst or branchial fistula, removal of (S) 

80.00

80.00

80.00

80.00

80.00

80.00

3353

Cystic hygroma, removal of ............

110.00

110.00

110.00

110.00

110.00

110.00

3357

Thyroidectomy, total, or removal of parathyroid tumour  

160.00

160.00

160.00

160.00

160.00

160.00

3361

Thyroidectomy, sub-total (G)...........

100.00

100.00

100.00

100.00

100.00

100.00

3362

Thyroidectomy, sub-total (S)...........

120.00

140.00

120.00

120.00

120.00

120.00

3367

Thyroid, excision of localised tumour of (G)

64.00

75.00

64.00

64.00

64.00

64.00

3368

Thyroid, excision of localised tumour of (S)….

85.00

100.00

85.00

85.00

85.00

85.00

3372

Diverticulum of pharynx or larynx, excision of (G) 

71.50

71.50

71.50

71.50

71.50

71.50

3373

Diverticulum of pharynx or larynx, excision of (S) 

95.00

95.00

95.00

95.00

95.00

95.00

3377

Thyroglossal cyst or fistula, removal of (G)…..

90.00

67.50

67.50

67.50

67.50

67.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3378

Thyroglossal cyst or fistula, removal of ....

120.00

90.00

90.00

90.00

90.00

90.00

3383

Cervical oesophagostomy .............

65.00

65.00

65.00

65.00

65.00

65.00

3387

Cervical oesophagostomy, closure or plastic repair of  

50.00

50.00

50.00

50.00

50.00

50.00

3392

Tuberculous or neoplastic glands of neck, groin or axilla, limited excision of(G)  

56.50

56.50

56.50

56.50

56.50

56.50

3393

Tuberculous or neoplastic glands of neck, groin, or axilla, limited excision of(S)  

75.00

75.00

75.00

75.00

75.00

75.00

3396

Tuberculous or neoplastic glands of neck, groin or axilla, radical excision of  

150.00

150.00

150.00

150.00

150.00

150.00

3402

Operation for lymphoedema by extended indwelling subcutaneous tube or tubes  

30.00

30.00

30.00

30.00

30.00

30.00

3406

Simple mastectomy with or without biopsy and frozen section (G)  

60.00

60.00

60.00

60.00

60.00

60.00

3408

Simple mastectomy with or without biopsy and frozen section (S)  

80.00

80.00

80.00

80.00

80.00

80.00

3412

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G)              

33.00

40.00

32.00

30.00

30.00

25.00

3414

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S)              

50.00

50.00

45.00

35.00

35.00

30.00

3418

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (G)              

48.00

48.00

48.00

48.00

48.00

48.00

3419

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (S)              

60.00

60.00

60.00

60.00

60.00

60.00

3423

Partial mastectomy involving more than one quarter of the breast tissue with or without biopsy and frozen section (G)              

48.00

48.00

48.00

48.00

48.00

48.00

3424

Partial mastectomy involving more than one quarter of the breast tissue with or without biopsy and frozen section (S)              

60.00

60.00

60.00

60.00

60.00

60.00

3428

Breast, radical amputation of, with or without biopsy and frozen section (G)  

120.00

120.00

120.00

120.00

120.00

120.00

3430

Breast, radical amputation of, with or without biopsy and frozen section (S)  

160.00

160.00

160.00

160.00

160.00

160.00

3434

Niggle, inverted, surgical eversion of ......

16.50

16.50

16.50

16.50

16.50

16.50

3436

Nipple, inverted, surgical eversion of (S)....

22.00

22.00

22.00

22.00

22.00

22.00

3443

Laparotomy (exploratory) where no other procedure is performed (G) 

65.00

65.00

60.00

65.00

60.00

60.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3445

Laparotomy (exploratory) where no other procedure is performed (S)  

80.00

90.00

80.00

80.00

80.00

80.00

3446

Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (G) 

80.00

75.00

75.00

75.00

75.00

65.00

3448

Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (S) 

100.00

100.00

100.00

90.00

100.00

80.00

3452

Laparotomy, exploratory, followed by enterostomy or colostomy (G)  

82.50

82.50

82.50

82.50

82.50

82.50

3454

Laparotomy, exploratory, followed by enterostomy or colostomy (S) 

110.00

110.00

110.00

110.00

110.00

110.00

3458

Subphrenic abscess, drainage or (G) ......

64.00

64.00

64.00

64.00

64.00

64.00

3460

Subphrenic abscess, drainage of (S) .......

85.00

85.00

85.00

85.00

85.00

85.00

3464

Liver tumour, removal of, other than by biopsy

110.00

110.00

110.00

110.00

110.00

110.00

3469

Liver, massive resection of, or lobectomy ...

220.00

220.00

220.00

220.00

220.00

220.00

3473

Liver abscess, abdominal drainage of ......

85.00

85.00

85.00

85.00

85.00

85.00

3478

Liver abscess, transpleural drainage of .....

110.00

110.00

110.00

110.00

110.00

110.00

3482

Hydatid of liver, peritoneum or viscus, operation for  

110.00

110.00

110.00

110.00

110.00

110.00

3484

Operative cholangiography ............

20.00

20.00

20.00

20.00

20.00

20.00

3486

Cholecystectomy (G) ................

110.00

100.00

100.00

100.00

85.00

80.00

3488

Cholecystectomy (S) ................

140.00

140.00

140.00

120.00

125.00

100.00

3491

Cholecystostomy (G) ................

64.00

64.00

64.00

64.00

64.00

64.00

3492

Cholecystostomy (S) ................

85.00

85.00

85.00

85.00

85.00

85.00

3497

Choledochotomy (with or without cholecystectomy) (G)  

130.00

130.00

110.00

110.00

100.00

100.00

3498

Choledochotomy (with or without cholecystectomy) (S)  

160.00

160.00

160.00

140.00

130.00

120.00

3501

Reconstruction of bile duct including choledochoduodenostomy, cholecys- toduodenostomy, choledochoenterostomy, choledochogastrostomy, cholecystogastrostomy or cholecys-toenterostomy              

180.00

180.00

180.00

180.00

180.00

180.00

3503

Trans-duodenal sphincterotomy with or without removal of calculus from common bile duct or pancreatic duct              

140.00

140.00

140.00

120.00

110.00

110.00

3506

Reconstruction of hepatic duct including anastomosis with gall-bladder or intestine  

220.00

220.00

220.00

220.00

220.00

220.00

3508

Gastroscopy ......................

35.00

35.00

35.00

35.00

35.00

35.00

3511

Gastroscopy with biopsy ..............

40.00

40.00

40.00

40.00

40.00

40.00

3513

Gastrostomy ......................

90.00

90.00

90.00

90.00

90.00

90.00

3517

Gastrostomy for fixation of indwelling oesophageal tube  

105.00

105.00

105.00

105.00

105.00

105.00

3523

Vagotomy, including pyloroplasty or gastro-enterostomy  

120.00

135.00

120.00

120.00

120.00

110.00

3528

Gastro-enterostomy or entero-colostomy(G) .

75.00

90.00

75.00

75.00

75.00

75.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3529

Gastro-enterostomy or entero-colostomy (S) .

100.00

120.00

100.00

100.00

100.00

100.00

3536

Perforated peptic ulcer, suture of (G) ......

65.00

65.00

65.00

65.00

65.00

65.00

3537

Perforated peptic ulcer, suture of (S) ......

90.00

90.00

90.00

90.00

90.00

90.00

3539

Partial gastrectomy, with or without gastro-jejunostomy (G)  

112.50

135.00

112.50

112.50

112.50

112.50

3541

Partial gastrectomy, with or without gastro-jejunostomy (S)  

150.00

180.00

150.00

150.00

150.00

150.00

3545

Gastrectomy, complete ...............

200.00

200.00

200.00

200.00

200.00

200.00

3553

Pyloroplasty (G) ...................

75.00

75.00

75.00

75.00

75.00

75.00

3554

Pyloroplasty (S) ...................

100.00

100.00

100.00

100.00

100.00

100.00

3556

Stomach, reconstruction of, by bowel transplant  

220.00

220.00

220.00

220.00

220.00

220.00

3560

Laparotomy and division of peritoneal adhesions where no other listed intraabdominal procedure is performed (G)

75.00

75.00

75.00

75.00

75.00

75.00

3561

Laparotomy and division of peritoneal adhesions where no other listed intraabdominal procedure is performed (S)

100.00

100.00

100.00

100.00

100.00

100.00

3566

Enterostomy or colostomy, as an independent procedure (G)  

75.00

75.00

75.00

75.00

75.00

75.00

3567

Enterostomy or colostomy, as an independent procedure (S)  

100.00

100.00

100.00

100.00

100.00

100.00

3572

Enterostomy or colostomy, extra-peritoneal closure of (G)  

41.50

41.50

41.50

41.50

41.50

41.50

3573

Enterostomy or colostomy, extra-peritoneal closure of (S)  

55.00

55.00

55.00

55.00

55.00

55.00

3575

Colostomy, intra-peritoneal closure not involving resection   

100.00

100.00

100.00

100.00

100.00

100.00

3577

Caecostomy (G) ...................

49.00

49.00

49.00

49.00

49.00

49.00

3578

Caecostomy (S) ....................

65.00

65.00

65.00

65.00

65.00

65.00

3582

Bowel, anastomosis of (G) .............

120.00

135.00

120.00

120.00

120.00

120.00

3583

Bowel, anastomosis of(S) .............

160.00

180.00

160.00

160.00

160.00

160.00

3588

Intussusception, reduction of, by fluid (G) ..

33.00

33.00

33.00

33.00

33.00

33.00

3589

Intussusception, reduction of, by fluid (S) ...

44.00

44.00

44.00

44.00

44.00

44.00

3593

Intussusception, laparotomy and reduction of (G)  

56.50

56.50

56.50

56.50

56.50

56.50

3594

Intussusception, laparotomy and reduction of (S)  

75.00

75.00

75.00

75.00

75.00

75.00

3598

Intussusception, laparotomy and resection of (G)  

120.00

135.00

120.00

120.00

120.00

120.00

3599

Intussusception, laparotomy and resection of (S)  

160.00

180.00

160.00

160.00

160.00

160.00

3607

Laparotomy with reduction of volvulus ....

75.00

75.00

75.00

75.00

75.00

75.00

3608

Laparotomy with reduction of volvulus ....

100.00

100.00

100.00

100.00

100.00

100.00

3609

Meckel’s diverticulum, removal of (G) ....

71.50

71.50

71.50

71.50

71.50

71.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3610

Meckel’s diverticulum, removal of (S).....

95.00

95.00

95.00

95.00

95.00

95.00

3614

 Bowel or viscera, resection of, with or without anastomosis, not covered by any other item in this Part (G)             

120.00

135.00

120.00

120.00

120.00

120.00

3615

Bowel or viscera, resection of, with or without anastomosis, not covered by any other item in this Part (S) 

160.00

180.00

160.00

160.00

160.00

160.00

3620

Enterolysis with intestinal plication, Noble type

120.00

120.00

120.00

120.00

120.00

120.00

3623

Appendicectomy, not covered by Item 3629 (G)

65.00

60.00

60.00

60.00

60.00

55.00

3627

Appendicectomy, not covered by Item 3629 (S)

75.00

80.00

80.00

70.00

75.00

65.00

3629

Appendicectomy, when performed in conjunction with any other intraabdominal procedure (other than that covered by Items 3577 or 3578) through the same incision             

20.00

20.00

20.00

20.00

20.00

20.00

3630

Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (G)             

67.50

67.50

67.50

67.50

67.50

67.50

3632

Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (S)             

90.00

90.00

90.00

90.00

90.00

90.00

3636

Small bowel intubation with biopsy.......

33.00

33.00

33.00

33.00

33.00

33.00

3640

Small bowel intubation—as an independent procedure  

16.50

16.50

16.50

16.50

16.50

16.50

3645

Pancreas, partial excision of............

220.00

220.00

220.00

220.00

220.00

220.00

3649

Pancreas, drainage of (G)..............

56.50

56.50

56.50

56.50

56.50

56.50

3651

Pancreas, drainage of (S)..............

75.00

75.00

75.00

75.00

7.500

75.00

3657

Splenectomy (G)...................

90.00

101.50

90.00

90.00

90.00

90.00

3658

Splenectomy (S)....................

120.00

135.00

120.00

120.00

120.00

120.00

3661

Ruptured viscus (including liver, spleen or kidney), repair of (G) 

82.50

82.50

82.50

82.50

82.50

82.50

3662

Ruptured viscus (including liver, spleen or kidney), repair of(S) 

110.00

110.00

110.00

110.00

110.00

110.00

3667

Retroperitoneal tumour, removal of.......

130.00

130.00

130.00

130.00

130.00

130.00

3671

Retroperitoneal abscess, drainage of, not involving laparotomy 

85.00

85.00

85.00

85.00

85.00

85.00

3675

Peritoneoscopy ....................

22.00

22.00

22.00

22.00

22.00

22.00

3680

Paracentesis abdominis (G)............

6.00

6.00

6.00

6.00

6.00

6.00

3681

Paracentesis abdominis (S).............

8.00

8.00

8.00

8.00

8.00

8.00

3684

Total collectomy with ileo-rectal anastomosis

200.00

200.00

200.00

200.00

200.00

200.00

3686

Abdomino-perineal resection (Miles’ technique)  

220.00

220.00

220.00

220.00

220.00

220.00

3687

Abdomino-perineal resection, combined synchronous operationabdominal resection

180.00

180.00

180.00

180.00

180.00

180.00

3688

Abdomino-perineal resection combined synchronous operationperineal resection

80.00

80.00

80.00

80.00

80.00

80.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3689

Proctocolectomy complete, with ileostomy..

275.00

275.00

275.00

275.00

275.00

275.00

3692

Femoral or inguinal hernia (other than recurrent), repair of (G) 

65.00

65.00

60.00

60.00

60.00

50.00

3693

Femoral or inguinal hernia (other than recurrent), repair of (S) 

80.00

80.00

80.00

70.00

85.00

60.00

3696

Diaphragmatic hernia, traumatic, repair of...

130.00

130.00

130.00

130.00

130.00

130.00

3700

Diaphragmatic hernia, other than traumatic, repair of 

180.00

165.00

165.00

165.00

165.00

165.00

3704

Umbilical hernia, repair of, in person under 10 years of age (G) 

49.00

49.00

49.00

49.00

49.00

49.00

3705

Umbilical hernia, repair of, in person under 10 years of age (S) 

65.00

65.00

65.00

65.00

65.00

65.00

3709

Umbilical hernia, repair of, in person 10 years of age or over (G) 

56.50

56.50

56.50

56.50

56.50

56.50

3710

Umbilical hernia, repair of, in person 10 years of age or over(S) 

75.00

75.00

75.00

75.00

75.00

75.00

3714

Ventral, incisional, lumbar or recurrent hernia, repair of (G) 

75.00

75.00

75.00

70.00

65.00

65.00

3716

Ventral, incisional, lumbar or recurrent hernia, repair of (S)  

90.00

90.00

90.00

80.00

90.00

75.00

3720

Hydrocele, tapping of (G).............

5.00

5.00

5.00

5.00

5.00

5.00

3721

Hydrocele, tapping of (S)..............

6.60

6.60

6.60

6.60

6.60

6.60

3726

Hydrocele, removal of (G).............

40.00

50.00

45.00

40.00

40.00

40.00

3727

Hydrocele, removal of (S).............

50.00

60.00

60.00

50.00

50.00

50.00

3728

Hydrocele, operation for, by inguinal approach with removal of patent processus vaginalis (G) 

65.00

65.00

65.00

65.00

65.00

65.00

3729

Hydrocele, operation for, by inguinal approach with removal of patent processus vaginalis (S) 

75.00

75.00

75.00

75.00

75.00

75.00

3731

Varicocele removal of(G)..............

41.50

41.50

41.50

41.50

41.50

41.50

3732

Varicocele, removal of (S).............

55.00

55.00

55.00

55.00

55.00

55.00

3736

Orchidectomy (simple) (G).............

56.50

56.50

56.50

56.50

56.50

56.50

3737

Orchidectomy (simple) (S).............

75.00

75.00

75.00

75.00

75.00

75.00

3741

Undescended testis, transplantation of, with or without associated hernial repair (G) 

65.00

65.00

60.00

60.00

60.00

60.00

3742

Undescended testis, transplantation of, with or without associated hernial repair (S) 

85.00

85.00

75.00

70.00

75.00

70.00

3746

Secondary detachment of testis from thigh (G)

12.50

12.50

12.50

12.50

12.50

12.50

3747

Secondary detachment of testis from thigh (S)

16.50

16.50

16.50

16.50

16.50

16.50

3751

Circumcision of person under 4 weeks of age

7.00

6.00

6.00

6.00

6.00

6.00

3755

Circumcision of person under 10 years of age but not less than 4 weeks of age (G)  

11.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3756

Circumcision of person under 10 years of age but not less than 4 weeks of age (S)  

20.00

20.00

16.00

15.00

15.00

15.00

3760

Circumcision of person 10 years of age or over (G) 

20.50

20.50

20.50

20.50

20.50

20.50

3761

Circumcision of person 10 years of age or over (S) 

27.50

27.50

27.50

27.50

27.50

27.50

3765

Paraphimosis, reduction of, under anaesthesia, with or without dorsal incision 

8.80

8.80

8.80

8.80

8.80

8.80

3767

Sigmoidoscopic examination (G).........

8.00

8.00

8.00

8.00

8.00

8.00

3768

Sigmoidoscopic examination (S).........

10.00

10.00

10.00

10.00

10.00

10.00

3771

Sigmoidoscopy with diathermy or resection of rectal tumour or tumours (G) 

27.00

27.00

27.00

27.00

27.00

27.00

3772

Sigmoidoscopy with diathermy or resection of rectal tumour or tumours (S) 

36.00

36.00

36.00

36.00

36.00

36.00

3773

Sigmoidoscopic examination followed by removal, ligation or cauterisation of haemorrhoids (G) 

59.00

64.00

53.25

43.25

38.25

38.25

3774

Sigmoidoscopic examination followed by removal, ligation or cauterisation of haemorrhoids (S) 

75.00

90.00

64.00

54.00

54.00

44.00

3776

Full thickness rectal biopsy.............

22.00

22.00

22.00

22.00

22.00

22.00

3778

Colonic fibreoscopy.................

35.00

35.00

35.00

35.00

35.00

35.00

3779

Colonic fibreoscopy with biopsy.........

40.00

40.00

40.00

40.00

40.00

40.00

3780

Rectum, radical operation for prolapse of, perineal approach 

85.00

85.00

85.00

85.00

85.00

85.00

3784

Rectum, radical operation for prolapse of, involving laparotomy 

175.00

175.00

175.00

175.00

175.00

175.00

3788

Rectum, anterior resection of, involving rectosigmoidectomy, not covered by Item 3686 or 7594 

200.00

200.00

200.00

200.00

200.00

200.00

3792

Rectum, prolapse of, injection into........

6.60

6.60

6.60

6.60

6.60

6.60

3796

Rectal polyp, removal of (G)...........

26.50

26.50

26.50

26.50

26.50

26.50

3797

Rectal polyp, removal of (S)............

35.00

35.00

35.00

35.00

35.00

35.00

3801

Anus, dilatation of, as an independent procedure  

7.00

7.00

7.00

7.00

7.00

7.00

3803

Anus, massive dilatation of, under anaesthesia (Lord’s procedure) with or without modified haemorrhoidectomy             

25.00

25.00

25.00

25.00

25.00

25.00

3805

Anal prolapse—circum-anal suture (G).....

16.50

16.50

16.50

16.50

16.50

16.50

3806

Anal prolapse—circum-anal suture (S).....

22.00

22.00

22.00

22.00

22.00

22.00

3808

Anal prolapse, submucosal injection for, under general anaesthesia 

15.00

15.00

15.00

15.00

15.00

15.00

3811

Anal stricture, repair of (G)............

41.50

41.50

41.50

41.50

41.50

41.50

3812

Anal stricture, repair of (S).............

55.00

55.00

55.00

55.00

55.00

55.00

3814

Anal sphincterotomy as an independent procedure  

25.00

25.00

25.00

25.00

25.00

25.00


 

 

Fees

 

 

 

 

 

Item No.

 

 

 

 

 

 

 

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3817

Haemorrhoids, injection into—each attendance at which an injection is given  

5.00

5.00

4.00

4.00

3.50

4.00

3821

Haemorrhoids, incision of..............

11.00

10.00

10.50

10.00

10.00

10.00

 

3823

Haemorrhoids, rubber band litigation of ....

10.00

10.00

10.00

10.00

10.00

10.00

3826

Haemorrhoidectomy, radical (G).........

55.00

60.00

50.00

40.00

35.00

35.00

3827

Haemorrhoidectomy, radical (S).........

70.00

85.00

60.00

50.00

50.00

40.00

3832

Haemorrhoids, external, or anal tags, one or more, removal of 

15.00

14.00

14.00

14.00

14.00

14.00

3836

Fissure in ano, excision of (G)...........

22.00

25.00

20.00

20.00

20.00

15.00

3838

Fissure in ano, excision of (S)...........

45.00

60.00

45.00

35.00

30.00

30.00

3842

Fistula in ano, subcutaneous, excision of (G).

41.50

41.50

41.50

41.50

41.50

41.50

3844

Fistula in ano, subcutaneous, excision of(S)..

55.00

55.00

55.00

55.00

55.00

55.00

3848

Fistula in ano, excision of (involving incision of external sphincter) (G) 

49.00

49.00

49.00

49.00

49.00

49.00

3850

Fistula in ano, excision of (involving incision of external sphincter) (S) 

65.00

65.00

65.00

65.00

65.00

65.00

3853

Ischio-rectal abscess, incision of (G)......

15.00

15.00

15.00

15.00

15.00

15.00

3857

Ischio-rectal abscess, incision of (S).......

25.00

25.00

25.00

25.00

25.00

25.00

3859

Faecal fistula, repair of  ..............

100.00

100.00

100.00

100.00

100.00

100.00

3865

Recto-vesical fistula, repair of...........

110.00

110.00

110.00

110.00

110.00

110.00

3869

Pubo-rectalis muscle, division of.........

60.00

60.00

60.00

60.00

60.00

60.00

3874

Disimpaction of faeces under anaesthesia ...

13.00

13.00

13.00

13.00

13.00

13.00

3878

Coccyx, excision of (G)...............

49.00

60.00

49.00

49.00

49.00

49.00

3880

Coccyx, excision of(S)...............

65.00

80.00

65.00

65.00

65.00

65.00

3883

Pilonidal cyst or sinus, excision of (G).....

55.00

50.00

45.00

45.00

45.00

40.00

3884

Pilonidal cyst or sinus, excision of (S).....

65.00

70.00

60.00

60.00

60.00

45.00

3888

Pilonidal sinus, injection of sclerosant fluid under anaesthesia. 

18.00

17.00

17.00

17.00

17.00

17.00

Blood Vessels

3901

Varicose veins, injection of sclerosing solution—each attendance at which one injection is, or two or more injections, are made             

5.00

5.00

5.00

5.00

5.00

5.00

3903

Varicose veins, multiple simultaneous injections by continuous compression techniques (excluding after-care)             

15.00

15.00

15.00

15.00

15.00

15.00

3905

Varicose veins, high ligation of long saphenous vein with or without retrograde injection or distal interruptions of the long saphenous vein (G)             

41.50

41.50

41.50

41.50

41.50

41.50

3906

Varicose veins, high ligation of long saphenous vein with or without retrograde injection or distal interruptions of the long saphenous vein (S)             

55.00

55.00

55.00

55.00

55.00

55.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

3911

Varicose veins, ligation of short saphenous vein at sapheno-popliteal junction with or without retrograde injection or distal interruptions of short saphenous vein (G)             

20.00

20.00

20.00

20.00

20.00

20.00

3912

Varicose veins, ligation of short saphenous vein at sapheno-popliteal junction with or without retrograde injection or distal interruptions of the short saphenous vein (S)

28.00

28.00

28.00

28.00

28.00

28.00

3918

Varicose veins, high ligation and complete stripping or excision of long saphenous vein (G) 

65.00

65.00

65.00

65.00

65.00

65.00

3924

Varicose veins, high ligation and complete stripping or excision of long saphenous vein (S) 

90.00

90.00

90.00

90.00

90.00

90.00

3928

Varicose veins, ligation and complete stripping or excision of short saphenous vein (G) 

40.00

40.00

40.00

40.00

40.00

40.00

3929

Varicose veins, ligation and complete stripping or excision of short saphenous vein (S) 

55.00

55.00

55.00

55.00

55.00

55.00

3934

Varicose veins, multiple excisions or ligations of subcutaneous veins (G) 

20.00

20.00

20.00

20.00

20.00

20.00

3935

Varicose veins, multiple excisions or ligations of subcutaneous veins (S) 

25.00

25.00

25.00

25.00

25.00

25.00

3939

Varicose veins, subcutaneous or subfascial ligation of perforating veins (G) 

45.00

45.00

45.00

45.00

45.00

45.00

3940

Varicose veins, subcutaneous or subfascial ligation of perforating veins (S) 

60.00

60.00

60.00

60.00

60.00

60.00

3941

Saphenous vein, crossed, by-pass.........

130.00

130.00

130.00

130.00

130.00

130.00

3945

Intra-arterial oxygen injection...........

9.00

9.00

9.00

9.00

9.00

9.00

3949

Vein or small artery, ligation of (G).......

5.85

5.85

5.85

5.85

5.85

5.85

3951

Vein or small artery, ligation of (S).......

7.80

7.80

7.80

7.80

7.80

7.80

3955

Medium artery, ligation of (G)..........

14.00

14.00

14.00

14.00

14.00

14.00

3957

Medium artery, ligation of (S)...........

18.50

18.50

18.50

18.50

18.50

18.50

3961

Artery or vein, ligation of—involving deep dissection (G)  

41.50

41.50

41.50

41.50

41.50

41.50

3963

Artery or vein, ligation of—involving deep dissection (S)  

55.00

55.00

55.00

55.00

55.00

55.00

3967

Great vessel (including carotid, jugular, subclavian, axillary, iliac or femoral vessel), ligation of, involving gradual occlusion of vessel by mechanical device              

75.00

75.00

75.00

75.00

75.00

75.00

3971

Great vessel (including carotid, jugular, subclavian, axillary, iliac or femoral vessel), ligation of  

85.00

85.00

85.00

85.00

85.00

85.00

3975

Major artery of neck or extremity, repair of wound of, with restoration of continuity  

120.00

120.00

120.00

120.00

120.00

120.00

3979

Major artery of trunk, repair of wound of, with restoration of continuity 

150.00

150.00

150.00

150.00

150.00

150.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

 

3983

Arteriovenous fistula, dissection and repair of

220.00

220.00

220.00

220.00

220.00

220.00

3987

Artery of neck or extremities, endarterectomy of  

200.00

200.00

200.00

200.00

200.00

200.00

3991

Innominate, subclavian, carotid or any intra-thoracic artery, endarterectomy 

220.00

220.00

220.00

220.00

220.00

220.00

3995

Inferior vena cava, plication of..........

110.00

110.00

110.00

110.00

110.00

110.00

3999

Repositioning of internal carotid artery.....

110.00

110.00

110.00

110.00

110.00

110.00

4004

Arterial or venous graft or by-pass........

250.00

250.00

250.00

250.00

250.00

250.00

4008

Arterial anastomosis .................

220.00

220.00

220.00

220.00

220.00

220.00

4013

Portal hypertension, lienorenal anastomosis for 

220.00

220.00

220.00

220.00

220.00

220.00

4017

Portal vein anastomosis ...............

220.00

220.00

220.00

220.00

220.00

220.00

4022

Embolus, removal of, from artery of neck or extremities  

110.00

110.00

110.00

110.00

110.00

110.00

4026

Embolus, removal of, from artery of trunk ..

130.00

130.00

130.00

130.00

130.00

130.00

4031

Thrombus, removal of, from femoral, iliac or other similar large vein 

85.00

85.00

85.00

85.00

85.00

85.00

4034

Transluminal angioplasty including associated radiological services and preparation 

80.00

80.00

80.00

80.00

80.00

80.00

4035

Carotid body or carotid body tumour, removal of, without arterial anastomosis  

85.00

85.00

85.00

85.00

85.00

85.00

4040

Arteriovenous shunt, external, insertion of...

45.00

45.00

45.00

45.00

45.00

45.00

4042

Arteriovenous shunt, external, removal of...

35.00

35.00

35.00

35.00

35.00

35.00

4044

Arteriovenous anastomosis, direct, of upper or lower limb 

120.00

120.00

120.00

120.00

120.00

120.00

Operations for acute osteomyelitis

4050

Operation on terminal phalanx of finger or toe (G)  

8.00

8.00

8.00

8.00

8.00

8.00

4051

Operation on terminal phalanx of finger or toe (S) 

11.00

11.00

11.00

11.00

11.00

11.00

4055

Operation on phalanx other than terminal, metacarpus or metatarsusone bone (G) 

17.50

17.50

17.50

17.50

17.50

17.50

4056

Operation on phalanx other than terminal, metacarpus or metatarsusone bone (S) 

23.00

23.00

23.00

23.00

23.00

23.00

4060

Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, mandible or maxilla (other than alveolar margins)—one bone (G)             

29.50

29.50

29.50

29.50

29.50

29.50

4061

Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, mandible or maxilla (other than alveolar margins)—one bone (S)             

39.00

39.00

39.00

39.00

39.00

39.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4062

Operation on mandible or maxilla (other than alveolar margins)—one bone (D) 

39.00

39.00

39.00

39.00

39.00

39.00

4065

Operation on humerus or femur—one bone (G)

49.00

49.00

49.00

49.00

49.00

49.00

4066

Operation on humerus or femur—one bone (S)

65.00

65.00

65.00

65.00

65.00

65.00

4070

Operation on skull (G)................

41.50

41.50

41.50

41.50

41.50

41.50

4071

Operation on skull (S)................

55.00

55.00

55.00

55.00

55.00

55.00

4075

Operation on spine or pelvic bones—one bone (G) 

49.00

49.00

49.00

49.00

49.00

49.00

4076

Operation on spine or pelvic bones—one bone (S) 

65.00

65.00

65.00

65.00

65.00

65.00

Operations for chronic osteomyelitis

4090

Operation on nasal bones (G) ...........

17.50

17.50

17.50

17.50

17.50

17.50

4091

Operation on nasal bones (S)...........

23.00

23.00

23.00

23.00

23.00

23.00

4095

Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bone (G)             

49.00

49.00

49.00

49.00

49.00

49.00

4096

Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bone (S)             

65.00

65.00

65.00

65.00

65.00

65.00

4097

Operation on mandible or maxilla, or mandible and maxilla (other than alveolar margins) (D) 

65.00

65.00

65.00

65.00

65.00

65.00

4101

Operation on humerus or femur—one bone (G) 

49.00

49.00

49.00

49.00

49.00

49.00

4102

Operation of humerus or femur—one bone (S)

65.00

65.00

65.00

65.00

65.00

65.00

4107

Operation on spine or pelvic bones— one bone (G)

82.50

82.50

82.50

82.50

82.50

82.50

4108

Operation on spine or pelvic bones— one bone (S) 

110.00

110.00

110.00

110.00

110.00

110.00

4113

Operation on skull (G)................

64.00

64.00

64.00

64.00

64.00

64.00

4114

Operation on skull (S) ...............

85.00

85.00

85.00

85.00

85.00

85.00

4119

Operation on any combination of bones referred to in Item 4095 (G) 

49.00

49.00

49.00

49.00

49.00

49.00

4120

Operation on any combination of bones referred to in Item 4096 (S) 

65.00

65.00

65.00

65.00

65.00

65.00

4125

Operation on any combination of bones not covered by Item 4119 (G) 

82.50

82.50

82.50

82.50

82.50

82.50

4126

Operation on any combination of bones not covered by Item 4120 (S) 

110.00

110.00

110.00

110.00

110.00

110.00

4148

One finger or thumb (G)..............

25.00

25.00

25.00

25.00

25.00

25.00

4153

One finger or thumb (S)...............

35.00

35.00

35.00

35.00

35.00

35.00

4156

Additional finger or thumb—each (G).....

4.50

4.50

4.50

4.50

4.50

4.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4157

Additional finger or thumbeach (S)......

6.00

6.00

6.00

6.00

6.00

6.00

4161

Finger or thumb, including metacarpal or part of metacarpal—each digit (G) 

25.00

25.00

25.00

25.00

25.00

25.00

4162

Finger or thumb, including metacarpal or part of metacarpaleach digit (S) 

33.00

33.00

33.00

33.00

33.00

33.00

4166

Hand, midcarpal or transmetacarpal (G)....

41.50

41.50

41.50

41.50

41.50

41.50

4167

Hand, midcarpal or transmetacarpal (S)....

55.00

55.00

55.00

55.00

55.00

55.00

4171

Hand, forearm or through arm (G)........

49.00

49.00

49.00

49.00

49.00

49.00

4172

Hand, forearm or through arm (S)........

65.00

65.00

65.00

65.00

65.00

65.00

4176

At shoulder (G) ....................

82.50

82.50

82.50

82.50

82.50

82.50

4177

At shoulder (S) ....................

110.00

110.00

110.00

110.00

110.00

110.00

4182

Interscapulothoracic (G) ..............

165.00

165.00

165.00

165.00

165.00

165.00

4183

Interscapulothoracic (S) ..............

220.00

220.00

220.00

220.00

220.00

220.00

4188

One toe or great toe (G) ..............

15.00

15.00

15.00

15.00

15.00

15.00

4189

One toe or great toe (S)...............

20.00

20.00

20.00

20.00

20.00

20.00

4194

Additional toe or great toe—each (G)......

5.00

5.00

5.00

5.00

5.00

5.00

4195

Additional toe or great toe—each (S)......

6.50

6.50

6.50

6.50

6.50

6.50

4200

Toe, including metatarsal or part of metatarsal—each toe (G) 

20.50

20.50

20.50

20.50

20.50

20.50

4201

Toe, including metatarsal or part of metatarsal—each toe (S) 

27.50

27.50

27.50

27.50

27.50

27.50

4206

Foot at ankle (Syme, Pirogoff types) (G)....

49.00

49.00

49.00

49.00

49.00

49.00

4207

Foot at ankle (Syme, Pirogoff types) (S)....

65.00

65.00

65.00

65.00

65.00

65.00

4212

Foot, midtarsal or transmetatarsal (G)......

41.50

41.50

41.50

41.50

41.50

41.50

4213

Foot, midtarsal or transmetatarsal (S)......

55.00

55.00

55.00

55.00

55.00

55.00

4218

Through leg or at knee (G).............

64.00

64.00

64.00

64.00

64.00

64.00

4219

Through leg or at knee (S).............

85.00

85.00

85.00

85.00

85.00

85.00

4224

Through thigh (G)..................

90.00

90.00

90.00

90.00

90.00

90.00

4225

Through thigh (S)...................

120.00

120.00

120.00

120.00

120.00

120.00

4230

At hip (G)........................

101.50

101.50

101.50

101.50

101.50

101.50

4231

At hip (S) ........................

135.00

135.00

135.00

135.00

135.00

135.00

4236

Hindquarter ......................

275.00

275.00

275.00

275.00

275.00

275.00

Division 3—Ear, Nose and Throat

4300

Ear, removal of foreign body in, otherwise than by simple syringing 

15.00

15.00

15.00

15.00

15.00

15.00

4302

Ear, removal of foreign body in, involving incision of external auditory canal 

45.00

45.00

45.00

45.00

45.00

45.00

4304

Aural polyp, removal of (G)............

19.00

19.00

19.00

19.00

19.00

19.00

4305

Aural polyp, removal of (S)............

25.00

25.00

25.00

25.00

25.00

25.00

4309

External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item (G) 

22.50

22.50

22.50

22.50

22.50

22.50

4311

External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item (S) 

30.00

30.00

30.00

30.00

30.00

30.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4315

External auditory meatus, removal of exostoses in 

175.00

175.00

175.00

175.00

175.00

175.00

4317

Myringoplasty, trans-canal approach (Rosen incision) 

110.00

110.00

110.00

110.00

110.00

110.00

4318

Myringoplasty, post-aural or endaural approach involving enlargement of bony external canal, with or without exploration of mastoid              

180.00

180.00

180.00

180.00

180.00

180.00

4321

Ossicular chain reconstruction...........

200.00

200.00

200.00

200.00

200.00

200.00

4322

Ossicular chain reconstruction and myringoplasty 

220.00

220.00

220.00

220.00

220.00

220.00

4324

Mastoidectomy (cortical)..............

100.00

100.00

100.00

100.00

100.00

100.00

4325

Obliteration of mastoid cavity...........

125.00

125.00

125.00

125.00

125.00

125.00

4328

Mastoidectomy (radical or modified radical)

200.00

200.00

200.00

200.00

200.00

200.00

4330

Mastoidectomy (radical or modified radical) and myringoplasty 

220.00

220.00

220.00

220.00

220.00

220.00

4331

Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction 

275.00

275.00

275.00

275.00

275.00

275.00

4334

Decompression of facial nerve in its mastoid portion  

220.00

220.00

220.00

220.00

220.00

220.00

4336

Decompression of facial nerve in its intracranial portion by intracranial or intrapetrous approach  

250.00

250.00

250.00

250.00

250.00

250.00

4337

Labyrinthotomy or destruction of labyrinth..

195.00

195.00

195.00

195.00

195.00

195.00

4339

Endolymphatic sac, transmastoid decompression with or without drainage of

220.00

220.00

220.00

220.00

220.00

220.00

4340

Internal auditory meatus, exploration of, by middle cranial fossa approach with or without removal of tumour             

275.00

275.00

275.00

275.00

275.00

275.00

4342

Fenestration operation—each ear.........

220.00

220.00

220.00

220.00

220.00

220.00

4346

Venous graft to fenestration cavity........

110.00

110.00

110.00

110.00

110.00

110.00

4350

Stapedectomy  ....................

200.00

200.00

200.00

200.00

200.00

200.00

4355

Stapes mobilization..................

130.00

130.00

130.00

130.00

130.00

130.00

 

4356

Glomus tumour, transtympanic removal of ..

150.00

150.00

150.00

150.00

150.00

150.00

4358

Glomus tumour, transmastoid removal of, including mastoidectomy 

220.00

220.00

220.00

220.00

220.00

220.00

4359

Abscess or inflammation of middle ear, operation for (G) 

9.00

9.00

9.00

8.00

8.00

8.00

4360

Abscess or inflammation of middle ear, operation for (S)  

15.00

25.00

16.50

15.00

15.00

10.00

4364

Middle ear, exploration of..............

80.00

100.00

80.00

80.00

80.00

80.00

4368

Middle ear, insertion of tube for drainage of.

45.00

40.00

30.00

30.00

30.00

30.00

4372

Perforation of tympanum, cauterisation or diathermy of  

8.80

8.80

8.80

8.80

8.80

8.80

4376

Cholesteatoma, removal of, by suction ear toilet 

20.00

20.00

20.00

20.00

20.00

20.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4378

Tympanic membrane, micro-inspection of, with or without suction removal of cholesteatoma 

20.00

20.00

20.00

20.00

20.00

20.00

4381

Examination of nasal cavity or postnasal space, or nasal cavity and postnasal space, under general anaesthesia, as an independent procedure             

10.00

10.00

10.00

10.00

10.00

10.00

4384

Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack               

20.00

20.00

20.00

20.00

20.00

20.00

4385

Nose, removal of foreign body in, other than by simple probing 

14.50

14.50

14.50

14.50

14.50

14.50

4389

Nasal polyp or polypi (simple), removal of (G)

11.50

11.50

11.50

11.50

11.50

11.50

4390

Nasal polyp or polypi (simple), removal of (S)

15.00

15.00

15.00

15.00

15.00

15.00

4394

Nasal polyp or polypi (requiring admission to hospital), removal of (G) 

30.00

30.00

22.50

22.50

30.00

22.50

4395

Nasal polyp or polypi (requiring admission to hospital), removal of (S) 

40.00

40.00

30.00

30.00

40.00

30.00

4399

Nasal septum, septoplasty or sub-mucous resection of  

80.00

90.00

60.00

60.00

80.00

60.00

4400

Nasal septum, septoplasty or sub-mucous resection of, with cauterisation or diathermy of any one or more of septum or turbinates or pharynx (G)             

82.75

92.50

63.25

63.25

82.50

62.50

4401

Nasal septum, septoplasty or sub-mucous resection of, with cauterisation or diathermy of any one or more of septum or turbinates or pharynx (S)             

87.50

100.00

70.00

67.50

85.00

65.00

4402

Nasal septum, septoplasty or sub-mucous resection of, with turbinectomy or dislocation of turbinate 

92.50

102.50

72.50

72.50

92.50

72.50

4403

Cauterisation or diathermy of septum or turbinates or pharynx—any one or more—each attendance at which the procedure is performed (G)             

5.50

5.00

6.50

6.50

5.00

5.00

4404

Cauterisation or diathermy of septum or turbinates or pharynx—any one or more—each attendance at which the procedure is performed (S)             

15.00

20.00

20.00

15.00

10.00

10.00

4408

Cryotherapy to nose in the treatment of nasal haemorrhage  

30.00

30.00

30.00

30.00

30.00

30.00

4412

Turbinectomy or dislocation of turbinate....

25.00

25.00

25.00

25.00

25.00

25.00

4416

Turbinates, submucous resection of.......

33.00

33.00

33.00

33.00

33.00

33.00

4418

Maxillary antrum, proof puncture and lavage of 

6.00

6.00

6.00

6.00

6.00

6.00

4419

Maxillary antrum, proof puncture and lavage of (D)  

6.00

6.00

6.00

6.00

6.00

6.00


 

 

Fees

 

 

 

 

 

Item

No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

 

4422

Maxillary antrum, lavage of—each attendance

5.00

5.00

5.00

5.00

5.00

5.00

4426

Maxillary artery, transantral ligation of.....

80.00

80.00

80.00

80.00

80.00

80.00

4428

Antrostomy (radical) ................

80.00

100.00

80.00

80.00

80.00

80.00

4429

Antrostomy (radical) (D)..............

80.00

100.00

80.00

80.00

80.00

80.00

4432

Antrostomy (radical) with transantral ethmoidectomy 

120.00

120.00

120.00

120.00

120.00

120.00

4436

Antrum, intranasal operation on, or removal of foreign body from 

50.00

50.00

55.00

40.00

40.00

40.00

4437

Antrum, intranasal operation on, or removal of foreign body from (D) 

50.00

50.00

55.00

40.00

40.00

40.00

4440

Antrum, drainage of, through tooth socket...

22.00

22.00

22.00

22.00

22.00

22.00

4441

Antrum, drainage of, through tooth socket (D)

22.00

22.00

22.00

22.00

22.00

22.00

4444

Oro-antral fistula, plastic closure of.......

110.00

110.00

110.00

110.00

110.00

110.00

4445

Oro-antral fistula, plastic closure of (D)....

110.00

110.00

110.00

110.00

110.00

110.00

4447

Fronto-nasal ethmoidectomy with or without sphenoidectomy 

140.00

140.00

140.00

140.00

140.00

140.00

4449

Radical fronto-ethmoidectomy with osteoplastic flap 

180.00

180.00

180.00

180.00

180.00

180.00

4450

Frontal sinus or ethmoidal sinuses, intranasal operation on 

70.00

90.00

70.00

70.00

70.00

70.00

4452

Frontal sinus, catheterisation of..........

11.00

11.00

11.00

11.00

11.00

11.00

4453

Frontal sinus, trephine of ..............

55.00

55.00

55.00

55.00

55.00

55.00

4454

Frontal sinus, radical obliteration of.......

140.00

140.00

140.00

140.00

140.00

140.00

 

4456

Ethmoidal sinuses, external operation on....

115.00

115.00

115.00

115.00

115.00

115.00

4460

Sphenoidal sinus, proof puncture of.......

11.00

11.00

11.00

11.00

11.00

11.00

4464

Sphenoidal sinus, intranasal operation on...

55.00

55.00

55.00

55.00

55.00

55.00

4468

Transantral vidian neurectomy..........

110.00

110.00

110.00

110.00

110.00

110.00

4474

Trans-sphenoidal hypophysectomy including submucous resection of nasal septum and grafting to obliterate the pituitary fossa (including obtaining of graft)             

200.00

200.00

200.00

200.00

200.00

200.00

4476

Eustachian tube, catheterisation of........

7.50

8.50

7.00

6.50

6.50

6.50

4480

Division of pharyngeal adhesions........

22.00

22.00

22.00

22.00

22.00

22.00

4485

Post-nasal space, direct examination of, with biopsy 

20.00

20.00

20.00

20.00

20.00

20.00

4489

Nasopharyngeal tumour, operation for removal of, involving hard palate 

160.00

160.00

160.00

160.00

160.00

160.00

4492

Pharyngeal pouch, removal of...........

130.00

130.00

130.00

130.00

130.00

130.00

4494

Pharyngeal pouch, endoscopic resection of (Dohlman s operation) 

110.00

110.00

110.00

110.00

110.00

110.00

4496

Pharyngotomy (lateral)...............

130.00

130.00

130.00

130.00

130.00

130.00

4498

Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (G) 

23.00

25.00

23.00

23.00

20.00

23.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4499

Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (S) 

55.00

50.00

35.00

40.00

35.00

31.50

4501

Tonsils or tonsils and adenoids in a person aged less than 12 years, removal of, with operation for abscess or inflammation of middle ear (G)             

27.50

29.50

27.50

27.00

24.00

27.00

4502

Tonsils or tonsils and adenoids in a person aged less than 12 years, removal of, with operation for abscess or inflammation of middle ear (S)             

62.50

62.50

43.25

47.50

42.50

36.50

4504

Tonsils or tonsils and adenoids in a person aged less than 12 years, removal of, with cauterisation and diathermy of any one or more of septum or turbinates or pharynx (G)

25.75

27.50

26.25

26.25

22.50

25.50

4505

Tonsils or tonsils and adenoids in a person aged less than 12 years, removal of, with cauterisation and diathermy of any one or more of septum or turbinates or pharynx (S)

62.50

60.00

45.00

47.50

40.00

36.50

4507

Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (G) 

33.00

40.00

30.00

30.00

30.00

30.00

4508

Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (S) 

70.00

70.00

50.00

50.00

50.00

45.00

4516

Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G)             

15.00

15.00

15.00

15.00

15.00

15.00

4517

Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S)             

20.00

20.00

20.00

20.00

20.00

20.00

4519

Adenoids, removal of (G)..............

16.50

15.00

15.00

12.00

12.00

12.00

4520

Adenoids, removal of (S)..............

30.00

25.00

25.00

25.00

25.00

20.00

4525

Adenoids, removal of, with operation for abscess or inflammation of middle ear (G)

21.00

19.50

19.50

16.00

16.00

16.00

4526

Adenoids, removal of, with operation for abscess or inflammation of middle ear (S)

37.50

37.50

33.25

32.50

32.50

25.00

4528

Lingual tonsil or lateral pharyngeal bands, removal of 

16.50

16.50

16.50

16.50

16.50

16.50

4529

Peritonsillar abscess (quinsy), incision of ...

13.00

13.00

13.00

13.00

13.00

13.00

4533

Uvulotomy .......................

6.60

6.60

6.60

6.60

6.60

6.60

4538

Vallecular or pharyngeal cysts, removal of ..

65.00

65.00

65.00

65.00

65.00

65.00

4541

Oesophagoscopy...................

35.00

35.00

35.00

35.00

35.00

35.00

4545

Oesophagoscopy, initial, with dilatation or insertion of prosthesis 

67.00

67.00

67.00

67.00

67.00

67.00

4548

Oesophagoscopy with biopsy...........

40.00

40.00

40.00

40.00

40.00

40.00

4551

Oesophagus, removal of foreign body......

65.00

65.00

65.00

65.00

65.00

65.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4559

Oesophagoscopy with dilatation or insertion of prosthesis—subsequent procedures in a single course of treatment             

33.00

33.00

33.00

33.00

33.00

33.00

4560

Oesophageal stricture, dilatation of, without oesophagoscopy 

10.00

10.00

10.00

10.00

10.00

10.00

4562

Laryngectomy (total) ................

200.00

200.00

200.00

200.00

200.00

200.00

4564

Laryngopharyngectomy ..............

250.00

250.00

250.00

250.00

250.00

250.00

4565

Primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel 

250.00

250.00

250.00

250.00

250.00

250.00

4567

Larynx, direct examination of, as an independent procedure 

35.00

35.00

35.00

35.00

35.00

35.00

4571

Larynx, direct examination of, with biopsy..

40.00

50.00

40.00

40.00

40.00

40.00

4575

Larynx, direct examination of, with removal of tumour 

44.00

55.00

44.00

44.00

44.00

44.00

4580

Microlaryngoscopy..................

45.00

45.00

45.00

45.00

45.00

45.00

4583

Microlaryngoscopy with removal of tumour

75.00

75.00

75.00

75.00

75.00

75.00

4587

Larynx, fractured, operation for..........

110.00

110.00

110.00

110.00

110.00

110.00

4591

Larynx, external operation on, or laryngofissure 

110.00

110.00

110.00

110.00

110.00

110.00

4596

Arytenoid cartilage, fixation of..........

160.00

160.00

160.00

160.00

160.00

160.00

4598

Arytenoid cartilage, removal of..........

135.00

135.00

135.00

135.00

135.00

135.00

4604

Tracheostomy (G) ..................

34.00

34.00

34.00

34.00

34.00

34.00

4605

Tracheostomy (S)...................

45.00

45.00

45.00

45.00

45.00

45.00

4610

Trachea, removal of foreign body in.......

33.00

33.00

33.00

33.00

33.00

33.00

4614

Bronchoscopy, as an independent procedure (G) 

25.00

25.00

25.00

25.00

25.00

25.00

4616

Bronchoscopy, as an independent procedure (S)  

33.00

33.00

33.00

33.00

33.00

33.00

4620

Bronchoscopy with biopsy or other diagnostic or therapeutic procedure 

44.00

44.00

44.00

44.00

44.00

44.00

4625

Bronchus, removal of foreign body in (G) ...

49.00

49.00

49.00

49.00

49.00

49.00

4626

Bronchus, removal of foreign body in (S) ...

65.00

65.00

65.00

65.00

65.00

65.00

4628

Bronchoscopy with dilatation of tracheal stricture—initial  

44.00

44.00

44.00

44.00

44.00

44.00

4631

Bronchoscopy with dilatation of tracheal stricture—subsequent dilatation in a single course of treatment 

22.00

22.00

22.00

22.00

22.00

22.00

Division 4— Urological

4710

Adrenal gland, biopsy of ..............

110.00

110.00

110.00

110.00

110.00

110.00

4713

Adrenal gland, removal of..............

160.00

160.00

160.00

160.00

160.00

160.00

4719

Renal transplant ...................

275.00

275.00

275.00

275.00

275.00

275.00

4723

Nephrectomy for malignant disease, complete or partial  

200.00

200.00

200.00

200.00

200.00

200.00

4725

Nephrectomy, complete, other than for malignant disease (G) 

120.00

120.00

120.00

120.00

120.00

120.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4726

Nephrectomy, complete, other than for malignant disease (S)  

160.00

160.00

160.00

160.00

160.00

160.00

4729

Nephrectomy, partial, other than for malignant disease (G)  

135.00

135.00

135.00

135.00

135.00

135.00

4730

Nephrectomy, partial, other than for malignant disease (S)  

180.00

180.00

180.00

180.00

180.00

180.00

4732

Nephro-ureterectomy, complete, with bladder repair  

200.00

200.00

200.00

200.00

200.00

200.00

4735

Kidney, fused, symphysiotomy for........

130.00

130.00

130.00

130.00

130.00

130.00

4740

Kidney, exploration of, together with any procedure, not covered by any other item  

140.00

140.00

140.00

140.00

140.00

140.00

4743

Nephrolithotomy, pyelolithotomy or ureterolithotomy 

175.00

175.00

150.00

150.00

120.00

100.00

4747

Nephrostomy .....................

110.00

110.00

110.00

110.00

110.00

110.00

4751

Nephropexy, as an independent procedure ..

110.00

110.00

110.00

110.00

110.00

110.00

4755

Pyonephrosis, drainage of..............

65.00

65.00

65.00

65.00

65.00

65.00

4759

Perinephric abscess, drainage of.........

65.00

65.00

65.00

65.00

65.00

65.00

4765

Pelvi-ureteric junction, plastic procedures to

160.00

160.00

160.00

160.00

160.00

160.00

4768

Divided ureter, repair of ..............

160.00

160.00

160.00

160.00

160.00

160.00

4771

Ureterectomy, complete, with bladder repair, as an independent procedure 

105.00

105.00

105.00

105.00

105.00

105.00

4775

Ureter, transplantation of, into skin.......

85.00

85.00

85.00

85.00

85.00

85.00

4779

Ureter, transplantation of, into bladder.....

125.00

125.00

125.00

125.00

125.00

125.00

4783

Ureter, transplantation of, into intestine.....

165.00

165.00

165.00

165.00

165.00

165.00

4787

Ureter, transplantation of, into isolated intestinal loop  

195.00

195.00

195.00

195.00

195.00

195.00

Operations on the bladder (closed)

4810

Bladder, catheterisation of—where no other surgical procedure is performed 

5.50

6.00

5.50

5.50

6.00

5.00

4814

Cystoscopy, with or without urethral dilatation  

27.50

25.00

22.00

25.00

21.00

21.00

4819

Cystoscopy, with ureteric catheterisation, with or without introduction of opaque medium

33.00

40.00

26.50

35.00

30.00

30.00

4820

Cystoscopy with controlled hydrodilatation of the bladder 

35.00

32.50

29.50

32.50

28.50

28.50

4823

Cystometrography ..................

11.00

11.00

11.00

11.00

11.00

11.00

4827

Cystoscopic removal of foreign body......

44.00

44.00

44.00

44.00

44.00

44.00

4831

Cystoscopy, with biopsy of bladder tumours

40.00

40.00

40.00

40.00

40.00

40.00

4836

Cystoscopy, with diathermy or resection of superficial bladder tumours 

55.00

55.00

55.00

55.00

55.00

55.00

4837

Cystoscopy, with diathermy or resection of invasive bladder tumours 

100.00

100.00

100.00

100.00

100.00

100.00

4839

Cystoscopy, with ureteric meatotomy......

50.00

50.00

50.00

50.00

50.00

50.00

4843

Cystoscopy, with diathermy of ureteric orifices

40.00

40.00

40.00

40.00

40.00

40.00


 

 

Fees

 

 

 

 

 

Item  No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

4847

Cystoscopy, with endoscopic bladder neck resection  

65.00

65.00

65.00

65.00

65.00

65.00

4851

Cystoscopy, with endoscopic removal or manipulation of ureteric calculus 

65.00

80.00

65.00

65.00

65.00

65.00

 

4855

Litholapaxy, with or without cystoscopy....

60.00

60.00

60.00

60.00

60.00

60.00

Operations on the bladder (open)

4901

Bladder, repair of rupture or partial excision other than for invasive tumour (G) 

75.00

75.00

75.00

75.00

75.00

75.00

4902

Bladder, repair of rupture or partial excision other than for invasive tumour (S) 

100.00

100.00

100.00

100.00

100.00

100.00

4916

Cystostomy or cystotomy, suprapubic (G)...

37.50

37.50

37.50

37.50

37.50

37.50

4917

Cystostomy or cystotomy, suprapubic (S)...

50.00

50.00

50.00

50.00

50.00

50.00

4919

Bladder, partial excision of, for invasive tumour  

140.00

140.00

140.00

140.00

140.00

140.00

4925

Bladder, total excision of ..............

180.00

180.00

180.00

180.00

180.00

180.00

4931

Bladder neck contracture, operation for.....

110.00

110.00

110.00

110.00

110.00

110.00

4935

Bladder tumours, suprapubic diathermy of...

110.00

110.00

110.00

110.00

110.00

110.00

4939

Diverticulum of bladder, excision or obliteration of 

145.00

145.00

145.00

145.00

145.00

145.00

4944

Vesical fistula, cutaneous, operation for....

65.00

65.00

65.00

65.00

65.00

65.00

Operations on the prostate

5010

Prostatectomy (suprapubic, perineal or retropubic) 

200.00

200.00

190.00

160.00

150.00

150.00

5014

Prostatectomy (endoscopic), with or without cystoscopy  

180.00

210.00

140.00

140.00

140.00

100.00

5019

Median bar, endoscopic resection of, with or without cystoscopy 

90.00

90.00

90.00

90.00

90.00

90.00

5023

Prostate, total excision of .............

220.00

220.00

220.00

220.00

220.00

220.00

5028

Prostate, open perineal biopsy of.........

55.00

55.00

55.00

55.00

55.00

55.00

5032

Prostate, biopsy of, endoscopic, with or without cystoscopy  

80.00

80.00

80.00

80.00

80.00

80.00

5037

Prostate, needle biopsy of, or injection into..

10.00

10.00

10.00

10.00

10.00

10.00

5041

Prostatic abscess, open drainage of........

55.00

55.00

55.00

55.00

55.00

55.00

Operations on urethra, penis or scrotum

5110

Urethral sounds, passage of, as an independent procedure 

8.00

8.00

7.50

8.00

9.00

8.00

5114

Urethral stricture, dilatation of..........

15.00

14.00

15.00

15.00

15.00

15.00

5118

Urethra, repair of rupture of (G).........

82.50

82.50

82.50

82.50

82.50

82.50

5120

Urethra, repair of rupture of (S)..........

110.00

110.00

110.00

110.00

110.00

110.00

5124

Urethral fistula, closure of.............

27.50

27.50

27.50

27.50

27.50

27.50

5128

Urethroscopy, as an independent procedure .

27.50

27.50

27.50

27.50

27.50

27.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5132

Urethroscopy with removal of stone or foreign body  

33.00

33.00

33.00

33.00

33.00

33.00

5133

Urethra, examination of, involving the use of an urethroscope, with cystoscopy 

33.00

33.00

33.00

33.00

33.00

33.00

5136

Urethral meatotomy, external...........

15.00

15.00

15.00

15.00

15.00

15.00

5140

Urethrotomy (external), with excision of stricture  

110.00

110.00

110.00

110.00

110.00

110.00

5145

Urethrotomy, perineal (external) as an independent procedure 

55.00

55.00

55.00

55.00

55.00

55.00

5149

Urethrotomy (internal)................

50.00

50.00

50.00

50.00

50.00

50.00

5153

Urethroplasty, not covered by any other item in this Part—each stage 

110.00

110.00

110.00

110.00

110.00

110.00

5157

Urethrectomy, partial or complete, for removal of tumour  

90.00

90.00

90.00

90.00

90.00

90.00

5161

Urethral stricture, plastic repair of—each stage

130.00

130.00

130.00

130.00

130.00

130.00

5165

Hypospadias, correction of chordee.......

65.00

65.00

65.00

65.00

65.00

65.00

5167

Hypospadias, correction of chordee with transplantation of prepuce 

90.00

90.00

90.00

90.00

90.00

90.00

5170

Hypospadias, urethral reconstruction......

100.00

100.00

100.00

100.00

100.00

100.00

5171

Hypospadias, urethral reconstruction with perineal urethrostomy 

115.00

115.00

115.00

115.00

115.00

115.00

5173

Hypospadias, urethral reconstruction and correction of chordee, complete, one stage including urinary diversion             

160.00

160.00

160.00

160.00

160.00

160.00

5174

Hypospadias, secondary correction of......

44.00

44.00

44.00

44.00

44.00

44.00

5178

Epispadias, repair of, not involving sphincter

110.00

110.00

110.00

110.00

110.00

110.00

5182

Epispadias, repair of, including bladder neck closure  

135.00

135.00

135.00

135.00

135.00

135.00

5186

Urethra, diathermy of ................

30.00

30.00

30.00

30.00

30.00

30.00

5190

Priapism, decompression operation for, under general anaesthesia 

15.00

15.00

15.00

15.00

15.00

15.00

5191

Priapism, vein graft for ...............

100.00

100.00

100.00

100.00

100.00

100.00

5194

Penis, partial amputation of.............

65.00

65.00

65.00

65.00

65.00

65.00

5198

Penis, complete or radical amputation of....

130.00

130.00

130.00

130.00

130.00

130.00

5202

Penis, amputation of, with excision of glands

165.00

165.00

165.00

165.00

165.00

165.00

5206

Scrotum, partial excision of.............

55.00

55.00

55.00

55.00

55.00

55.00

Operations on Testes, Vasa or Seminal Vesicles

5220

Testicular biopsy...................

27.50

27.50

27.50

27.50

27.50

27.50

5223

Spermatocele, excision of (G)...........

37.50

37.50

37.50

37.50

37.50

37.50

5224

Spermatocele, excision of (S)...........

50.00

50.00

50.00

50.00

50.00

50.00

5227

Exploration of the testis, with or without fixation for torsion  

50.00

50.00

50.00

50.00

50.00

50.00

5232

Orchidectomy, with excision of retroperitoneal glands or seminal vesicles  

165.00

165.00

165.00

165.00

165.00

165.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5236

Orchidoplasty .....................

65.00

65.00

65.00

65.00

65.00

65.00

5240

Epididymectomy ...................

60.00

60.00

60.00

60.00

60.00

60.00

5244

Vasoepididymostomy ................

110.00

110.00

110.00

110.00

110.00

110.00

5248

Vasoepididymyography and vasovesiculography as an independent operative procedure, preparation for, by open operation             

30.00

30.00

30.00

30.00

30.00

30.00

5256

Vasectomy (radical) including seminal vesicles

130.00

130.00

130.00

130.00

130.00

130.00

5260

Vasotomy or vasectomy (unilateral or bilateral) (G)  

34.00

34.00

34.00

34.00

34.00

34.00

5261

Vasotomy or vasectomy (unilateral or bilateral) (S)  

45.00

45.00

45.00

45.00

45.00

45.00

Division 5—Gynaecological

5310

Gynaecological examination under anaesthesia not performed in association with any service covered by any other item in this Part (G)             

8.50

10.00

8.50

8.00

6.50

6.50

5311

Gynaecological examination under anaesthesia not performed in association with any service covered by any other item in this Part (S)             

15.00

15.00

15.00

15.00

15.00

15.00

5313

Intra-uterine contraceptive device, introduction or removal of, as an independent procedure (G) 

8.00

8.00

8.00

8.00

8.00

8.00

5314

Intra-uterine contraceptive device, introduction or removal of, as an independent procedure (S) 

10.00

10.00

10.00

10.00

10.00

10.00

5316

Simple tumour of vagina or vulva, removal of (G) 

12.50

12.50

12.50

12.50

12.50

12.50

5317

Simple tumour of vagina or vulva, removal of (S) 

16.50

16.50

16.50

16.50

16.50

16.50

5322

Hymenectomy (G) ..................

12.50

12.50

12.50

12.50

12.50

12.50

5323

Hymenectomy(S) ..................

16.50

16.50

16.50

16.50

16.50

16.50

5328

Bartholin’s cyst, excision of (G).........

26.50

26.50

26.50

26.50

26.50

26.50

5329

Bartholin’s cyst, excision of (S)..........

35.00

35.00

35.00

35.00

35.00

35.00

5334

Bartholin’s cyst or gland, marsupialisation or cautery destruction of (G) 

20.50

20.50

20.50

20.50

20.50

20.50

5335

Bartholin’s cyst or gland, marsupialisation or cautery destruction of (S) 

27.50

27.50

27.50

27.50

27.50

27.50

5340

Bartholin’s abscess, incision of (G).......

8.25

8.25

8.25

8.25

8.25

8.25

5341

Bartholin’s abscess, incision of (S)........

11.00

11.00

11.00

11.00

11.00

11.00

5346

Skene’s duct, incision of, or removal of calculus from  

16.50

16.50

16.50

16.50

16.50

16.50

5350

Urethra or urethral caruncle, cauterisation of (G) 

8.25

8.25

8.25

8.25

8.25

8.25

5352

Urethra or urethral caruncle, cauterisation of (S) 

11.00

11.00

11.00

11.00

11.00

11.00

5356

Urethral caruncle, excision of (G)........

20.50

20.50

20.50

20.50

20.50

20.50

5358

Urethral caruncle, excision of (S).........

27.50

27.50

27.50

27.50

27.50

27.50

5362

Clitoris, amputation of................

50.00

50.00

50.00

50.00

50.00

50.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5367

Vulvectomy (simple) ................

65.00

65.00

65.00

65.00

65.00

65.00

5371

Vulvectomy (radical) ................

165.00

165.00

165.00

165.00

165.00

165.00

5376

Pelvic lymph glands, excision of (radical)...

130.00

130.00

130.00

130.00

130.00

130.00

5380

Vagina, dilatation of, as an independent procedure—each attendance at which dilatation is performed 

8.20

8.20

8.20

8.20

8.20

8.20

5385

Vagina, complete removal of...........

130.00

130.00

130.00

130.00

130.00

130.00

5387

Vaginal reconstruction in congenital absence of gynatresia 

130.00

130.00

130.00

130.00

130.00

130.00

5394

Vaginal septum, excision of, for correction of double vagina 

75.00

75.00

75.00

75.00

75.00

75.00

5398

Plastic repair to enlarge vaginal orifice (G)..

22.50

22.50

22.50

22.50

22.50

22.50

5399

Plastic repair to enlarge vaginal orifice (S)...

30.00

30.00

30.00

30.00

30.00

30.00

5403

Colpotomy or colporrhaphy, not covered by any other item in this Part (G) 

17.50

17.50

17.50

17.50

17.50

17.50

5404

Colpotomy or colporrhaphy, not covered by any other item in this Part (S) 

23.00

23.00

23.00

23.00

23.00

23.00

5408

Cystocele or rectocele, repair of, not covered by Item 5414 or 5419 (G) 

60.00

49.00

49.00

49.00

49.00

49.00

5410

Cystocele or rectocele, repair of, not covered by Item 5416 or 5420 (S) 

80.00

65.00

65.00

65.00

65.00

65.00

5414

Cystocele and rectocele, repair of, not covered by Item 5419 (G) 

75.00

75.00

75.00

75.00

75.00

75.00

5416

Cystocele and rectocele, repair of, not covered by Item 5420 (S) 

100.00

100.00

100.00

100.00

100.00

100.00

5419

Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (G) 

90.00

85.00

85.00

90.00

90.00

85.00

5420

Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (S)

110.00

110.00

110.00

120.00

125.00

100.00

5422

Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (G)             

101.50

97.50

95.00

100.00

100.00

95.00

5423

Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (S)             

125.00

117.50

112.50

135.00

140.00

112.50

5425

Urethrocele, operation for.............

33.00

33.00

33.00

33.00

33.00

33.00

5426

Abdominal approach for repair of enterocoele or suspension of vaginal vault or both (G) 

80.00

80.00

80.00

80.00

80.00

80.00

5428

Abdominal approach for repair of enterocoele or suspension of vaginal vault or both (S) 

100.00

100.00

100.00

100.00

100.00

100.00

5429

Fistula between genital and urinary or alimentary tracts, repair of 

130.00

130.00

130.00

130.00

130.00

130.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5434

Stress incontinence, sling operation for, as an independent procedure 

125.00

125.00

125.00

125.00

125.00

125.00

5436

Cervix, cauterisation, ionisation or diathermy of (G) 

10.00

10.00

10.00

10.00

10.00

10.00

5437

Cervix, cauterisation, ionisation or diathermy of (S) 

12.00

12.00

12.00

12.00

12.00

12.00

5441

Cervix, removal of polyp from (G)........

10.00

10.00

10.00

10.00

10.00

10.00

5442

Cervix, removal of polyp from (S)........

12.00

12.00

12.00

12.00

12.00

12.00

5448

Examination of the uterine cervix by a magnifying colposcope of the Hinselmann type or similar instrument             

13.00

12.00

13.00

10.00

10.00

10.00

5451

Cervix, cone biopsy of (G).............

30.00

30.00

30.00

30.00

30.00

30.00

5452

Cervix, cone biopsy of (S).............

40.00

40.00

40.00

40.00

40.00

40.00

5453

Cone biopsy of cervix, and curettage of uterus with or without dilatation (G) 

41.50

42.50

40.00

40.00

40.00

40.00

5454

Cone biopsy of cervix, and curettage of uterus with or without dilatation (S) 

55.00

57.50

52.50

55.00

55.00

52.50

5457

Cervix, amputation or repair of, not covered by Item 5419 (G) 

25.00

25.00

25.00

25.00

25.00

25.00

5458

Cervix, amputation or repair of, not covered by Item 5420 (S) 

33.00

33.00

33.00

33.00

33.00

33.00

5460

Cervix, dilatation of, not covered by Item 5471 (G) 

12.00

12.00

12.00

12.00

12.00

12.00

5461

Cervix, dilatation of, not covered by Item 5472 (S)  

15.00

15.00

15.00

15.00

15.00

15.00

5467

Culdoscopy ......................

20.00

20.00

20.00

20.00

20.00

20.00

5471

Uterus, curettage of, with or without dilatation (G)  

23.00

25.00

20.00

20.00

20.00

20.00

5472

Uterus, curettage of, with or without dilatation (S)  

30.00

35.00

25.00

30.00

30.00

25.00

5475

Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (G) 

27.00

29.00

24.00

24.00

24.00

24.00

5477

Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (S) 

35.00

40.00

30.00

35.00

35.00

30.00

5481

Uterus, curettage of, with or without dilatation and removal of polyp from cervix (G)  

27.50

29.50

24.50

24.50

24.50

24.50

5483

Uterus, curettage of, with or without dilatation and removal of polyp from cervix (S) 

35.50

40.50

30.50

35.50

35.50

30.50

5487

Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (G)             

29.50

31.50

26.50

26.50

26.50

26.50

5489

Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (S).             

38.00

43.00

33.00

38.00

38.00

33.00

5492

Hysterotomy (G)...................

75.00

75.00

75.00

75.00

75.00

75.00

5494

Hysterotomy (S)....................

100.00

100.00

100.00

100.00

100.00

100.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5499

Hysterectomy (other than vaginal)—subtotal (G) 

90.00

90.00

90.00

90.00

90.00

90.00

5501

Hysterectomy (other than vaginal)—subtotal (S) 

120.00

120.00

120.00

120.00

120.00

120.00

5505

Hysterectomy (other than vaginal)—total (G)

90.00

90.00

90.00

100.00

100.00

90.00

5507

Hysterectomy (other than vaginal)—total (S)

120.00

120.00

120.00

130.00

125.00

120.00

5509

Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (G)  

101.50

102.50

100.00

110.00

110.00

100.00

5510

Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (S) 

135.00

137.50

132.50

145.00

140.00

132.50

5513

Hysterectomy (total) with abdominal urethroplexy 

140.00

140.00

140.00

140.00

140.00

140.00

5515

Hysterectomy and dissection of pelvic glands

200.00

200.00

200.00

200.00

200.00

200.00

5516

Radical hysterectomy without gland dissection  

150.00

150.00

150.00

150.00

150.00

150.00

5523

Colpoplasty with vaginal hysterectomy.....

120.00

100.00

110.00

110.00

110.00

100.00

5525

Colpoplasty with vaginal hysterectomy.....

150.00

130.00

130.00

150.00

140.00

130.00

5529

Ectopic gestation, removal of (G)........

75.00

75.00

75.00

75.00

75.00

75.00

5531

Ectopic gestation, removal of (S).........

100.00

100.00

100.00

100.00

100.00

100.00

5535

Myomectomy (G) ..................

75.00

75.00

75.00

75.00

75.00

75.00

5537

Myomectomy (S)...................

100.00

100.00

100.00

100.00

100.00

100.00

5541

Round ligaments, shortening of (G).......

65.00

70.00

65.00

50.00

60.00

60.00

5543

Round ligaments, shortening of (S).......

75.00

80.00

75.00

60.00

70.00

70.00

5547

Bicornuate uterus, plastic reconstruction for

65.00

65.00

65.00

65.00

65.00

65.00

5552

Uterus, suspension or fixation of—as an independent procedure (G) 

65.00

65.00

60.00

65.00

60.00

60.00

5554

Uterus, suspension or fixation of—as an independent procedure (S) 

80.00

90.00

80.00

80.00

80.00

80.00

5557

Rubin test for patency ................

12.00

10.50

12.50

10.00

10.00

10.00

5559

Laparoscopy and diathermy of the Fallopian tubes 

30.00

30.00

30.00

30.00

30.00

30.00

5560

Fallopian tube or tubes, implantation of, into uterus  

120.00

120.00

120.00

120.00

120.00

120.00

5565

Fallopian tubes, hydrotubation of, as an isolated procedure  

12.00

12.00

12.00

12.00

12.00

12.00

5569

Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure 

8.00

8.00

8.00

8.00

8.00

8.00

5575

Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (G)             

65.00

65.00

60.00

65.00

60.00

60.00

5576

Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (S)             

80.00

90.00

80.00

80.00

80.00

80.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5578

Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (G)             

76.50

77.50

70.00

75.00

70.00

70.00

5580

Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (S)             

95.00

107.50

92.50

95.00

95.00

92.50

5588

Salpingostomy or salpingolysis, or both....

120.00

120.00

120.00

120.00

120.00

120.00

5593

Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (G)             

70.00

70.00

65.00

60.00

55.00

55.00

5594

Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (S)             

100.00

90.00

80.00

70.00

70.00

70.00

5596

Pelvic abscess, suprapubic drainage of (G)..

64.00

64.00

64.00

64.00

64.00

64.00

5597

Pelvic abscess, suprapubic drainage of (S)...

85.00

85.00

85.00

85.00

85.00

85.00

Division 6—Ophthalmological

5610

Ophthalmological examination under general anaesthesia as an independent procedure 

10.00

10.00

10.00

10.00

10.00

10.00

5614

Eye, enucleation of (G)...............

49.00

49.00

49.00

49.00

49.00

49.00

5616

Eye, enucleation of (S)...............

65.00

65.00

65.00

65.00

65.00

65.00

5620

Eye, enucleation of, and insertion of ball....

115.00

115.00

115.00

115.00

115.00

115.00

5625

Globe, evisceration of ................

65.00

65.00

65.00

65.00

65.00

65.00

5626

Globe, evisceration of, and insertion of intrascleral ball 

115.00

115.00

115.00

115.00

115.00

115.00

5628

Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure  

65.00

65.00

65.00

65.00

65.00

65.00

5631

Orbitotomy, lateral wall, medial wall or inferior wall 

120.00

120.00

120.00

120.00

120.00

120.00

5632

Orbitotomy, anterior .................

75.00

75.00

75.00

75.00

75.00

75.00

5635

Orbit, exenteration of, including skin grafting

110.00

110.00

110.00

110.00

110.00

110.00

5637

Orbit, exenteration of, including skin grafting, with temporalis muscle transplant  

135.00

135.00

135.00

135.00

135.00

135.00

5640

Orbital cyst or tumour, excision of, requiring preparation of bone flap 

120.00

120.00

120.00

120.00

120.00

120.00

5644

Orbital cyst or tumour, excision of, not requiring preparation of bone flap 

75.00

75.00

75.00

75.00

75.00

75.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5649

Perforating wound of globe, repair of, including procedures involving iris, lens, iris and lens or other intraocular structures             

150.00

180.00

150.00

150.00

150.00

150.00

5655

Intraocular foreign body, removal from anterior segment  

90.00

90.00

90.00

90.00

90.00

90.00

5656

Intraocular foreign body, magnetic, removal from posterior segment 

130.00

130.00

130.00

130.00

130.00

130.00

5659

Intraocular foreign body, non-magnetic, removal from posterior segment 

180.00

180.00

180.00

180.00

180.00

180.00

5662

Abscess (intraorbital), drainage of........

22.00

22.00

22.00

22.00

22.00

22.00

5667

Tarsal cyst, extirpation of (G)...........

9.00

9.00

9.00

9.00

8.00

8.00

5668

Tarsal cyst, extirpation of (S)...........

11.00

12.00

12.00

12.00

10.00

10.00

5673

Tarsal cartilage, excision of............

39.00

39.00

39.00

39.00

39.00

39.00

5674

Ectropion, tarsal cauterisation for........

22.00

22.00

22.00

22.00

22.00

22.00

5677

Canthoplasty or tarsorrhaphy...........

50.00

50.00

50.00

50.00

50.00

50.00

5681

Lacrimal sac, excision of or operation on...

55.00

55.00

55.00

55.00

55.00

55.00

5685

Dacryocystorrhinostomy..............

110.00

110.00

110.00

110.00

110.00

110.00

5687

Conjunctivorhinostomy...............

110.00

110.00

110.00

110.00

110.00

110.00

5689

Parotid duct, transplantation of, into conjunctival sac 

120.00

120.00

120.00

120.00

120.00

120.00

5693

Lacrimal canaliculus, reconstruction of.....

110.00

110.00

110.00

110.00

110.00

110.00

5697

Lacrimal canaliculus, immediate repair of...

75.00

75.00

75.00

75.00

75.00

75.00

5701

Lacrimal passages, probing or dilatation of, for obstruction (G) 

12.50

10.00

10.50

12.00

12.00

12.00

5702

Lacrimal passages, probing or dilatation of, for obstruction (S) 

25.00

21.00

15.00

15.00

15.00

15.00

5704

Punctum snip with dilatation of punctum ...

25.00

21.00

15.00

15.00

15.00

15.00

5706

Conjunctival peritomy................

22.00

22.00

22.00

22.00

22.00

22.00

5708

Conjunctival graft over cornea..........

65.00

65.00

65.00

65.00

65.00

65.00

5710

Trachoma, crushing operation for........

23.00

23.00

23.00

23.00

23.00

23.00

5712

Cornea or sclera, removal of superficial foreign body from 

4.00

3.60

3.50

3.40

3.50

3.60

5718

Cornea or sclera, removal of foreign body, involving deeper layers (G) 

8.25

8.25

8.25

8.25

8.25

8.25

5719

Cornea or sclera, removal of foreign body, involving deeper layers (S) 

11.00

11.00

11.00

11.00

11.00

11.00

5723

Corneal scars, excision of, or partial keratectomy 

36.00

36.00

36.00

36.00

36.00

36.00

5727

Cornea, tattooing of.................

44.00

44.00

44.00

44.00

44.00

44.00

5731

Cornea, epithelial debridement for dendritic ulcer 

11.00

11.00

11.00

11.00

11.00

11.00

5735

Cornea, transplantation of, including collection of implant 

250.00

250.00

250.00

250.00

250.00

250.00

5739

Keratoplasty—partial thickness..........

165.00

165.00

165.00

165.00

165.00

165.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5746

Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given 

11.50

11.50

11.50

11.50

11.50

11.50

5748

Pterygium, removal of................

45.00

50.00

40.00

35.00

40.00

35.00

5751

Pinguecula, removal of...............

22.00

22.00

22.00

22.00

22.00

22.00

5754

Limbic tumour, removal of.............

50.00

50.00

50.00

50.00

50.00

50.00

5758

Lens extraction, including initial and subsequent needlings 

220.00

200.00

185.00

175.00

175.00

150.00

5762

Insertion of artificial lens .............

110.00

110.00

110.00

110.00

110.00

110.00

5764

Artificial lens, removal of..............

85.00

85.00

85.00

85.00

85.00

85.00

5766

Cataract, juvenile, removal of, including subsequent needlings 

220.00

220.00

220.00

220.00

220.00

220.00

5770

Capsulectomy.....................

90.00

90.00

90.00

90.00

90.00

90.00

5774

Secondary cataract, needling of—each stage

50.00

50.00

50.00

50.00

50.00

50.00

5778

Paracentesis in relation to eye...........

55.00

55.00

55.00

55.00

55.00

55.00

5782

Glaucoma, filtering and allied operations for

180.00

165.00

165.00

165.00

165.00

165.00

5786

Goniotomy.......................

90.00

90.00

90.00

90.00

90.00

90.00

5790

Iridectomy or iridotomy...............

100.00

100.00

100.00

100.00

100.00

100.00

5791

Iris, light coagulation of ..............

65.00

65.00

65.00

65.00

65.00

65.00

5793

Tumour of iris, excision of.............

100.00

100.00

100.00

100.00

100.00

100.00

5796

Tumour, involving ciliary body or ciliary body and iris, excision of 

200.00

200.00

200.00

200.00

200.00

200.00

5798

Cyclodiathermy ....................

55.00

55.00

55.00

55.00

55.00

55.00

5800

Cyclocryotherapy...................

45.00

45.00

45.00

45.00

45.00

45.00

5802

Detached retina, diathermy operation for....

165.00

165.00

165.00

165.00

165.00

165.00

5806

Detached retina, resection or buckling operation for 

220.00

250.00

220.00

220.00

220.00

220.00

5810

Re-attachment of retina, revision operation for  

90.00

90.00

90.00

90.00

90.00

90.00

5814

Detached retina, light coagulation for......

65.00

65.00

65.00

65.00

65.00

65.00

5818

Detached retina, removal of encircling silicone band from 

30.00

30.00

30.00

30.00

30.00

30.00

5822

Detached retina, removal of encircling silicone band from, with excision of sclera 

45.00

45.00

45.00

45.00

45.00

45.00

5826

Cryopexy, without scleral resection or scleral infolding, for treatment of detached retina or pre-detachment disease of retina              

110.00

110.00

110.00

110.00

110.00

110.00

5830

Cryopexy, with scleral resection or scleral infolding, for treatment of detached retina of pre-detachment disease of retina              

165.00

165.00

165.00

165.00

165.00

165.00

5834

Retrobulbar transillumination...........

16.50

16.50

16.50

16.50

16.50

16.50

5838

Retrobulbar injection of alcohol or other drug as an independent procedure  

13.00

13.00

13.00

13.00

13.00

13.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

5842

Squint, operation for correction of, involving any number of muscles of one or both eyes, not covered by Item 5846             

100.00

100.00

85.00

70.00

85.00

70.00

5846

Muscle transplant (Hummelsheim type, etc.) for squint 

120.00

120.00

105.00

90.00

105.00

90.00

5850

Re-attachment of ruptured medial palpebral ligament 

75.00

75.00

75.00

75.00

75.00

75.00

5854

Torn ocular muscle, repair of...........

70.00

70.00

70.00

70.00

70.00

70.00

5856

Re-suturing of wound following intraocular procedures with or without excision of prolapsed iris 

75.00

75.00

75.00

75.00

75.00

75.00

Division 7—Thoracic

5908

Thoracic cavity, aspiration or paracentesis of, or both (G) 

8.00

8.00

8.00

8.00

8.00

8.00

5909

Thoracic cavity, aspiration or paracentesis of, or both (S) 

12.00

12.00

12.00

12.00

12.00

12.00

5912

Pericardium, paracentesis of............

20.00

20.00

20.00

20.00

20.00

20.00

5915

Artificial pneumothorax—induction.......

16.00

16.00

16.00

16.00

16.00

16.00

5920

Artificial pneumothorax—each filling subsequent to induction. 

8.20

8.20

8.20

8.20

8.20

8.20

5927

Intercostal drain, insertion of, not involving resection of rib (G) 

15.00

15.00

15.00

15.00

15.00

15.00

5928

Intercostal drain, insertion of, not involving resection of rib (S) 

20.00

20.00

20.00

20.00

20.00

20.00

5930

Empyema, radical operation for, involving resection of rib (G) 

64.00

64.00

64.00

64.00

64.00

64.00

5931

Empyema, radical operation of, involving resection of rib (S) 

85.00

85.00

85.00

85.00

85.00

85.00

5937

Thoracotomy, exploratory, with or without biopsy 

165.00

165.00

165.00

165.00

165.00

165.00

5946

Thoracotomy with pulmonary decortication

250.00

250.00

250.00

250.00

250.00

250.00

5948

Thoracotomy with pleurectomy or pleurodesis

180.00

180.00

180.00

180.00

180.00

180.00

5951

Thoracoplasty (complete)..............

250.00

250.00

250.00

250.00

250.00

250.00

5954

Thoracoplasty (in stages)—each stage.....

130.00

130.00

130.00

130.00

130.00

130.00

5959

Pectus excavatum or pectus carinatum, limited correction of 

75.00

75.00

75.00

75.00

75.00

75.00

5960

Pectus excavatum or pectus carinatum, radical correction of 

220.00

220.00

220.00

220.00

220.00

220.00

5969

Thoracoscopy, with or without division of pleural adhesions 

50.00

50.00

50.00

50.00

50.00

50.00

5976

Thoracic duct cannulisation.............

16.50

16.50

16.50

16.50

16.50

16.50

5980

Phrenic avulsion or crush..............

33.00

33.00

33.00

33.00

33.00

33.00

5986

Pneumonectomy or lobectomy..........

250.00

250.00

250.00

250.00

250.00

250.00

5988

Hydatid cysts of lungs, enucleation of......

180.00

180.00

180.00

180.00

180.00

180.00

5992

Correction of atresia of oesophagus.......

250.00

250.00

250.00

250.00

250.00

250.00

5997

Oesophagectomy with direct anastomosis or with stomach transposition 

250.00

250.00

250.00

250.00

250.00

250.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

6000

Oesophagectomy with interposition of small or large bowel 

300.00

300.00

300.00

300.00

300.00

300.00

6003

Mediastinal abscess, drainage of.........

110.00

110.00

110.00

110.00

110.00

110.00

6007

Mediastinum, cervical exploration of, with or without biopsy  

75.00

75.00

75.00

75.00

75.00

75.00

6012

Left ventricular puncture..............

55.00

55.00

55.00

55.00

55.00

55.00

6015

Pericardium, transthoracic drainage of (other than for treatment of constrictive pericarditis)  

180.00

180.00

180.00

180.00

180.00

180.00

6021

Bronchoscopy with left atrial puncture.....

85.00

85.00

85.00

85.00

85.00

85.00

6024

Hernia, hiatus or other diaphragmatic, transthoracic repair of  

180.00

180.00

180.00

180.00

180.00

180.00

6025

Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than one of those organs, not covered by any other item in this Part             

250.00

250.00

250.00

250.00

250.00

250.00

6029

Cardiac catheterisation with or without fluoroscopy 

33.00

33.00

33.00

33.00

33.00

33.00

6034

Cardiac catheterisation with oximetry

47.00

47.00

47.00

47.00

47.00

47.00

6038

Atrial balloon septostomy including preliminary cardiac catheterisation with oximetry  

105.00

105.00

105.00

105.00

105.00

105.00

6045

Insertion or replacement of permanent internal pacemaker and myocardial electrodes by thoracotomy 

220.00

220.00

220.00

220.00

220.00

220.00

6048

Insertion or replacement of permanent transvenous electrode and pacemaker 

180.00

180.00

180.00

180.00

180.00

180.00

6050

Insertion or replacement of permanent transvenous electrode 

110.00

110.00

110.00

110.00

110.00

110.00

6052

Insertion or replacement of permanent pacemaker  

70.00

70.00

70.00

70.00

70.00

70.00

6058

Open heart surgery, single valve replacement

350.00

350.00

350.00

350.00

350.00

350.00

6060

Open heart surgery for congenital heart disease

350.00

350.00

350.00

350.00

350.00

350.00

6062

Open heart surgery on more than one valve or involving more than one chamber 

500.00

500.00

500.00

500.00

500.00

500.00

6065

Open heart surgery not covered by any other item in this Part 

350.00

350.00

350.00

350.00

350.00

350.00

6070

Coronary artery or arteries, direct surgery to, employing cardiopulmonary by-pass  

400.00

400.00

400.00

400.00

400.00

400.00

Division 8Neuro-SurgicaI

6102

Local infiltration around nerve or in muscle with alcohol, novocaine or similar preparation—each attendance at which an injection is given             

4.00

3.60

3.50

3.40

3.50

3.60

6104

Nerve blocking with alcohol or other agent following localisation by electrical stimulator  

10.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

6108

Sympathetic trunk, injection into.........

11.00

11.00

11.00

11.00

11.00

11.00

6112

Injection of intracranial ganglion, or primary branch of trigeminal nerve, with alcohol or similar substance 

23.00

23.00

23.00

23.00

23.00

23.00

6116

Lumbar puncture...................

8.50

8.00

8.50

9.00

10.00

9.00

6120

Cisternal puncture ..................

11.00

11.00

11.00

11.00

11.00

11.00

6124

Spinal or epidural injection for neurological diagnosis or for therapeutic reasons  

13.00

13.00

13.00

13.00

13.00

13.00

6128

Ventricular puncture.................

33.00

33.00

33.00

33.00

33.00

33.00

6132

Cutaneous or digital nerve, primary suture of (G)  

20.50

20.50

20.50

20.50

20.50

20.50

6133

Cutaneous or digital nerve, primary suture of (S)  

27.50

27.50

27.50

27.50

27.50

27.50

6137

Repair of divided digital nerve to thumb or finger (G)  

34.00

34.00

34.00

34.00

34.00

34.00

6138

Repair of divided digital nerve to thumb or finger (S)  

45.00

45.00

45.00

45.00

45.00

45.00

6142

Nerve trunk, primary suture of (G)........

56.00

56.00

56.00

56.00

56.00

56.00

6143

Nerve trunk, primary suture of (S)........

75.00

75.00

75.00

75.00

75.00

75.00

6144

Nerve trunk, primary suture of (D)........

75.00

75.00

75.00

75.00

75.00

75.00

6147

Nerve trunk, secondary suture of.........

85.00

85.00

85.00

85.00

85.00

85.00

6148

Nerve trunk, secondary suture of (D)......

85.00

85.00

85.00

85.00

85.00

85.00

6151

Nerve, graft or anastomosis of...........

130.00

130.00

130.00

130.00

130.00

130.00

6155

Neuro-anastomosis, involving cranial nerves

150.00

150.00

150.00

150.00

150.00

150.00

6159

Nerve, transposition of (G).............

45.00

45.00

45.00

45.00

45.00

45.00

6160

Nerve, transposition of (S).............

60.00

60.00

60.00

60.00

60.00

60.00

6164

Neurectomy, neurotomy, or removal of tumour from peripheral nerve (G) 

30.00

30.00

30.00

30.00

30.00

30.00

6165

Neurectomy, neurotomy, or removal of tumour from peripheral nerve (S) 

40.00

40.00

40.00

40.00

40.00

40.00

6169

Neurectomy, periarterial..............

130.00

130.00

130.00

130.00

130.00

130.00

6173

Neurectomy, intracranial or radical as in tic douloureux  

165.00

165.00

165.00

165.00

165.00

165.00

6177

Exploration of brachial plexus not covered by any other item in this Part 

65.00

65.00

65.00

65.00

65.00

65.00

6181

Neurolysis by open operation, with or without transposition (G) 

40.00

45.00

35.00

30.00

35.00

30.00

6182

Neurolysis by open operation, with or without transposition (S) 

60.00

60.00

45.00

40.00

45.00

40.00

6186

Craniotomy, burr-hole (G).............

30.00

30.00

30.00

30.00

30.00

30.00

6187

Craniotomy, burr-hole(S)..............

40.00

40.00

40.00

40.00

40.00

40.00

6191

Intracranial haemorrhage, burr-hole craniotomy for (G)  

49.00

49.00

49.00

49.00

49.00

49.00

6192

Intracranial haemorrhage, burr-hole craniotomy for (S)  

65.00

65.00

65.00

65.00

65.00

65.00

6196

Intracranial cyst, needling and drainage of ..

44.00

44.00

44.00

44.00

44.00

44.00

6197

Fracture of skull, depressed or comminuted, operation for (G) 

82.50

82.50

82.50

82.50

82.50

82.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

s

$

6198

Fracture of skull, depressed or comminuted, operation for (S) 

110.0

110.00

110.00

110.00

110.00

110.00

6202

Compound or complicated fracture or fractures of skull, operation for (G) 

112.50

112.50

112.50

112.50

112.50

112.50

6203

Compound or complicated fracture or fractures of skull, operation for (S) 

150.00

150.00

150.00

150.00

150.00

150.00

6207

Reconstructive cranioplasty............

165.00

165.00

165.00

165.00

165.00

165.00

6211

Chronic subdural haematoma, operation for..

150.00

150.00

150.00

150.00

150.00

150.00

6215

Craniotomy involving osteoplastic flap.....

140.00

140.00

140.00

140.00

140.00

140.00

6219

Aneurysm, intracranial, operation for......

275.00

275.00

275.00

275.00

275.00

275.00

6223

Craniotomy and tumour removal.........

250.00

230.00

230.00

230.00

230.00

230.00

6225

Cerebello-pontine angle tumour, transmastoid, trans-labyrinthine removal of 

275.00

275.00

275.00

275.00

275.00

275.00

6227

Transfrontal orbitotomy, for tumours or other lesions 

220.00

220.00

220.00

220.00

220.00

220.00

6231

Intracranial abscess, excision of..........

220.00

220.00

220.00

220.00

220.00

220.00

6235

Intracranial infection, drainage of........

130.00

130.00

130.00

130.00

130.00

130.00

6239

Leucotomy or lobotomy for psychiatric causes

165.00

165.00

165.00

165.00

165.00

165.00

6243

Hemispherectomy ..................

275.00

275.00

275.00

275.00

275.00

275.00

6247

Temporal lobectomy.................

220.00

220.00

220.00

220.00

220.00

220.00

6251

Chemopallidectomy, or other stereotactic procedure 

165.00

165.00

165.00

165.00

165.00

165.00

6255

Laminectomy for cordotomy, removal of tumour or for treatment or removal of intervertebral disc lesion 

180.00

180.00

180.00

180.00

180.00

180.00

6259

Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy

165.00

165.00

165.00

165.00

165.00

165.00

6263

Sympathectomy (cervical, lumbar, thoracic, sacral or presacral) 

110.00

110.00

110.00

110.00

110.00

110.00

Division 9—Treatment of Dislocations

Dislocations Not Requiring Open Operation

6310

Mandible—first or second dislocation.....

8.80

8.80

8.80

8.80

8.80

8.80

6311

Mandible—first or second dislocation (D)...

8.80

8.80

8.80

8.80

8.80

8.80

6314

Mandible—third or subsequent dislocation ..

5.60

5.60

5.60

5.60

5.60

5.60

6315

Mandible—third or subsequent dislocation (D)  

5.60

5.60

5.60

5.60

5.60

5.60

6318

Clavicle (G) ......................

10.50

10.50

10.50

10.50

10.50

10.50

6320

Clavicle (S) ......................

14.00

14.00

14.00

14.00

14.00

14.00

6324

Shoulder—first or second dislocation......

16.50

16.50

16.50

16.50

16.50

16.50

6328

Shoulder—third or subsequent dislocation-requiring anaesthesia 

14.00

14.00

14.00

14.00

14.00

14.00

6333

Shoulder—third or subsequent dislocation—not requiring anaesthesia 

11.00

11.00

11.00

11.00

11.00

11.00

6337

Elbow (G)........................

15.00

15.00

15.00

15.00

15.00

15.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

6338

Elbow (S) ........................

20.00

20.00

20.00

20.00

20.00

20.00

6343

Carpus (G).......................

10.00

10.00

10.00

10.00

10.00

10.00

6344

Carpus (S)........................

13.00

13.00

13.00

13.00

13.00

13.00

6349

Carpus on radius and ulna (G)...........

25.00

25.00

25.00

25.00

25.00

25.00

6350

Carpus on radius and ulna (S)...........

33.00

33.00

33.00

33.00

33.00

33.00

6354

Finger (G)........................

4.20

4.20

4.20

4.20

4.20

4.20

6355

Finger(S)........................

5.60

5.60

5.60

5.60

5.60

5.60

6359

Metacarpo-phalangeal joint of thumb (G)...

12.50

12.50

12.50

12.50

12.50

12.50

6360

Metacarpo-phalangeal joint of thumb (S)....

16.50

16.50

16.50

16.50

16.50

16.50

6365

Hip (G)..........................

41.50

41.50

41.50

41.50

41.50

41.50

6366

Hip(S) ..........................

55.00

55.00

55.00

55.00

55.00

55.00

6371

Knee(G) ........................

29.50

29.50

29.50

29.50

29.50

29.50

6372

Knee (S).........................

39.00

39.00

39.00

39.00

39.00

39.00

6377

Patella (G).......................

10.00

10.00

10.00

10.00

10.00

10.00

6378

Patella (S)........................

13.00

13.00

13.00

13.00

13.00

13.00

6382

Ankle (G)........................

16.50

16.50

16.50

16.50

16.50

16.50

6383

Ankle (S)........................

22.00

22.00

22.00

22.00

22.00

22.00

6387

Toe(G)..........................

5.00

5.00

5.00

5.00

5.00

5.00

6388

Toe(S)..........................

6.60

6.60

6.60

6.60

6.60

6.60

6392

Tarsus (G)........................

12.50

12.50

12.50

12.50

12.50

12.50

6393

Tarsus (S)........................

16.50

16.50

16.50

16.50

16.50

16.50

6397

Spine (cervical), without fracture (G)......

37.50

37.50

37.50

37.50

37.50

37.50

6398

Spine (cervical), without fracture (S)......

50.00

50.00

50.00

50.00

50.00

50.00

6402

Spine (lumbar), without fracture (G).......

37.50

37.50

37.50

37.50

37.50

37.50

6404

Spine (lumbar), without fracture (S).......

50.00

50.00

50.00

50.00

50.00

50.00

Dislocations Requiring Open Operation

6414

Treatment of a dislocation requiring open operation, being a dislocation referred to in an item (other than an item that includes the symbol “(D)”) under the last preceding heading               

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

6416

Treatment of a dislocation requiring open operation, being a dislocation referred to in Item 6311 or Item 6315 (D)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

Division 10—Treatment of Fractures

Simple and Uncomplicated Fractures Not Requiring Open Operation

6422

Terminal phalanx of finger or thumb......

8.00

8.00

8.00

8.00

8.00

8.00

6423

Proximal phalanx of finger or thumb (G)....

15.00

15.00

15.00

15.00

15.00

15.00

6426

Proximal phalanx of finger or thumb (S)....

25.00

25.00

25.00

25.00

25.00

25.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

WA

Tas.

 

 

$

$

$

$

$

$

6431

Middle phalanx of finger (G)...........

8.80

8.80

8.80

8.80

8.80

8.80

6432

Middle phalanx of finger (S)............

11.50

11.50

11.50

11.50

11.50

11.50

6437

One or more metacarpals, not involving base of first carpometacarpal joint (G) 

16.50

15.00

17.00

15.00

15.00

15.00

6438

One or more metacarpals, not involving base of first carpometarcarpal joint (S) 

35.00

35.00

35.00

35.00

35.00

30.00

6442

First metacarpal involving carpometacarpal joint (Bennett’s fracture)(G) 

20.00

20.00

20.00

20.00

20.00

20.00

6443

First metacarpal involving carpometacarpal joint (Bennett’s fracture)(S) 

40.00

40.00

40.00

40.00

40.00

40.00

6447

Carpus (excluding navicular)(G).........

9.90

9.90

9.90

9.90

9.90

9.90

6448

Carpus (excluding navicular)(S).........

13.00

13.00

13.00

13.00

13.00

13.00

6455

Navicular or carpal scaphoid (G).........

25.00

25.00

25.00

25.00

25.00

25.00

6456

Navicular or carpal scaphoid (S).........

30.00

30.00

30.00

30.00

30.00

30.00

6458

Colles fracture of wrist (G)............

22.00

25.00

28.00

21.00

21.00

21.00

6459

Colles fracture of wrist (S)............

45.00

40.00

50.00

45.00

45.00

40.00

6463

Distal end of radius or ulna, involving wrist

22.00

22.00

22.00

22.00

22.00

22.00

6467

Radius (G).......................

22.00

20.00

21.00

22.50

22.50

20.00

6468

Radius (S)........................

35.00

40.00

30.00

30.00

40.00

30.00

6470

Ulna (G) ........................

20.00

20.00

20.00

20.00

20.00

20.00

6471

Ulna (S).........................

25.00

25.00

25.00

25.00

25.00

25.00

6477

Both shafts of forearm (G).............

33.00

30.00

32.00

30.00

34.00

30.00

6478

Both shafts of forearm (S).............

60.00

50.00

50.00

50.00

45.00

45.00

6482

Humerus (G)......................

30.00

30.00

32.00

30.00

34.00

30.00

6483

Humerus (S)......................

60.00

50.00

50.00

50.00

45.00

45.00

6487

Clavicle or sternum (G)...............

16.50

16.00

15.00

12.50

14.00

12.50

6489

Clavicle or sternum (S)...............

25.00

24.00

25.00

20.00

20.00

20.00

6493

Scapula (G) ......................

16.50

16.50

16.50

16.50

16.50

16.50

6494

Scapula (S).......................

22.00

22.00

22.00

22.00

22.00

22.00

6496

One or more ribs—each attendance (G)....

4.00

3.60

3.50

3.40

3.50

3.60

6499

One or more ribs—each attendance (S).....

5.50

5.50

5.00

5.00

5.00

5.00

6503

Pelvis (excluding symphysis pubis) or sacrum (G) 

33.00

33.00

33.00

33.00

33.00

33.00

6505

Pelvis (excluding symphysis pubis) or sacrum (S)  

44.00

44.00

44.00

44.00

44.00

44.00

6509

Symphysis pubis (G) ................

25.00

25.00

25.00

25.00

25.00

25.00

6510

Symphysis pubis (S) .................

33.00

33.00

33.00

33.00

33.00

33.00

6515

Femur (G)........................

75.00

75.00

75.00

75.00

75.00

75.00

6516

Femur (S) ........................

100.00

100.00

100.00

100.00

100.00

100.00

6521

Fibula or tarsus (excepting os calcis or os talus) (G)  

16.50

17.50

16.00

15.00

15.00

15.00

6522

Fibula or tarsus (excepting os calcis or os talus) (S)  

26.50

27.50

24.00

25.00

25.00

25.00

6524

Tibia or patella (G) .................

27.50

30.00

26.50

25.00

28.00

25.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

WA.

Tas.

 

 

$

$

$

$

$

$

6527

Tibia or patella (S)..................

40.00

40.00

35.00

35.00

35.00

35.00

6531

Both shafts of leg (G) ................

49.00

49.00

49.00

49.00

49.00

49.00

6532

Both shafts of leg (S) ................

65.00

65.00

65.00

65.00

65.00

65.00

6537

Ankle (Pott’s fracture), with or without dislocation of ankle (G) 

49.00

49.00

49.00

49.00

49.00

49.00

6538

Ankle (Pott’s fracture), with or without dislocation of ankle (S) 

65.00

65.00

65.00

65.00

65.00

65.00

6543

Os calcis (calcaneous) or os talus (G)......

49.00

49.00

49.00

49.00

49.00

49.00

6544

Os calcis (calcaneous) or os talus (S)......

65.00

65.00

65.00

65.00

65.00

65.00

6549

Metatarsals—one or more (G)...........

16.50

15.00

16.00

15.00

15.00

15.00

6550

Metatarsals—one or more (S)...........

25.00

25.00

25.00

25.00

25.00

25.00

6552

Phalanx of toe (other than great toe).......

7.00

7.00

7.00

7.00

7.00

7.00

6559

More than one phalanx of toe (other than great toe) 

11.00

11.00

11.00

11.00

11.00

11.00

6564

Distal phalanx of great toe.............

9.40

9.40

9.40

9.40

9.40

9.40

6566

Proximal phalanx of great toe (G)........

10.00

10.00

10.00

10.00

10.00

10.00

6569

Proximal phalanx of great toe (S).........

12.00

12.00

12.00

12.00

12.00

12.00

6573

Skull, not requiring operation—each attendance (G)  

4.00

3.60

3.50

3.40

3.50

3.60

6575

Skull, not requiring operation—each attendance (S)  

5.50

5.50

5.00

5.00

5.00

5.00

6576

Nasal bones, not requiring reduction- each attendance (G) 

4.00

3.60

3.50

3.40

3.50

3.60

6580

Nasal bones, not requiring reduction- each attendance (S) 

5.50

5.50

5.00

5.00

5.00

5.00

6584

Nasal bones, requiring reduction (G)......

22.50

20.00

23.50

22.50

20.00

15.00

6586

Nasal bones, requiring reduction (S).......

45.00

45.00

40.00

30.00

32.00

25.00

6587

Nasal bones, requiring reduction and involving osteotomies 

90.00

90.00

90.00

90.00

90.00

90.00

6590

Maxilla—not requiring splinting (G)......

20.50

20.50

20.50

20.50

20.50

20.50

6592

Maxilla—not requiring splinting (S).......

27.50

27.50

27.50

27.50

27.50

27.50

6593

Maxilla—not requiring splinting (D)......

27.50

27.50

27.50

27.50

27.50

27.50

6596

Maxilla—with wiring of teeth or internal fixation 

60.00

60.00

60.00

60.00

60.00

60.00

6598

Maxilla—with wiring of teeth or internal fixation (D)  

60.00

60.00

60.00

60.00

60.00

60.00

6601

Maxilla—with external fixation..........

65.00

65.00

65.00

65.00

65.00

65.00

6602

Maxilla—with external fixation (D).......

65.00

65.00

65.00

65.00

65.00

65.00

6605

Mandible—not requiring splinting (G).....

25.00

25.00

25.00

25.00

25.00

25.00

6606

Mandible—not requiring splinting (S).....

33.00

33.00

33.00

33.00

33.00

33.00

6607

Mandible—not requiring splinting (D).....

33.00

33.00

33.00

33.00

33.00

33.00

6610

Mandible—with wiring of teeth or internal fixation 

80.00

80.00

80.00

80.00

80.00

80.00

6611

Mandible—with wiring of teeth or internal fixation (D)  

80.00

80.00

80.00

80.00

80.00

80.00

6614

Mandible—skeletal pinning with external fixation 

85.00

85.00

85.00

85.00

85.00

85.00

6615

Mandible—skeletal pinning with external fixation(D)  

85.00

85.00

85.00

85.00

85.00

85.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

6618

Zygoma (G) ......................

22.50

22.50

22.50

22.50

22.50

22.50

6619

Zygoma (S).......................

30.00

30.00

30.00

30.00

30.00

30.00

6620

Zygoma (D) ......................

30.00

30.00

30.00

30.00

30.00

30.00

6621

Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilization in plaster—each attendance (G)             

4.00

3.60

3.50

3.40

3.50

3.60

6624

Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilization in plaster—each attendance (S)             

5.50

5.50

5.00

5.00

5.00

5.00

6626

Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilization in plaster—each attendance (G)             

4.00

3.60

3.50

3.40

3.50

3.60

6629

Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilization in plaster—each attendance (S)             

5.50

5.50

5.00

5.00

5.00

5.00

6633

Spine (excluding sacrum), transverse process or bone other than vertebral body, requiring immobilization in plaster or traction by skull calipers (G)             

29.50

29.50

29.50

29.50

29.50

29.50

6634

Spine (excluding sacrum), transverse process or bone other than vertebral body, requiring immobilization in plaster or traction by skull calipers (S)             

39.00

39.00

39.00

39.00

39.00

39.00

6638

Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilization in plaster or traction by skull calipers (G)             

49.00

49.00

49.00

49.00

49.00

49.00

6639

Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilization in plaster or traction by skull calipers (S)             

65.00

65.00

65.00

65.00

65.00

65.00

6643

Spine (excluding sacrum), vertebral body, with involvement of cord 

165.00

165.00

165.00

165.00

165.00

165.00

Simple and Uncomplicated Fractures Requiring Open Operation

6647

Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item (other than an item that includes the symbol “(D)”) under the last preceding heading              

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

6648

Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)             

Amount

Amount

Amount

\mount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA.

WA

Tas.

 

 

$

$

$

$

$

$

Compound Fractures Requiring Open Operation

6651

Treatment of a compound fracture requiring open operation, being a fracture referred to in an item (other than an item that includes the symbol “(D)”) under the first heading in this Division             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

6652

Treatment of a compound fracture requiring open operation, being a fracture referred to in item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

Complicated Fractures Requiring Open Operation

6655

Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation being a fracture referred to in an item (other than an item that includes the symbol “(D)”) under the first heading in this Division             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

6656

Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation being a fracture referred to in item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)              

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 8

rule 8

rule 8

rule 8

rule 8

rule 8

General

6659

Initial reduction (without full postoperative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division              

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

6660

Initial reduction (without full postoperative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA

W.A.

Tas.

 

 

$

$

$

$

$

$

6663

Each subsequent reduction (without full post-operative treatment) in the series (other than the final reduction), being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

6664

Each subsequent reduction (without full post-operative treatment) in the series (other than the final reduction), being a reduction that would, but for this item, be covered by item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

6667

Final reduction (including full postoperative treatment) in the series being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

Rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

6668

Final reduction (including full postoperative treatment) in the series, being a reduction that would, but for this item, be covered by item 6593, 6598, 6602, 6607, 6611, 6615 or 6620 (D)             

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

6671

Treatment of avulsion of epiphysis of any part

Amount

Amount

Amount

Amount

Amount

Amount

 

 

under

under

under

under

under

under

 

 

rule 9

rule 9

rule 9

rule 9

rule 9

rule 9

 

Division 11—Orthopaedic

7010

Accessory or sesamoid bone, removal of ...

50.00

50.00

50.00

50.00

50.00

50.00

7014

Epicondylitis, open operation for (G)......

26.50

26.50

26.50

26.50

26.50

26.50

7016

Epicondylitis, open operation for (S) ......

35.00

35.00

35.00

35.00

35.00

35.00

7020

Digital nail, removal of ...............

6.50

5.00

5.00

5.00

5.00

5.00

7025

Incision of pulp space, paronychia or other acute infection of hands or feet, not covered by any other item in this Part             

5.60

5.60

5.60

5.60

5.60

5.60

 

7029

Middle palmar, thenar or hypothenar spaces, drainage of (G) 

9.90

9.90

9.90

9.90

9.90

9.90

7031

Middle palmar, thenar or hypothenar spaces, drainage of (S)  

13.00

13.00

13.00

13.00

13.00

13.00

7035

Ingrowing toenail, excision of nail bed (G)..

16.50

18.00

15.00

15.00

15.00

15.00

7037

Ingrowing toenail, excision of nail bed (S)...

40.00

30.00

30.00

25.00

30.00

20.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA

W.A.

Tas.

 

 

$

$

$

$

$

$

7041

Insertion of orthopaedic pin or wire where no other surgical procedure is performed (G) 

16.50

16.50

16.50

16.50

16.50

16.50

7043

Insertion of orthopaedic pin or wire where no other surgical procedure is performed (S) 

22.00

22.00

22.00

22.00

22.00

22.00

7044

Insertion of orthopaedic pin or wire where no other surgical procedure is performed (D) 

22.00

22.00

22.00

22.00

22.00

22.00

7047

Osteosynthesis by Smith-Petersen nail.....

180.00

180.00

180.00

180.00

180.00

180.00

7051

Temporo-mandibular meniscectomy ......

65.00

65.00

65.00

65.00

65.00

65.00

7052

Temporo-mandibular meniscectomy (D)....

65.00

65.00

65.00

65.00

65.00

65.00

7055

Joint (other than spine), manipulation of, under general anaesthesia (G) 

19.00

19.00

19.00

19.00

19.00

19.00

7056

Joint (other than spine), manipulation of, under general anaesthesia (S) 

25.00

25.00

25.00

25.00

25.00

25.00

7060

Spine, manipulation of, under general anaesthesia (G) 

25.00

20.00

20.00

20.00

20.00

20.00

7061

Spine, manipulation of, under general anaesthesia (S) 

35.00

25.00

25.00

25.00

25.00

25.00

7065

Spine, application of plaster jacket........

33.00

33.00

33.00

33.00

33.00

33.00

7069

Risser jacket, localiser or turn-buckle jacket, application of, body only 

30.00

30.00

30.00

30.00

30.00

30.00

7074

Risser jacket, localiser or turn-buckle jacket, application of, body and head 

36.00

36.00

36.00

36.00

36.00

36.00

7078

Scoliosis, spinal fusion for.............

275.00

275.00

275.00

275.00

275.00

275.00

7082

Scoliosis, re-exploration for adjustment or removal of Harrington rods or similar devices 

90.00

90.00

90.00

90.00

90.00

90.00

7087

Application of halo for spinal fusion in the treatment of scoliosis, as an independent procedure 

60.00

60.00

60.00

60.00

60.00

60.00

7091

Bone graft to spine, posterior, not covered by Item 7095 or 7104 

130.00

130.00

130.00

130.00

130.00

130.00

7095

Bone graft to spine, postero-lateral for spondylolisthesis  

230.00

230.00

230.00

230.00

230.00

230.00

7097

Anterior interbody spinal fusion to cervical spine—one level 

200.00

200.00

200.00

200.00

200.00

200.00

7098

Anterior interbody spinal fusion to cervical spine—more than one level 

250.00

250.00

250.00

250.00

250.00

250.00

7101

Anterior interbody spinal fusion to lumbar or thoracic spineone level 

230.00

230.00

230.00

230.00

230.00

230.00

7103

Anterior interbody spinal fusion to lumbar or thoracic spine—more than one level  

300.00

300.00

300.00

300.00

300.00

300.00

7104

Bone graft to spine with laminectomy and posterior interbody fusion 

200.00

225.00

200.00

200.00

200.00

200.00

7108

Bone graft not covered by any other item in this Part  

100.00

100.00

100.00

100.00

100.00

100.00

7109

Bone graft not covered by any other item in this Part (D) 

100.00

100.00

100.00

100.00

100.00

100.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

7113

Shoulder—removal of calcium deposit from cuff (G)  

37.50

37.50

37.50

37.50

37.50

37.50

7114

Shoulder-removal of calcium deposit from cuff (S) 

50.00

50.00

50.00

50.00

50.00

50.00

7118

Shoulder—arthrotomy................

55.00

55.00

55.00

55.00

55.00

55.00

7122

Shoulderarthroplasty or plastic reconstruction

140.00

140.00

140.00

140.00

140.00

140.00

7126

Shoulder—arthrodesis or arthrectomy......

165.00

165.00

165.00

165.00

165.00

165.00

7130

Finger or other small joint—arthrodesis, arthrectomy or arthroplasty 

60.00

60.00

50.00

45.00

45.00

45.00

7135

Small joint—arthrotomy (G)............

12.50

12.50

12.50

12.50

12.50

12.50

7136

Small joint—arthrotomy (S)............

16.50

16.50

16.50

16.50

16.50

16.50

7141

Zygapophyseal joints, arthrectomy of......

85.00

85.00

85.00

85.00

85.00

85.00

7145

Sacro-iliac joint—arthrodesis...........

95.00

95.00

95.00

95.00

95.00

95.00

7149

Other large joint—arthrodesis, arthrectomy, arthroplasty or total synovectomy of 

85.00

85.00

85.00

85.00

85.00

85.00

7154

Other large joint—arthrotomy (G)........

45.00

45.00

45.00

45.00

45.00

45.00

7155

Other large joint—arthrotomy (S)........

60.00

60.00

60.00

60.00

60.00

60.00

7157

Hip—arthrodesis

220.00

220.00

220.00

220.00

220.00

220.00

7158

Hip—arthrectomy...................

150.00

150.00

150.00

150.00

150.00

150.00

7160

Hip—arthroplasty (Austin Moore, Girdlestone or similar procedure) 

150.00

150.00

150.00

150.00

150.00

150.00

7161

Hip—arthroplasty, cup or mould (Smith-Petersen or similar procedure) 

190.00

190.00

190.00

190.00

190.00

190.00

7162

Hip-arthroplasty, total replacement (McKee-Farrer, Chamley or similar procedure) 

275.00

275.00

275.00

275.00

275.00

275.00

7163

Hip—arthrotomy...................

110.00

110.00

110.00

110.00

110.00

110.00

7167

Knee—arthrodesis, arthrectomy, arthroplasty or total synovectomy of 

150.00

150.00

150.00

150.00

150.00

150.00

7171

Kneearthrotomy..................

75.00

75.00

75.00

75.00

75.00

75.00

7173

Knee—arthroscopy of, not associated with any other operative procedure on that knee 

40.00

40.00

40.00

40.00

40.00

40.00

7176

Knee—operation for internal derangement..

85.00

90.00

85.00

100.00

85.00

65.00

7180

Knee—reconstruction of cruciate ligaments..

110.00

110.00

110.00

110.00

110.00

110.00

7184

Knee—reconstruction of capsular ligaments.

85.00

85.00

85.00

85.00

85.00

85.00

7189

Knee—excision of patella (G)...........

75.00

75.00

75.00

75.00

75.00

75.00

7190

Knee—excision of patella (S)...........

100.00

100.00

100.00

100.00

100.00

100.00

7195

Knee—operation for recurrent dislocation of patella 

85.00

85.00

85.00

85.00

85.00

85.00

7199

Joint, aspiration of, or intra-articular injection into, or both of those services (G) 

5.00

5.00

5.00

5.00

5.00

5.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA

WA

Tas.

 

 

$

$

$

$

$

$

7200

Joint, aspiration of, or intra-articular injection into, or both of those services (S) 

6.00

6.00

6.00

6.00

6.00

6.00

7205

Synovial cavity, aspiration of, or intra- synovial injection of, or both of those services (G) 

4.50

4.50

4.50

4.50

4.50

4.50

7206

Synovial cavity, aspiration of, or intra- synovial injection of, or both of those services (S) 

6.00

6.00

6.00

6.00

6.00

6.00

7210

Joint, repair of capsule or ligament of......

33.00

33.00

33.00

33.00

33.00

33.00

7214

Foot or ankle region—triple arthrodesis....

110.00

125.00

110.00

110.00

110.00

110.00

7218

Calcanean spur, removal of............

65.00

65.00

65.00

65.00

65.00

65.00

7221

Hallux valgus, correction of (G).........

55.00

50.00

45.00

45.00

45.00

35.00

7222

Hallux valgus, correction of (S)..........

70.00

70.00

60.00

60.00

60.00

50.00

7224

Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal (G) 

72.50

67.50

62.50

60.00

62.50

50.00

7225

Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal (S) 

105.00

95.00

82.50

80.00

85.00

70.00

7226

Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal and transplantation of adductor hallucis tendon

125.00

115.00

102.50

100.00

105.00

90.00

7227

Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (G) 

78.75

73.75

68.75

68.75

68.75

60.00

7228

Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (S) 

100.00

100.00

90.00

90.00

90.00

80.00

7230

Hallux rigidus, correction of............

55.00

55.00

55.00

55.00

55.00

55.00

7233

Hammer toe, correction of (G)..........

37.50

37.50

37.50

37.50

37.50

37.50

7234

Hammer toe, correction of (S)...........

50.00

50.00

50.00

50.00

50.00

50.00

7238

Cervical rib, removal of ..............

110.00

110.00

110.00

110.00

110.00

110.00

7242

Scalenotomy......................

39.00

39.00

39.00

39.00

39.00

39.00

7246

Acromion or coraco-acromion ligament, removal of 

65.00

65.00

65.00

65.00

65.00

65.00

7250

Excision of exostosis of small bone (G)....

37.50

37.50

37.50

37.50

37.50

37.50

7252

Excision of exostosis of small bone (S).....

50.00

50.00

50.00

50.00

50.00

50.00

7253

Excision of exostosis of small bone (D)....

50.00

50.00

50.00

50.00

50.00

50.00

7256

Excision of exostosis of large bone (G).....

45.00

45.00

45.00

45.00

45.00

45.00

7257

Excision of exostosis of large bone (S).....

60.00

60.00

60.00

60.00

60.00

60.00

7261

Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (G) 

35.00

35.00

35.00

30.00

35.00

30.00

7263

Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (S) 

50.00

50.00

45.00

40.00

50.00

40.00

7266

Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation 

55.00

55.00

55.00

55.00

55.00

55.00

7271

Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus             

55.00

55.00

55.00

55.00

55.00

55.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA

WA

Tas.

 

 

$

$

$

$

$

$

7275

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation             

65.00

65.00

65.00

65.00

65.00

65.00

7280

Osteotomy or osteectomy of tibia or humerus

75.00

75.00

75.00

75.00

75.00

75.00

7284

Osteotomy or osteectomy of femur or pelvic bone 

120.00

120.00

120.00

120.00

120.00

120.00

7289

Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation 

180.00

180.00

180.00

180.00

180.00

180.00

7292

Osteotomy, bilateral iliac, preliminary to repair of ectopic bladder 

100.00

100.00

100.00

100.00

100.00

100.00

7293

Osteotomy of femur—sub-trochanteric.....

120.00

120.00

120.00

120.00

120.00

120.00

7297

Osteectomy of vertebral bodies..........

115.00

115.00

115.00

115.00

115.00

115.00

7301

Osteotomy and distraction for lengthening of limb  

120.00

120.00

120.00

120.00

120.00

120.00

7305

Removal of distracting apparatus from limb, without internal fixation 

30.00

30.00

30.00

30.00

30.00

30.00

7309

Removal of distracting apparatus from limb, with internal fixation 

60.00

60.00

60.00

60.00

60.00

60.00

7315

Flexor tendon of hand, primary suture of (G).

31.00

31.00

31.00

31.00

31.00

31.00

7316

Flexor tendon of hand, primary suture of (S).

41.00

41.00

41.00

41.00

41.00

41.00

7318

Flexor tendon of hand, secondary suture of (G)

56.50

56.50

56.50

56.50

56.50

56.50

7319

Flexor tendon of hand, secondary suture of (S)

75.00

75.00

75.00

75.00

75.00

75.00

7325

Extensor tendon of hand, primary suture of (G)

25.00

25.00

25.00

25.00

25.00

25.00

7326

Extensor tendon of hand, primary suture of (S)

33.00

33.00

33.00

33.00

33.00

33.00

7328

Extensor tendon of hand, secondary suture of (G) 

37.50

37.50

37.50

37.50

37.50

37.50

7329

Extensor tendon of hand, secondary suture of (S) 

50.00

50.00

50.00

50.00

50.00

50.00

7333

Achilles tendon or other large tendon, suture of (G) 

60.00

60.00

60.00

60.00

60.00

60.00

7334

Achilles tendon or other large tendon, suture of (S) 

80.00

80.00

80.00

80.00

80.00

80.00

7338

Tendon of foot, primary suture of (G)......

16.50

16.50

16.50

16.50

16.50

16.50

7339

Tendon of foot, primary suture of (S)......

22.00

22.00

22.00

22.00

22.00

22.00

7343

Tendon of foot, secondary suture of (G)....

25.00

25.00

25.00

25.00

25.00

25.00

7344

Tendon of foot, secondary suture of (S)....

33.00

33.00

33.00

33.00

33.00

33.00

7348

Tenotomy, subcutaneous, one or more tendons

20.00

20.00

20.00

20.00

20.00

20.00

7352

Tenotomy, open, with or without tenoplasty .

50.00

50.00

50.00

50.00

50.00

50.00

7356

Tendon or ligament transplantation not covered by any other item 

90.00

90.00

90.00

90.00

90.00

90.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

SA

WA

Tas.

 

 

$

$

$

$

$

$

7360

Iliopsoas tendon, transplantation of, to greater trochanter  

150.00

150.00

150.00

150.00

150.00

150.00

7364

Tendon graft ......................

75.00

75.00

75.00

75.00

75.00

75.00

7368

Achilles tendon or other large tendon— operation for lengthening. 

55.00

55.00

55.00

55.00

55.00

55.00

7372

Tendon sheath, incision of (G)..........

16.50

16.50

16.50

16.50

16.50

16.50

7373

Tendon sheath, incision of (S)...........

22.00

22.00

22.00

22.00

22.00

22.00

7377

Stenosing tendovaginitis, open operation for (G) 

30.00

30.00

30.00

30.00

30.00

30.00

7378

Stenosing tendovaginitis, open operation for (S) 

40.00

40.00

40.00

40.00

40.00

40.00

7382

Tendon sheath of finger or thumb, synovectomy of  

44.00

44.00

44.00

44.00

44.00

44.00

7386

Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue             

65.00

65.00

65.00

65.00

65.00

65.00

7390

Dupuytren’s contracture, subcutaneous fasciotomy (G) 

25.00

25.00

25.00

25.00

25.00

25.00

7391

Dupuytren’s contracture, subcutaneous fasciotomy(S) 

33.00

33.00

33.00

33.00

33.00

33.00

7395

Dupuytren’s contracture, radical operation for (G) 

60.00

60.00

60.00

60.00

60.00

60.00

7396

Dupuytren’s contracture, radical operation for (S) 

80.00

80.00

80.00

80.00

80.00

80.00

7400

Volkmann’s contracture, operation for.....

75.00

75.00

75.00

75.00

75.00

75.00

Division 12—Paediatric

Manipulation and Plaster Work for Correction of Congenital Abnormalities

7450

Congenital dislocation of hip— manipulation and plaster (one hip) 

35.00

25.00

25.00

25.00

25.00

25.00

7454

Talipes equinovarus—manipulation under general anaesthesia 

8.80

8.80

8.80

8.80

8.80

8.80

7458

Talipes equinovarus—manipulation and plaster under general anaesthesia 

10.00

10.00

10.00

10.00

10.00

10.00

7462

Calcaneus valgusmanipulation under general anaesthesia 

8.80

8.80

8.80

8.80

8.80

8.80

7466

Calcaneus valgusmanipulation and plaster under general anaesthesia 

11.00

11.00

11.00

11.00

11.00

11.00

7470

Pes planus—manipulation under general anaesthesia  

8.80

8.80

8.80

8.80

8.80

8.80

7474

Pes planus—manipulation and plaster under general anaesthesia 

13.00

13.00

13.00

13.00

13.00

13.00

7478

Genu varum or genu valgummanipulation under general anaesthesia 

8.80

8.80

8.80

8.80

8.80

8.80

7482

Genu varum or genu valgum—manipulation and plaster under general anaesthesia 

16.50

16.50

16.50

16.50

16.50

16.50

7486

Genu varum or genu valgum—manipulation and plaster with osteoclasis 

44.00

44.00

44.00

44.00

44.00

44.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

7490

Contractures, manipulation under general anaesthesia, not covered by any other item in this Part  

8.80

8.80

8.80

8.80

8.80

8.80

7494

Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part             

13.00

13.00

13.00

13.00

13.00

13.00

7498

Spastic paralysis—manipulation and plaster (one limb) 

13.00

13.00

13.00

13.00

13.00

13.00

Operations for Correction of Congenital Abnormalities

7510

Subdural haemorrhage, tap for, each tap....

8.80

8.80

8.80

8.80

8.80

8.80

7514

Subdural haemorrhage, osteoplastic flap and excision of 

130.00

130.00

130.00

130.00

130.00

130.00

7519

Hydrocephalus—suboccipital decompression, third ventriculostomy or Torkildsen’s operation 

165.00

165.00

165.00

165.00

165.00

165.00

7523

Ventriculo-jugular shunt..............

165.00

165.00

165.00

165.00

165.00

165.00

7528

Ventriculo-atrial shunt for hydrocephalus...

165.00

165.00

165.00

165.00

165.00

165.00

7532

Ventriculo-atrial shunt for hydrocephalus, revision or removal of 

85.00

85.00

85.00

85.00

85.00

85.00

7537

Hydrocephalus, spino-ureteral, spino- peritoneal or spino-pleural anastomosis of, or ventricular cable shunt for             

130.00

130.00

130.00

130.00

130.00

130.00

7541

Craniostenosis, operation for—single suture.

130.00

130.00

130.00

130.00

130.00

130.00

7543

Craniostenosis, operation for—more than one suture 

180.00

180.00

180.00

180.00

180.00

180.00

7545

Arachnoidal cyst, operation for..........

165.00

165.00

165.00

165.00

165.00

165.00

7549

Hypertelorism, correction of............

165.00

165.00

165.00

165.00

165.00

165.00

7554

Choanal atresia, plastic repair of.........

150.00

150.00

150.00

150.00

150.00

150.00

7557

Choanal atresia, repair of by puncture and dilatation  

39.00

39.00

39.00

39.00

39.00

39.00

7561

Macrocheilia, macroglossia or macro-stomia, operation for 

85.00

85.00

85.00

85.00

85.00

85.00

7565

Torticollis, operation for..............

65.00

65.00

65.00

65.00

65.00

65.00

7569

Oesophagus, radical correction of congenital stenosis of   

195.00

195.00

195.00

195.00

195.00

195.00

7573

Tracheo-oesophageal fistula, correction of

195.00

195.00

195.00

195.00

195.00

195.00

7577

Duodenal obstruction (congenital) anastomosis or resection of 

130.00

130.00

130.00

130.00

130.00

130.00

7581

Hypertrophic pyloric stenosis, operation for (G)  

67.50

67.50

67.50

67.50

67.50

67.50

7582

Hypertrophic pyloric stenosis, operation for (S) 

90.00

90.00

90.00

90.00

90.00

90.00

7586

Congenital volvulus of the small intestine, correction of 

110.00

110.00

110.00

110.00

110.00

110.00

7590

Intestinal atresia or stenosis—excision or anatomosis (or both) 

130.00

130.00

130.00

130.00

130.00

130.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

WA

Tas.

 

 

$

$

$

$

$

$

7594

Hirschsprung’s disease, rectosigmoidectomy for  

165.00

165.00

165.00

165.00

165.00

165.00

7598

Exomphalos, operation for.............

85.00

85.00

85.00

85.00

85.00

85.00

7602

Exomphalos, operation for, by plastic flap...

110.00

110.00

110.00

110.00

110.00

110.00

7607

Imperforate anus, abdomino-perineal correction of 

165.00

165.00

165.00

165.00

165.00

165.00

7611

Imperforate anus, correction of (other than abdomino-perineal) 

65.00

65.00

65.00

65.00

65.00

65.00

7616

Contracted bladder neck (congenital), wedge excision or perurethral resection of 

110.00

110.00

110.00

110.00

110.00

110.00

7620

Urachal fistula, operation for...........

65.00

65.00

65.00

65.00

65.00

65.00

7625

Ectopic bladder—‘turning-in’ operation....

165.00

165.00

165.00

165.00

165.00

165.00

7629

Pinhole urinary meatus—meatotomy (G)...

16.50

16.50

16.50

16.50

16.50

16.50

7631

Pinhole urinary meatus—meatotomy (S)....

22.00

22.00

22.00

22.00

22.00

22.00

7635

Urethral valves, open removal of.........

130.00

130.00

130.00

130.00

130.00

130.00

7640

Incontinence of urine (congenital)plastic operation to sphincter 

95.00

95.00

95.00

95.00

95.00

95.00

7644

Lymphangiectasis of limb (Milroy’s disease)—excision of 

85.00

85.00

85.00

85.00

85.00

85.00

Operations for Excision of Congenital Abnormalities

7649

Abnormal limb, amputation of..........

50.00

50.00

50.00

50.00

50.00

50.00

7653

Extra digit, amputation of (G)...........

16.50

16.50

16.50

16.50

16.50

16.50

7655

Extra digit, amputation of (S)...........

22.00

22.00

22.00

22.00

22.00

22.00

7659

Dermoid, periorbital, excision of (G)......

19.00

19.00

19.00

19.00

19.00

19.00

7661

Dermoid, periorbital, excision of (S)......

25.00

25.00

25.00

25.00

25.00

25.00

7665

Dermoid, orbital, excision of...........

85.00

85.00

85.00

85.00

85.00

85.00

7670

Dermoid of nose, superficial, excision of (G).

16.50

16.50

16.50

16.50

16.50

16.50

7671

Dermoid of nose, superficial, excision of (S) .

22.00

22.00

22.00

22.00

22.00

22.00

7676

Dermoid of nose, excision of, with intranasal extension 

55.00

55.00

55.00

55.00

55.00

55.00

7680

Sacrococcygeal dermoid or teratoma other than pilonidal sinus, excision of 

95.00

95.00

95.00

95.00

95.00

95.00

7685

Myelomeningocele—excision of sac......

85.00

85.00

85.00

85.00

85.00

85.00

7688

Myelomeningocele, extensive, requiring formal repair with skin flaps or Z plasty 

150.00

150.00

150.00

150.00

150.00

150.00

Operations for Acquired Conditions

7700

Megacolon, colectomy................

130.00

130.00

130.00

130.00

130.00

130.00

7704

Epiphysitis (Perthes’, Calve’s or Scheurermann’s) plaster for 

16.50

16.50

16.50

16.50

16.50

16.50

7708

Epiphysitis (Sever’s, Kohler’s, Kienboch’s or Schlatter’s), plaster for 

10.00

10.00

10.00

10.00

10.00

10.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

Division 13Plastic and Reconstructive
Meticulous Plastic Repair Designed to Obtain Maximal Functional or
Cosmetic Results including the Preparation of the Defect Requiring Repair

7750

Derma-fat fascia graft (including transplant or muscle flap)  

65.00

65.00

65.00

65.00

65.00

65.00

7754

Abrasive therapy, limited area...........

33.00

33.00

33.00

33.00

33.00

33.00

7758

Abrasive therapy, extensive area.........

55.00

55.00

55.00

55.00

55.00

55.00

7762

Electrolysis epilation, each treatment......

10.00

8.00

7.50

7.50

8.00

7.50

7767

Angioma, cauterisation of or injection into, under general anaesthesia 

8.80

8.80

8.80

8.80

8.80

8.80

7768

Angioma, cauterisation of or injection into, under general anaesthesia (D) 

8.80

8.80

8.80

8.80

8.80

8.80

7771

Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of  

25.00

25.00

20.00

20.00

20.00

16.00

7772

Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of (D) 

25.00

25.00

20.00

20.00

20.00

16.00

7775

Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of

30.00

30.00

30.00

30.00

30.00

30.00

7776

Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (D) 

30.00

30.00

30.00

30.00

30.00

30.00

7779

Angioma involving deeper tissue, small, excision and repair of 

40.00

40.00

40.00

40.00

40.00

40.00

7783

Angioma involving deeper tissue, large, excision and repair of  

60.00

60.00

60.00

60.00

60.00

60.00

7787

Haemangioma of neck, deep-seated, excision of  

105.00

105.00

105.00

105.00

105.00

105.00

7791

Major excision and grafting for lymphoedema

110.00

110.00

110.00

110.00

110.00

110.00

7795

Foreign implants for contour reconstruction..

55.00

55.00

55.00

55.00

55.00

55.00

Meticulous Plastic Repair of Limb (above hand or foot) or of
Trunk Designed to Obtain Maximal Functional or Cosmetic Results including the
Preparation of the Defect Requiring Repair

7850

Single stage local flap repair, simple, small..

40.00

40.00

40.00

40.00

40.00

40.00

7854

Single stage local flap repair, complicated or large 

50.00

50.00

50.00

50.00

50.00

50.00

7858

Direct flap repair (cross leg or similar), first stage 

39.00

39.00

39.00

39.00

39.00

39.00

7862

Direct flap repair (cross leg or similar), second stage 

22.00

22.00

22.00

22.00

22.00

22.00

7866

Direct flap repair, small, first stage........

27.50

27.50

27.50

27.50

27.50

27.50

7870

Direct flap repair, small, second stage......

13.00

13.00

13.00

13.00

13.00

13.00

7874

Indirect flap or tubed pedicle, formation of..

44.00

44.00

44.00

44.00

44.00

44.00

7877

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of  

27.50

27.50

27.50

27.50

27.50

27.50


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

7881

Indirect flap or tubed pedicle, preparation of site and attachment to site 

65.00

65.00

65.00

65.00

65.00

65.00

7885

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure 

39.00

39.00

39.00

39.00

39.00

39.00

7889

Direct, indirect or local flap repair, revision of graft  

27.50

27.50

27.50

27.50

27.50

27.50

7893

Free grafts (split skin or pinch grafts) on granulating areas, small 

16.50

16.50

16.50

16.50

16.50

16.50

7897

Free grafts (split skin) on granulating areas, extensive  

45.00

45.00

45.00

45.00

45.00

45.00

7901

Free grafts (split skin) to extensive burns....

65.00

65.00

65.00

65.00

65.00

65.00

7905

Free grafts (split skin) including elective dissection, small 

31.00

31.00

31.00

31.00

31.00

31.00

7909

Free grafts (split skin) including elective dissection, extensive. 

65.00

75.00

65.00

65.00

65.00

65.00

7913

Free full thickness grafts ..............

55.00

55.00

55.00

55.00

55.00

55.00

7917

Cineplasty for amputation stump.........

85.00

85.00

85.00

85.00

85.00

85.00

7921

Mammaplasty, reduction or repositioning (unilateral) 

165.00

165.00

165.00

165.00

165.00

165.00

7925

Mammaplasty, augmentation, prosthetic (unilateral) 

140.00

140.00

140.00

140.00

140.00

140.00

7929

Mammaplasty, derma-fat fascia (unilateral)..

165.00

165.00

165.00

165.00

165.00

165.00

Meticulous Plastic Repair of Hands, Feet, Scalp, Face or Neck Designed to Obtain Maximal Functional or Cosmetic Results including the Preparation of the Defect Requiring Repair

 

7950

Single stage local flap repair, simple, small  

40.00

40.00

40.00

40.00

40.00

40.00

7952

Single stage local flap repair following removal of tumour, cyst or scar, cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (G)             

45.00

44.50

44.50

44.50

44.50

44.00

7953

Single stage local flap repair following removal of tumour, cyst or scar, cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (S)             

52.50

52.50

50.00

50.00

50.00

48.00

7954

Single stage local flap repair, complicated or large 

65.00

65.00

65.00

65.00

65.00

65.00

7958

Direct flap repair, small (cross finger or similar), first stage 

40.00

40.00

40.00

40.00

40.00

40.00

7962

Direct flap repair, small (cross finger or similar), second stage 

22.00

22.00

22.00

22.00

22.00

22.00

7966

Indirect flap or tubed pedicle, formation of..

55.00

55.00

55.00

55.00

55.00

55.00

7970

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of  

39.00

39.00

39.00

39.00

39.00

39.00

7974

Indirect flap or tubed pedicle, preparation of site and attachment to site 

85.00

85.00

85.00

85.00

85.00

85.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

7978

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure 

55.00

55.00

55.00

55.00

55.00

55.00

7982

Direct, indirect or local flap repair, revision of graft  

39.00

39.00

39.00

39.00

39.00

39.00

7987

Hair transplants, multiple punch or similar technique, involving not more than 40 punch grafts 

20.00

20.00

20.00

20.00

20.00

20.00

7988

Hair transplants, multiple punch or similar technique, involving more than 40 but not more than 100 punch grafts             

40.00

40.00

40.00

40.00

40.00

40.00

7989

Hair transplants, multiple punch or similar technique, involving more than 100 punch grafts 

90.00

90.00

90.00

90.00

90.00

90.00

7994

Free grafts (split skin or pinch grafts) on granulating areas, small 

22.00

22.00

22.00

22.00

22.00

22.00

7998

Free grafts (split skin) on granulating areas, extensive 

60.00

60.00

60.00

60.00

60.00

60.00

8002

Free grafts (split skin) to extensive burns....

95.00

95.00

95.00

95.00

95.00

95.00

8007

Free grafts (split skin) including elective dissection, small 

50.00

50.00

50.00

50.00

50.00

50.00

8011

Free grafts (split skin) including elective dissection, extensive. 

75.00

75.00

75.00

75.00

75.00

75.00

8015

Free full thickness grafts ..............

75.00

75.00

75.00

75.00

75.00

75.00

8020

Digit, transplantation of—complete procedure

130.00

130.00

130.00

130.00

130.00

130.00

8024

Macrodactyly, plastic reduction of, each finger

45.00

45.00

45.00

45.00

45.00

45.00

8029

Face, operations involving supportive grafts.

130.00

130.00

130.00

130.00

130.00

130.00

8033

Suspension operation for facial paralysis....

95.00

95.00

95.00

95.00

95.00

95.00

8037

Melonoplasty......................

250.00

250.00

250.00

250.00

250.00

250.00

8042

Orbital cavity, reconstruction of floor or roof of  

90.00

90.00

90.00

90.00

90.00

90.00

8046

Maxilla, resection of.................

165.00

165.00

165.00

165.00

165.00

165.00

8050

Mandible, resection of................

130.00

130.00

130.00

130.00

130.00

130.00

8051

Mandible, resection of (D).............

130.00

130.00

130.00

130.00

130.00

130.00

8054

Mandible, segmental resection of, for tumours  

110.00

110.00

110.00

110.00

110.00

110.00

8055

Mandible, segmental resection of, for tumours (D) 

110.00

110.00

110.00

110.00

110.00

110.00

8058

Mandible, section-fixation for prognathism or retrognathism 

110.00

110.00

110.00

110.00

110.00

110.00

8059

Mandible, section-fixation for prognathism or retrognathism (D) 

110.00

110.00

110.00

110.00

110.00

110.00

8060

Mandible, hemi-mandibular reconstruction with bone graft, not associated with Item 8050 

150.00

150.00

150.00

150.00

150.00

150.00

8062

Mandible, condylectomy ..............

65.00

65.00

65.00

65.00

65.00

65.00

8063

Mandible, condylectomy (D)...........

65.00

65.00

65.00

65.00

65.00

65.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

WA

Tas.

 

 

$

$

$

$

$

$

8066

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital malformation not covered by any other item in this Part             

55.00

55.00

55.00

55.00

55.00

55.00

8067

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital malformation not covered by any other item in this Part (D)             

55.00

55.00

55.00

55.00

55.00

55.00

8070

Osteotomy or Osteectomy of Maxilla (other than alveolar margins) for congenital malformation not covered by any other item in this Part             

65.00

65.00

65.00

65.00

65.00

65.00

8071

Osteotomy or Osteectomy of Maxilla (other than alveolar margins) for congenital malformation not covered by any other item in this Part (D)             

65.00

65.00

65.00

65.00

65.00

65.00

Meticulous Plastic repair of Eyelids, Nose, Ears, Lips, Palate or Pharynx designed to obtain maximal functional or cosmetic results including the preparation of the defect requiring repair

8110

Single stage local flap repair, simple, small..

50.00

50.00

50.00

50.00

50.00

50.00

8111

Single stage local flap repair, simple, small (D)  

50.00

50.00

50.00

50.00

50.00

50.00

8114

Single stage local flap repair, complicated or large 

75.00

75.00

75.00

75.00

75.00

75.00

8119

Direct flap repair, first stage............

85.00

85.00

85.00

85.00

85.00

85.00

8123

Direct flap repair, second stage..........

50.00

50.00

50.00

50.00

50.00

50.00

8128

Indirect flap or tubed pedicle, formation of..

85.00

85.00

85.00

85.00

85.00

85.00

8132

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of  

50.00

50.00

50.00

50.00

50.00

50.00

8136

Indirect flap or tubed pedicle, preparation of site and attachment to site 

110.00

110.00

110.00

110.00

110.00

110.00

8141

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure 

85.00

85.00

85.00

85.00

85.00

85.00

8145

Direct, indirect or local flap repair, revision of graft  

55.00

55.00

55.00

55.00

55.00

55.00

8150

Free grafts (split skin or pinch grafts) on granulating areas, small 

33.00

33.00

33.00

33.00

33.00

33.00

8154

Free grafts (split skin) on granulating areas, extensive  

65.00

65.00

65.00

65.00

65.00

65.00

8159

Free grafts (split skin) to extensive burns....

130.00

130.00

130.00

130.00

130.00

130.00

8163

Free grafts (split skin) including elective dissection, small 

65.00

65.00

65.00

65.00

65.00

65.00

8167

Free grafts (split skin) including elective dissection, extensive. 

130.00

130.00

130.00

130.00

130.00

130.00

8172

Free full thickness grafts ..............

75.00

75.00

75.00

75.00

75.00

75.00

8176

Whole thickness repair of eyelid.........

110.00

110.00

110.00

110.00

110.00

110.00

8180

Partial reconstruction of eyelid or socket....

27.50

27.50

27.50

27.50

27.50

27.50

8184

Correction of ptosis (unilateral)..........

120.00

100.00

100.00

100.00

100.00

100.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

8188

Ectropion or entropion, correction of (unilateral) 

60.00

60.00

60.00

60.00

60.00

60.00

8192

Reduction of eyelid or eyelids of one eye...

60.00

60.00

60.00

60.00

60.00

60.00

8196

Symblepharon, grafting for.............

65.00

65.00

65.00

65.00

65.00

65.00

8200

Rhinoplasty involving correction of bony or cartilaginous vault of the nose 

110.00

100.00

100.00

100.00

100.00

100.00

8204

Rhinoseptoplasty  ..................

130.00

130.00

130.00

130.00

130.00

130.00

8208

Rhinoplasty, cosmetic, not covered by Item 6584 or 6586 

180.00

200.00

180.00

180.00

180.00

180.00

8212

Rhinoplasty, secondary revision of........

27.50

27.50

27.50

27.50

27.50

27.50

8216

Rhinophyma, correction of.............

65.00

65.00

65.00

65.00

65.00

65.00

8220

Composite graft to nose or ear...........

50.00

50.00

50.00

50.00

50.00

50.00

8224

Lop ear, bat ear or similar deformity, correction of  

100.00

100.00

100.00

100.00

100.00

100.00

8228

Pinna, amputation of, complete..........

36.00

36.00

36.00

36.00

36.00

36.00

8232

Congenital atresia, reconstruction of external auditory canal 

110.00

110.00

110.00

110.00

110.00

110.00

8236

Full thickness lip reconstruction, other than than simple suture—complete procedure  

75.00

75.00

75.00

75.00

75.00

75.00

8240

Cleft lip, complete primary repair, unilateral

120.00

120.00

120.00

120.00

120.00

120.00

8244

Cleft lip, complete primary repair, one stage, bilateral 

160.00

160.00

160.00

160.00

160.00

160.00

8248

Cleft lip, incomplete primary repair, unilateral  

65.00

65.00

65.00

65.00

65.00

65.00

8252

Cleft lip, secondary correction, partial or incomplete  

50.00

50.00

50.00

50.00

50.00

50.00

8256

Cleft lip, secondary correction, complete revision 

95.00

95.00

95.00

95.00

95.00

95.00

8260

Cleft lip, secondary correction, Abbe flap

220.00

220.00

220.00

220.00

220.00

220.00

8264

Cleft lip, secondary correction of nostril or nasal tip  

41.00

41.00

41.00

41.00

41.00

41.00

8268

Cleft palate, primary repair, partial cleft ....

120.00

120.00

120.00

120.00

120.00

120.00

8269

Cleft palate, primary repair, partial cleft (D).

120.00

120.00

120.00

120.00

120.00

120.00

8272

Cleft palate, primary repair, complete deft ..

150.00

150.00

150.00

150.00

150.00

150.00


 

 

Fees

 

 

 

 

 

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

 

 

$

$

$

$

$

$

8273

Cleft palate, primary repair, complete cleft (D)  

150.00

150.00

150.00

150.00

150.00

150.00

8276

Cleft palate, secondary repair, incomplete...

65.00

65.00

65.00

65.00

65.00

65.00

8277

Cleft palate, secondary repair, incomplete (D)

65.00

65.00

65.00

65.00

65.00

65.00

8280

Cleft palate, secondary repair, lengthening procedure  

110.00

110.00

110.00

110.00

110.00

110.00

8281

Cleft palate, secondary repair, lengthening procedure (D) 

110.00

110.00

110.00

110.00

110.00

110.00

8284

Cleft palate, partial repair, complex cleft ...

110.00

110.00

110.00

110.00

110.00

110.00

8285

Cleft palate, partial repair, complex cleft (D)

110.00

110.00

110.00

110.00

110.00

110.00

8288

Pharyngeal flap or pharyngoplasty........

130.00

130.00

130.00

130.00

130.00

130.00

 

SCHEDULE 2 Section 30

HEADS OF AGREEMENT

1. The agreement is to be in force for a specified period.

2. The agreement is to specify the hospitals in the State that are to be recognized hospitals for the purposes of the agreement.

3. Australia is to meet, in accordance with Heads 4 and 5, an amount equal to 50 per centum of the net operating costs of all the recognized hospitals in the State in respect of the period during which the agreement is in force or 50 per centum of the aggregate of the amounts paid by the State to all the recognized hospitals in the State towards meeting the costs of operating those hospitals during that period, whichever is the less.

4. Australia is to make daily bed payments, in accordance with section 31, to each recognized hospital in the State in respect of the period during which the agreement is in force.

5. Australia is to pay to the State an amount equal to the amount by which the aggregate of the daily bed payments under Head 4 is less than the amount that Australia is to meet under Head 3.

6. The State is to endeavour to ensure that care and treatment provided by recognized hospitals in the State, in accordance with Heads 7 to 10 (inclusive), are, or will be, available to all eligible persons in the State who wish to receive them.

7. An eligible person is to be entitled to receive care and treatment as a hospital patient in a recognized hospital free of charge.

8. An eligible person is to be entitled to receive free of charge out-patient services provided by a recognized hospital, but specified out-patient services may be restricted to persons who are able to satisfy a means test.

9. An eligible person who—

(a) is a private patient in a recognized hospital; or

(b) being a hospital patient in a recognized hospital, elects to pay hospital charges in respect of accommodation in a single room or small ward in the hospital,

is to be charged only in accordance with the scale of hospital charges set out in the agreement.

10. Unless the agreement otherwise provides, Heads 7 and 9 do not apply in relation to the care and treatment of an eligible person in a recognized hospital in respect of an injury or


SCHEDULE 2—continued

 

disease if the eligible person is entitled to the payment of, or has been paid, compensation or damages in respect of that injury or disease.

11. The agreement may be varied from time to time by agreement between Australia and the State.