Statutory Rules 1992 No. 3381
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Health Insurance (1992-1993 General Medical Services Table) Regulations
I, The Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 20 October 1992.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
B. HOWE
Minister of State for Health, Housing and Community Services
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Citation
1. These Regulations may be cited as the Health Insurance (1992-1993 General Medical Services Table) Regulations.
Commencement
2. These Regulations commence on 1 November 1992.
Repeal
3. Statutory Rules 1991 No. 351 and 1992 Nos. 70 and 191 are repealed.
General medical services table
4. The table of general medical services in the Schedule is prescribed for the purposes of subsection 4 (2) of the Health Insurance Act 1973.
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SCHEDULE Regulation 4
TABLE OF GENERAL MEDICAL SERVICES
RULES OF INTERPRETATION
General
1. (1) In this table, unless the contrary intention appears:
“attendance of a minor nature” or “minor attendance”, in relation to an attendance on a patient by a consultant physician, means an attendance that:
(a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b) does not result in a substantial alteration to the treatment of the patient;
“institution” means a place (other than a hospital, a nursing home or accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or mentally handicapped persons;
“the Act” means the Health Insurance Act 1973.
SCHEDULE—continued
(2) In this table, a reference by number to an item in the series 65001 to 73921 (inclusive) is a reference to the item so numbered in the pathology services table.
(3) In this table, a reference by number to an item in the series 55000 to 61502 (inclusive) is a reference to the item so numbered in the diagnostic imaging services table.
(4) In this table, the symbol “(AU n)” (where n is a number) is explained in items 17901 to 17959 (inclusive).
(5) In these Rules, “referring practitioner”, in relation to a referral, means:
(a) in the case of all referrals—a medical practitioner; and
(b) if the referral is given to a specialist who is an ophthalmologist—an optometrist; and
(c) if the referral:
(i) arises out of a dental service given by a dental practitioner; and
(ii) is given to a specialist (but not a consultant physician);
a dental practitioner.
Meaning of symbols“(S)” and “(G)”
2. (1) An item including the symbol “(S)” applies only to a service given by a specialist (and not to a service given by a consultant physician) in the practice of his or her specialty:
(a) to a patient who has been referred to the specialist, if the service is the first given by the specialist after the referral; or
(b) to a patient who has been referred to the specialist:
(i) if the service is part of a single course of treatment given for the condition identified in the referral; or
(ii) if no condition was identified in the referral—for the condition identified by the specialist; and
the service is given within the period of validity of the referral applicable under regulation 12 of the Health Insurance Regulations; or
(c) to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was given, if the service is the first given by the specialist in accordance with the referral; or
(d) to a patient who has not been referred to the specialist if, in an emergency, the specialist decides that it is necessary in the patient’s interests to give the service as soon as practicable without a referral.
SCHEDULE—continued
(2) An item including the symbol “(G)” applies only to a service given otherwise than by a specialist in accordance with subrule (1).
Meaning of “single course of treatment” in certain circumstances
3. (1) In subrule 1 (1), rules 2 and 4 and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128 and 131, “single course of treatment” includes:
(a) the:
(i) initial attendance by a specialist or consultant physician; and
(ii) continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(b) any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or the specialist or consultant physician.
(2) For the purposes of subrule (1), an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care, initiates a new course of treatment for which a new referral is required.
(3) For the purposes of subrule (1), if:
(a) a referring practitioner considers it necessary for a patient’s condition to be reviewed; and
(b) the patient is attended by the specialist or consultant physician after the end of the period of validity of the last referral applicable under regulation 12 of the Health Insurance Regulations; and
(c) the patient was last attended by the specialist or consultant physician more than 9 months before the attendance mentioned in paragraph (b);
the attendance mentioned in paragraph (b) initiates a new course of treatment.
Interpretation of items 104 to 159 (inclusive)
4. (1) In items 104 to 159 (inclusive), “attendance”, in relation to an attendance on a patient by a specialist, or consultant physician, in the practice or his or her specialty if the patient is referred to him or her:
(a) includes an attendance by a specialist, or consultant physician, in the practice of his or her specialty:
(i) if the patient has declared that a written referral of the patient was completed by a medical practitioner
SCHEDULE—continued
(ii) if, in an emergency, the patient has not been referred to the specialist, or consultant physician, who decides that it is necessary in the patient’s interests to give the service mentioned in the item as soon as practicable without a referral; but
(b) does not include an attendance by a specialist, or consultant physician, in the practice of his or her specialty if:
(i) the attendance forms part of a single course of treatment in which the first service was given more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii) a later referral has not been given.
(2) In items 104 to 159 (inclusive), a reference to the referring of a patient to a specialist, or consultant physician, is a reference to the referring of a patient to a specialist, or consultant physician, by a referring practitioner.
Meaning of “professional attendance” in certain items
5. In items 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 and 51, “professional attendance” includes (but is not limited to) the provision in relation to a patient of 1 or more of the following services:
(a) the evaluation of the patient’s condition or conditions including, if applicable, evaluation using the health screening services mentioned in in subsection 19 (5) of the Act;
(b) the formulation of a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c) the provision:
(i) of advice to the patient about the patient’s condition or conditions and, if applicable, about treatment; and
(ii) if the patient has so authorised, of advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(d) the recording of the clinical details of the service or services given to the patient.
SCHEDULE—continued
Meaning of “Amount under rule 6” in certain items
6. (1) In items 13, 19 and 20, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 3; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(2) In items 25, 33 and 35, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 23; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(3) In items 38, 40 and 43, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 36; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(4) In items 48, 50 and 51, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 44; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(5) In items 81, 87 and 92, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 52; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(6) In items 83, 89 and 93, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 53; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(7) In items 84, 90 and 95, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 54; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(8) In items 86, 91 and 96, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 57; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
Items 10809 and 10929 not to apply in certain circumstances
7. Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1 or more of the following reasons:
(a) because the patient does not want to wear spectacles for reasons of appearance; or
(b) because the patient wants contact lenses for work, or sporting, purposes; or
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
Application of items 10921 to 10929 (inclusive)
8. (1) For the purposes of items 10921 to 10929 (inclusive), a patient has an ocular condition which necessitates a further course of attention within 36 months of the previous initial consultation only in the circumstances mentioned in subrules (2) and (3).
(2) The patient requires a change in contact lens material, or basic lens parameters, other than a simple power change, because of:
(a) a structural, or functional, change in the eye; or
(b) an allergic response.
(3) A lost, damaged or otherwise unsatisfactory contact lens is replaced by an optometrist:
(a) who:
(i) does not have access to the original prescription; and
(ii) does a total refit where an item mentioned in subrule (1) applies; and
(b) who is not:
(i) the optometrist who initially fitted the contact lenses; or
(ii) an optometrist at, or operating from, the same practice location at which the optometrist who initially fitted the contact lenses practised when the contact lenses were initially fitted.
SCHEDULE—continued
Personal attendance by medical practitioners generally
9. (1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by a medical practitioner on a single patient on a single occasion.
(2) The items are 3 to 153 (inclusive), 157 to 164 (inclusive), 173 to 10815 (inclusive), 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13800, 13803, 13806, 13900, 13903, 13906, 13909, 13912, 14200, 14203, 14206, 16000 to 16552 (inclusive) and 16558 to 51309 (inclusive).
(3) Items 154, 155, 156, 170, 171 and 172 apply only to a service given in the course of a personal attendance by a medical practitioner.
Personal attendance by certain medical practitioners
10. (1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by:
(a) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital other than a private hospital; or
(b) a medical practitioner:
(i) who is employed by the proprietor of a hospital other than a private hospital; and
(ii) who gives the service otherwise than in the course of employment by that proprietor;
whether or not another person provides essential assistance to that medical practitioner in accordance with accepted medical practice.
(2) The items are 3 to 10815 (inclusive), 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13800, 13803, 13806, 13900, 13903, 13906, 13909, 13912, 14200, 14203, 14206, 16000 to 16552 (inclusive) and 16558 to 51309 (inclusive).
SCHEDULE—continued
Certain services may be given by persons other than medical practitioners
11. (1) The items mentioned in subrule (2) apply whether the medical service is given by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
(2) The items are 11000, 11003, 11006, 11009, 11024, 11027, 11200, 11203, 11206, 11209, 11215, 11218, 11221, 11224, 11227, 11300, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11603, 11606, 11609, 11612, 11615, 11618, 11621, 11624, 11700, 11703, 11706, 11709, 11710, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11918, 12006, 12009, 12200, 12500 to 12530 (inclusive), 13200, 13203, 13206, 13212, 13215, 13218, 13221, 14050, 14053, 15000 to 15533 (inclusive) and 16555.
Conditions under which certain services to be provided
12. Items 11309, 11312, 11315, 11318 and 11321 apply only to a service given:
(a) in conditions that allow the establishment of determinate thresholds; and
(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983, of the Standards Association of Australia, as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard AS 2586-1983, of the Standards Association of Australia, as in force on 1 August 1987.
Application of items 51700 to 53455 (inclusive)
13. Items 51700 to 53455 (inclusive) apply only to a service given in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “administration of an anaesthetic” in items 18102 to 18118 (inclusive)
14. In items 18102 to 18118 (inclusive), “administration of an anaesthetic” means the administration of an anaesthetic in connection with a dental service, other than a dental service that is a prescribed medical service for the purposes of paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Act.
Meaning of “prescribed locations” in item 18013
15. In item 18013, “prescribed locations” means:
(a) Royal North Shore Hospital, St Leonards, New South Wales;
(b) Royal Prince Alfred Hospital, Camperdown, New South Wales;
(c) Westmead Hospital, Westmead, New South Wales;
(d) Royal Melbourne Hospital, Parkville, Victoria;
(e) St Vincent’s Hospital, Fitzroy, Victoria;
(f) Alfred Group of Hospitals, Prahran, Victoria;
(g) Austin Hospital, Heidelberg, Victoria;
(h) Princess Alexandra Hospital, Woolloongabba, Queensland;
(i) Royal Brisbane Hospital, Herston, Queensland;
(j) Royal Adelaide Hospital, Adelaide, South Australia;
(k) Flinders Medical Centre, Bedford Park, South Australia;
(l) Sir Charles Gairdner Hospital, Nedlands, Western Australia;
(m) Royal Hobart Hospital, Hobart, Tasmania.
Meaning of “Amount under rule 16” in certain items
16. In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or (vi), “Amount under rule 16” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to radiotherapy treatment of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15003—$12.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15103—$13.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(iii) for item 15109—$16.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
SCHEDULE—continued
(iv) for item 15204—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(v) for item 15208—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(vi) for item 15214—$17.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 17” in certain items
17. In an item mentioned in subparagraph (b) (i) or (ii), “Amount under rule 17” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to treatment, by a single dose of radiotherapy, of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15009—$13.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15115—$33.50 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 18” in certain items
18. In an item to which paragraph (a) or (b) applies, “Amount under rule 18” means an amount equal to:
(a) for item 17977—85% of the fee, for the administration of an anaesthetic, for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)); or
(b) for item 44376—75% of the fee for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)).
Meaning of “(AD)” in items 75200 to 75854 (inclusive)
19. Items 75200 to 75854 (inclusive) that include the symbol “(AD)” apply only to a service given by a State registered dental practitioner practising as a dentist.
SCHEDULE—continued
Orthodontic services
20. (1) In this rule:
“accredited orthodontist” means:
(a) a dental practitioner who is registered or licensed as an orthodontist or oral surgeon under the relevant law; or
(b) a dental practitioner:
(i) who is not registered or licensed under the relevant law as an orthodontist or an oral surgeon or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists or oral surgeons; and
(ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75000 to 75051 (inclusive); and
(iii) who is accredited by the Minister for the purposes of this rule;
“Committee” means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;
“relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of orthodontists or oral surgeons.
(2) Items 75000 to 75051 (inclusive) that include the symbol “(AO)” apply only to a service given by an accredited orthodontist.
Oral surgery services
21. (1) In this rule, “relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of oral surgeons.
(2) Items 75200 to 75609 (inclusive) that include the symbol “(AOS)” apply only to a service given by a dental practitioner who is:
(a) registered under the relevant law as an oral surgeon; and
(b) a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “report” in items 11000 to 12200 (inclusive)
22. In items 11000 to 12200 (inclusive), “report” means a report prepared by a medical practitioner.
Meaning of “treatment cycle of a patient”
23. In rule 24 and items 13200 to 13221 (inclusive), “treatment cycle of a patient” means a series of treatments of the patient that:
(a) begins:
(i) if treatment with superovulatory drugs is given—on the day on which that treatment begins; or
(ii) if treatment with superovulatory drugs is not given—on the first day of the menstrual cycle of the patient; and
(b) ends not more than 30 days after that day.
Certain services given as part of treatment cycle
24. If a service mentioned:
(a) in an item in subgroup 3 of group T1 (assisted reproductive services); and
(b) in another item outside that subgroup;
is given as part of a treatment cycle to which that subgroup applies, it is not a medical service for the purposes of that other item.
Services not to apply in certain pregnancy-related circumstances
25. Items 13200 to 13221 (inclusive) do not apply to a service in relation to a patient’s pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for guardianship of, or custodial rights to, a child born as a result of the pregnancy to be transferred to another person.
Meaning of “embryology laboratory services” in items 13200 and 13206
26. In items 13200 and 13206, “embryology laboratory services” includes:
(a) egg recovery from aspirated follicular fluid; and
(b) insemination; and
(c) monitoring of fertilisation and embryo development; and
(d) preparation of gametes or embryos for transfer or freezing;
but does not include semen preparation.
SCHEDULE—continued
Meaning of “confinement” in certain items
27. In items 16506, 16507, 16510, 16513, 16516 and 16517, “confinement” includes:
(a) induction of labour by surgical or intravenous infusion methods; and
(b) forceps or vacuum extraction; and
(c) breech delivery; and
(d) management of multiple deliveries; and
(e) episiotomy; and
(f) repair of tears; and
(g) a medical service mentioned in item 16558 or 16561 when performed at the time of delivery; and
(h) evacuation of the products of conception by manual removal.
Certain procedures constitute a single operation
28. The procedures mentioned within item 16516, 16517, 16520, 16564, 16567, 16570 or 16573 constitute, for the purposes of that item, a single operation for the purposes of subsections 16 (2), (3) and (4) of the Act.
Meaning of “maxilla” in certain items
29. In items 45719 to 45752 (inclusive) and 52342 to 52375 (inclusive), “maxilla” includes the zygoma.
Items 46300 to 46510 (inclusive) apply only in certain circumstances
30. Items 46300 to 46510 (inclusive) apply only to a service given in the course of an operation on a hand or hands.
Meaning of “closed reduction” and “open reduction” in items 47000 to 50239 (inclusive)
31. In items 47000 to 50239 (inclusive):
“closed reduction”:
(a) means treatment of a dislocation or fracture by non-operative reduction; and
(b) includes the use of percutaneous fixation, or external splintage by cast or splints;
SCHEDULE—continued
“open reduction” means treatment of a dislocation or fracture by either:
(a) operative exposure including the use of any internal or external fixation; or
(b) non-operative (closed reduction) where intra-medullary fixation or external fixation is used.
Services in association with spinal fusion services
32. Items 48678, 48681, 48684, 48687 and 48690 apply only if the service is undertaken in association with a spinal fusion service to which item 48642, 48645, 48648, 48651, 48654, 48657, 48660, 48663, 48666, 48669, 48672 or 48675 applies.
Meaning of “Amount under rule 33” in items 51303 and 51803
33. In items 51303 and 51803, “Amount under rule 33”, in relation to an amount payable for assistance at an operation, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was given.
Meaning of “Amount under rule 34” in item 51309
34. (1) In item 51309, “Amount under rule 34” in relation to an amount payable for assistance at a series, or combination, of operations, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was given.
(2) For the purposes of subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 16520.
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
CATEGORY 1—ATTENDANCES
GROUP A1—GENERAL PRACTITIONER
ATTENDANCES (NOT COVERED BY ANY OTHER
ITEM)
Subgroup 1—Vocationally registered
3 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendence | 11.40 |
4 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendance | 28.50 |
13 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
19 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
20 | Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons' accommodation (not being accommodation in a self contained unit) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
23 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 36 or 44 applies—each attendance
| 24.00 |
24 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management, plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of aservice to which item 37 or 47 applies—each attendance | 41.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
25 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 38 or 48 applies—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
33 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 40 or 50 applies—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
35 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 43 or 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 44 applies—each attendance | 43.50 |
37 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 47 applies—each attendance | 60.00 |
38 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 48 applies—an attendance on 1 or more patients at 1institution on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
40 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 50 applies—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
43 | Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
44 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance | 64.00 |
47 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance | 81.00 |
48 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
50 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
51 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 2—Other than vocationally registered
52 | Professional attendance at consulting rooms of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 11.00 |
53 | Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 21.00 |
54 | Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 38.00 |
57 | Professional attendance at consulting rooms of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 61.00 |
58 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 24.00 |
59 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 31.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
60 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 51.00 |
65 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 73.00 |
81 | Professional attendance at an institution of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
83 | Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
84 | Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
86 | Professional attendance at an institution of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
87 | Professional attendance at a hospital of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
89 | Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
90 | Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
91 | Professional attendance at a hospital of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on the one occasion—each patient | Amount under rule 6 |
92 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
93 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 5 minutes duration but not more than 25 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
95 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
96 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
Subgroup 3 - After hours
97 | Professional attendance being an attendance at other than consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment | 45.50 |
98 | Professional attendance being an attendance at consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment, and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 45.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP A2 - SPECIALIST ATTENDANCES
TO WHICH NO OTHER ITEM APPLIES
104 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—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, not being a service to which item 106 applies | 60.00 |
105 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 30.00 |
106 | Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (other than a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10815 applies), where the attendance is at consulting rooms, hospital or nursing home | 49.50 |
107 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—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 | 88.00 |
108 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | 56.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP A3—CONSULTANT PHYSICIAN
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
110 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment | 106.00 |
116 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment | 53.00 |
119 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment | 30.00 |
122 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment | 128.00 |
128 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance to which item 131 applies) subsequent to the first in a single course of treatment | 78.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
131 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment | 56.00 |
GROUP A4—CONSULTANT PSYCHIATRIST
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
134 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to hi or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 30.50 |
136 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 61.00 |
138 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 89.00 |
140 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 124.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
142 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 150.00 |
144 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 56.00 |
146 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 88.00 |
148 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 122.00 |
150 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 148.00 |
152 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 176.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
153 | Attendance for electroconvulsive therapy, including associated consultation (AU 3) | 40.00 |
154 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a group of 2-9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient | 35.00 |
155 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient | 46.00 |
156 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient | 68.00 |
157 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minute’s duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient | 37.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
158 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minute’s duration, in the course of initial diagnostic evaluation of a patient | 83.00 |
159 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient—payable not more than twice in any twelve month period | 37.00 |
GROUP A5—PROLONGED ATTENDANCES
TO WHICH NO OTHER ITEM APPLIES
160 | Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 87.00 |
161 | Professional attendance for a period of not less than 2 hours but less than 3 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 142.00 |
162 | Professional attendance for a period of not less than 3 hours but less than 4 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 196.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
163 | Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 250.00 |
164 | Professional attendance for a period of 5 hours or more (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 305.00 |
GROUP A6—GROUP THERAPY
170 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 2 patients | 92.00 |
171 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 3 patients | 97.00 |
172 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 4 or more patients | 118.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP A7—ACUPUNCTURE
173 | Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | 21.50 |
GROUP A8—CONTACT LENSES
10801 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye | 86.00 |
10802 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 86.00 |
10803 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with astigmatism of 3.0 dioptres or greater in 1 eye | 86.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10804 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens | 86.00 |
10805 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | 86.00 |
10806 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system | 86.00 |
10807 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity—whether congenital, traumatic or surgical in origin | 86.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10808 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients who, by reason of physical deformity, are unable to wear spectacles | 86.00 |
10809 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient's account | 86.00 |
10815 | Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription being a subsequent fitting of contact lenses within a period of 36 months of the initial fitting to which an item of items 10801 to 10809 (inclusive) applies | 6.10 |
GROUP A9—OPTOMETRICAL
10900 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location—once only in a period of 24 months. | 49.50 |
10902 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a significant change of visual function requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10903 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
10904 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a progressive disorder (excluding presbyopia) requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
10908 | Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. | 25.00 |
10909 | Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified that, in his or her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. | 25.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10921 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye. | 126.00 |
10922 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10923 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with astigmatism of 3.0 dioptres or greater in 1 eye | 126.00 |
10924 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10925 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | 126.00 |
10926 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10927 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by: pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity—whether congenital, traumatic or surgical in origin | 126.00 |
10928 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients who, by reason of physical deformity, are unable to wear spectacles | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
10929 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient's account | 126.00 |
CATEGORY 2—DIAGNOSTIC PROCEDURES
AND INVESTIGATIONS
GROUP D1—MISCELLANEOUS
DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Subgroup 1—NEUROLOGY
11000 | Electroencephalography, not associated with item 11003, 11006 or 11009 (AU 6) | 87.00 |
11003 | Electroencephalography, prolonged recording of at least three hours duration, not associated with item 11000, 11006 or 11009 | 230.00 |
11006 | Electroencephalography, emporosphenoidal | 118.00 |
11009 | Electrocorticography | 160.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11012 | Neuromuscular electrodiagnosis—conduction studies on 1 nerve or electromyography of 1 or more muscles using concentic needle electrodes or both these examinations (not associated with item 11015 or 11018) | 79.00 |
11015 | Neuromuscular electrodiagnosis—conduction studies on 2 or 3 nerves with or without electromyography (not associated with item 11012 or 11018) | 106.00 |
11018 | Neuromuscular electrodiagnosis—conduction studies on 4 or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not associated with item 11012 or 11015) | 158.00 |
11021 | Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations | 106.00 |
11024 | Investigation of central nervous system evoked responses by computerised averaging techniques—1 or 2 studies | 80.00 |
11027 | Investigation of central nervous system evoked responses by computerised averaging techniques—3 or more studies | 120.00 |
Subgroup 2—Ophthalmology
11200 | Provocative test or tests for glaucoma, including water drinking | 28.50 |
11203 | Tonography—in the investigation or management of glaucoma, of 1 or both eyes—using an electrical tonography machine producing a directly recorded tracing | 48.50 |
11206 | Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes | 77.00 |
11209 | Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes | 114.00 |
11212 | Optic fundi, examination of following intravenous dye injection | 49.50 |
11215 | Retinal photography, multiple exposures, of 1 eye with intravenous dye injection | 96.00 |
11218 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | 118.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11221 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 2 examinations (including examinations to which item 11224 applies) in any 12 month period | 67.00 |
11224 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 2 examinations (including examinations to which item 11221 applies) in any 12 month period | 40.00 |
11227 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, an examination to which item 11221 or 11224 applies, being the third or subsequent examination in a 12 month period | 5.60 |
Subgroup 3—Otolaryngology
11300 | Brain stem evoked response audiometry (AU 6) | 136.00 |
11303 | Insertion of electrodes for the purpose of electrocochleography | 134.00 |
11306 | Non-determinate audiometry | 15.40 |
11309 | Audiogram, air conduction | 18.40 |
11312 | Audiogram, air and bone conduction or air conduction and speech discrimination | 26.00 |
11315 | Audiogram, air and bone conduction and speech | 34.50 |
11318 | Audiogram, air and bone conduction and speech, with other cochlear tests | 42.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11321 | Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) | 81.00 |
11324 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—not associated with a service to which item 11309, 11312, 11315 or 11318 applies | 23.00 |
11327 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—in association with a service to which item 11309, 11312, 11315 or 11318 applies | 14.00 |
11330 | Impedance audiogram where the patient is not referred by a medical practitioner—1 examination in any 4 week period | 5.60 |
11333 | Caloric test of labyrinth or labyrinths | 31.50 |
11336 | Simultaneous bithermal caloric test of labyrinths | 31.50 |
11339 | Electronystagmography | 31.50 |
Subgroup 4—Respiratory
11500 | Bronchospirometry, including gas analysis | 118.00 |
11503 | Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles—each occasion at which 1 or more such tests are performed | 98.00 |
11506 | Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator—each occasion at which 1 or more such tests are performed | 14.40 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11509 | Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed | 25.00 |
11512 | Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed | 43.50 |
Subgroup 5—Vascular
11600 | Blood pressure monitoring by intravascular cannula (AU 4) | 48.50 |
11603 | Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques: (a) Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; (b) Doppler recordings involving real time fast fourier transform analysis; (c) venous occlusion lethysmography; (d) air plethysmography; (e) strain-guage plethysmography; (f) impedance plethysmography; (g) photo plethysmography; (not associated with items 11612 or 11615)—1 examination and report | 36.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11606 | 2 examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615) | 52.00 |
11609 | 3 or more examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615) | 67.00 |
11612 | Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral) | 67.00 |
11615 | Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing | 53.00 |
11618 | Examination of carotid vessels (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques: (a) Doppler real time fast fourier transform analysis; (b) oculoplethysmography, phonoangiography or both; (c) periorbital Doppler examination; (not associated with item 55201, 55204, 55225 or 55231)—1 examination and report | 47.50 |
11621 | 2 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231) | 72.00 |
11624 | 3 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231) | 95.00 |
11627 | Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age | 162.00 |
11630 | Pulmonary artery pressure monitoring during open heart surgery, in a person over 12 years of age | 60.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 6—Cardiovascular
11700 | Twelve-lead electrocardiography, tracing and report | 24.50 |
11703 | Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in this Schedule, or twelve-lead electrocardiography, tracing only | 12.20 |
11706 | Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram—interpretation and report | 51.00 |
11709 | Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters | 132.00 |
11710 | Continuous ambulatory ECG monitoring for a minimum of 12 hours and for up to 7 days by a device with facility for the patient to activate permanent recording from magnetic tape or solid state memory for at least 20 seconds prior to each activation of recording and for at least 15 seconds after each activation, including analysis, interpretation and report of recordings | 130.00 |
11712 | Electrocardiographic monitoring during exercise (bicycle ergometer or treadmill) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator | 120.00 |
11713 | Signal averaged electrocardiographic recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording | 49.00 |
11715 | Blood dye—dilution indicator test | 85.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11718 | Implanted pacemaker testing involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not associated with item 11700 or 11721 | 24.50 |
11721 | Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not associated with item 11700 or 11718 | 49.00 |
Subgroup 7—Gastroenterology and Colorectal
11800 | Oesophageal motility test, manometric | 122.00 |
11810 | Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation | 120.00 |
11830 | Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex | 92.00 |
11833 | Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency | 176.00 |
Subgroup 8—Genito-urinary Physiological Investigations
11900 | Urine flow study including peak urine flow measurement, not associated with item 11918 | 19.40 |
11903 | Cystometrography, not associated with items 11912, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table | 78.00 |
11906 | Urethral pressure profilometry, not associated with items 11909, 11918, 11012-11027, 11921, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table | 78.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
11909 | Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 11906, 11915, 11918, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table | 116.00 |
11912 | Cystometrography with simultaneous measurement of rectal pressure, not associated with items 11903, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6) | 116.00 |
11915 | Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 11903, 11909, 11912, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6) | 116.00 |
11918 | Cystometrography with simultaneous measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 11900-11915, 11012-11027, 11921 and 36800 (AU 6) | 300.00 |
11921 | Bladder washout test for localization of urinary infection—not including bacterial counts for organisms in specimens | 53.00 |
Subgroup 9—Allergy Testing
12000 | Skin sensitivity testing for allergens, using 1 to 20 allergens, not associated with item 12006 | 27.50 |
12003 | Skin sensitivity testing for allergens, using more than 20 allergens, not associated with item 12009 | 41.50 |
12006 | Epicutaneous patch testing in the investigation of allergic dermatitis, using 1 to 20 allergens | 27.50 |
12009 | Epicutaneous patch testing in the investigation of allergic dermatitis, using more than 20 allergens | 41.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 10—Intensive Care Management and Procedures
12100 | Arterial puncture and collection of blood for diagnostic purposes | 16.20 |
12103 | Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis | 48.50 |
12106 | Counterpulsation by intra-aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters | 380.00 |
12109 | Counterpulsation by intra-aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters | 92.00 |
12112 | Circulatory support device, management of, on first day | 350.00 |
12115 | Circulatory support device, management of, on each day subsequent to the first | 81.00 |
Subgroup 11—Other Diagnostic Procedures and Investigations
12200 | Collection of specimen of sweat by iontophoresis | 26.00 |
GROUP D2—NUCLEAR MEDICINE (NON-IMAGING)
12500 | Blood volume estimation | 152.00 |
12503 | Erythrocyte radioactive uptake survival time test or iron kinetic test | 300.00 |
12506 | Gastrointestinal blood loss estimation involving examination of stool specimens | 215.00 |
12509 | Gastrointestinal protein loss | 152.00 |
12512 | Radioactive B12 absorption test—1 isotope | 74.00 |
12515 | Radioactive B12 absorption test—2 isotopes | 162.00 |
12518 | Thyroid uptake (using probe) | 74.00 |
12521 | Perchlorate discharge study | 89.00 |
12524 | Renal function test (without imaging procedure) | 112.00 |
12527 | Renal function test (associated with imaging and at least 2 blood samples) | 60.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
12530 | Whole body count—not associated with any other item | 89.00 |
CATEGORY 3—THERAPEUTIC PROCEDURES
GROUP T1—MISCELLANEOUS
THERAPEUTIC PROCEDURES
Subgroup 1—Hyperbaric Oxygen Therapy
13000 | Hyperbaric oxygen therapy where the medical practitioner is not in the chamber | 97.00 |
13003 | Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber | 158.00 |
13006 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber | 132.00 |
13009 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber | 194.00 |
Subgroup 2—Dialysis
13100 | Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day | 96.00 |
13103 | Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day | 50.00 |
13106 | Declotting of an arteriovenous shunt | 86.00 |
13109 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of (AU 8) | 160.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
13112 | Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation) | 96.00 |
Subgroup 3—Assisted Reproductive Services
13200 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service provided under item 13203, 13206 or 13218—being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days—a maximum of 6 claims per patient | 1,565.00 |
13203 | Ovulation monitoring services, for superovulated treatment cycles of less than 9 days duration and artificial insemination—including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service provided under item 13200, 13206, 13212, 13215 or 13218 | 390.00 |
13206 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures), using unstimulated ovulation or ovulation stimulated only by clomiphene citrate, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination, frozen embryo transfer or donated embryos or ova or treatment involving the use of drugs to induce superovulation—being services rendered during 1 treatment cycle but only if rendered in conjunction with item 13212 | 670.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
13209 | Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, or for artificial insemination—payable once only during 1 treatment cycle (S) | 67.00 |
13212 | Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures—only if rendered in conjunction with item 13200 or 13206 (AU 9) | 285.00 |
13215 | Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos—only if rendered in conjunction with item 13200 or 13206, being services rendered in 1 treatment cycle (AU 9) | 89.00 |
13218 | Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle but excluding a service provided under item 13200, 13203, 13206, 13212 or 13215 (AU 9) | 670.00 |
13221 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | 41.00 |
Subgroup 4—Paediatric and Neonatal
13300 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein | 40.00 |
13303 | Umbilical artery catheterisation with or without infusion | 60.00 |
13306 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | 235.00 |
13309 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 200.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
13312 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 20.00 |
13315 | Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis | 160.00 |
13318 | Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under 12 years of age (AU 12) | 160.00 |
Subgroup 5—Cardiovascular
13400 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4) | 68.00 |
Subgroup 6—Gastroenterology
13500 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 128.00 |
13503 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | 255.00 |
Subgroup 7—Perfusion
13600 | Perfusion of limb or organ using heart-lung machine or equivalent | 315.00 |
13603 | Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent | 450.00 |
13606 | Induced controlled hypothermia—total body | 77.00 |
Subgroup 8—Haematology
13700 | Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10) | 235.00 |
13703 | Administration of blood including collection from donor | 84.00 |
13706 | Administration of blood or bone marrow already collected | 59.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
13709 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | 34.00 |
Subgroup 9—Intensive Care Management and Procedures
13800 | Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by item 13318 (AU 6) | 60.00 |
13803 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on the first day | 168.00 |
13806 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on each day subsequent to the first day | 42.00 |
Subgroup 10—Chemotherapeutic procedures
13900 | Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | 63.00 |
13903 | Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder | 46.00 |
13906 | Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for | 60.00 |
13909 | Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium | 92.00 |
13912 | Intralymphatic insertion of needle or cannula for the introduction of radioactive material | 92.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 11—Dermatology
14050 | PUVA therapy or UVB therapy administered in whole body cabinet (not associated with item 14053), including associated consultations other than an initial consultation | 41.50 |
14053 | PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not associated with item 14050), including associated consultations other than an initial consultation | 41.50 |
Subgroup 12—Other Therapeutic Procedures
14200 | Gastric lavage in the treatment of ingested poison | 42.00 |
14203 | Hormone or living tissue implantation—by incision | 36.00 |
14206 | Hormone or living tissue implantation—by cannula | 25.00 |
GROUP T2—RADIATION ONCOLOGY
Subgroup 1—Superficial
15000 | Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which any other item in this Group applies—each attendance at which fractionated treatment is given—1 field | 30.00 |
15003 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
15006 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given | 67.00 |
15009 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose is given separately to each of 2 or more fields | Amount under rule 17 |
15012 | Radiotherapy, superficial—each attendance at which treatment is given to an eye | 37.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 2—Orthovoltage
15100 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given to 1 field only | 33.50 |
15103 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
15106 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given to 1 field only | 39.50 |
15109 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
15112 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given (not being a service to which any other item in this Part applies) | 85.00 |
15115 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which only a single dose is separately given to each of 2 or more fields (not being a service to which any other item in this Group applies) | Amount under rule 17 |
Subgroup 3—Megavoltage
15203 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—1 field | 33.00 |
15204 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
15207 | Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities—each attendance at which treatment is given—1 field | 33.00 |
15208 | Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
15211 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—1 field | 30.00 |
15214 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
Subgroup 4—Brachytherapy
15303 | Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5) | 250.00 |
15304 | Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (AU 5) | 250.00 |
15307 | Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (AU 5) | 475.00 |
15308 | Intrauterine treatment alone using radioactive sealed sources having a half life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 5) | 475.00 |
15311 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 4) | 235.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
15312 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 4) | 235.00 |
15315 | Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (AU 4) | 460.00 |
15316 | Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 4) | 460.00 |
15319 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5) | 285.00 |
15320 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 5) | 285.00 |
15323 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using manual afterloading techniques (AU 4) | 510.00 |
15324 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using automatic afterloading techniques (AU 4) | 510.00 |
15327 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (AU 7) | 555.00 |
15328 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (AU 7) | 550.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
15331 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (AU 6) | 525.00 |
15332 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (AU 6) | 525.00 |
15335 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (AU 5) | 475.00 |
15336 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (AU 5) | 475.00 |
15339 | Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (AU 4) | 54.00 |
15342 | Construction and application of a radioactive mould using a sealed source having a half-life of greater than 115 days, to treat intracavity, intraoral or intranasal site | 134.00 |
15345 | Construction and application of a radioactive mould using a sealed source having a half-life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites | 360.00 |
15348 | Subsequent applications of radioactive mould referred to in item 15342 or 15345—each attendance | 41.00 |
15351 | Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface | 82.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
15354 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | 100.00 |
15357 | Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould—each attendance | 28.00 |
Subgroup 5—Computerised Planning
15500 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area for treatment by a single field or parallel opposed fields (not associated with item 15509) | 134.00 |
15503 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not associated with item 15512) | 172.00 |
15506 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of three or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with item 15515) | 255.00 |
15509 | Radiation field setting using a diagnostic x-ray unit of a single area for treatment by a single field or parallel opposed fields (not associated with item 15500) | 116.00 |
15512 | Radiation field setting using a diagnostic x-ray unit of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not associated with item 15503) | 150.00 |
15515 | Radiation field setting using a diagnostic x-ray unit of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with item 15506) | 215.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
15518 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks, or for brachytherapy with isodose calculations in a single plane | 42.50 |
15521 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons | 188.00 |
15524 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons | 350.00 |
15527 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks, or for brachytherapy with isodose calculations in a single plane | 43.50 |
15530 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons | 194.00 |
15533 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons | 370.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP T3—Therapeutic Nuclear Medicine
16000 | Administration of a therapeutic dose of a radioisotope—not being a service to which any other item in this Group applies | 28.50 |
16003 | Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (AU 5) | 460.00 |
16006 | Administration of a therapeutic dose of iodine 131 for thyroid cancer by single dose technique | 350.00 |
16009 | Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique | 240.00 |
16012 | Intravenous administration of a therapeutic dose of Phosphorous 32 | 210.00 |
GROUP T4—OBSTETRICS
16500 | Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances do not exceed 10—each attendance | 21.50 |
16503 | Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances exceed 10 | 215.00 |
16506 | Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (G) | 168.00 |
16507 | Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (S) | 285.00 |
16510 | Confinement as an independent procedure, including all related attendances (S) | 245.00 |
16513 | Confinement, incomplete, with or without postnatalcare for 9 days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery | 112.00 |
16516 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for 9 days (G) | 475.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
16517 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S) | 615.00 |
16520 | Caesarean section and postnatal care for 9 days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care | 440.00 |
16523 | Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of 12 injections, where the injection is not administered during a routine antenatal attendance | 15.60 |
16526 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance | 15.60 |
16529 | Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of 2 attendances in any 7 day period | 15.60 |
16532 | Pregnancy complicated by acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day | 15.60 |
16535 | Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6) | 116.00 |
16536 | Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6) | 154.00 |
16539 | Cervix, removal of purse string ligature of, under general anaesthesia (AU 5) | 44.50 |
16542 | Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance | 15.60 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
16545 | Management of second trimester labour, with or without induction (G) | 168.00 |
16546 | Management of second trimester labour, with or without induction (S) | 210.00 |
16549 | Amnioscopy or amniocentesis | 44.50 |
16552 | Chorionic villus sampling including any associated imaging | 180.00 |
16555 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | 26.00 |
16558 | Version, external, under general anaesthesia (AU 6) | 44.50 |
16561 | Version, internal, under general anaesthesia (AU 6) | 80.00 |
16564 | Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 122.00 |
16567 | Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 122.00 |
16570 | Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 245.00 |
16573 | Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 184.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP T5—ASSISTANCE IN THE ADMINISTRATION OF AN ANAESTHETIC
17500 | Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service that contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40), (AU 47), (AU 50) or (AU 59) | 96.00 |
GROUP T6—ANAESTHETICS
Subgroup 1—Examination by an Anaesthetist
17600 | Examination of a patient by other than a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room | 22.00 |
17603 | Examination of a patient by a specialist in the practice of his or her speciality 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, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room | 30.00 |
Subgroup 2—Administration of an Anaesthetic in connection with a Medical Service
17901 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 1) | 13.00 |
17902 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 2) | 26.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
17903 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 3) | 38.50 |
17904 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 4) | 52.00 |
17905 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 5) | 65.00 |
17906 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 6) | 77.00 |
17907 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 7) | 90.00 |
17908 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 8) | 104.00 |
17909 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 9) | 116.00 |
17910 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 10) | 130.00 |
17911 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 11) | 142.00 |
17912 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 12) | 154.00 |
17913 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 13) | 168.00 |
17914 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 14) | 180.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
17915 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 15) | 194.00 |
17916 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 16) | 205.00 |
17917 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 17) | 220.00 |
17918 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 18) | 230.00 |
17919 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 19) | 245.00 |
17920 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 20) | 260.00 |
17921 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 21) | 270.00 |
17922 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 22) | 285.00 |
17923 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 23) | 295.00 |
17924 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 24) | 310.00 |
17925 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 25) | 325.00 |
17926 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 26) | 335.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
17927 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 27) | 350.00 |
17928 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 28) | 360.00 |
17929 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 29) | 375.00 |
17930 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 30) | 385.00 |
17931 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 31) | 400.00 |
17932 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 32) | 415.00 |
17933 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 33) | 425.00 |
17934 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 34) | 440.00 |
17935 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 35) | 450.00 |
17936 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 36) | 465.00 |
17938 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 38) | 490.00 |
17939 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 39) | 505.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
17940 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 40) | 515.00 |
17942 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 42) | 540.00 |
17944 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 44) | 570.00 |
17946 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 46) | 595.00 |
17947 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 47) | 605.00 |
17950 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 50) | 645.00 |
17952 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 52) | 670.00 |
17958 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 58) | 750.00 |
17959 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 59) | 760.00 |
17965 | Administration of an anaesthetic in connection with radio-therapy | 77.00 |
17968 | Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery | 90.00 |
17971 | Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units | 13.00 |
17974 | Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure | 130.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
17977 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376 | Amount under rule 18 |
17980 | Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study | 104.00 |
17983 | Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study | 104.00 |
17986 | Administration of an anaesthetic associated with the removal of phaeochromocytoma | 205.00 |
17989 | Administration of an anaesthetic associated with peripheral venous cannula | 52.00 |
17992 | Administration of an anaesthetic associated with peripheral venous cannulation by open exposure | 64.00 |
17995 | Administration of an anaesthetic associated with percutaneous central venous cannulation | 64.00 |
17998 | Administration of an anaesthetic associated with electrocochleography (insertion of electrodes and brain stem evoded response audiometry) | 142.00 |
18001 | Administration of an anaesthetic associated with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear | 90.00 |
18004 | Administration of an anaesthetic associated with manipulative correction of acute inversion of uterus by vaginal approach | 104.00 |
18007 | Administration of an anaesthetic associated with caesarean section | 130.00 |
18010 | Administration of an anaesthetic associated with repair of episiotomy | 65.00 |
18013 | Administration of an anaesthetic in connection with magnetic resonance imaging services provided at prescribed locations | 142.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 3—Administration of an Anaesthetic in connection with a Dental Service
18102 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is less than 15 minutes duration | 51.00 |
18103 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is more than 15 minutes duration | 90.00 |
18105 | Administration by a medical practitioner of an anaesthetic for extraction of a tooth or teeth, not being a service to which item 18109 applies | 77.00 |
18109 | Administration by a medical practitioner of an anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone | 104.00 |
18113 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration | 77.00 |
18118 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration | 130.00 |
GROUP T7—REGIONAL OR FIELD NERVE BLOCKS
18200 | Regional or field nerve block, being 1 of the following nerve blocks—abdominal (in association with an intraperitoneal operation), brachial plexus, caudal, cervical plexus (not including the uterine cervix), epidural (peridural), ilio-inguinal, ilio- hypogastric, genito-femoral including all three nerves, intercostal (involving any 4 or more nerves, 1 or both sides), paravertebral (thoracic or lumbar), pudendal, retrobulbar with facial nerve, sacral or spinal (intrathecal) | 65.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
18203 | Maintenance of a regional or field nerve block referred to in item 18200 by the administration of local anaesthetic through an in situ needle or catheter, when performed other than by the operating surgeon | 28.50 |
18206 | Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation | 35.50 |
18209 | Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia | 35.50 |
18212 | Maintenance of narcotic analgesia referred to in item 18206 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon | 28.50 |
18215 | Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control (AU 8) | 97.00 |
18218 | Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic (AU 8) | 108.00 |
18224 | Intravenous regional anaesthesia of limb by retrograde perfusion | 63.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP T8—SURGICAL OPERATIONS
Subgroup 1—General
30000 | Operative procedure on tissue, organ or region (not being a service to which any other item in this Group applies), including any consultation on the same occasion | 13.00 |
30003 | Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation | 21.50 |
30006 | Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation | 32.50 |
30009 | Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 7) | 42.50 |
30010 | Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 7) | 52.00 |
30013 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 10) | 92.00 |
30014 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 10) | 110.00 |
30017 | Excision, under general anaesthesia, of burns involving not more than 10% of body surface, where grafting is not carried out during the same operation (AU 10) | 230.00 |
30020 | Excision, under general anaesthesia, of burns involving more than 10% of body surface, where grafting is not carried out during the same operation (AU 15) | 445.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30023 | Debridement, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10) | 230.00 |
30026 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 5) | 36.50 |
30029 | 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 being a service to which any other item in Group T4 applies (AU 6) | 63.00 |
30032 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial (AU 7) | 58.00 |
30035 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), involving deeper tissue (AU 7) | 83.00 |
30038 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 6) | 63.00 |
30041 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 (G) applies (AU 7) | 102.00 |
30042 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 applies (S) (AU 7) | 130.00 |
30045 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial (AU 7) | 83.00 |
30048 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (G) (AU 8) | 106.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30049 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (S) (AU 8) | 130.00 |
30052 | Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10) | 178.00 |
30055 | Dressing and removal of sutures requiring a general anaesthetic, not associated with any other item in this Group (AU 5) | 52.00 |
30058 | Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6) | 102.00 |
30061 | Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (AU 5) | 16.60 |
30064 | Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6) | 77.00 |
30067 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7) | 158.00 |
30068 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7) | 194.00 |
30071 | Biopsy of skin or mucous membrane, as an independent procedure (AU 5) | 36.50 |
30074 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6) | 83.00 |
30075 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6) | 106.00 |
30078 | Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5) | 34.00 |
30081 | Biopsy of bone marrow by trephine using an open approach (AU 5) | 77.00 |
30084 | Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5) | 41.50 |
30087 | Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5) | 21.00 |
30090 | Biopsy of pleura, percutaneous—one or more biopsies on any 1 occasion (AU 5) | 91.00 |
30093 | Needle biopsy of vertebra (AU 8) | 120.00 |
30094 | Percutaneous aspiration biopsy of deep organ using interventional techniques—but not including imaging (AU 6) | 134.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30096 | Scalene node biopsy (AU 5) | 130.00 |
30099 | Sinus, excision of, involving superficial tissue only (AU 6) | 63.00 |
30102 | Sinus, excision of, involving muscle and deep tissue (G) (AU 7) | 106.00 |
30103 | Sinus, excision of, involving muscle and deep tissue (S) (AU 7) | 130.00 |
30106 | Ganglion or small bursa, excision of (G) (AU 6) | 110.00 |
30107 | Ganglion or small bursa, excision of (S) (AU 6) | 154.00 |
30110 | Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6) | 200.00 |
30111 | Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6) | 260.00 |
30114 | Bursa, semimembranosus (Baker's cyst), excision of (AU 7) | 260.00 |
30117 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30121, 30125, 30129, 30132 or 30195 applies (G) (AU 6) | 68.00 |
30118 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30122, 30126, 30129, 30132 or 30195 applies (S) (AU 6) | 89.00 |
30121 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (G) (AU 9) | 178.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30122 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (S) (AU 9) | 230.00 |
30125 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (G) (AU 13) | 240.00 |
30126 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (S) (AU 13) | 285.00 |
30129 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not being a service to which item 30195 applies (AU 15) | 355.00 |
30132 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not being a service to item 30195 applies (AU 17) | 485.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30135 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6) | 100.00 |
30136 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6) | 122.00 |
30139 | Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (G) (AU 8) | 138.00 |
30140 | Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (S) (AU 8) | 174.00 |
30143 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (G) (AU 8) | 230.00 |
30144 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (S) (AU 8) | 260.00 |
30147 | Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8) | 280.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30150 | Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13) | 590.00 |
30153 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8) | 355.00 |
30156 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10) | 415.00 |
30159 | Malignant tumour, removal of, from any region involving a radical operation (not being a service to which any other item in this Group applies) (AU 13) | 590.00 |
30162 | Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not not being a service to which any other item in this Group applies) (AU 8) | 280.00 |
30165 | Lipectomy—transverse wedge excision of abdominal apron (AU 10) | 320.00 |
30168 | Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—1 excision (AU 10) | 320.00 |
30171 | Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—2 or more excisions (AU 12) | 485.00 |
30174 | Lipectomy—subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12) | 485.00 |
30177 | Lipectomy—radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (AU 18) | 695.00 |
30180 | Axillary hyperhidrosis, wedge excision for (AU 7) | 96.00 |
30183 | Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10) | 172.00 |
30186 | Plantar wart, removal of (AU 5) | 33.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30189 | Warts or molluscum contagiosum, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day hospital facility, not associated with any other item in this Group (AU 6) | 104.00 |
30192 | Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4) | 28.00 |
30195 | Neoplastic skin lesions, excluding viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service to which item 30198, 30201 or 30204 applies—(1 or more lesions) (AU 4) | 44.50 |
30198 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles, not being a service to which item 30201 or 30204 applies (AU 6) | 89.00 |
30201 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 3 but not more than 10 lesions) (AU 9) | 225.00 |
30204 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 10 lesions) (AU 13) | 285.00 |
30207 | Skin lesions, multiple injections with hydrocortisone or similar preparations | 31.50 |
30210 | Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospiatl facility (AU 5) | 114.00 |
30213 | Telangiectases or starburst vessels, diathermy or sclerosant injection of, including associated consultation—for a session of at least 20 minutes | 77.00 |
30216 | Haematoma, aspiration of (AU 4) | 19.20 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30219 | Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care) | 19.20 |
30222 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5) | 83.00 |
30223 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding aftercare) (S) (AU 5) | 114.00 |
30224 | Percutaneous drainage of deep abscess using interventional techniques—but not including imaging (AU 7) | 168.00 |
30225 | Abscess drainage tube, exchange of using interventional techniques—but not including imaging (AU 5) | 188.00 |
30226 | Muscle, excision of (limited) or fasciotomy (AU 6) | 106.00 |
30229 | Muscle, excision of (extensive) (AU 7) | 192.00 |
30232 | Muscle, ruptured, repair of (limited), not associated with external wound (AU 7) | 158.00 |
30235 | Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7) | 210.00 |
30238 | Fascia, deep, repair of, for herniated muscle (AU 7) | 106.00 |
30241 | Bone tumour, innocent, excision of, not being a service to which any other item in this Group applies (AU 7) | 250.00 |
30244 | Styloid process of temporal bone, removal of (AU 7) | 250.00 |
30247 | Parotid gland, total extirpation of (AU 15) | 520.00 |
30250 | Parotid gland, total extirpation of with preservation of facial nerve (AU 18) | 880.00 |
30253 | Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14) | 590.00 |
30256 | Submandibular gland, extirpation of (AU 8) | 315.00 |
30259 | Sublingual gland, extirpation of (AU 7) | 138.00 |
30262 | Salivary gland, dilatation or diathermy of duct (AU 6) | 41.50 |
30265 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (AU 7) | 83.00 |
30266 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (AU 7) | 106.00 |
30269 | Salivary gland, repair of cutaneous fistula of (AU 7) | 106.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30272 | Tongue, partial excision of (AU 7) | 210.00 |
30275 | Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18) | 1,240.00 |
30278 | Tongue tie, repair of, not being a service to which any other item in this Group applies (AU 6) | 32.50 |
30281 | Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6) | 84.00 |
30282 | Ranula or mucous cyst of mouth, removal of (G) (AU 9) | 110.00 |
30283 | Ranula or mucous cyst of mouth, removal of (S) (AU 9) | 144.00 |
30286 | Branchial cyst, removal of (AU 9) | 280.00 |
30289 | Branchial fistula, removal of (AU 9) | 355.00 |
30292 | Cystic hygroma, removal of massive lesion requiring extensive excision—with or without thoracotomy (AU 11) | 675.00 |
30293 | Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13) | 315.00 |
30294 | Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22) | 1,240.00 |
30296 | Thyroidectomy, total (AU 14) | 720.00 |
30297 | Thyroidectomy following previous thyroid surgery (AU 14) | 720.00 |
30306 | Total hemithyroidectomy (AU 12) | 565.00 |
30308 | Bilateral subtotal thyroidectomy (AU 12) | 565.00 |
30309 | Thyroidectomy, subtotal for thyrotoxicosis (AU 10) | 720.00 |
30310 | Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (AU 10) | 320.00 |
30313 | Thyroglossal cyst, removal of (AU 10) | 192.00 |
30314 | Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (AU 10) | 320.00 |
30315 | Parathyroid operation for hyperparathyroidism (AU 16) | 805.00 |
30317 | Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20) | 960.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30318 | Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (AU 15) | 640.00 |
30320 | Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (AU 17) | 960.00 |
30321 | Retroperitoneal neuroendocrine tumour, removal of (AU 15) | 640.00 |
30323 | Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (AU 26) | 960.00 |
30324 | Adrenal gland tumour, excision of (AU 20) | 960.00 |
30325 | Lymph glands of neck, limited excision of (AU 9) | 260.00 |
30328 | Lymph glands of neck, radical excision of (AU 20) | 695.00 |
30329 | Lymph glands of groin, limited excision of (AU 9) | 174.00 |
30330 | Lymph glands of groin, radical excision of (AU 13) | 505.00 |
30332 | Lymph glands of axilla, limited excision of (AU 9) | 174.00 |
30333 | Lymph glands of axilla, radical excision of (AU 13) | 505.00 |
30337 | Simple mastectomy with or without frozen section biopsy (G) (AU 9) | 230.00 |
30338 | Simple mastectomy with or without frozen section biopsy (S) (AU 9) | 315.00 |
30341 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7) | 138.00 |
30342 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7) | 180.00 |
30345 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G) (AU 8) | 184.00 |
30346 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S) (AU 8) | 230.00 |
30349 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8) | 184.00 |
30350 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8) | 230.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30353 | Breast, extended simple mastectomy with or without frozen section biopsy (AU 12) | 415.00 |
30356 | Subcutaneous mastectomy with or without frozen section biopsy (AU 12) | 385.00 |
30359 | Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16) | 610.00 |
30360 | Fine needle breast biopsy, imaging guided—but not including imaging (AU 6) | 134.00 |
30361 | Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques—but not including imaging (AU 6) | 134.00 |
30363 | Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination (AU 7) | 97.00 |
30364 | Breast, exploration and drainage of haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, when undertaken in the operating theatre of a hospital or day- hospital facility, excluding aftercare (AU 8) | 114.00 |
30366 | Breast, microdochotomy of, for benign or malignant condition (AU 12) | 235.00 |
30367 | Breast central ducts, excision of, for benign condition (AU 12) | 188.00 |
30369 | Accessory breast tissue, excision of (AU 8) | 188.00 |
30370 | Inverted nipple, surgical eversion of (AU 7) | 106.00 |
30372 | Accessory nipple, excision of (AU 7) | 89.00 |
30373 | Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (AU 9) | 340.00 |
30375 | Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (AU 11) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30376 | Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (AU 14) | 365.00 |
30378 | Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (AU 14) | 370.00 |
30379 | Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (AU 20) | 655.00 |
30381 | Faecal fistula, abdominal repair of, by simple excision of bowel (AU 12) | 495.00 |
30384 | Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14) | 775.00 |
30385 | Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (AU 11) | 395.00 |
30387 | Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which any other item in this Group applies (AU 12) | 445.00 |
30390 | Laparoscopy, diagnostic (AU 7) | 154.00 |
30391 | Laparoscopy, with biopsy (AU 7) | 200.00 |
30394 | Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (AU 10) | 345.00 |
30400 | Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (AU 11) | 445.00 |
30402 | Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9) | 325.00 |
30403 | Ventral, incisional, or recurrent hernia or burst abdomen, repair of (AU 10) | 365.00 |
30406 | Paracentesis abdominis | 36.50 |
30409 | Liver biopsy, percutaneous (AU 6) | 122.00 |
30411 | Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11) | 63.00 |
30431 | Liver abscess, open abdominal drainage of (AU 11) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30439 | Operative cholangiography or operative pancreatography or intra-operative ultrasound (including 1 or more examinations performed during the one operation) (AU 10) | 130.00 |
30440 | Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques—but not including imaging (AU 11) | 370.00 |
30442 | Choledochoscopy in association with another procedure (AU 7) | 130.00 |
30443 | Cholecystectomy (AU 11) | 520.00 |
30451 | Biliary drainage tube, exchange of, using interventional techniques—but not including imaging (AU 6) | 188.00 |
30454 | Choledochotomy (with or without cholecystectomy), with or without removal of calculi (AU 13) | 610.00 |
30455 | Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (AU 18) | 715.00 |
30458 | Transduodenal operation on sphincter of Oddi, involving one or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (AU 15) | 715.00 |
30460 | Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (AU 15) | 610.00 |
30461 | Radical resection of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not associated with item 30443, 30454, 30455, 30458 or 30460 (AU 19) | 1,040.00 |
30473 | Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with or without biopsy, not associated with Item 30444 or 30447 (AU 6) | 138.00 |
30475 | Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (AU 7) | 250.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30476 | Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not associated with Item 30441 or 30447 (AU 7) | 192.00 |
30478 | Oesophagoscopy (not covered by item 41816, 41822 or 41825), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with one or more of the following endoscopic procedures—polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastointestional lesions, not associated with item 30473 or 30476 (AU 7) | 192.00 |
30479 | Endoscopic laser therapy for malignancy of upper or lower gastrointestinal tract (AU 12) | 335.00 |
30481 | Percutaneous endoscopic gastrostomy (initial procedure) (AU 10) | 250.00 |
30482 | Percutaneous endoscopic gastrostomy (repeat procedure) (AU 10) | 178.00 |
30484 | Endoscopic retrograde cholangio-pancreatography (AU 8) | 255.00 |
30485 | Endoscopic sphincterotomy with or without extraction of stones from common bile duct (AU 8) | 395.00 |
30487 | Small bowel intubation with biopsy | 128.00 |
30488 | Small bowel intubation—as an independent procedure | 63.00 |
30490 | Oesophageal prosthesis, insertion of, including endoscopy and dilatation (AU 9) | 370.00 |
30491 | Bile duct, endoscopic stenting of (including endoscopy and dilatation) (AU 11) | 390.00 |
30493 | Biliary manometry (AU 9) | 235.00 |
30494 | Endoscopic biliary dilatation (AU 11) | 295.00 |
30496 | Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (AU 11) | 415.00 |
30497 | Vagotomy and antrectomy (AU 12) | 495.00 |
30499 | Vagotomy, highly selective (AU 13) | 590.00 |
30500 | Vagotomy, highly selective with duodenoplasty for peptic stricture (AU 15) | 630.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30502 | Vagotomy, highly selective, with dilatation of pylorus (AU 13) | 695.00 |
30503 | Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (AU 11) | 780.00 |
30505 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (AU 11) | 390.00 |
30506 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (AU 13) | 680.00 |
30508 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (AU 13) | 715.00 |
30509 | Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (AU 13) | 715.00 |
30511 | Morbid obesity, gastric reduction or gastroplasty for, by any method (AU 13) | 600.00 |
30512 | Morbid obesity, gastric by-pass for, by any method including anastomosis (AU 21) | 735.00 |
30514 | Morbid obesity, reversal surgical procedure (AU 22) | 1,085.00 |
30515 | Gastro-enterostomy (including gastro-duodenostomy) or entero-colostomy or entero-enterostomy (AU 12) | 495.00 |
30517 | Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (AU 14) | 650.00 |
30518 | Partial gastrectomy (AU 15) | 695.00 |
30520 | Gastric tumour, removal of, by local excision, not covered by item 30518 (AU 15) | 475.00 |
30521 | Gastrectomy, total, for benign disease (AU 19) | 1,020.00 |
30523 | Gastrectomy, sub-total radical, for carcinoma, (including splenectomy when performed) (AU 19) | 1,065.00 |
30524 | Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (AU 21) | 1,170.00 |
30526 | Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaghragmatic hiatus, (including splenectomy when performed) (AU 25) | 1,520.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30527 | Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus—not covered by Item 30601 (AU 18) | 615.00 |
30529 | Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (AU 20) | 920.00 |
30530 | Antireflux operation by cardiopexy, with or without fundoplasty (AU 20) | 550.00 |
30532 | Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17) | 635.00 |
30533 | Oesophagogastric myotomy (heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18) | 755.00 |
30535 | Oesophagectomy with gastric reconstruction by abdominal mobilisation and right thoracotomy (AU 27) | 2,020.00 |
30536 | Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—one surgeon (AU 31) | 1,210.00 |
30538 | Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 840.00 |
30539 | Oesophagectomy involving gastric reconstructinon by abdominal mobilisation, right thoracotomy and anastomosis in the neck- conjoint surgery, co- surgeon | 615.00 |
30541 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—one surgeon (AU 31) | 1,070.00 |
30542 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 725.00 |
30544 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, co-surgeon | 530.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30545 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—one surgeon (AU 31) | 1,295.00 |
30547 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 890.00 |
30548 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, co-surgeon | 665.00 |
30550 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—one surgeon (AU 31) | 1,455.00 |
30551 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 1,005.00 |
30553 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, co-surgeon | 740.00 |
30554 | Oesophagectomy with reconstruction by free jejunal graft—one surgeon (AU 31) | 1,615.00 |
30556 | Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 1,115.00 |
30557 | Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, co-surgeon | 825.00 |
30559 | Oesophagus, local excision for tumour of (AU 21) | 600.00 |
30560 | Oesophageal perforation, repair of, by thoracotomy (AU 25) | 665.00 |
30562 | Enterostomy or colostomy, closure of—not involving resection of bowel (AU 11) | 420.00 |
30563 | Colostomy or ileostomy, refashioning of (AU 10) | 420.00 |
30565 | Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17) | 615.00 |
30566 | Small intestine, resection of, with anastomosis (AU 18) | 680.00 |
30568 | Intraoperative enterotomy for visualisation of the small intestine by endoscopy (AU 8) | 510.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30569 | Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (AU 8) | 260.00 |
30571 | Appendicectomy, not covered by item 30574 (AU 8) | 315.00 |
30572 | Laparoscopic appendicectomy (AU 8) | 340.00 |
30574 | Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (AU 5) | 87.00 |
30575 | Pancreatic abscess, laparotomy and external drainage of, not requiring retro panreatic dissection (AU 11) | 360.00 |
30577 | Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro pancreatic dissection, excluding aftercare (AU 24) | 765.00 |
30578 | Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (AU 22) | 810.00 |
30580 | Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (AU 22) | 735.00 |
30581 | Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (AU 20) | 535.00 |
30583 | Distal pancreatectomy (AU 15) | 840.00 |
30584 | Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (AU 30) | 1,240.00 |
30586 | Pancreatic cyst—anastomosis to stomach or duodenum (AU 13) | 495.00 |
30587 | Pancreatic cyst, anastomosis to Roux loop of jejunum (AU 14) | 510.00 |
30589 | Pancreatico-jejunostomy for pancreatitis or trauma (AU 18) | 880.00 |
30590 | Pancreatico-jejunostomy following previous pancreatic surgery (AU 20) | 970.00 |
30593 | Pancreatectomy, near total or total (including duodenum), with or without splenectomy (AU 30) | 1,330.00 |
30594 | Prancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (AU 20) | 1,535.00 |
30596 | Splenorrhaphy or partial splenectomy for trauma (AU 13) | 630.00 |
30597 | Splenectomy (AU 13) | 505.00 |
30599 | Splenectomy, for massive spleen (weighting more than 1500 grams) or involving thoraco-abdominal incision (AU 19) | 920.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30600 | Diaphragmatic hernia, traumatic, repair of (AU 17) | 550.00 |
30601 | Diaphragmatic hernia, congential, repair of, by thoracic or adbominal approach) (AU 14) | 675.00 |
30602 | Portal hypertension, porto caval shunt for (AU 24) | 1,095.00 |
30603 | Portal hypertension, meso caval shunt for (AU 24) | 1,155.00 |
30605 | Portal Hypertension, selective spleno renal shunt for (AU 24) | 1,315.00 |
30606 | Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (AU 18) | 785.00 |
30612 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (G) (AU 8) | 250.00 |
30614 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (S) (AU 8) | 325.00 |
30615 | Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10) | 365.00 |
30616 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8) | 186.00 |
30617 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8) | 250.00 |
30620 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8) | 210.00 |
30621 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8) | 285.00 |
30628 | Hydrocele, tapping of | 25.00 |
30631 | Hydrocele, removal of, when not associated with items 30638, 30641 and 30644 (AU 7) | 166.00 |
30632 | Pyloroplasty, infant, or pyloromyotomy (Ramstedt's operation) (AU 9) | 315.00 |
30633 | Intussusception, reduction of, by fluid | 166.00 |
30634 | Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644, one procedure (G) (AU 7) | 166.00 |
30635 | Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644 one procedure (S) (AU 7) | 205.00 |
30638 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7) | 210.00 |
30641 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7) | 285.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
30644 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8) | 365.00 |
30647 | Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8) | 365.00 |
30650 | Secondary detachment of testis from thigh (AU 6) | 80.00 |
30653 | Circumcision of a person under six months of age (AU 6) | 32.50 |
30656 | Circumcision of a person under ten years of age but not less than six months of age (AU 6) | 76.00 |
30659 | Circumcision of a person ten years of age or over (G) (AU 6) | 106.00 |
30660 | Circumcision of a person ten years of age or over (S) (AU 6) | 130.00 |
30663 | Haemorrhage, arrest of, following circumcision requiring general anaesthesia (AU 5) | 102.00 |
30666 | Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not associated with any other item in this Group (AU 5) | 33.50 |
30672 | Coccyx, excision of (AU 8) | 315.00 |
30675 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (AU 8) | 210.00 |
30676 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (AU 8) | 265.00 |
30679 | Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6) | 68.00 |
Subgroup 2—COLORECTAL
32000 | Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18) | 725.00 |
32003 | Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20) | 760.00 |
32004 | Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not associated with any other item in this Group (AU 20) | 810.00 |
32005 | Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not associated with any other item in this Group (AU 22) | 915.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32006 | Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (AU 20) | 810.00 |
32009 | Total colectomy and ileostomy (AU 22) | 960.00 |
32012 | Total colectomy and ileo-rectal anastomosis (AU 20) | 1,060.00 |
32015 | Total colectomy with excision of rectum and ileostomy—one surgeon (AU 20) | 1,302.50 |
32018 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17) | 1,105.00 |
32021 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection | 395.00 |
32024 | Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10 centimetres from the anal verge—excluding resection of sigmoid colon alone (AU 22) | 960.00 |
32027 | Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 centimetres from the anal verge (AU 26) | 1,250.00 |
32030 | Rectosigmoidectomy—(Hartmann's operation) (AU 15) | 725.00 |
32033 | Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (AU 15) | 1,060.00 |
32036 | Sacrococcygeal and presacral tumour—excision of (AU 13) | 1,345.00 |
32039 | Rectum and anus, abdomino-perineal resection of—one surgeon (AU 17) | 1,080.00 |
32042 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection (AU 16) | 910.00 |
32045 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection | 340.00 |
32046 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon | 525.00 |
32047 | Perineal proctectomy (AU 20) | 615.00 |
32048 | Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30) | 1,345.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32051 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—one surgeon (AU 36) | 1,630.00 |
32054 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 30) | 1,500.00 |
32057 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir—conjoint surgery, perineal surgeon | 395.00 |
32060 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—one surgeon (AU 30) | 1,630.00 |
32063 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 26) | 1,500.00 |
32066 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir,with or without temporary loop ileostomy—conjoint surgery, perineal surgeon | 395.00 |
32069 | Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30) | 1,205.00 |
32072 | Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy | 37.50 |
32075 | Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Group (AU 5) | 59.00 |
32078 | Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is less than or equal to 45 minutes (AU 7) | 132.00 |
32081 | Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is greater than 45 minutes (AU 10) | 182.00 |
32084 | Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (AU 6) | 87.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32087 | Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of one or more polyps—not covered by item 32078 (AU 10) | 160.00 |
32090 | Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with or without biopsy (AU 8) | 260.00 |
32093 | Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with removal of one or more polyps (AU 10) | 365.00 |
32094 | Endoscopic dilatation of colorectal strictures including colonoscopy (AU 10) | 390.00 |
32095 | Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (AU 8) | 90.00 |
32096 | Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (AU 6) | 182.00 |
32099 | Rectal tumour of five centimetres or less in diameter, per anal submucosal excision of (AU 10) | 235.00 |
32102 | Rectal tumour of greater than five centimetres in diameter, indicated by pathological examination, per anal submucosal excision of (AU 14) | 445.00 |
32105 | Anorectal carcinoma—per anal full thickness excision of (AU 13) | 340.00 |
32108 | Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (AU 13) | 705.00 |
32111 | Rectal prolapse, Delorme procedure for (AU 10) | 445.00 |
32114 | Rectal stricture, per anal release of (AU 8) | 122.00 |
32117 | Rectal prolapse, abdominal repair of (AU 13) | 705.00 |
32120 | Rectal prolapse, perineal repair of (AU 6) | 182.00 |
32123 | Anal stricture, anoplasty for (AU 7) | 235.00 |
32126 | Anal incontinence, Parks' intersphincteric procedure for (AU 12) | 340.00 |
32129 | Anal sphincter, direct repair of (AU 12) | 445.00 |
32132 | Haemorrhoids or rectal prolapse—sclerotherapy for (AU 6) | 32.00 |
32135 | Haemorrhoids or rectal prolapse—rubber band ligation of with or without sclerotherapy, cryosurgery or infrared therapy for (AU 5) | 47.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32138 | Haemorrhoidectomy (AU 8) | 260.00 |
32142 | Anal skin tags or anal polyps, excision of one or more of (AU 7) | 47.50 |
32145 | Anal skin tags or anal polyps, excision of one or more of, undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7) | 95.00 |
32147 | Perianal thrombosis, incision of (AU 7) | 32.00 |
32150 | Operation for fissure-in-ano including excision, or sphincterotomy but excluding dilatation only (AU 6) | 182.00 |
32153 | Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Group (AU 4) | 49.50 |
32156 | Fistula in ano, subcutaneous, excision of (AU 7) | 93.00 |
32159 | Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7) | 235.00 |
32162 | Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11) | 340.00 |
32165 | Anal fistula, repair of by mucosal flap advancement (AU 15) | 445.00 |
32166 | Anal fistula—readjustment of Seton (AU 7) | 146.00 |
32168 | Fistula wound—repair of, under general or regional anaesthetic, as an independent procedure (AU 7) | 93.00 |
32171 | Anorectal examination, with or without biopsy, under general anaesthetic, not associated with any other item in this Group (AU 6) | 63.00 |
32174 | Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8) | 63.00 |
32175 | Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital or approved day-hospital facility (excluding aftercare) (AU 8) | 114.00 |
32177 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes—not in association with item 35507 or 35508 (AU 6) | 122.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32180 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes—not in association with item 35507 or 35508 (AU 11) | 182.00 |
32183 | Intestinal sling procedure prior to radiotherapy (AU 15) | 255.00 |
32186 | Colonic lavage, total, intra-operative (AU 12) | 205.00 |
Subgroup 3—VASCULAR
32500 | Varicose veins, multiple simultaneous injections by continuous compression techniques including associated consultation—one or both legs—not associated with any other varicose veins operation on the same leg (excluding after-care) | 99.00 |
32503 | Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or more deep perforating veins through separate incisions—one leg—not associated with item 32506, 32509 or 32530 on the same leg (AU 7) | 188.00 |
32506 | Varicose veins, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 10) | 345.00 |
32509 | Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 12) | 517.50 |
32512 | Long saphenous vein, complete dissection and ligation of, at the sapheno-femoral junction, for migrating thrombosis of long saphenous vein (AU 11) | 315.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32515 | Varicose veins, complete dissection at sapheno- femoral junction, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction—one leg (AU 6) | 230.00 |
32518 | Varicose veins, complete dissection at sapheno- popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction—one leg (AU 6) | 230.00 |
32521 | Varicose veins, sub-fascial ligation of single deep perforating vein not associated with any other varicose vein operation on the same leg—one leg (AU 6) | 142.00 |
32524 | Varicose veins, sub-fascial ligation of multiple deep perforating vein—one leg (Cockett's operation, Linton's operation or similar procedure) (AU 7) | 350.00 |
32527 | Groin or popliteal fossa, reoperation in, for recurrent sapheno-popliteal incompetence—one leg (AU 12) | 425.00 |
32530 | Groin or popliteal fossa, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with one or more of the following—multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins—one leg (AU 13) | 555.00 |
32700 | Artery of neck, bypass using vein or synthetic material (AU 19) | 1,010.00 |
32703 | Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of—with or without endarterectomy (AU 18) | 835.00 |
32706 | Internal carotid artery, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (AU 19) | 1,195.00 |
32709 | Aorto-iliac or aorto-femoral grafting, straight or bifurcated (AU 21) | 985.00 |
32712 | Ilio-femoral by-pass grafting (AU 18) | 885.00 |
32715 | Axillary or subclavian to femoral bypass grafting to one or both femoral arteries (AU 19) | 885.00 |
32718 | Femoro-femoral or ilio-femoral cross-over bypass grafting (AU 18) | 835.00 |
32721 | Renal artery, bypass grafting to (AU 22) | 1,330.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32724 | Renal arteries (both), bypass grafting to (AU 26) | 1,510.00 |
32727 | Spleno-renal arterial bypass grafting (AU 21) | 1,330.00 |
32730 | Mesenteric vessel (single), bypass grafting to (AU 18) | 1,145.00 |
32733 | Mesenteric vessels (multiple), bypass grafting to (AU 21) | 1,330.00 |
32736 | Inferior mesenteric artery, operation on, when performed in association with another intra-abdominal vascular operation (AU 17) | 290.00 |
32739 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (AU 19) | 910.00 |
32742 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (AU 20) | 1,045.00 |
32745 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (AU 21) | 1,190.00 |
32748 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (AU 22) | 1,295.00 |
32751 | Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (AU 18) | 835.00 |
32754 | Femoral artery bypass grafting, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at one or both anastomoses (AU 20) | 1,045.00 |
32757 | Femoral artery sequential bypass grafting (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than one artery—each additional artery revascularised beyond a femoral bypass (AU 16) | 290.00 |
32760 | Vein, harvesting of from leg or arm for bypass or replacement graft when not performed through same incision as operation—each vein (AU 9) | 285.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
32763 | Arterial bypass grafting, using vein or synthetic material, not covered by any other item in this Group (AU 18) | 835.00 |
32766 | Arterial or venous anastomosis, not covered by any other item in this Group, as an independent procedure (AU 15) | 555.00 |
32769 | Arterial or venous anastomosis not covered by any other item in this Group, when performed in combination with another vascular operation (including graft to graft anastomosis) (AU 15) | 192.00 |
33100 | Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (AU 20) | 1,010.00 |
33103 | Thoracic aneurysm, replacement by graft (AU 35) | 1,420.00 |
33106 | Artery or vein bypass graft, patch grafting to using vein or synthetic material, not associated with any other vascular operation (AU 14) | 500.00 |
33109 | Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (AU 40) | 1,715.00 |
33112 | Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (AU 35) | 1,490.00 |
33115 | Infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 26) | 1,045.00 |
33118 | Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (AU 29) | 1,190.00 |
33121 | Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (with or without excision or bypass of commom iliac aneurysms) (AU 29) | 1,190.00 |
33124 | Aneurysm of iliac artery (common, external or internal), replacement by graft—unilateral (AU 18) | 855.00 |
33127 | Aneurysms of iliac arteries (common, external or internal), replacement by graft—bilateral (AU 20) | 1,120.00 |
33130 | Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (AU 18) | 975.00 |
33133 | Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (AU 16) | 730.00 |
33136 | False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (AU 25) | 1,845.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
33139 | False aneurysm, repair of, in iliac artery and restoration of arterial continuity (AU 19) | 1,120.00 |
33142 | False aneurysm, repair of, in femoral artery and restoration of arterial continuity (AU 18) | 1,045.00 |
33145 | Ruptured thoracic aortic aneurysm, replacement by graft (AU 38) | 1,795.00 |
33148 | Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (AU 40) | 2,230.00 |
33151 | Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (AU 38) | 2,120.00 |
33154 | Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 28) | 1,570.00 |
33157 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (AU 30) | 1,750.00 |
33160 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (AU 30) | 1,750.00 |
33163 | Ruptured iliac artery aneurysm, replacement by graft (AU 22) | 1,485.00 |
33166 | Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (AU 22) | 1,485.00 |
33169 | Ruptured aneurysm of visceral artery, simple ligation of (AU 18) | 1,155.00 |
33172 | Aneurysm of major artery, replacement by graft, not covered by any other item in this Group (AU 21) | 900.00 |
33500 | Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of one or more arteries is undertaken through one arteriotomy incision) (AU 17) | 800.00 |
33503 | Internal carotid artery, re-operation for recurrent stenosis with endarterectomy and closure by suture (AU 19) | 1,010.00 |
33506 | Innominate or subclavian artery, endarterectomy of, including closure by suture (AU 18) | 895.00 |
33509 | Aortic endarterectomy, including closure by suture, not associated with another procedure on the aorta (AU 18) | 925.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
33512 | Aorto-iliac endarterectomy (one or both iliac arteries), including closure by suture not associated with Item 33515 (AU 19) | 1,000.00 |
33515 | Aorto-femoral endarterectomy (one or both femoral arteries) or bilateral ilio-femoral endarterectomy, including closure by suture, not in association with Item 33512 (AU 20) | 1,075.00 |
33518 | Iliac endarterectomy, including closure by suture, not associated with another procedure on the iliac artery (AU 17) | 895.00 |
33521 | Ilio-femoral endarterectomy (one side), including closure by suture (AU 17) | 970.00 |
33524 | Renal artery, endarterectomy of (AU 19) | 1,145.00 |
33527 | Renal arteries (both), endarterectomy of (AU 21) | 1,330.00 |
33530 | Coeliac or superior mesenteric artery, endarterectomy of (AU 19) | 1,145.00 |
33533 | Coeliac and superior mesenteric artery, endarterectomy of (AU 20) | 1,330.00 |
33536 | Inferior mesenteric artery, endarterectomy of, not associated with any other item in this Group (AU 19) | 950.00 |
33539 | Artery of extremities, endarterectomy of, including closure by suture (AU 12) | 685.00 |
33542 | Extended deep femoral endarterectomy where the endarterectomy is at least 7cms long (AU 17) | 975.00 |
33545 | Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long (AU 13) | 192.00 |
33548 | Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is 3cm long or greater (AU 14) | 390.00 |
33551 | Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (AU 9) | 192.00 |
33554 | Endarterectomy, in association with an arterial bypass operation to prepare the site for anastomosis—each site (AU 16) | 100.00 |
33800 | Embolus, removal of, from artery of neck (AU 15) | 830.00 |
33803 | Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (AU 16) | 795.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
33806 | Embolectomy or thrombectomy, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (AU 11) | 570.00 |
33809 | Inferior vena cava or iliac vein, thrombectomy of (AU 12) | 705.00 |
33812 | Thrombus, removal of, from femoral or other similar large vein (AU 10) | 655.00 |
33815 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (AU 12) | 605.00 |
33818 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (AU 13) | 705.00 |
33821 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 15) | 805.00 |
33824 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (AU 13) | 770.00 |
33827 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (AU 14) | 900.00 |
33830 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 16) | 1,035.00 |
33833 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (AU 16) | 940.00 |
33836 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (AU 17) | 1,120.00 |
33839 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (AU 18) | 1,310.00 |
33842 | Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (AU 12) | 645.00 |
33845 | Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (AU 14) | 450.00 |
33848 | Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (AU 12) | 450.00 |
34100 | Major artery of neck, elective ligation or exploration of, not associated with any other vascular procedure (AU 11) | 500.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
34103 | Great artery or great vein (including subclavian, axillary, iliac, femoral or politeal), ligation of, or exploration of, not associated with any other vascular procedure (AU 13) | 290.00 |
34106 | Artery or vein (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not associated with any other vascular procedure (AU 9) | 205.00 |
34109 | Temporal artery, biopsy of (AU 7) | 240.00 |
34112 | Arterio-venous fistula of an extremity, dissection and ligation (AU 14) | 605.00 |
34115 | Arterio-venous fistula of the neck, dissection and ligation (AU 17) | 685.00 |
34118 | Arterio-venous fistula of the abdomen, dissection and ligation (AU 19) | 975.00 |
34121 | Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (AU 18) | 780.00 |
34124 | Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (AU 18) | 855.00 |
34127 | Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (AU 22) | 1,120.00 |
34130 | Surgically created arterio-venous fistula of an extremity, closure of (AU 10) | 350.00 |
34133 | Scalenotomy (AU 10) | 390.00 |
34136 | First rib, resection of portion of (AU 13) | 630.00 |
34139 | Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not covered by any other item in this Group (AU 13) | 630.00 |
34142 | Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (AU 19) | 780.00 |
34145 | Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (AU 13) | 565.00 |
34148 | Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less than 4cm in maximum diameter (AU 19) | 1,010.00 |
34151 | Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (AU 19) | 1,385.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
34154 | Recurrent carotid body tumour, resection of, with or without repair or replacement of portion of common or internal carotid arteries (AU 19) | 1,650.00 |
34157 | Neck, excision of infected bypass graft, including closure of vessel or vessels (AU 15) | 835.00 |
34160 | Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (AU 24) | 1,570.00 |
34163 | Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (AU 26) | 2,015.00 |
34166 | Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (AU 26) | 2,015.00 |
34169 | Infected bypass graft from trunk, excision of, including closure of arteries (AU 20) | 1,120.00 |
34172 | Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (AU 15) | 910.00 |
34175 | Infected bypass graft from extremities, excision of including closure of arteries (AU 15) | 835.00 |
34500 | Arteriovenous shunt, external, insertion of (AU 9) | 215.00 |
34503 | Arteriovenous anastomosis of upper or lower limb, in association with another venous or arterial operation (AU 14) | 290.00 |
34506 | Arteriovenous shunt, external, removal of (AU 5) | 148.00 |
34509 | Arteriovenous anastomosis of upper or lower limb, not in association with another venous or arterial operation (AU 14) | 690.00 |
34512 | Arteriovenous access device, insertion of (AU 14) | 760.00 |
34515 | Arteriovenous access device, thrombectomy of (AU 11) | 540.00 |
34518 | Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (AU 14) | 905.00 |
34521 | Intra-abdominal artery or vein, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (AU 11) | 370.00 |
34524 | Arterial cannulation for infusion chemotherapy by open operation, not covered by item 34521 (excluding after-care) (AU 10) | 290.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
34527 | Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (AU 11) | 290.00 |
34530 | Hickman or broviac catheter, or other chemotherapy device, removal of (AU 10) | 290.00 |
34533 | Isolated limb perfusion, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) (AU 18) | 875.00 |
34800 | Inferior vena cava, plication, ligation, or application of caval clip (AU 13) | 570.00 |
34803 | Inferior vena cava, reconstruction of or bypass by vein or synthetic material (AU 24) | 1,260.00 |
34806 | Cross leg bypass grafting, saphenous to iliac or femoral vein (AU 14) | 685.00 |
34809 | Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (AU 14) | 685.00 |
34812 | Venous stenosis or occlusion, vein bypass for, using vein or synthetic material, not associated with item 34806 or 34809 (AU 13) | 825.00 |
34815 | Vein stenosis, patch angioplasty for, (excluding vein graft stenosis)—using vein or synthetic material (AU 15) | 685.00 |
34818 | Venous valve, plication or repair to restore valve competency (AU 25) | 750.00 |
34821 | Vein transplant to restore valvular function (AU 15) | 1,025.00 |
34824 | External stent, application of, to restore venous valve competency to superficial vein—one stent (AU 10) | 350.00 |
34827 | External stents, application of, to restore venous valve competency to superficial vein or veins—more than one stent (AU 11) | 425.00 |
34830 | External stent, application of, to restore venous valve competency to deep vein (one stent) (AU 11) | 500.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
34833 | External stents, application of, to restore venous valve competency to deep vein or veins (more than one stent) (AU 12) | 645.00 |
35000 | Lumbar sympathectomy (AU 11) | 500.00 |
35003 | Cervical or upper thoracic sympathectomy by any surgical approach (AU 16) | 645.00 |
35006 | Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (AU 13) | 810.00 |
35009 | Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (AU 11) | 630.00 |
35100 | Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (AU 8) | 260.00 |
35103 | Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (AU 9) | 166.00 |
35200 | Operative arteriography or venography, one or more of, performed during the course of an operative procedure on an artery or vein, one site (AU 8) | 120.00 |
35300 | Transluminal balloon angioplasty of one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10) | 365.00 |
35303 | Transluminal balloon angioplasty of aortic arch branches, aortic visceral branches, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 465.00 |
35304 | Transluminal balloon angioplasty of one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35305 | Transluminal balloon angioplasty of more than one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 465.00 |
35306 | Transluminal stent insertion including associated balloon dilatation for one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11) | 430.00 |
35309 | Transluminal stent insertion including associated balloon dilatation for visceral arteries or veins, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 535.00 |
35310 | Transluminal stent insertion including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (AU 13) | 535.00 |
35312 | Peripheral arterial atherectomy including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 610.00 |
35315 | Peripheral laser angioplasty including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 610.00 |
35318 | Peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (not associated with item 13903) (AU 6) | 250.00 |
35321 | Peripheral arterial catheterisation to administer agents to occlude arteries, vein or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 575.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35324 | Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 8) | 215.00 |
35327 | Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 6) | 108.00 |
35330 | Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11) | 365.00 |
Subgroup 4—Gynaecological
35500 | Gynaecological examination under anaesthesia, not associated with any other item in this Group (AU 5) | 57.00 |
35503 | Intra-uterine contraceptive device, introduction of, not associated with any other item in this Group (AU 5) | 38.00 |
35506 | Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Group (AU 5) | 38.00 |
35507 | Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is less than or equal to 45 minutes—not in association with item 32177 or 32180 (AU 6) | 122.00 |
35508 | Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is greater than 45 minutes—not in association with item 32177 or 32180 (AU 11) | 182.00 |
35509 | Hymenectomy (AU 5) | 63.00 |
35512 | Bartholin's cyst, excision of (G) (AU 7) | 126.00 |
35513 | Bartholin's cyst, excision of (S) (AU 7) | 156.00 |
35516 | Bartholin's cyst or gland, marsupialisation of (G) (AU 6) | 82.00 |
35517 | Bartholin's cyst or gland, marsupialisation of (S) (AU 6) | 102.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35520 | Bartholin's abscess, incision of (AU 5) | 41.00 |
35523 | Urethra or urethral caruncle, cauterisation of (AU 4) | 41.00 |
35526 | Urethral caruncle, excision of (G) (AU 6) | 82.00 |
35527 | Urethral caruncle, excision of (S) (AU 6) | 102.00 |
35530 | Clitoris, amputation of, where medically indicated (AU 7) | 190.00 |
35533 | Vulvoplasty or labioplasty, where medically indicated, not associated with item 35536 (AU 9) | 245.00 |
35536 | Vulva, wide local excision of suspected malignancy or hemivulvectomy, one or both procedures (AU 9) | 245.00 |
35539 | Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies—one anatomical site (AU 5) | 192.00 |
35542 | Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies—two or more anatomical sites (AU 6) | 225.00 |
35545 | Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods (AU 6) | 130.00 |
35548 | Vulvectomy, radical, for malignancy (AU 17) | 590.00 |
35551 | Pelvic lymph glands, excision of (radical) (AU 15) | 480.00 |
35554 | Vagina, dilatation of, as an independent procedure including any associated consultation (AU 4) | 30.50 |
35557 | Vagina, removal of simple tumour—(including Gartner duct cyst) (AU 8) | 152.00 |
35560 | Vagina, partial or complete removal of (AU 13) | 480.00 |
35561 | Vaginectomy, radical, for proven invasive malignancy—one surgeon (AU 25) | 970.00 |
35562 | Vaginectomy, radical, for proven invasive malignancy, conjoint surgery—abdominal surgeon (including aftercare) (AU 25) | 800.00 |
35564 | Vaginectomy, radical, for proven invasive malignancy, conjoint surgery—perineal surgeon | 370.00 |
35565 | Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (AU 18) | 480.00 |
35566 | Vaginal septum, excision of, for correction of double vagina (AU 12) | 280.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35567 | Vaginal repair (involving repair of enterocele) with transvaginal sacrospinus ligament colposuspension (AU 10) | 355.00 |
35569 | Plastic repair to enlarge vaginal orifice (AU 9) | 114.00 |
35572 | Colpotomy, not covered by any other item in this Group (AU 6) | 87.00 |
35575 | Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35579, 35580, 35583 or 35584 (G) (AU 10) | 245.00 |
35576 | Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35579, 35580, 35583 or 35584 (S) (AU 10) | 300.00 |
35579 | Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35583 or 35584 (G) (AU 10) | 300.00 |
35580 | Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35583 or 35584 (S) (AU 10) | 380.00 |
35583 | Donald-Fothergill or Manchester operation for genital prolapse (G) (AU 10) | 360.00 |
35584 | Donald-Fothergill or Manchester operation for genitalprolapse (S) (AU 10) | 475.00 |
35587 | Urethrocele, operation for (AU 9) | 124.00 |
35590 | Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9) | 380.00 |
35593 | Vaginal repair of enterocele with or without repair of rectocele, not associated with item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673, and where on a previous occasion there had been performed surgery reflected by a procedure in item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673 (AU 8) | 375.00 |
35596 | Fistula between genital and urinary or alimentary tracts, repair of, not covered by item 37029, 37333 or 37336 (AU 13) | 480.00 |
35599 | Stress incontinence, sling operation for (AU 12) | 475.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35602 | Stress incontinence, combined synchronous abdomino-vaginal operation for; abdominal procedure (including after-care) (AU 12) | 475.00 |
35605 | Stress incontinence, combined synchronous abdomino-vaginal operation for; vaginal procedure (including after-care) | 260.00 |
35608 | Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (AU 5) | 45.00 |
35611 | Cervix, removal of polyp or polypi, with or without dilatation of cervix, not associated with item 35608 (AU 5) | 44.50 |
35614 | Examination of lower female genital tract by a Hinselmann-type colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner (AU 5) | 45.00 |
35615 | Vulva, biopsy of, when performed in association with item 35614 | 38.00 |
35617 | Cervix, cone biopsy, amputation or repair of, not covered by item 35583 or 35584 (G) (AU 7) | 122.00 |
35618 | Cervix, cone biopsy, amputation or repair of, not covered by item 35583 or 35584 (S) (AU 7) | 152.00 |
35621 | Cervix, dilatation of, under general anaesthesia, not covered by item 35639, 35640 or 35643 (AU 5) | 57.00 |
35624 | Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5) | 37.50 |
35625 | Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, not associated with item 30390 (AU 9) | 425.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35626 | Hysteroscopy, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not in association with item 35627 or 35630 and including procedures covered by item 35639, 35640 or 35643 where performed | 58.00 |
35627 | Hysteroscopy with dilatation of the cervix performed in the operating theatre of a hospital or approved day-hospital facility—not in association with item 35626 or 35630 and including procedures covered by item 35639, 35640 or 35643 where performed (AU 7) | 76.00 |
35630 | Hysteroscopy, with endometrial biopsy, performed in the operating theatre of a hospital or approved day- hospital facility—not in association with item 35626 or 35627 and including procedures covered by item 35639, 35640 or 35643 where performed (AU 7) | 128.00 |
35633 | Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterization or removal of IUD which cannot be removed by other means, one or more of (AU 8) | 152.00 |
35636 | Hysteroscopy and laparoscopy under general anaesthesia involving either myomectomy or resection of uterine septum, or both (AU 10) | 305.00 |
35637 | Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure—one or more procedures with or without biopsy—not associated mwith any other laparoscopic procedure (AU 7) | 285.00 |
35638 | Complicated operative laparoscopy, including use of laser when required, for one or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than one hours operating time, division of adhesions requiring more than one hours operating time or division of utero- sacral ligaments for significant dysmenorrhoea (AU 12) | 500.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35639 | Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (G) (AU 5) | 95.00 |
35640 | Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (S) (AU 5) | 128.00 |
35643 | Evacuation of the contents of the gravid uterus by curettage or suction curettage not covered by item 35639 or 35640 (AU 5) | 154.00 |
35644 | Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not associated with item 35639, 35640 or 35647 (AU 8) | 144.00 |
35645 | Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative therapy of additional areas of intraepithelial change in one or more sites of vagina, vulva, urethra or anus, not associated with item 35649 (AU 8) | 225.00 |
35646 | Cervix, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital or approved day-hospital facility (AU 8) | 144.00 |
35647 | Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not associated with item 35644 (AU 8) | 144.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35648 | Cervix, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative treatment of additional areas of intraepithelial change of one or more sites of vagina, vulva, urethra or anus, not associated with item 35645 (AU 8) | 225.00 |
35649 | Hysterotomy or uterine myomectomy, abdominal (AU 10) | 380.00 |
35653 | Hysterectomy, abdominal, sub total or total, with or without removal of uterine adnexae (AU 11) | 475.00 |
35657 | Hysterectomy, vaginal, with or without uterine curettage, not covered by item 35673 (AU 11) | 475.00 |
35661 | Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of one or both ureters, for the management of severe endometrioses, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (AU 12) | 615.00 |
35664 | Radical hysterectomy with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (AU 17) | 1,025.00 |
35667 | Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (AU 17) | 870.00 |
35670 | Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (AU 19) | 715.00 |
35673 | Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides (AU 12) | 535.00 |
35676 | Ectopic gestation, removal of (G) (AU 9) | 300.00 |
35677 | Ectopic gestation, removal of (S) (AU 9) | 380.00 |
35678 | Ectopic pregnancy, laparoscopic removal of (AU 10) | 455.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35680 | Bicornuate uterus, plastic reconstruction for (AU 14) | 410.00 |
35683 | Uterus, suspension or fixation of, as an independent procedure (G) (AU 8) | 245.00 |
35684 | Uterus, suspension or fixation of, as an independent procedure (S) (AU 8) | 330.00 |
35687 | Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (AU 8) | 230.00 |
35688 | Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (AU 8) | 280.00 |
35691 | Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (AU 5) | 112.00 |
35694 | Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 11) | 450.00 |
35697 | Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 16) | 665.00 |
35700 | Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope (AU 18) | 515.00 |
35703 | Hydrotubation of Fallopian tubes as a non-repetitive procedure not associated with any other item in this Group (AU 7) | 47.50 |
35706 | Rubin test for patency of Fallopian tubes (AU 7) | 47.50 |
35709 | Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (AU 7) | 30.50 |
35712 | Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—one such procedure not associated with hysterectomy (G) (AU 9) | 255.00 |
35713 | Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—one such procedure not associated with hysterectomy (S) (AU 9) | 320.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
35716 | Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—two or more such procedures, unilateral or bilateral, not associated with hysterectomy (G) (AU 10) | 305.00 |
35717 | Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—two or more such procedures, unilateral or bilateral, not associated with hysterectomy (S) (AU 10) | 385.00 |
35720 | Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (AU 16) | 475.00 |
35723 | Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (AU 19) | 340.00 |
35726 | Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (AU 16) | 340.00 |
35729 | Ovarian transposition out of the pelvis, in association with radical hysterectomy for invasive malignancy (AU 18) | 154.00 |
Subgroup 5—Urological
36500 | Adrenal gland, excision of—partial or total (AU 12) | 650.00 |
36503 | Renal transplant, not covered by items 36506 and 36509 (AU 24) | 980.00 |
36506 | Renal transplant, performed by vascular surgeon and urologist operating together—vascular anastomosis, including after-care (AU 24) | 650.00 |
36509 | Renal transplant, performed by vascular surgeon and urologist operating together—ureterovesical anastomosis, including after-care | 550.00 |
36515 | Nephrectomy, complete (G) (AU 11) | 540.00 |
36516 | Nephrectomy, complete (S) (AU 11) | 650.00 |
36519 | Nephrectomy, complete, complicated by previous surgery on the same kidney (AU 13) | 910.00 |
36522 | Nephrectomy, partial (AU 13) | 780.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36525 | Nephrectomy, partial, complicated by previous surgery on the same kidney (AU 15) | 1,110.00 |
36528 | Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy (AU 17) | 910.00 |
36531 | Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (AU 17) | 815.00 |
36534 | Kidney, fused, renal symphysiotomy for (AU 14) | 650.00 |
36537 | Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not covered by any other item in this Group (AU 10) | 485.00 |
36540 | Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for one or two stones (AU 12) | 780.00 |
36543 | Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including one or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (AU 12) | 910.00 |
36546 | Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for three days, including pre-treatment consultations, unilateral (AU 12) | 485.00 |
36549 | Ureterolithotomy (AU 11) | 585.00 |
36552 | Nephrostomy or pyelostomy, open, as an independent procedure (AU 11) | 520.00 |
36555 | Nephropexy, as an independent procedure (AU 9) | 360.00 |
36558 | Renal cyst or cysts, excision or unroofing of (AU 11) | 460.00 |
36561 | Renal biopsy (closed) (AU 6) | 122.00 |
36564 | Pyeloplasty, by open exposure (AU 14) | 650.00 |
36567 | Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure (AU 14) | 715.00 |
36570 | Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (AU 15) | 910.00 |
36573 | Divided ureter, repair of (AU 13) | 650.00 |
36576 | Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (AU 13) | 815.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36579 | Ureterectomy, complete or partial, with or without associated bladder repair, not associated with item 37000 (AU 12) | 520.00 |
36582 | Ureter, replacement of, by bowel (AU 12) | 910.00 |
36585 | Ureter, transplantation of, into skin (AU 10) | 520.00 |
36588 | Ureter, reimplantation into bladder (AU 12) | 650.00 |
36591 | Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (AU 12) | 780.00 |
36594 | Ureter, transplantation of, into intestine (AU 12) | 650.00 |
36597 | Ureter, transplantation of, into another ureter (AU 12) | 650.00 |
36600 | Ureter, transplantation of, into isolated intestinal segment, unilateral (AU 14) | 780.00 |
36603 | Ureters, transplantation of, into isolated intestinal segment, bilateral (AU 16) | 910.00 |
36606 | Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (one or both) into reservoir (AU 27) | 1,630.00 |
36609 | Intestinal urinary conduit or ureterostomy, revision of (AU 13) | 520.00 |
36612 | Ureter, exploration of, with or without drainage of, as an independent procedure (AU 11) | 460.00 |
36615 | Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU 11) | 520.00 |
36618 | Reduction ureteroplasty (AU 14) | 460.00 |
36621 | Closure of cutaneous ureterostomy (AU 9) | 325.00 |
36624 | Nephrostomy, percutaneous, including associated imaging (AU 9) | 395.00 |
36627 | NEPHROSCOPY, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not covered by Items 36639, 36642, 36645 or 36648 (AU 11) | 485.00 |
36630 | The services covered by Item 36627 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (AU 10) | 240.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36633 | Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not in association with Items 36627, 36639, 36642, 36645 or 36648 (AU 11) | 520.00 |
36636 | Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, in association with Items 36627, 36639, 36642, 36645 or 36648 (AU 13) | 280.00 |
36639 | Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers (not covered by Items 36645 or 36648) (AU 13) | 585.00 |
36642 | The services covered by Item 36639 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (AU 12) | 295.00 |
36645 | Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cms in any dimension, or for three or more stones (AU 17) | 750.00 |
36648 | The services covered by Item 36645 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation (AU 16) | 670.00 |
36649 | Nephrostomy drainage tube, exchange of—but not including imaging (AU 7) | 188.00 |
36800 | Bladder, catheterisation of, where no other procedure is performed (AU 4) | 19.40 |
36803 | Ureteroscopy, with or without any one or more of; cystoscopy, ureteric meatotomy, ureteric dilatation and pyeloscopy, not associated with item 36806, 36809, 36812, 36824, 36848 or 36857 (AU 7) | 330.00 |
36806 | Ureteroscopy as described in item 36803, plus one or more of extraction of stone, biopsy or diathermy (AU 9) | 460.00 |
36809 | Ureteroscopy as described in item 36803, plus destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments (AU 11) | 585.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36812 | Cystoscopy with urethroscopy, with or without urethral dilatation, not associated with any other urological endoscopic procedure on the lower urinary tract except item 37327 (AU 5) | 118.00 |
36815 | Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not associated with item 30189 (AU 6) | 168.00 |
36818 | Cystoscopy, with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not associated with item 36824 or 36830 (AU 6) | 194.00 |
36821 | Cystoscopy with one or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral, not associated with item 36824 or 36830 (AU 6) | 230.00 |
36824 | Cystoscopy with ureteric catheterisation, unilateral or bilateral, not associated with item 36818 or 36821 (AU 5) | 150.00 |
36827 | Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5) | 162.00 |
36830 | Cystoscopy, with ureteric meatotomy (AU 5) | 144.00 |
36833 | Cystoscopy with removal of foreign body (AU 6) | 194.00 |
36836 | Cystoscopy with biopsy of bladder, not associated with item 36812, 36830, 36839, 36845, 36848, 36854, 37203, 37206 or 37215 (AU 6) | 162.00 |
36839 | Cystoscopy with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not associated with item 36845 (AU 6) | 230.00 |
36842 | Cystoscopy with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not associated with item 36812 and items 36827 to 36863 and items 37203 and 37206 (AU 8) | 230.00 |
36845 | Cystoscopy with diathermy or resection of multiple bladder tumours in more than two quadrants of the bladder or solitary tumour greater than 2 centimetres in diameter (AU 6) | 485.00 |
36848 | Cystoscopy with resection of ureterocele (AU 5) | 162.00 |
36851 | Cystoscopy with injection into bladder wall (AU 5) | 162.00 |
36854 | Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (AU 7) | 330.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
36857 | Endoscopic manipulation or extraction of ureteric calculus (AU 6) | 260.00 |
36860 | Endoscopic examination of intestinal conduit or reservoir (AU 5) | 118.00 |
36863 | Litholapaxy, with or without cystoscopy (AU 7) | 330.00 |
37000 | Bladder, partial excision of (AU 13) | 520.00 |
37003 | Bladder, repair of rupture (G) (AU 13) | 375.00 |
37004 | Bladder, repair of rupture (S) (AU 13) | 460.00 |
37007 | Cystostomy or cystotomy, suprapubic, not covered by item 37011 and not associated with other open bladder procedure (G) (AU 8) | 235.00 |
37008 | Cystostomy or cystotomy, suprapubic, not covered by item 37011 and not associated with other open bladder procedure (S) (AU 8) | 295.00 |
37011 | Suprapubic stab cystotomy (AU 6) | 66.00 |
37014 | Bladder, total excision of (AU 29) | 750.00 |
37017 | Bladder tumours, suprapubic diathermy of (AU 10) | 485.00 |
37020 | Bladder diverticulum, excision or obliteration of (AU 10) | 520.00 |
37023 | Vesical fistula, cutaneous, operation for (AU 12) | 295.00 |
37026 | Cutaneous vesicostomy, establishment of (AU 9) | 295.00 |
37029 | Vesico-vaginal fistula, closure of by abdominal approach (AU 12) | 650.00 |
37032 | Vesico-vaginal fistula, closure of, synchronous combined approach, abdominal component, including aftercare (AU 12) | 585.00 |
37035 | Vesico-vaginal fistula, closure of, synchronous combined approach, vaginal component, including aftercare | 425.00 |
37038 | Vesico-intestinal fistula, closure of, excluding bowel resection (AU 11) | 485.00 |
37041 | Bladder aspiration, by needle | 33.00 |
37044 | Bladder stress incontinence, suprapubic procedure for, not covered by item 35599 (AU 9) | 485.00 |
37047 | Bladder enlargement using intestine (AU 23) | 1,175.00 |
37050 | Bladder extrophy closure, not involving sphincter reconstruction (AU 14) | 520.00 |
37053 | Bladder transection and re-anastomosis to trigone (AU 16) | 605.00 |
37200 | Prostatectomy, open (AU 13) | 715.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
37203 | Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by item 36854, 37303, 37206 or 37324 (AU 10) | 815.00 |
37206 | Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by items 36854, 37303, 37321 and 37324, continuation of, within 10 days ofinitial procedure which had to be discontinued for medical reasons (AU 9) | 395.00 |
37209 | Prostate, total excision of (AU 13) | 910.00 |
37212 | Prostate, open perineal biopsy or open drainage of abscess (AU 6) | 194.00 |
37215 | Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6) | 295.00 |
37218 | Prostate, needle biopsy of, or injection into (AU 5) | 97.00 |
37221 | Prostatic abscess, endoscopic drainage of (AU 7) | 330.00 |
37300 | Urethral sounds, passage of, as an independent procedure (AU 5) | 33.00 |
37303 | Urethral stricture, dilatation of (AU 5) | 52.00 |
37306 | Urethra, repair of rupture of distal section (AU 9) | 460.00 |
37309 | Urethra, repair of rupture of prostatic or membranous segment (AU 10) | 650.00 |
37312 | Urethral fistula, closure of (AU 8) | 194.00 |
37315 | Urethroscopy, as an independent procedure (AU 5) | 97.00 |
37318 | Urethroscopy, with any one or more of; biopsy, diathermy or removal of foreign body or stone (AU 7) | 194.00 |
37321 | Urethral meatotomy, external (AU 4) | 66.00 |
37324 | Urethrotomy or urethrostomy, internal or external (AU 5) | 162.00 |
37327 | Urethrotomy, optical, for urethral stricture (AU 5) | 230.00 |
37330 | Urethrectomy, partial or complete, for removal of tumour (AU 9) | 460.00 |
37333 | Urethro-vaginal fistula, closure of (AU 9) | 395.00 |
37336 | Urethro-rectal fistula, closure of (AU 10) | 520.00 |
37339 | Peri-urethral injection of Teflon, including urethroscopy and cystoscopy (AU 5) | 170.00 |
37342 | Urethroplasty—single stage operation (AU 10) | 585.00 |
37345 | Urethroplasty—two stage operation—first stage (AU 9) | 485.00 |
37348 | Urethroplasty—two stage operation—second stage (AU 9) | 485.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
37351 | Urethroplasty, not covered by any other item in this Group (AU 9) | 194.00 |
37354 | Hypospadias, meatotomy and hemi-circumcision (AU 7) | 230.00 |
37357 | Hypospadias, glanuloplasty incorporating meatal advancement (AU 8) | 295.00 |
37360 | Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, first stage (AU 10) | 330.00 |
37363 | Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, second stage (AU 11) | 485.00 |
37366 | Hypospadias or epispadias, with or without chordee, correction of, as one stage procedure, not covered by item 37357 (AU 13) | 585.00 |
37369 | Urethra, excision of prolapse of (AU 7) | 132.00 |
37372 | Urethral diverticulum, excision of (AU 8) | 330.00 |
37375 | Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (AU 16) | 815.00 |
37378 | Urethra, operation for correction of male urinary incontinence, not covered by item 37381 or 37390 (AU 9) | 520.00 |
37381 | Artificial urinary sphincter, insertion of cuff, perineal approach (AU 10) | 520.00 |
37384 | Artificial urinary sphincter, insertion of cuff, abdominal approach (AU 16) | 815.00 |
37387 | Artificial urinary sphincter, insertion of pressure regulating balloon and pump (AU 8) | 230.00 |
37390 | Artificial urinary sphincter, revision or removal of, with or without replacement (AU 12) | 650.00 |
37393 | Priapism, decompression by glanular stab caverno- sospongiosum shunt or penile aspiration with or without lavage (AU 7) | 162.00 |
37396 | Priapism, shunt operation for, not covered by item 37393 (AU 10) | 520.00 |
37399 | Urethral valve, destruction of, including cystoscopy and urethroscopy (AU 7) | 260.00 |
37402 | Penis, partial amputation of (AU 8) | 330.00 |
37405 | Penis, complete or radical amputation of (AU 12) | 650.00 |
37408 | Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (AU 8) | 330.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
37411 | Penis, repair of avulsion (AU 12) | 650.00 |
37414 | Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque | 33.00 |
37417 | Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (AU 8) | 395.00 |
37420 | Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of deep veins to Bucks fascia including one or more deep cavernosal veins, with or without pharmological erection test (AU 7) | 260.00 |
37423 | Penis, lengthening by translocation of corpora (AU 14) | 650.00 |
37426 | Penis, artificial erection device, insertion of, into one or both corpora (AU 8) | 685.00 |
37429 | Penis, artificial erection device, insertion of pump and pressure regulating reservoir (AU 11) | 230.00 |
37432 | Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (AU 11) | 650.00 |
37435 | Penis, frenuloplasty as an independent procedure (AU 5) | 66.00 |
37438 | Scrotum, partial excision of (AU 7) | 194.00 |
37441 | Penis erection test for hypospadias and chordee when performed under general anaesthesic, as an independent procedure (AU 5) | 65.00 |
37444 | Ureterolithotomy complicated by previous surgery at the same site of the same ureter (AU 12) | 705.00 |
37600 | Spermatocele or epididymal cyst, excision of, one or more of, on one side (G) (AU 6) | 162.00 |
37601 | Spermatocele or epididymal cyst, excision of, one or more of, on one side (S) (AU 6) | 194.00 |
37604 | Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral (AU 5) | 194.00 |
37607 | Retroperitoneal lymph node dissection, unilateral, not associated with item 36528 (AU 12) | 650.00 |
37610 | Retroperitoneal lymph node dissection, unilateral, not associated with item 36528, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (AU 24) | 980.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
37613 | Epididymectomy (AU 8) | 194.00 |
37616 | Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope (AU 14) | 485.00 |
37619 | Vaso-vasostomy or vaso-epididymostomy, unilateral (AU 9) | 194.00 |
37622 | Vasotomy or vasectomy, unilateral or bilateral (G) (AU 5) | 136.00 |
37623 | Vasotomy or vasectomy, unilateral or bilateral (S) (AU 5) | 162.00 |
Subgroup 6—Cardio-Thoracic
38200 | Right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12) | 315.00 |
38203 | Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventri- cular puncture—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 12) | 375.00 |
38206 | Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 14) | 455.00 |
38209 | Cardiac Electrophysiological Study—up to and including 3 catheter investigation of any one or more of—syncope, atrio-ventricular conduction, sinus node function or simple ventricular tachycardia studies, not in association with item 38212 (AU 19) | 580.00 |
38212 | Cardiac Electrophysiological Study—4 or more catheter supraventricular tachycardia investigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, or multiple catheter mapping, or acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or catheter ablation; or intra-operative mapping; or electrophysiological services during defibrillator implantation or testing—not in association with item 38209 (AU 27) | 965.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
38215 | Selective coronary arteriography—placement of catheters and injection of opaque material (AU 14) | 320.00 |
38218 | Selective coronary arteriography—placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16) | 525.00 |
38221 | Intra-aortic balloon for counterpulsation, operation for insertion by arteriotomy, or removal and arterioplasty (excluding repair by patch graft) (AU 14) | 335.00 |
38400 | Thoracic cavity, aspiration of, for diagnostic purposes, not associated with item 38403 | 27.00 |
38403 | Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample | 54.00 |
38406 | Pericardium, paracentesis of (excluding after-care) (AU 6) | 94.00 |
38409 | Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7) | 94.00 |
38412 | Percutaneous needle biopsy of lung (AU 7) | 148.00 |
38415 | Empyema, radical operation for, involving resection of rib (AU 13) | 280.00 |
38418 | Thoracotomy, exploratory, with or without biopsy (AU 11) | 675.00 |
38421 | Thoracotomy, with pulmonary decortication (AU 17) | 1,080.00 |
38424 | Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (AU 16) | 675.00 |
38427 | Thoracoplasty (complete)—three or more ribs (AU 21) | 835.00 |
38430 | Thoracoplasty (in stages)—each stage (AU 14) | 430.00 |
38432 | Pectus excavatum or pectus carinatum, repair or radical correction of (AU 16) | 1,010.00 |
38434 | Pectus excavatum or pectus carinatum, repair with implantation of subcutaneous prosthesis of (AU 16) | 535.00 |
38436 | Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy (AU 7) | 176.00 |
38438 | Pneumonectomy or lobectomy or segmentectomy (AU 18) | 1,080.00 |
38440 | Lung, wedge resection of (AU 16) | 810.00 |
38441 | Radical Lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (AU 22) | 1,280.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
38446 | Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (AU 16) | 835.00 |
38448 | Mediastinum, cervical exploration of, with or without biopsy (AU 10) | 255.00 |
38450 | Pericardium, transthoracic drainage of (AU 14) | 605.00 |
38452 | Pericardium, sub-xyphoid drainage of (AU 12) | 405.00 |
38453 | Tracheal excision and repair without cardiopulmonary bypass (AU 28) | 1,210.00 |
38454 | 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 Group (AU 28) | 1,080.00 |
38470 | Permanent myocardial electrode, insertion of, by thoracotomy (AU 11) | 675.00 |
38473 | Permanent pacemaker electrode, insertion by sub- xyphoid approach (AU 11) | 405.00 |
38476 | Single chamber permanent transvenous electrode, insertion of (AU 12) | 340.00 |
38479 | Permanent pacemaker, insertion or replacement of (AU 12) | 136.00 |
38482 | Temporary transvenous pacemaking electrode, insertion of (AU 11) | 188.00 |
38485 | Permanent dual chamber transvenous electrodes, insertion of (AU 12) | 430.00 |
38488 | Valve replacement with bioprosthesis or mechanical prosthesis (AU 32) | 1,210.00 |
38491 | Valve replacement with allograft or unstented xenograft (AU 32) | 1,345.00 |
38494 | Valve, repair of (AU 32) | 1,410.00 |
38497 | Coronary artery bypass using saphenous vein graft or grafts only (AU 36) | 1,445.00 |
38500 | Coronary artery bypass using single arterial graft, with or without vein graft or grafts (AU 36) | 1,550.00 |
38503 | Coronary artery bypass using two or more arterial grafts, with or without vein graft or grafts (AU 36) | 1,685.00 |
38506 | Left ventricular aneurysmectomy (AU 32) | 1,145.00 |
38509 | Ischaemic ventricular septal rupture, repair of (AU 40) | 1,685.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
38512 | Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only (AU 32) | 1,480.00 |
38515 | Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation (AU 36) | 1,885.00 |
38518 | Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (AU 44) | 2,020.00 |
38521 | Automatic defibrillator, insertion of patches for (AU 10) | 740.00 |
38524 | Automatic defibrillator generator, insertion or replacement of (AU 10) | 205.00 |
38550 | Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 42) | 1,345.00 |
38553 | Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 46) | 1,750.00 |
38556 | Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 50) | 2,020.00 |
38559 | Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 46) | 1,615.00 |
38562 | Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 50) | 2,020.00 |
38565 | Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 52) | 2,285.00 |
38568 | Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (AU 32) | 1,145.00 |
38571 | Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (AU 36) | 1,280.00 |
38574 | Deep hypothermia with cardiac arrest, in association with open heart surgery | 535.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
38600 | Central cannulation for cardiopulmonary bypass excluding post-operative management (AU 16) | 1,080.00 |
38603 | Peripheral cannulation for cardiopulmonary artery bypass excluding post-operative management (AU 13) | 675.00 |
38606 | Intra-aortic balloon pump, percutaneous insertion of (AU 11) | 270.00 |
38609 | Intra-aortic balloon pump, insertion by femoral arteriotomy (AU 14) | 340.00 |
38612 | Intra-aortic balloon pump, removal with closure of femoral artery by direct suture (AU 14) | 380.00 |
38615 | Left or right ventricular assist device, insertion of (AU 30) | 1,080.00 |
38618 | Left and right ventricular assist device, insertion of (AU 32) | 1,345.00 |
38621 | Left or right ventricular assist device, removal of, as an independent procedure (AU 18) | 535.00 |
38624 | Left and right ventricular assist device, removal of, as an independent procedure (AU 20) | 605.00 |
38640 | Re-operation via median sternotomy, for any procedure (AU 25) | 675.00 |
38650 | Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (AU 32) | 1,345.00 |
38653 | Open heart surgery, not covered by any other item in this Group (AU 36) | 1,345.00 |
38656 | Thoracotomy or median sternotomy for post-operative bleeding (AU 18) | 675.00 |
38659 | Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (AU 15) | 750.00 |
38662 | Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (AU 25) | 1,505.00 |
Subgroup 7—Neurosurgical
39000 | Lumbar puncture, or spinal or epidural injection not covered by item 18200 (AU 5) | 53.00 |
39003 | Cisternal puncture | 60.00 |
39006 | Ventricular puncture (not including burr-hole) | 112.00 |
39009 | Subdural haemorrhage, tap for, each tap (AU 6) | 42.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
39012 | Burr-hole, single, preparatory to ventricular puncture or for inspection purpose—not included in any other items (AU 11) | 168.00 |
39015 | Ventricular reservoir or intracranial pressure monitoring device, insertion of—including burr- hole (excluding after-care) (AU 12) | 265.00 |
39018 | Cerebrospinal fluid reservoir, insertion of (AU 10) | 265.00 |
39100 | Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (AU 8) | 168.00 |
39103 | Intrathecal injection of alcohol or phenol | 168.00 |
39106 | Neurectomy, intracranial, for trigeminal neuralgia (AU 16) | 835.00 |
39109 | Trigeminal gangliotomy by radiofrequency, balloon or glycerol (AU 8) | 315.00 |
39112 | Cranial nerve, intracranial decompression of, using microsurgical techniques (AU 25) | 1,085.00 |
39115 | Percutaneous neurotomy of posterior divisions of spinal nerves by any method on one or more occasions within a thirty day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy (AU 6) | 70.00 |
39118 | Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (AU 7) | 210.00 |
39121 | Percutaneous cordotomy (AU 9) | 445.00 |
39124 | Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (AU 13) | 1,140.00 |
39127 | Subcutaneous reservoir and spinal catheter for pain, insertion of (AU 8) | 335.00 |
39130 | Percutaneous epidural implant for pain, insertion of (one or two stages), not involving laminectomy (AU 8) | 460.00 |
39133 | Epidural stimulator or intrathecal infusion device, revision of (AU 7) | 112.00 |
39136 | Percutaneous epidural implant for pain, removal of (AU 7) | 112.00 |
39139 | Epidural implant for pain, laminectomy and insertion of, including implantation of pulse generator (one or two stages) (AU 18) | 760.00 |
39300 | Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (AU 9) | 250.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
39303 | Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (AU 10) | 330.00 |
39306 | Nerve trunk, primary repair of, using microsurgical techniques (AU 11) | 475.00 |
39309 | Nerve trunk, secondary repair of, using microsurgical techniques (AU 12) | 505.00 |
39312 | Nerve trunk, internal (interfasicular), neurolysis of, using microsurgical techniques (AU 11) | 280.00 |
39315 | Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16) | 725.00 |
39318 | Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (AU 12) | 450.00 |
39321 | Nerve, transposition of (AU 8) | 335.00 |
39324 | Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (AU 8) | 194.00 |
39327 | Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (AU 10) | 335.00 |
39330 | Neurolysis by open operation without transposition, not associated with item 39312 (AU 7) | 194.00 |
39333 | Brachial plexus, exploration of, not covered by any other item in this Group (AU 11) | 280.00 |
39500 | Vestibular nerve, section of, via posterior fossa (AU 24) | 895.00 |
39503 | Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (AU 28) | 675.00 |
39600 | Intracranial haemorrhage, burr-hole craniotomy for—including burr holes (AU 11) | 335.00 |
39603 | Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (AU 18) | 840.00 |
39606 | Fractured skull, depressed or comminuted, operation for (AU 12) | 560.00 |
39609 | Fractured skull, compound, without dural penetration, operation for (AU 12) | 675.00 |
39612 | Fractured skull, compound or complicated, with dural penetration and brain laceration, operation for (AU 14) | 790.00 |
39615 | Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (AU 16) | 840.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
39700 | Skull tumour, benign or malignant, excision of, excluding cranioplasty (AU 27) | 390.00 |
39703 | Intracranial tumour or cyst, burr-hole and biopsy of, or drainage of, or both (AU 10) | 365.00 |
39706 | Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (AU 18) | 785.00 |
39709 | Craniotomy for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem—not covered by any other Item in this Group (AU 25) | 1,120.00 |
39712 | Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour not covered by any other item in this Group (AU 25) | 2,020.00 |
39715 | Pituitary tumour, hypophysectomy or removal of by transcranial or transphenoidal approach (AU 25) | 1,400.00 |
39718 | Arachnoidal cyst, craniotomy for (AU 15) | 615.00 |
39721 | Craniotomy, involving osteoplastic flap, for re- opening post-operatively for haemorrhage, swelling, etc (AU 16) | 560.00 |
39800 | Aneurysm, clipping or reinforcement of sac (AU 28) | 2,015.00 |
39803 | Intracranial arteriovenous malformation, excision of (AU 32) | 2,015.00 |
39806 | Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (AU 24) | 905.00 |
39809 | Arteriovenous malformation, craniotomy and direct embolisation of (AU 32) | 1,005.00 |
39812 | Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (AU 10) | 445.00 |
39815 | Carotid-cavernous fistula, obliteration of—combined cervical and intracranial procedure (AU 40) | 1,285.00 |
39818 | Extracranial to intracranial bypass using superficial temporal artery or saphenous vein graft (AU 32) | 1,285.00 |
39900 | Intracranial infection, drainage of, via burr-hole—including burr-hole (AU 10) | 365.00 |
39903 | Intracranial abscess, excision of (AU 17) | 1,120.00 |
39906 | Osteomyelitis of skull or removal of infected bone flap, craniectomy for (AU 10) | 560.00 |
40000 | Ventriculo-cisternostomy (Torkildsen's operation) (AU 15) | 645.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
40003 | Cranial or cisternal shunt diversion, insertion of (AU 14) | 645.00 |
40006 | Lumbar shunt diversion, insertion of (AU 13) | 510.00 |
40009 | Cranial, cisternal or lumbar shunt, revision or removal of (AU 12) | 370.00 |
40012 | Third ventriculostomy (AU 15) | 725.00 |
40015 | Subtemporal decompression (AU 26) | 168.00 |
40018 | Lumbar cerebrospinal fluid drain, insertion of (AU 6) | 112.00 |
40100 | Meningocele, excision and closure of (AU 13) | 485.00 |
40103 | Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (AU 15) | 715.00 |
40106 | Arnold-Chiari malformation, decompression of (AU 35) | 725.00 |
40109 | Encephalocoele, excision and closure of (AU 34) | 785.00 |
40112 | Tethered cord, release of, including lipomeningocoele or diastematomyelia (AU 35) | 1,005.00 |
40115 | Craniostenosis, operation for—single suture (AU 17) | 510.00 |
40118 | Craniostenosis, operation for—more than one suture (AU 20) | 675.00 |
40300 | Intervertebral disc or discs, laminectomy for exploration or removal of (AU 12) | 675.00 |
40303 | Recurrent disc lesion or spinal stenosis, laminectomy for—one level (AU 13) | 770.00 |
40306 | Spinal canal stenosis, laminectomy (multi-level), for treatment of (AU 16) | 1,010.00 |
40309 | Extradural tumour or abscess, laminectomy for (AU 12) | 770.00 |
40312 | Intradural lesion, laminectomy for, not covered by any other item in this Group (AU 13) | 1,035.00 |
40315 | Craniocervical junction lesion, transoral approach for (AU 29) | 1,120.00 |
40318 | Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (AU 14) | 1,400.00 |
40321 | Posterior spinal fusion, not covered by items 40324 and 40327 (AU 18) | 770.00 |
40324 | Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—laminectomy, including aftercare (AU 18) | 450.00 |
40327 | Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—posterior fusion, including aftercare | 450.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
40330 | Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16) | 675.00 |
40333 | Cervical discectomy (anterior), without fusion (AU 19) | 560.00 |
40336 | Intradiscal injection of chymopapain (DISCASE)—one disc (AU 8) | 225.00 |
40339 | Hydromyelia, plugging of obex for, with or without duroplasty (AU 25) | 1,120.00 |
40342 | Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (AU 25) | 1,035.00 |
40600 | Cranioplasty, reconstructive (AU 16) | 675.00 |
40700 | Corpus callosum, anterior section of, for epilepsy (AU 25) | 1,230.00 |
40703 | Corticectomy, topectomy or partial lobectomy for epilepsy (AU 23) | 1,035.00 |
40706 | Hemispherectomy for intractible epilepsy (AU 40) | 1,510.00 |
40709 | Burr-hole placement of intracranial depth or surface electrodes (AU 15) | 365.00 |
40712 | Intracranial electrode placement via craniotomy (AU 21) | 735.00 |
40800 | Stereotactic anatomical localisation in association with an intracranial operative procedure (AU 17) | 630.00 |
40803 | Intracranial stereotactic procedure by any method, not covered by any other item in this Group (AU 17) | 840.00 |
40900 | Leucotomy for psychiatric disorder (AU 15) | 635.00 |
Subgroup 8—Ear, Nose and Throat
41500 | Ear, removal of foreign body in, otherwise than by simple syringing (AU 4) | 58.00 |
41503 | Ear, removal of foreign body in, involving incision of external auditory canal (AU 6) | 168.00 |
41506 | Aural polyp, removal of (AU 4) | 102.00 |
41509 | External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item in this Group (AU 9) | 114.00 |
41512 | Meatoplasty involving removal of cartilage or bone or both cartilage and bone not covered by item 41515 (AU 9) | 415.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41515 | Meatoplasty involving removal of cartilage or bone or both cartilage and bone associated with item 41530, 41548, 41560, 41560 or 41563 (AU 7) | 270.00 |
41518 | External auditory meatus, removal of exostoses in (AU 12) | 655.00 |
41521 | Correction of auditory canal stenosis, including meatoplasty, with or without grafting (AU 12) | 695.00 |
41524 | Reconstruction of external auditory canal in association with items 41557, 41560 and 41563 (AU 9) | 200.00 |
41527 | Myringoplasty, trans-canal approach (Rosen incision) (AU 11) | 415.00 |
41530 | Myringoplasty, post-aural or endaural approach with or without mastoid inspection (AU 12) | 675.00 |
41533 | Atticotomy without reconstruction of the bony defect, with or without myringoplasty (AU 12) | 805.00 |
41536 | Atticotomy with reconstruction of the bony defect with or without myringoplasty (AU 14) | 905.00 |
41539 | Ossicular chain reconstruction (AU 12) | 770.00 |
41542 | Ossicular chain reconstruction and myringoplasty (AU 13) | 840.00 |
41545 | Mastoidectomy (cortical) (AU 12) | 365.00 |
41548 | Obliteration of the mastoid cavity (AU 10) | 485.00 |
41551 | Mastoidectomy, intact wall technique, with myringoplasty (AU 16) | 1,120.00 |
41554 | Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (AU 18) | 1,320.00 |
41557 | Mastoidectomy (radical or modified radical) (AU 13) | 770.00 |
41560 | Mastoidectomy (radical or modified radical) and myringoplasty (AU 13) | 840.00 |
41563 | Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (AU 14) | 1,040.00 |
41566 | Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (AU 16) | 770.00 |
41569 | Decompression of facial nerve in its mastoid portion (AU 13) | 840.00 |
41572 | Labyrinthotomy or destruction of labyrinth (AU 12) | 730.00 |
41575 | Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach—transmastoid, translabyrinthine or retromastoid procedure (including aftercare) (AU 39) | 1,715.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41578 | Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach— intracranial procedure (including aftercare) | 1,715.00 |
41581 | Skull base tumour, removal of by infra-temporal approach (AU 40) | 1,975.00 |
41584 | Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (AU 28) | 1,355.00 |
41587 | Total temporal bone resection for removal of tumour (AU 32) | 1,845.00 |
41590 | Endolymphatic sac, transmastoid decompression with or without drainage of (AU 12) | 840.00 |
41593 | Translabyrinthine vestibular nerve section (AU 22) | 1,095.00 |
41596 | Retrolabyrinthine vestibular and/or cochlear nerve section (AU 26) | 1,225.00 |
41599 | Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (AU 23) | 1,225.00 |
41602 | Fenestration operation—each ear (AU 11) | 840.00 |
41605 | Venous graft to fenestration cavity (AU 12) | 415.00 |
41608 | Stapedectomy (AU 11) | 770.00 |
41611 | Stapes mobilisation (AU 10) | 495.00 |
41614 | Round window surgery including repair or cochleotomy (AU 11) | 770.00 |
41617 | Cochlear implant, insertion of, including mastoidectomy (AU 23) | 1,335.00 |
41620 | Glomus tumour, transtympanic removal of (AU 12) | 580.00 |
41623 | Glomus tumour, transmastoid removal of, including mastoidectomy (AU 13) | 840.00 |
41626 | Abscess or inflammation of middle ear, operation for (excluding after-care) (AU 7) | 102.00 |
41629 | Middle ear, exploration of (AU 9) | 365.00 |
41632 | Middle ear, insertion of tube for drainage of(including myringotomy) (AU 7) | 168.00 |
41635 | Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty (AU 10) | 805.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41638 | Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction (AU 16) | 1,005.00 |
41641 | Perforation of tympanum, cauterisation or diathermy of (AU 6) | 33.50 |
41644 | Excision of rim of eardrum perforation, not associated with myringoplasty (AU 6) | 100.00 |
41647 | Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (AU 7) | 77.00 |
41650 | Tympanic membrane, microinspection of one or both ears under general anaesthesia, not associated with any other item in this Group (AU 7) | 77.00 |
41653 | Examination of nasal cavity or post-nasal space or nasal cavity and post-nasal space, under general anaesthesia, not associated with any other item in this Group (AU 6) | 51.00 |
41656 | Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (AU 8) | 87.00 |
41659 | Nose, removal of foreign body in, other than by simple probing (AU 6) | 55.00 |
41662 | Nasal polyp or polypi (simple), removal of | 58.00 |
41665 | Nasal polyp or polypi (requiring admission to hospital), removal of (G) (AU 7) | 122.00 |
41668 | Nasal polyp or polypi (requiring admission to hospital), removal of (S) (AU 7) | 154.00 |
41671 | Nasal septum, septoplasty, submucous resection or closure of septal perforation (AU 9) | 340.00 |
41674 | Cauterisation (other than by chemical means) or general anaesthesia or diathermy of septum, turbinates or pharynx—one or more of these procedures (including any consultation on the same occasion) not associated with any other operation on the nose (AU 6) | 71.00 |
41677 | Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (AU 7) | 63.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41680 | Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7) | 114.00 |
41683 | Division of nasal adhesions, with or without stenting not associated with any other operation on the nose and not performed during the post-operative period of a nasal operation (AU 6) | 83.00 |
41686 | Dislocation of turbinate or turbinates, one or both sides, not associated with any other item in this Group (AU 6) | 51.00 |
41689 | Turbinectomy or turbinectomies, partial or total, unilateral (AU 6) | 96.00 |
41692 | Turbinates, submucous resection of, unilateral (AU 8) | 126.00 |
41695 | Nasal turbinates, cryotherapy to (AU 6) | 70.00 |
41698 | Maxillary antrum, proof puncture and lavage of (AU 6) | 23.00 |
41701 | Maxillary antrum, proof puncture and lavage of—under general anaesthesia (requiring admission to hospital), not associated with any other item in this Group (AU 6) | 65.00 |
41704 | Maxillary antrum, lavage of—each attendance at which the procedure is performed, including any associated consultation (AU 6) | 19.20 |
41707 | Maxillary artery, transantral ligation of (AU 9) | 315.00 |
41710 | Antrostomy (radical) (AU 9) | 365.00 |
41713 | Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (AU 10) | 425.00 |
41716 | Antrum, intranasal operation on or removal of foreign body from (AU 8) | 210.00 |
41719 | Antrum, drainage of, through tooth socket (AU 7) | 83.00 |
41722 | Oro-antral fistula, plastic closure of (AU 11) | 415.00 |
41725 | Ethmoidal artery or arteries, transorbital ligation of (unilateral) (AU 10) | 315.00 |
41728 | Lateral rhinotomy with removal of tumour (AU 12) | 630.00 |
41731 | Fronto-nasal ethmoidectomy with or without sphenoidectomy (AU 9) | 550.00 |
41734 | Radical fronto-ethmoidectomy with osteoplastic flap (AU 13) | 715.00 |
41737 | Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9) | 340.00 |
41740 | Frontal sinus, catheterisation of (AU 6) | 41.50 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41743 | Frontal sinus, trephine of (AU 6) | 240.00 |
41746 | Frontal sinus, radical obliteration of (AU 10) | 550.00 |
41749 | Ethmoidal sinuses, external operation on (AU 10) | 425.00 |
41752 | Sphenoidal sinus, intranasal operation on (AU 10) | 210.00 |
41755 | Eustachian tube, catheterisation of (AU 6) | 32.50 |
41758 | Division of pharyngeal adhesions (AU 7) | 83.00 |
41761 | Post nasal space, direct examination of, with or without biopsy (AU 7) | 87.00 |
41764 | Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx (AU 7) | 86.00 |
41767 | Nasopharyngeal angiofibroma, transpalatal removal (AU 12) | 515.00 |
41770 | Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (AU 16) | 495.00 |
41773 | Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (AU 14) | 415.00 |
41776 | Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (AU 10) | 415.00 |
41779 | Pharyngotomy (lateral), with or without total excision of tongue (AU 6) | 495.00 |
41782 | Partial pharyngectomy via pharyngotomy (AU 12) | 670.00 |
41785 | Partial pharyngectomy via pharyngotomy with partial or total glossectomy (AU 14) | 830.00 |
41786 | Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15) | 520.00 |
41788 | Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G) (AU 7) | 154.00 |
41789 | Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S) (AU 7) | 210.00 |
41792 | Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G) (AU 8) | 194.00 |
41793 | Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S) (AU 8) | 260.00 |
41796 | Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (AU 9) | 80.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41797 | Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (AU 9) | 102.00 |
41800 | Adenoids, removal of (G) (AU 6) | 83.00 |
41801 | Adenoids, removal of (S) (AU 6) | 114.00 |
41804 | Lingual tonsil or lateral pharyngeal bands, removal of (AU 7) | 63.00 |
41807 | Peritonsillar abscess (quinsy), incision of (AU 7) | 49.50 |
41810 | Uvulotomy or uvulectomy (AU 6) | 25.00 |
41813 | Vallecular or pharyngeal cysts, removal of (AU 8) | 250.00 |
41816 | Oesophagoscopy (with rigid oesophagoscope) (AU 6) | 130.00 |
41819 | Oesophageal and anastomic stricture, endoscopic dilatation of (AU 7) | 245.00 |
41822 | Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7) | 168.00 |
41825 | Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (AU 7) | 250.00 |
41828 | Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6) | 36.50 |
41831 | Oesophagus, endoscopic pneumatic dilatation of (AU 8) | 250.00 |
41834 | Laryngectomy (total) (AU 20) | 910.00 |
41837 | Vertical hemi-laryngectomy including tracheostomy (AU 17) | 870.00 |
41840 | Supraglottic laryngectomy including tracheostomy (AU 21) | 1,070.00 |
41843 | Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (AU 20) | 940.00 |
41846 | Larynx, direct examination of the supraglottic, glottic and subglottic regions, not associated with any other procedure on the larynx nor with the administration of a general anaesthetic (AU 8) | 130.00 |
41849 | Larynx, direct examination of, with biopsy (AU 8) | 192.00 |
41852 | Larynx, direct examination of, with removal of tumour (AU 9) | 210.00 |
41855 | Microlaryngoscopy (AU 8) | 205.00 |
41858 | Microlaryngoscopy with removal of juvenile papillomata (AU 10) | 350.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
41861 | Microlaryngoscopy with removal of papillomata by laser surgery (AU 13) | 425.00 |
41864 | Microlaryngoscopy with removal of tumour (AU 9) | 285.00 |
41867 | Microlaryngoscopy with arytenoidectomy (AU 13) | 430.00 |
41870 | Teflon injection into vocal cord (AU 9) | 320.00 |
41873 | Larynx, fractured, operation for (AU 15) | 415.00 |
41876 | Larynx, external operation on, or laryngofissure, with or without cordectomy (AU 13) | 415.00 |
41879 | Laryngoplasty or tracheoplasty, including tracheostomy (AU 17) | 670.00 |
41882 | Tracheostomy (G) (AU 10) | 130.00 |
41883 | Tracheostomy (S) (AU 10) | 168.00 |
41886 | Trachea, removal of foreign body in (AU 7) | 126.00 |
41889 | Bronchoscopy, as an independent procedure (AU 7) | 126.00 |
41892 | Bronchoscopy with one or more endobronchial biopsies or other diagnostic or therapeutic procedures (AU 8) | 166.00 |
41895 | Bronchus, removal of foreign body in (AU 9) | 260.00 |
41898 | Fibreoptic bronchoscopy with one or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (AU 8) | 182.00 |
41901 | Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (AU 15) | 425.00 |
41904 | Bronchoscopy with dilatation of tracheal stricture (AU 7) | 174.00 |
41907 | Nasal septum button, insertion of (AU 6) | 86.00 |
Subgroup 9—Ophthalmology
42503 | Ophthalmological examination under general anaesthesia, not associated with any other item in this Group (AU 5) | 72.00 |
42506 | Eye, enucleation of, with or without sphere implant (AU 8) | 340.00 |
42509 | Eye, enucleation of, with insertion of integrated implant (AU 9) | 430.00 |
42512 | Globe, evisceration of (AU 8) | 340.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42515 | Globe, evisceration of, and insertion of intrascleral ball or cartilage (AU 9) | 430.00 |
42518 | Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket (AU 9) | 250.00 |
42521 | Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (AU 16) | 850.00 |
42524 | Orbit, skin graft to, as a delayed procedure (AU 7) | 144.00 |
42527 | Contracted socket, reconstruction including mucous membrane grafting and stent mould (AU 11) | 285.00 |
42530 | Orbit, exploration with or without biopsy, requiring removal of bone (AU 9) | 445.00 |
42533 | Orbit, exploration of, with drainage or biopsy not requiring removal of bone (AU 8) | 285.00 |
42536 | Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (AU 11) | 590.00 |
42539 | Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12) | 835.00 |
42542 | Orbit, exploration of, with removal of tumour or of foreign body (AU 10) | 355.00 |
42545 | Orbit, decompression of, for dysthyroid eye disease, two or more walls, one eye (AU 16) | 900.00 |
42548 | Optic nerve meninges, incision of (AU 17) | 535.00 |
42551 | Eyeball, perforating wound of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, not covered by item 42632 (AU 10) | 445.00 |
42554 | Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue—repair (AU 12) | 520.00 |
42557 | Eyeball, perforating wound of, with incarceration of lens or vitreous—repair (AU 12) | 725.00 |
42560 | Intraocular foreign body, magnetic removal from anterior segment (AU 10) | 285.00 |
42563 | Intraocular foreign body, nonmagnetic removal from anterior segment (AU 11) | 365.00 |
42566 | Intraocular foreign body, magnetic removal from posterior segment (AU 10) | 520.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42569 | Intraocular foreign body, nonmagnetic removal from posterior segment (AU 12) | 725.00 |
42572 | Orbital abscess or cyst, drainage of (AU 6) | 83.00 |
42575 | Tarsal cyst, extirpation of (AU 6) | 58.00 |
42578 | Tarsal cartilage, excision of (AU 8) | 330.00 |
42581 | Ectropion or entropion, tarsal cauterisation of | 83.00 |
42584 | Tarsorrhaphy (AU 8) | 194.00 |
42587 | Cryotherapy or electrolysis epilation for trichiasis—each eyelid (AU 6) | 36.50 |
42590 | Canthoplasty, medial or lateral (AU 9) | 240.00 |
42593 | Lacrimal gland, excision of palpebral lobe (AU 8) | 144.00 |
42596 | Lacrimal sac, excision of, or operation on (AU 8) | 355.00 |
42599 | Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, one eye (AU 10) | 445.00 |
42602 | Lacrimal canalicular system, establishment of patency by open operation, one eye (AU 8) | 445.00 |
42605 | Lacrimal canaliculus, immediate repair of (AU 8) | 330.00 |
42608 | Lacrimal drainage by insertion of glass tube, as an independent procedure (AU 10) | 210.00 |
42611 | Nasolacrimal tube (unilateral) replacement of, under general anaesthesia, or lacrimal passages, probing for obstruction, unilateral or bilateral, with or without lavage (AU 4) | 102.00 |
42614 | Lacrimal passages, lavage of, unilateral, not associated with item 42611 (excluding after-care) (AU 4) | 34.00 |
42617 | Punctum snip operation (AU 4) | 96.00 |
42620 | Punctum, occlusion of, by use of a plug (AU 5) | 37.00 |
42623 | Dacryocystorhinostomy (AU 11) | 495.00 |
42626 | Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (AU 11) | 795.00 |
42629 | Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (AU 12) | 600.00 |
42632 | Conjunctival peritomy or repair of corneal laceration by conjunctival flap (AU 6) | 83.00 |
42635 | Corneal perforations, sealing of, with tissue adhesive (AU 9) | 210.00 |
42638 | Conjunctival graft over cornea (AU 7) | 265.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42641 | Autoconjunctival transplant, or mucous membrane graft (AU 11) | 345.00 |
42644 | Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (AU 8) | 51.00 |
42647 | Corneal scars, removal of, by partial keratectomy, not in association with item 42686 (AU 8) | 144.00 |
42650 | Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (AU 8) | 51.00 |
42653 | Cornea, transplantation of, full thickness, including collection of donor material (AU 13) | 945.00 |
42656 | Cornea, transplantation of, full thickness, including collection of donor material where there have been two previous graft operations (AU 13) | 1,175.00 |
42659 | Cornea, transplantation of, superficial or lamellar, including collection of donor material (AU 11) | 635.00 |
42662 | Sclera, transplantation of, full thickness, including collection of donor material (AU 15) | 635.00 |
42665 | Sclera, transplantation of, superficial or lamellar, including collection of donor material (AU 14) | 425.00 |
42668 | Corneal sutures, removal of, not earlier than six weeks after operation requiring use of slit lamp or operating microscope (AU 6) | 53.00 |
42671 | Refractive keratoplasty with penetrating incisions (excluding radial keratotomy) following corneal grafting or intraocular operation including any measurements and calculations associated with the procedure (AU 10) | 635.00 |
42674 | Corneal incisions, non penetrating, for the correction of astigmatism following surgery of anterior chamber or corneal grafting, and including associated ultrasound pachymetry of corneal thickness, with or without compression sutures (AU 10) | 320.00 |
42677 | Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given including any associated consultation (AU 4) | 43.00 |
42680 | Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO2 or N20 (AU 7) | 210.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42683 | Conjunctival cysts, removal of, requiring admission to hospital or approved day hospital facility (AU 6) | 85.00 |
42686 | Pterygium, removal of (AU 6) | 192.00 |
42689 | Pinguecula, removal of, not associated with the fitting of contact lenses (AU 6) | 83.00 |
42692 | Limbic tumour, removal of (AU 7) | 194.00 |
42695 | Limbic tumour, excision of, requiring keratectomy or sclerectomy (AU 12) | 320.00 |
42698 | Lens extraction (AU 11) | 550.00 |
42701 | Artificial lens, insertion of (AU 11) | 305.00 |
42704 | Artificial lens, removal or repositioning of by open operation—not associated with item 42701 (AU 9) | 330.00 |
42707 | Artificial lens, removal of and replacement with a different lens (AU 12) | 560.00 |
42710 | Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (AU 15) | 635.00 |
42713 | Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (AU 11) | 265.00 |
42716 | Cataract, juvenile, removal of, including subsequent needlings (AU 11) | 840.00 |
42719 | Capsulectomy or removal of vitreous via the anterior chamber by any method, not associated with any other intraocular operation on that eye (AU 9) | 365.00 |
42722 | Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye—one or both procedures (AU 15) | 400.00 |
42725 | Vitrectomy by posterior chamber sclerotomy—including the removal of vitreous, division of bands or removal of pre-retinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye, other than item 42728 (AU 25) | 945.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42728 | Cryotherapy of retina or other intraocular structures with an internal probe in association with item 42725 (AU 9) | 158.00 |
42731 | Capsulectomy or lensectomy by posterior chamber sclerotomy associated with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation (AU 25) | 1,070.00 |
42734 | Capsulotomy, other than by laser (AU 9) | 210.00 |
42737 | Needling of posterior capsule (AU 8) | 210.00 |
42740 | Paracentesis of anterior or posterior chamber or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, one or more of (AU 9) | 210.00 |
42743 | Anterior chamber, irrigation of blood from, as an independent procedure (AU 7) | 445.00 |
42746 | Glaucoma, filtering operation for (AU 10) | 675.00 |
42749 | Glaucoma, filtering operation for, where previous filtering operation has been performed (AU 10) | 840.00 |
42752 | Glaucoma, insertion of Molteno valve for, one or more stages (AU 18) | 945.00 |
42755 | Glaucoma, removal of Molteno valve (AU 8) | 116.00 |
42758 | Goniotomy (AU 10) | 495.00 |
42761 | Division of anterior or posterior synechiae, as an independent procedure, other than by laser (AU 9) | 365.00 |
42764 | Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (AU 10) | 365.00 |
42767 | Tumour, involving ciliary body or ciliary body and iris, excision of (AU 12) | 770.00 |
42770 | Cyclodiathermy or cyclocryotherapy (AU 8) | 210.00 |
42773 | Detached retina, diathermy or cryotherapy for, not associated with item 42776 (AU 11) | 635.00 |
42776 | Detached retina, buckling or resection operation for (AU 15) | 945.00 |
42779 | Detached retina, revision operation for (AU 15) | 1,175.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42782 | Laser trabeculoplasty—each treatment to one eye, to a maximum of four treatments to that eye in a two year period (AU 6) | 320.00 |
42785 | Laser iridotomy—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6) | 250.00 |
42788 | Laser capsulotomy—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6) | 250.00 |
42791 | Laser vitreolysis or corticolysis of lens material or fibrinolysis—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6) | 250.00 |
42794 | Division of suture by laser—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 5) | 47.50 |
42797 | Laser coagulation of corneal or scleral blood vessels—each treatment to one eye, to a maximum of four treatments to that eye in a two year period (AU 5) | 47.50 |
42800 | Pterygium, removal by laser in one or more stages (AU 6) | 192.00 |
42803 | Pinguecula, removal of by laser in one or more stages (not for contact lenses) (AU 6) | 83.00 |
42806 | Iris tumour, laser photocoagulation of (AU 9) | 250.00 |
42809 | Retina, photocoagulation of (AU 9) | 320.00 |
42812 | Detached retina, removal of encircling silicone band from (AU 8) | 116.00 |
42815 | Posterior chamber, removal of silicone oil from (AU 12) | 445.00 |
42818 | Retina, cryotherapy to, as an independent procedure, with external probe (AU 13) | 415.00 |
42821 | Retrobulbar transillumination, as an independent procedure (AU 5) | 64.00 |
42824 | Retrobulbar injection of alcohol or other drug, as an independent procedure | 49.50 |
42827 | Injection of botulinus toxin for blepharospasm, including all such injections on any one day (AU 5) | 32.00 |
42830 | Botulinus toxin, injection of, for strabismus including all such injections on any one day and associated electromyography (AU 6) | 110.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
42833 | Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles (AU 8) | 415.00 |
42836 | Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles where there have been two or more previous squint operations on the eye or eyes (AU 8) | 515.00 |
42839 | Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles (AU 9) | 495.00 |
42842 | Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles where there have been two or more previous squint operations on the eye or eyes (AU 9) | 615.00 |
42845 | Readjustment of adjustable sutures, one or both eyes, as an independent procedure following an operation for correction of squint (AU 6) | 134.00 |
42848 | Squint, muscle transplant for (Hummelsheim type, or similar operation) (AU 9) | 495.00 |
42851 | Squint, muscle transplant for (Hummelsheim type, or similar operation) where there have been two or more previous squint operations on the eye or eyes (AU 9) | 615.00 |
42854 | Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (AU 9) | 285.00 |
42857 | Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (AU 9) | 285.00 |
42860 | Lid, upper or lower, scleral graft to, with recession of the lid retractors (AU 13) | 635.00 |
42863 | Eyelid upper, recession of (AU 12) | 545.00 |
42866 | Entropion, repair of, by tightening, shortening or repair of inferior retractors by open operation (AU 13) | 530.00 |
42869 | Eyelid closure in facial nerve paralysis, insertion of foreign implant for (AU 11) | 385.00 |
42872 | Eyebrow, elevation of, for paretic states (AU 9) | 170.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
Subgroup 10—Operations for Osteomyelitis
43500 | Operation on phalanx (AU 7) | 87.00 |
43503 | Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins)—one bone (AU 10) | 144.00 |
43506 | Operation on humerus or femur—one bone (AU 10) | 250.00 |
43509 | Operation on spine or pelvic bones—one bone (AU 13) | 250.00 |
43512 | Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bone or any combination of adjoining bones (AU 12) | 250.00 |
43515 | Operation on humerus or femur—one bone (AU 11) | 250.00 |
43518 | Operation on spine or pelvic bones—one bone (AU 12) | 415.00 |
43521 | Operation on skull (AU 12) | 325.00 |
43524 | Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (AU 12) | 415.00 |
Subgroup 11—Paediatric
43800 | Hypertelorism, correction of (AU 14) | 650.00 |
43803 | Choanal atresia, plastic repair of (AU 16) | 635.00 |
43806 | Choanal atresia, repair of by puncture and dilatation (AU 11) | 158.00 |
43809 | Macrocheilia, macroglossia or macrostomia, operation for (AU 13) | 340.00 |
43812 | Torticollis, operation for (AU 7) | 260.00 |
43815 | Oesophagus, correction of congenital stenosis by oesophagectomy and anastomosis (AU 21) | 775.00 |
43818 | Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20) | 775.00 |
43821 | Oesophageal atresia, with or without fistula, correction of (AU 23) | 960.00 |
43824 | Neonatal alimentary obstruction, laparotomy for, with or without resection, including reduction of volvulus (AU 15) | 675.00 |
43827 | Anal sphincterotomy as an independent procedure for Hirschsprung's disease (AU 6) | 188.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
43830 | Hirschsprung's disease, rectosigmoidectomy for (AU 22) | 880.00 |
43833 | Exomphalos or gastroschisis, operation for (AU 13) | 770.00 |
43836 | Exomphalos or gastroschisis, operation for, by plastic flap (AU 14) | 855.00 |
43839 | Ano-rectal malformation, perineal anoplasty, primary or secondary repair (AU 10) | 285.00 |
43842 | Ano-rectal malformation, rectoplasty, primary or secondary repair, not covered by item 43839 (AU 18) | 835.00 |
43845 | Contracted bladder neck (congenital), wedge excision or perurethral resection of (AU 11) | 425.00 |
43848 | Urachal fistula, operation for (AU 11) | 365.00 |
43851 | Sphincter reconstruction for ectopia vesicae, ectopia cloacae or congenital incontinence (AU 12) | 850.00 |
43854 | Urethral valves or urethral membrane, open removal of (AU 12) | 505.00 |
43857 | Lymphangiectasis of limb (Milroy’s disease)—limited excision of (AU 14) | 260.00 |
43860 | Lymphangiectasis of limb (Milroy's disease)—radical excision of (AU 18) | 580.00 |
44100 | Extra digit, ligation of pedicle (AU 4) | 34.00 |
44103 | Extra digit, amputation of (AU 6) | 87.00 |
44106 | Dermoid, periorbital or superficial nasal, excision of (G) (AU 8) | 126.00 |
44107 | Dermoid, periorbital or superficial nasal, excision of (S) (AU 8) | 160.00 |
44110 | Dermoid, orbital, excision of (AU 8) | 340.00 |
44113 | Dermoid of nose, excision of, with intranasal extension (AU 8) | 400.00 |
Subgroup 12—Amputations
44324 | Hand, midcarpal or transmetacarpal (G) (AU 7) | 160.00 |
44325 | Hand, midcarpal or transmetacarpal (S) (AU 7) | 210.00 |
44328 | Hand, forearm or through arm (AU 8) | 250.00 |
44331 | At shoulder (AU 12) | 415.00 |
44334 | Interscapulothoracic (AU 15) | 840.00 |
44337 | One digit of foot (G) (AU 6) | 83.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
44338 | One digit of foot (S) (AU 6) | 102.00 |
44341 | Two digits of one foot (G) (AU 7) | 126.00 |
44342 | Two digits of one foot (S) (AU 7) | 154.00 |
44345 | Three digits of one foot (G) (AU 8) | 144.00 |
44346 | Three digits of one foot (S) (AU 8) | 178.00 |
44349 | Four digits of one foot (G) (AU 9) | 166.00 |
44350 | Four digits of one foot (S) (AU 9) | 205.00 |
44353 | Five digits of one foot (G) (AU 10) | 186.00 |
44354 | Five digits of one foot (S) (AU 10) | 230.00 |
44357 | Toe, including metatarsal or part of metatarsal—each toe (G) (AU 7) | 102.00 |
44358 | Toe, including metatarsal or part of metatarsal—each toe (S) (AU 7) | 130.00 |
44361 | Foot at ankle (Syme, Pirogoff types) (AU 8) | 250.00 |
44364 | Foot, midtarsal or transmetatarsal (AU 7) | 210.00 |
44367 | Through thigh, at knee or below knee (AU 10) | 370.00 |
44370 | At hip (AU 14) | 505.00 |
44373 | Hindquarter (AU 17) | 1,040.00 |
44376 | Amputation stump, reamputation of, to provide adequate skin and muscle cover | Amount under rule 18 |
Subgroup 13—Plastic and Reconstructive Surgery
45000 | Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 7) | 380.00 |
45003 | Single stage local myocutaneous flap repair to one defect, simple and small (AU 11) | 425.00 |
45006 | Single stage large myocutaneous flap repair to one defect, (pectoralis major, latissimus dorsi, or similar large muscle) (AU 16) | 730.00 |
45009 | Single stage local muscle flap repair to one defect, simple and small (AU 11) | 265.00 |
45012 | Single stage large muscle flap repair to one defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (AU 17) | 445.00 |
45015 | Muscle or myocutaneous flap, delay of (AU 8) | 210.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45018 | Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (AU 12) | 335.00 |
45021 | Abrasive therapy, limited to one aesthetic area (AU 6) | 126.00 |
45024 | Abrasive therapy to more than one aesthetic area (AU 7) | 280.00 |
45027 | Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7) | 85.00 |
45030 | Angioma of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (AU 7) | 91.00 |
45033 | Angioma of facial muscle or breast, large or involving deeper tissue, excision and suture of (AU 9) | 170.00 |
45036 | Angioma of neck, deep, excision of (AU 10) | 795.00 |
45039 | Arteriovenous malformation (3 centimetres or less) of superficial tissue, excision of (AU 11) | 170.00 |
45042 | Arteriovenous malformation, (greater than 3 centimetres), excision of (AU 16) | 215.00 |
45045 | Arteriovenous malformation on eyelid, nose, lip, neck, hand, thumb, finger or genitals, excision of (AU 16) | 215.00 |
45048 | Lymphoedematous tissue of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (AU 15) | 545.00 |
45051 | Foreign implant (non biological), insertion of, for contour reconstruction for pathological deformity (AU 10) | 335.00 |
45200 | Single stage local flap, where indicated to repair one defect, simple and small, excluding flap for male pattern baldness (AU 7) | 200.00 |
45203 | Single stage local flap, where indicated to repair one defect, complicated or large, excluding flap for male pattern baldness (AU 10) | 285.00 |
45206 | Single stage local flap where indicated to repair one defect, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 12) | 270.00 |
45209 | Direct flap repair (cross arm, abdominal or similar), first stage (AU 11) | 335.00 |
45212 | Direct flap repair (cross arm, abdominal or similar), second stage (AU 9) | 166.00 |
45215 | Direct flap repair, cross leg, first stage (AU 13) | 715.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45218 | Direct flap repair, cross leg, second stage (AU 10) | 320.00 |
45221 | Direct flap repair, small (cross finger or similar), first stage (AU 7) | 184.00 |
45224 | Direct flap repair, small (cross finger or similar), second stage (AU 7) | 83.00 |
45227 | Indirect flap or tubed pedicle, formation of (AU 10) | 315.00 |
45230 | Direct or indirect flap or tubed pedicle, delay of (AU 8) | 156.00 |
45233 | Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (AU 10) | 335.00 |
45236 | Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8) | 260.00 |
45239 | Direct, indirect or local flap, revision of (AU 7) | 184.00 |
45400 | Free grafting (split skin) of a granulating area, small (AU 7) | 144.00 |
45403 | Free grafting (split skin) of a granulating area, extensive (AU 11) | 285.00 |
45406 | Free grafting (split skin) to burns, including excision of burnt tissue—involving not more than 3 per cent of total body surface (AU 8) | 320.00 |
45409 | Free grafting (split skin) to burns, including excision of burnt tissue—involving 3 per cent or more but less than 6 per cent of total body surface (AU 10) | 425.00 |
45412 | Free grafting (split skin) to burns, including excision of burnt tissue—involving 6 per cent or more but less than 9 per cent of total body surface (AU 12) | 585.00 |
45415 | Free grafting (split skin) to burns, including excision of burnt tissue—involving 9 per cent or more but less than 12 per cent of total body surface (AU 14) | 635.00 |
45418 | Free grafting (split skin) to burns, including excision of burnt tissue—involving 12 per cent or more of total body surface (AU 16) | 690.00 |
45421 | Free grafting (split skin) to burns, including excision of burnt tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 18) | 285.00 |
45424 | Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving not more than 3 per cent of total body surface (AU 13) | 235.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45427 | Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 3 per cent or more but less than 6 per cent of total body surface (AU 15) | 340.00 |
45430 | Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 6 per cent or more but less than 9 per cent of total body surface (AU 17) | 500.00 |
45433 | Free grafting (xenograft or homograft split skin) to burns including exision of burnt tissue—involving 9 per cent or more but less than 12 per cent of total body surface (AU 19) | 550.00 |
45436 | Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 12 per cent or more of total body surface (AU 21) | 615.00 |
45439 | Free grafting (split skin) to one defect, including elective dissection, small (AU 8) | 200.00 |
45442 | Free grafting (split skin) to one defect, including elective dissection, extensive (AU 11) | 415.00 |
45445 | Free grafting (split skin) as inlay graft to one defect including elective dissection using a mould (including insertion of and removal of mould) (AU 11) | 390.00 |
45448 | Free grafting (split skin) to one defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not covered by items 45442 or 45445 (AU 8) | 265.00 |
45451 | Free grafting (full thickness) to one defect, excluding grafts for male pattern baldness (AU 9) | 335.00 |
45500 | Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (AU 14) | 770.00 |
45503 | Micro-arterial or micro-venous graft using microsurgical techniques (AU 22) | 1,430.00 |
45506 | Scar, of face or neck, revision of, not more than 3 centimetres in length, where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 8) | 154.00 |
45509 | Microvascular anastomosis of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (AU 38) | 1,250.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45512 | Scar, of face or neck, revision of, more than 3 centimetres in length, where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 9) | 210.00 |
45515 | Scar, other than on face or neck, not more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 10) | 132.00 |
45518 | Scar, other than on face or neck, more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 12) | 158.00 |
45521 | Mammaplasty, reduction (unilateral), with or without repositioning of nipple (AU 10) | 635.00 |
45524 | Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to one breast (AU 10) | 520.00 |
45527 | Mammaplasty, augmentation, (unilateral), following mastectomy (AU 9) | 520.00 |
45530 | Breast reconstruction (unilateral), using latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect, excluding repair of muscular aponeurotic layer (AU 20) | 775.00 |
45533 | Breast reconstruction using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure (AU 15) | 875.00 |
45536 | Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (AU 12) | 325.00 |
45539 | Breast reconstruction (unilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9) | 755.00 |
45542 | Breast reconstruction (unilateral), following mastectomy, using tissue expansion—removal of tissue expansion unit and insertion of permanent prosthesis (AU 9) | 430.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45545 | Nipple or areola or both, reconstruction of by any technique (AU 10) | 440.00 |
45548 | Breast prosthesis, removal of, as an independent procedure (AU 11) | 194.00 |
45551 | Fibrous capsule surrounding breast prosthesis, excision or multiple incisions to, as an independent procedure (AU 10) | 315.00 |
45554 | Breast prosthesis, replacement of, following medical complications, (including rupture, migration, or capsule formation) where new pocket is formed (AU 15) | 495.00 |
45560 | Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Group (AU 11) | 335.00 |
45563 | Neurovascular island flap, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness (AU 15) | 775.00 |
45566 | Tissue expansion not covered by item 45539 or 45542—insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 10) | 755.00 |
45572 | Intra-operative tissue expansion performed during an operation when combined with any other item in Group T8 including expansion injections and excluding treatment of male pattern baldness (AU 13) | 205.00 |
45575 | Facial nerve paralysis, free fascia graft for (AU 12) | 505.00 |
45578 | Facial nerve paralysis, muscle transfer for (AU 13) | 590.00 |
45581 | Facial nerve palsy, excision of tissue for (AU 12) | 194.00 |
45584 | Liposuction (suction assisted lipolysis) to one regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (AU 13) | 445.00 |
45587 | Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14) | 630.00 |
45590 | Orbital cavity, reconstruction of a wall or floor, with or without foreign implant (AU 12) | 340.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45593 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (AU 14) | 400.00 |
45596 | Maxilla, total resection of (AU 29) | 635.00 |
45597 | Maxilla, total resection of both maxillae (AU 30) | 850.00 |
45599 | Mandible, total resection of both sides, including condylectomies where performed (AU 35) | 660.00 |
45602 | Mandible, including lower border, or maxilla, sub- total resection of (AU 19) | 495.00 |
45605 | Mandible or maxilla, segmental resection of, for tumours or cysts (AU 13) | 415.00 |
45608 | Mandible, hemi-mandibular reconstruction with bone graft, not associated with item 45599 (AU 15) | 580.00 |
45611 | Mandible, condylectomy (AU 11) | 335.00 |
45614 | Eyelid, whole thickness reconstruction of, other than by direct suture only (AU 10) | 415.00 |
45617 | Upper eyelid, reduction of, for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral upper eyelid (AU 7) | 166.00 |
45620 | Lower eyelid, reduction of, for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8) | 230.00 |
45623 | Ptosis (unilateral), correction of (AU 12) | 550.00 |
45626 | Ectropion or entropion, correction of (unilateral) (AU 9) | 230.00 |
45629 | Symblepharon, grafting for (AU 8) | 335.00 |
45632 | Rhinoplasty, correction of lateral or alar cartilages (AU 10) | 360.00 |
45635 | Rhinoplasty, correction of bony vault only (AU 10) | 415.00 |
45638 | Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12) | 715.00 |
45641 | Rhinoplasty involving nasal or septal cartilage graft (AU 14) | 765.00 |
45644 | Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (AU 13) | 900.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45647 | Face, contour restoration of one region, using autogenous bone or cartilage graft (not covered by item 45644) (AU 18) | 900.00 |
45650 | Rhinoplasty, secondary revision of (AU 10) | 104.00 |
45653 | Rhinophyma, shaving of (AU 9) | 250.00 |
45656 | Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11) | 355.00 |
45659 | Lop ear, bat ear or similar deformity, correction of (AU 8) | 365.00 |
45662 | Congenital atresia, reconstruction of external auditory canal (AU 11) | 495.00 |
45665 | Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures (AU 8) | 230.00 |
45668 | Vermilionectomy (AU 8) | 230.00 |
45671 | Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11) | 590.00 |
45674 | Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4) | 170.00 |
45677 | Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (AU 12) | 380.00 |
45680 | Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (AU 14) | 475.00 |
45683 | Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (AU 14) | 530.00 |
45686 | Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (AU 16) | 625.00 |
45689 | Cleft lip, lip adhesion procedure, unilateral or bilateral (AU 10) | 184.00 |
45692 | Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (AU 10) | 210.00 |
45695 | Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (AU 12) | 345.00 |
45698 | Cleft lip, primary columella lengthening procedure, bilateral (AU 10) | 325.00 |
45701 | Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (AU 12) | 585.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45704 | Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (AU 8) | 210.00 |
45707 | Cleft palate, primary repair (AU 14) | 550.00 |
45710 | Cleft palate, secondary repair, closure of fistula using local flaps (AU 13) | 345.00 |
45713 | Cleft palate, secondary repair, lengthening procedure (AU 12) | 390.00 |
45716 | Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (AU 15) | 550.00 |
45719 | Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 16) | 770.00 |
45722 | Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 20) | 975.00 |
45725 | Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14) | 680.00 |
45728 | Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18) | 870.00 |
45731 | Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 22) | 990.00 |
45734 | Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 26) | 1,135.00 |
45737 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 32) | 1,250.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45740 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 34) | 1,360.00 |
45743 | Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 24) | 1,115.00 |
45746 | Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 28) | 1,275.00 |
45749 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 34) | 1,405.00 |
45752 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 36) | 1,525.00 |
45755 | Temporo-mandibular meniscectomy (AU 9) | 260.00 |
45758 | Temporo-mandibular joint, arthroplasty (AU 6) | 465.00 |
45761 | Genioplasty, including transposition of nerves and bone grafts taken from the site (AU 10) | 530.00 |
45764 | Genioplasty associated with item 45719, 45722, 45725, 45728, 45731, 45734, 45743 or 45746 (AU 8) | 305.00 |
45767 | Hypertelorism, correction of, intra-cranial (AU 47) | 1,770.00 |
45770 | Hypertelorism, correction of, sub-cranial (AU 26) | 1,355.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
45773 | Treacher Collins Syndrome, periorbital correction of, with rib and iliac bone grafts (AU 30) | 1,235.00 |
45776 | Orbital dystopia (unilateral), correction of, with total repositioning of one orbit intra-cranial (AU 35) | 1,235.00 |
45779 | Orbital dystopia (unilateral), correction of, with total repositioning of one orbit, extra-cranial (AU 18) | 910.00 |
45782 | Fronto-orbital advancement, unilateral (AU 19) | 695.00 |
45785 | Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition—(bilateral fronto- orbital advancement) (AU 39) | 1,175.00 |
45788 | Glenoid fossa, zygomatic arch and temporal bone, reconstruction of, (Obwegeser technique) (AU 19) | 1,160.00 |
45791 | Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (AU 15) | 630.00 |
45794 | Osseo-integration procedure—extra oral, implantation of titanium fixture (AU 20) | 355.00 |
45797 | Osseo-integration procedure, fixation of transcutaneous abutment (AU 16) | 132.00 |
Subgroup 14—Hand Surgery
46300 | Inter-phalangeal joint or metacarpophalangeal joint, arthrodesis of (AU 9) | 240.00 |
46303 | Carpometacarpal joint, arthrodesis of (AU 10) | 265.00 |
46306 | Inter-phalangeal joint or metacarpophalangeal joint, interposition arthroplasty of (including volar plate arthroplasty), and including tendon transfers or realignment on the one ray (AU 10) | 370.00 |
46309 | Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—one joint (AU 10) | 370.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
46312 | Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—two joints (AU 11) | 475.00 |
46315 | Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—three joints (AU 14) | 635.00 |
46318 | Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—four joints (AU 15) | 795.00 |
46321 | Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—five or more joints (AU 16) | 955.00 |
46324 | Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (AU 15) | 535.00 |
46327 | Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of (AU 8) | 144.00 |
46330 | Inter-phalangeal joint or metacarpophalangeal joint, arthrotmy of , with ligamentous or capsular repair (AU 9) | 245.00 |
46333 | Inter-phalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (AU 10) | 395.00 |
46336 | Inter-phalangeal joint or metacarpophalangeal joint, synovectomy, capsulectomy or debridement of, not associated with any other procedure related to that joint (AU 9) | 186.00 |
46339 | Extensor tendons or flexor tendons of hand or wrist, synovectomy of (AU 10) | 330.00 |
46342 | Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (AU 10) | 330.00 |
46345 | Reconstruction of distal radioulnar joint (AU 11) | 395.00 |
46348 | Digit, synovectomy of flexor tendon or tendons—one digit (AU 9) | 172.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
46351 | Digit, synovectomy of flexor tendon or tendons—two digits (AU 11) | 255.00 |
46354 | Digit, synovectomy of flexor tendon or tendons—three digits (AU 12) | 345.00 |
46357 | Digit, synovectomy of flexor tendon or tendons—four digits (AU 14) | 430.00 |
46360 | Digit, synovectomy of tendon or tendons—five digits (AU 15) | 515.00 |
46363 | Tendon sheath of hand or wrist, open operation on, for stenosing tendovaginitis (AU 7) | 144.00 |
46366 | Dupuytren's contracture, subcutaneous fasciotomy for—one hand (AU 7) | 90.00 |
46369 | Dupuytren's contracture, palmar fasciectomy for—one hand (AU 9) | 90.00 |
46372 | Dupuytren's Contracture, fasciectomy for, from one ray, including dissection of nerves—one hand (AU 10) | 300.00 |
46375 | Dupuytren's Contracture, fasciectomy for, from two rays, including dissection of nerves—one hand (AU 11) | 360.00 |
46378 | Dupuytren's Contracture, fasciectomy for, from three or more rays, including dissection of nerves—one hand (AU 14) | 475.00 |
46381 | Inter-phalangeal joint, joint capsule release when performed in association with operation for Dupuytren's Contracture—each procedure (AU 7) | 210.00 |
46384 | Z-plasty (or similar local flap procedure) when performed in association with operation for Dupuytren's Contracture—one such procedure (AU 7) | 210.00 |
46387 | Dupuytren's Contracture, fascietomy for, from one ray, including dissection of nerves—operation for recurrence in that ray (AU 11) | 435.00 |
46390 | Dupuytren's Contracture, fasciectomy for, from two rays, including dissection of nerves—operation for recurrence in those rays (AU 15) | 585.00 |
46393 | Dupuytren's Contracture, fasciectomy for, from three or more rays, including dissection of nerves—operation for recurrence in those rays (AU 17) | 675.00 |
46396 | Phalanx or metacarpal of the hand, osteotomy or osteectomy of (AU 9) | 240.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
46399 | Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (AU 11) | 290.00 |
46402 | Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (AU 12) | 290.00 |
46405 | Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (AU 13) | 395.00 |
46408 | Tendon, reconstruction of, by tendon graft (AU 14) | 490.00 |
46411 | Flexor tendon pulley, reconstruction of, by graft (AU 10) | 285.00 |
46414 | Artificial tendon prosthesis, insertion of in preparation for tendon grafting (AU 11) | 370.00 |
46417 | Tendon transfer for restoration of hand function, each transfer (AU 11) | 345.00 |
46420 | Extensor tendon of hand or wrist, primary repair of, each tendon (AU 10) | 144.00 |
46423 | Extensor tendon of hand or wrist, secondary repair of, each tendon (AU 10) | 230.00 |
46426 | Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (AU 10) | 240.00 |
46429 | Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (AU 11) | 290.00 |
46432 | Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (AU 11) | 320.00 |
46435 | Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (AU 12) | 370.00 |
46438 | Mallet finger, closed pin fixation of (AU 7) | 95.00 |
46441 | Mallet finger, open repair of, including pin fixation when performed (AU 9) | 230.00 |
46444 | Boutonniere deformity without joint contracture, reconstruction of (AU 10) | 345.00 |
46447 | Boutonniere deformity with joint contracture, reconstruction of (AU 12) | 430.00 |
46450 | Extensor tendon, tenolysis of, following tendon injury, repair or graft (AU 8) | 158.00 |
46453 | Flexor tendon, tenolysis of, following tendon injury, repair or graft (AU 9) | 265.00 |
46456 | Finger, percutaneous tenotomy of (AU 7) | 69.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
46459 | Operation for osteomyelitis on distal phalanx (AU 9) | 132.00 |
46462 | Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (AU 10) | 210.00 |
46465 | Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 8) | 158.00 |
46468 | Amputation of two digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 10) | 280.00 |
46471 | Amputation of three digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 13) | 395.00 |
46474 | Amputation of four digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 15) | 515.00 |
46477 | Amputation of five digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 16) | 635.00 |
46480 | Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including matacarpal (AU 10) | 265.00 |
46483 | Revision of amputation stump to provide adequate soft tissue cover (AU 9) | 210.00 |
46486 | Nail bed, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 8) | 158.00 |
46489 | Nail bed, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital or approved day-hospiatl facility (AU 9) | 186.00 |
46492 | Flexion contracture of hand or digit, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9) | 240.00 |
46495` | Ganglion or mucous cyst of distal digit, excision of, not in association with items 30106 or 30107 (AU 9) | 144.00 |
46498 | Ganglion of flexor tendon sheath, excision of, not in association with items 30106 or 30107 (AU 9) | 128.00 |
46501 | Ganglion of volar or dorsal wrist joint, excision of, not in association with items 30106 or 30107 (AU 10) | 186.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
46504 | Neurovascular island flap, for pulp innervation (AU 19) | 780.00 |
46507 | Digit, transposition of—complete procedure (AU 23) | 905.00 |
46510 | Macrodactyly, surgical reduction of enlarged elements—each digit (AU 14) | 186.00 |
Subgroup 15—Orthopaedic
47000 | Mandible, treatment of dislocation of, by closed reduction (AU 6) | 49.50 |
47003 | Clavicle, treatment of dislocation of, by closed reduction (AU 6) | 60.00 |
47006 | Clavicle, treatment of dislocation of, by open reduction (AU 9) | 80.00 |
47009 | Shoulder, treatment of dislocation of, requiring general anaesthesia, not covered by item 47012 (AU 6) | 120.00 |
47012 | Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (AU 9) | 240.00 |
47015 | Shoulder, treatment of dislocation of, not requiring general anaesthesia | 60.00 |
47018 | Elbow, treatment of dislocation of, by closed reduction (AU 6) | 140.00 |
47021 | Elbow, treatment of dislocation of, by open reduction (AU 9) | 186.00 |
47024 | Radioulnar joint, distal or proximal, treatment of dislocation of, by closed reduction, not associated with fracture or dislocation in the same region (AU 6) | 140.00 |
47027 | Radioulnar joint, distal or proximal, treatment of dislocation of, by open reduction, not associated with fracture or dislocation in the same region (AU 9) | 186.00 |
47030 | Carpus, or Carpus on Radius and Ulna, or Carpometacarpal joint, treatment of dislocation of, by closed reduction (AU 6) | 140.00 |
47033 | Carpus, or Carpus on Radius and Ulna, or Carpometacarpal joint, treatment of dislocation of, by open reduction (AU 10) | 186.00 |
47036 | Interphalangeal Joint, treatment of dislocation of, by closed reduction (AU 8) | 60.00 |
47039 | Interphalangeal Joint, treatment of dislocation of, by open reduction (AU 8) | 80.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47042 | Metacarpophalangeal Joint, treatment of dislocation of, by closed reduction (AU 6) | 80.00 |
47045 | Metacarpophalangeal Joint, treatment of dislocation of, by open reduction (AU 9) | 106.00 |
47048 | Hip, treatment of dislocation of, by closed reduction (AU 6) | 230.00 |
47051 | Hip, treatment of dislocation of, by open reduction (AU 11) | 305.00 |
47054 | Knee, treatment of dislocation of, by closed reduction (AU 6) | 230.00 |
47057 | Patella, treatment of dislocation of, by closed reduction (AU 6) | 90.00 |
47060 | Patella, treatment of dislocation of, by open reduction (AU 10) | 120.00 |
47063 | Ankle or tarsus, treatment of dislocation of, by closed reduction (AU 8) | 180.00 |
47066 | Ankle or tarsus, treatment of dislocation of, by open reduction (AU 12) | 240.00 |
47069 | Toe, treatment of dislocation of, by closed reduction (AU 5) | 49.50 |
47072 | Toe, treatment of dislocation of, by open reduction (AU 7) | 66.00 |
47300 | Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (AU 6) | 60.00 |
47303 | Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (AU 6) | 70.00 |
47306 | Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (AU 8) | 80.00 |
47309 | Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (AU 8) | 99.00 |
47312 | Middle phalanx of finger, treatment of fracture of, by closed reduction (AU 6) | 90.00 |
47315 | Middle phalanx of finger, treatment of intra- articular fracture of, by closed reduction (AU 6) | 102.00 |
47318 | Middle phalanx of finger, treatment of fracture of, by open reduction (AU 8) | 120.00 |
47321 | Middle phalanx of finger, treatment of intra- articular fracture of, by open reduction (AU 8) | 150.00 |
47324 | Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (AU 6) | 120.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47327 | Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (AU 6) | 140.00 |
47330 | Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (AU 8) | 160.00 |
47333 | Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (AU 8) | 198.00 |
47336 | Metacarpal, treatment of fracture of, by closed reduction (AU 6) | 120.00 |
47339 | Metacarpal, treatment of intra-articular fracture of, by closed reduction (AU 6) | 140.00 |
47342 | Metacarpal, treatment of fracture of, by open reduction (AU 10) | 160.00 |
47345 | Metacarpal, treatment of intra-articular fracture of, by open reduction (AU 10) | 198.00 |
47348 | Carpus (excluding scaphoid), treatment of fracture of, not covered by item 47351 (AU 6) | 66.00 |
47351 | Carpus (excluding scaphoid), treatment of fracture of, by open reduction (AU 11) | 166.00 |
47354 | Carpal scaphoid, treatment of fracture of, not covered by item 47357 (AU 6) | 120.00 |
47357 | Carpal scaphoid, treatment of fracture of, by open reduction (AU 12) | 265.00 |
47360 | Radius or ulna, distal end of, treatment of fracture of, not covered by items 47363 or 47366) (AU 6) | 93.00 |
47363 | Radius or ulna, distal end of, treatment of fracture of, by closed reduction (AU 6) | 140.00 |
47366 | Radius or ulna, distal end of, treatment of fracture of, by open reduction (AU 11) | 186.00 |
47369 | Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, not covered by items 47372 or 47375 (AU 6) | 120.00 |
47372 | Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (AU 6) | 198.00 |
47375 | Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (AU 11) | 265.00 |
47378 | Radius or ulna, shaft of, treatment of fracture of, not covered by items 47381, 47384, 47385 or 47386 (AU 6) | 120.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47381 | Radius or ulna, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (AU 7) | 180.00 |
47384 | Radius or ulna, shaft of, treatment of fracture of by open reduction (AU 11) | 240.00 |
47385 | Radius or ulna, shaft of, treatment of fracture of, associated with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (AU 11) | 205.00 |
47386 | Radius or ulna, shaft of, treatment of fracture of, associated with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation (AU 12) | 330.00 |
47387 | Radius and ulna, shafts of, treatment of fracture of, not covered by items 47390 or 47393 (AU 6) | 192.00 |
47390 | Radius and ulna, shafts of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 7) | 290.00 |
47393 | Radius and ulna, shafts of, treatment of fracture of, by open reduction (AU 11) | 385.00 |
47396 | Olecranon, treatment of fracture of, not covered by item 47399 (AU 7) | 132.00 |
47399 | Olecranon, treatment of fracture of, by open reduction (AU 12) | 265.00 |
47402 | Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (AU 11) | 198.00 |
47405 | Radius, treatment of fracture of head or neck of, closed management of (AU 6) | 132.00 |
47408 | Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (AU 12) | 265.00 |
47411 | Humerus, treatment of fracture of tuberosity of, not covered by item 47417 (AU 6) | 80.00 |
47414 | Humerus, treatment of fracture of tuberosity of, by open reduction (AU 11) | 160.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47417 | Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (AU 8) | 186.00 |
47420 | Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (AU 15) | 365.00 |
47423 | Humerus, proximal, treatment of fracture of, not covered by items 47426, 47429 or 47432 (AU 8) | 152.00 |
47426 | Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 8) | 230.00 |
47429 | Humerus, proximal, treatment of fracture of, by open reduction (AU 15) | 305.00 |
47432 | Humerus, proximal, treatment of intra-articular fracture of, by open reduction (AU 17) | 380.00 |
47435 | Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (AU 9) | 290.00 |
47438 | Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (AU 17) | 465.00 |
47441 | Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (AU 17) | 580.00 |
47444 | Humerus, shaft of, treatment of fracture of, not covered by items 47447 or 47450 (AU 8) | 160.00 |
47447 | Humerus, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 9) | 240.00 |
47450 | Humerus, shaft of, treatment of fracture of, by open reduction (AU 15) | 320.00 |
47453 | Humerus, distal, (supracondylar or condylar), treatment of fracture of, not covered by items 47456 or 47459 (AU 8) | 186.00 |
47456 | Humerus, distal, (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 8) | 280.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47459 | Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 15) | 370.00 |
47462 | Clavicle, treatment of fracture of, not covered by item 47465 (AU 7) | 80.00 |
47465 | Clavicle, treatment of fracture of, by open reduction (AU 13) | 160.00 |
47466 | Sternum, treatment of fracture of, not covered by item 47467 (AU 7) | 80.00 |
47467 | Sternum, treatment of fracture of, by open reduction (AU 13) | 160.00 |
47468 | Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (AU 15) | 305.00 |
47471 | Ribs (one or more), treatment of fracture of—each attendance | 30.00 |
47474 | Pelvic ring, treatment of fracture of, not involving disrupting pelvic ring or acetabulum | 132.00 |
47477 | Pelvic ring, treatment of fracture of, with disrupting pelvic ring or acetabulum | 166.00 |
47480 | Pelvic ring, treatment of fracture of, requiring traction (AU 7) | 330.00 |
47483 | Pelvic ring, treatment of fracture of, requiring control by external fixation (AU 12) | 400.00 |
47486 | Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (AU 20) | 665.00 |
47489 | Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment (AU 24) | 995.00 |
47492 | Acetabulum, treatment of fracture of, and associated dislocation of hip (AU 7) | 166.00 |
47495 | Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (AU 8) | 330.00 |
47498 | Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (AU 16) | 495.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47501 | Acetabulum, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 20) | 665.00 |
47504 | Acetabulum, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24) | 995.00 |
47507 | Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24) | 995.00 |
47510 | Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24) | 995.00 |
47513 | Sacro-iliac joint disruption requiring internal fixation when performed in association with items 47501 to 47510 (AU 18) | 265.00 |
47516 | Femur, treatment of fracture of, by closed reduction or traction (AU 8) | 305.00 |
47519 | Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (AU 14) | 610.00 |
47522 | Femur, treatment of subcapital fracture of, by hemi- arthroplasty (AU 13) | 530.00 |
47525 | Femur, treatment of fracture of, for slipped capital femoral epiphysis (AU 13) | 610.00 |
47528 | Femur, treatment of fracture of, by internal fixation or external fixation (AU 14) | 530.00 |
47531 | Femur, treatment of fracture of shaft, by internal fixation and cross fixation (AU 15) | 675.00 |
47534 | Femur, condylar region of, treatment of intra- articular (T shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of one or more osteochondral fragments (AU 20) | 765.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47537 | Femur, condylar region of, treatment of fracture of, requiring internal fixation of one or more osteochondral fragments, not in association with item 47534 (AU 14) | 305.00 |
47540 | Hip spica, application of, as an independent procedure (AU 9) | 152.00 |
47543 | Tibia, plateau of, treatment of medial or lateral fracture of, not covered by items 47546 or 47549 (AU 8) | 160.00 |
47546 | Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (AU 8) | 240.00 |
47549 | Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (AU 13) | 320.00 |
47552 | Tibia, plateau of, treatment of both medial and lateral fractures of, not covered by items 47555 or 47558 (AU 12) | 265.00 |
47555 | Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (AU 8) | 400.00 |
47558 | Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (AU 13) | 530.00 |
47561 | Tibia, shaft of, treatment of fracture of, not covered by items 47564, 47567, 47570 or 47573, with or without associated fibular fracture (AU 10) | 192.00 |
47564 | Tibia, shaft of, treatment of fracture of, by closed reduction, with or without associated fibular fracture (AU 8) | 290.00 |
47567 | Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without associated fibular fracture (AU 8) | 335.00 |
47570 | Tibia, shaft of, treatment of fracture of, by open reduction, with or without associated fibular fracture (AU 12) | 385.00 |
47573 | Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without associated fibular fracture (AU 15) | 480.00 |
47576 | Fibula, treatment of fracture of (AU 6) | 80.00 |
47579 | Patella, treatment of fracture of, not covered by items 47582 or 47585 (AU 6) | 112.00 |
47582 | Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (AU 10) | 230.00 |
47585 | Patella, treatment of fracture of, by internal fixation (AU 12) | 300.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47588 | Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (AU 19) | 930.00 |
47591 | Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (AU 23) | 1,130.00 |
47594 | Ankle joint, treatment of fracture of, not covered by item 47597 (AU 8) | 152.00 |
47597 | Ankle joint, treatment of fracture of, by closed reduction (AU 8) | 230.00 |
47600 | Ankle joint, treatment of fracture of, by internal fixation of one of malleolus, fibula or diastasis (AU 10) | 305.00 |
47603 | Ankle joint, treatment of fracture of, by internal fixation of more than one of malleolus, fibula or diastasis (AU 12) | 400.00 |
47606 | Calcaneum or talus, treatment of fracture of, not covered by items 47609, 47612, 47615 or 47618, with or without dislocation (AU 8) | 166.00 |
47609 | Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (AU 9) | 250.00 |
47612 | Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (AU 9) | 290.00 |
47615 | Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (AU 12) | 330.00 |
47618 | Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (AU 13) | 415.00 |
47621 | Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (AU 9) | 290.00 |
47624 | Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (AU 14) | 400.00 |
47627 | Tarsus (excluding calcaneum or talus), treatment of fracture of (AU 8) | 112.00 |
47630 | Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (AU 13) | 240.00 |
47633 | Metatarsal, one of, treatment of fracture of (AU 6) | 80.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47636 | Metatarsal, one of, treatment of fracture of, by closed reduction (AU 6) | 120.00 |
47639 | Metatarsal, one of, treatment of fracture of, by open reduction (AU 8) | 160.00 |
47642 | Metatarsals, two of, treatment of fracture of (AU 7) | 106.00 |
47645 | Metatarsals, two of, treatment of fracture of, by closed reduction (AU 7) | 160.00 |
47648 | Metatarsals, two of, treatment of fracture of, by open reduction (AU 11) | 210.00 |
47651 | Metatarsals, three or more of, treatment of fracture of (AU 8) | 166.00 |
47654 | Metatarsals, three or more of, treatment of fracture of, by closed reduction (AU 8) | 250.00 |
47657 | Metatarsals, three or more of, treatment of fracture of, by open reduction (AU 10) | 330.00 |
47660 | Phalanx of great toe, treatment of fracture of (AU 7) | 66.00 |
47663 | Phalanx of great toe, treatment of fracture of, by closed reduction (AU 7) | 99.00 |
47666 | Phalanx of great toe, treatment of fracture of, by open reduction (AU 9) | 166.00 |
47669 | Phalanx of toe (other than great toe), one of, treatment of fracture of (AU 6) | 40.00 |
47672 | Phalanx of toe (other than great toe), one of, treatment of fracture of, by open reduction (AU 8) | 80.00 |
47675 | Phalanx of toe (other than great toe), more than one of, treatment of fracture of (AU 6) | 60.00 |
47678 | Phalanx of toe (other than great toe), more than one of, treatment of fracture of, by open reduction (AU 11) | 120.00 |
47681 | Spine (excluding sacrum), transverse process, vertebral body, or posterior elements—each attendance | 30.00 |
47684 | Spine fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (AU 9) | 530.00 |
47687 | Spine fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to fourteen days post-operative care | 930.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47690 | Spine fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (AU 9) | 730.00 |
47693 | Spine fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation, including up to fourteen days post- operative care | 930.00 |
47696 | Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 9) | 265.00 |
47699 | Spine fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (AU 18) | 1,060.00 |
47702 | Spine fracture, dislocation or fracture-dislocation with cord involvement requiring open reduction with or without internal fixation, including up to fourteen days post-operative care (AU 18) | 1,325.00 |
47703 | Skull, treatment of fracture of, each attendance | 30.00 |
47705 | Skull calipers, insertion of, as an independent procedure (AU 8) | 198.00 |
47708 | Plaster jacket, application of, as an independent procedure (AU 8) | 152.00 |
47711 | Halo, application of, as an independent procedure (AU 8) | 225.00 |
47714 | Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (AU 8) | 170.00 |
47717 | Halo-thoracic traction—application of both halo and thoracic jacket (AU 11) | 300.00 |
47720 | Halo-femoral traction, as an independent procedure (AU 10) | 300.00 |
47723 | Halo-femoral traction in association with a major spine operation (AU 12) | 300.00 |
47726 | Bone Graft, harvesting of, via separate incision, associated with any item—Autogenous—small quantity (AU 7) | 99.00 |
47729 | Bone graft, harvesting of, via separate incision, associated with any item—Autogenous—large quantity (AU 7) | 166.00 |
47732 | Vascularised pedicle bone graft, harvesting of, associated with any item (AU 8) | 265.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47735 | Nasal bones, treatment of fracture of, not covered by items 47738 or 47741 | 30.00 |
47738 | Nasal bones, treatment of fracture of, by reduction (AU 8) | 166.00 |
47741 | Nasal bones, treatment of fracture of, by open reduction involving osteotomies (AU 12) | 340.00 |
47753 | Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14) | 285.00 |
47756 | Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14) | 285.00 |
47762 | Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (AU 7) | 168.00 |
47765 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one (1) site (AU 9) | 275.00 |
47768 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at two (2) sites (AU 10) | 340.00 |
47771 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at three (3) sites (AU 11) | 390.00 |
47774 | Maxilla, treatment of fracture of, requiring open operation (AU 7) | 305.00 |
47777 | Mandible, treatment of fracture of, requiring open reduction (AU 7) | 305.00 |
47780 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9) | 400.00 |
47783 | Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9) | 400.00 |
47786 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11) | 505.00 |
47789 | Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11) | 505.00 |
47900 | Bone cyst, injection into or aspiration of (AU 8) | 120.00 |
47903 | Epicondylitis, open operation for (AU 8) | 166.00 |
47904 | Digital nail, removal of, not covered by item 47906 (AU 5) | 40.00 |
47906 | Digital nail, removal of, in the operating theatre of a hospital or approved day hospital facility (AU 5) | 80.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47909 | Middle palmar, thenar or hypothenar spaces, drainage of (excluding aftercare) (AU 6) | 99.00 |
47912 | Pulp space infection, paronychia of hands or feet, incision for, not covered by any other item in this Group (excluding after-care) (AU 5) | 40.00 |
47915 | Ingrowing toenail, wedge resection for, not associated with item 47918 (AU 6) | 120.00 |
47918 | Ingrowing toenail, radical excision of nailbed (AU 6) | 166.00 |
47921 | Orthopaedic pin or wire, insertion of, as an independent procedure (AU 6) | 80.00 |
47924 | Buried wire, pin or screw, one or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not covered by items 47927 or 47930—per bone (AU 6) | 26.50 |
47927 | Buried wire, pin or screw, one or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or approved day hospital facility—per bone (AU 6) | 99.00 |
47930 | Plate, rod or nail and associated wires, pins or screws, one or more of, all of which were inserted for internal fixation purposes, removal of, not associated with items 47924 or 47927—per bone (AU 8) | 186.00 |
47933 | Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (AU 6) | 146.00 |
47936 | Exostosis of large bone, excision of (AU 7) | 180.00 |
47939 | Limb lengthening (single or first stage) osteotomy for, including application of distracting apparatus (AU 12) | 565.00 |
47942 | Limb lengthening (second stage) internal fixation with bone grafting, including removal of distracting apparatus (AU 12) | 565.00 |
47945 | Distracting apparatus, removal of, without internal fixation (AU 6) | 166.00 |
47948 | External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility (AU 6) | 112.00 |
47951 | External fixation, removal of, in association with operations involving internal fixation or bone grafting or both (AU 7) | 132.00 |
47954 | Tendon, large rupture, repair of, not covered by any other item in this Group (AU 10) | 265.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
47957 | Tendon, large, lengthening of, not covered by any other item in this Group (AU 9) | 198.00 |
47960 | Tenotomy, subcutaneous, not covered by any other item in this Group (AU 4) | 93.00 |
47963 | Tenotomy, open, with or without tenoplasty, not covered by any other item in this Group (AU 7) | 152.00 |
47966 | Tendon or ligament transfer, not covered by any other item in this Group (AU 9) | 305.00 |
47969 | Tenosynovectomy, not covered by any other item in this Group (AU 8) | 186.00 |
47972 | Tendon sheath, open operation for tendo-vaginitis, not covered by any other item in this Group (AU 8) | 166.00 |
48200 | Femur, bone graft to (AU 12) | 530.00 |
48203 | Femur, bone graft to, with internal fixation (AU 14) | 645.00 |
48206 | Tibia, bone graft to (AU 10) | 400.00 |
48209 | Tibia, bone graft to, with internal fixation (AU 12) | 510.00 |
48212 | Humerus, bone graft to (AU 10) | 400.00 |
48215 | Humerus, bone graft to, with internal fixation (AU 12) | 510.00 |
48218 | Radius or ulna, bone graft to (AU 10) | 400.00 |
48221 | Radius and ulna, bone graft to, with internal fixation of one or both bones (AU 12) | 530.00 |
48224 | Radius or ulna, bone graft to (AU 10) | 265.00 |
48227 | Radius or ulna, bone graft to, with internal fixation of one or both bones (AU 11) | 345.00 |
48230 | Scaphoid, bone graft to, for non union (AU 10) | 300.00 |
48233 | Scaphoid, bone graft to, for non union, with internal fixation (AU 10) | 430.00 |
48236 | Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (AU 11) | 565.00 |
48239 | Bone graft, not covered by any other item in this Group (AU 10) | 310.00 |
48242 | Bone graft, with internal fixation, not covered by any other item in this Group (AU 11) | 430.00 |
48400 | Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services covered by items 49848 or 49851 (AU 7) | 230.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
48403 | Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (AU 8) | 365.00 |
48406 | Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (AU 9) | 230.00 |
48409 | Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (AU 10) | 365.00 |
48412 | Humerus, osteotomy or osteectomy of (AU 11) | 445.00 |
48415 | Humerus, osteotomy or osteectomy of, with internal fixation (AU 12) | 565.00 |
48418 | Tibia, osteotomy or osteectomy of (AU 9) | 445.00 |
48421 | Tibia, osteotomy or osteectomy of, with internal fixation (AU 12) | 565.00 |
48424 | Femur or pelvis, osteotomy or osteectomy of (AU 15) | 530.00 |
48427 | Femur or pelvis, osteotomy or osteectomy of, with internal fixation (AU 17) | 645.00 |
48500 | Femur, epiphysiodesis of (AU 11) | 230.00 |
48503 | Tibia and fibula, epiphysiodesis of (AU 11) | 230.00 |
48506 | Femur, tibia and fibula, epiphysiodesis of (AU 15) | 345.00 |
48509 | Epiphysiodesis, staple arrest of hemi-epiphysis (AU 10) | 166.00 |
48512 | Epiphysiolysis, operation to prevent closure of plate (AU 15) | 630.00 |
48600 | Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility (AU 6) | 66.00 |
48603 | Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital or approved day hospital facility, not associated with items 48600 or 50115 (AU 6) | 99.00 |
48606 | Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (AU 24) | 930.00 |
48609 | Scoliosis or Kyphosis, spinal fusion for, using Harrington or other nonsegmental fixation (AU 24) | 1,160.00 |
48612 | Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (AU 30) | 1,725.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
48615 | Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (AU 14) | 310.00 |
48618 | Scoliosis, revision of failed scoliosis surgery, involving more than one of multiple osteotomy, fusion or instrumentation (AU 26) | 1,725.00 |
48621 | Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar)—not more than four levels (AU 26) | 1,130.00 |
48624 | Scoliosis, anterior correction of, with fusion an segmental fixation (Dwyer, Zielke or similar)—more than four levels (AU 30) | 1,395.00 |
48627 | Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (AU 30) | 1,790.00 |
48630 | Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (AU 30) | 1,990.00 |
48636 | Percutaneous lumbar disectomy, one or more levels (AU 9) | 570.00 |
48639 | Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (AU 28) | 960.00 |
48642 | Spine, posterior, bone graft to, not covered by items 48648 or 48651—one or two levels (AU 16) | 565.00 |
48645 | Spine, posterior, bone graft to, not covered by items 48648 or 48651—more than two levels (AU 18) | 765.00 |
48648 | Spine, bone graft to, (postero-lateral fusion)—one or two levels (AU 16) | 765.00 |
48651 | Spine, bone graft to, (postero-lateral fusion)—more than two levels (AU 18) | 1,060.00 |
48654 | Spinal fusion (posterior interbody), with laminectomy, one level (AU 18) | 765.00 |
48657 | Spinal fusion (posterior interbody), with laminectomy, more than one level (AU 21) | 1,060.00 |
48660 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (AU 18) | 765.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
48663 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (where an assisting surgeon performs the approach)—principal surgeon (AU 18) | 570.00 |
48666 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (where an assisting surgeon performs the approach)—assisting surgeon | 345.00 |
48669 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (AU 20) | 1,030.00 |
48672 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (where an assisting surgeon performs the approach)—principal surgeon (AU 20) | 770.00 |
48675 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (where an assisting surgeon performs the approach)—assisting surgeon | 465.00 |
48678 | Spine, simple internal fixation of, involving one or more of facetal screw, wire loop or similar, in association with items 48642 to 48675 (AU 16) | 400.00 |
48681 | Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, in association with items 48642 to 48675 (AU 16) | 665.00 |
48684 | Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—one or two levels (AU 16) | 665.00 |
48687 | Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—three or four levels (AU 20) | 930.00 |
48690 | Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—more than four levels (AU 22) | 1,060.00 |
48900 | Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (AU 10) | 198.00 |
48903 | Shoulder, decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination (AU 14) | 400.00 |
48906 | Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both—not associated with item 48900 (AU 14) | 400.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
48909 | Shoulder, repair of rotator cuff, including decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination, not associated with item 48903 (AU 15) | 530.00 |
48912 | Shoulder—arthrotomy of (AU 9) | 230.00 |
48915 | Shoulder, hemi-arthroplasty of (AU 14) | 530.00 |
48918 | Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (AU 17) | 1,060.00 |
48921 | Shoulder, total replacement arthroplasty, revision of (AU 17) | 1,095.00 |
48924 | Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (AU 23) | 1,260.00 |
48927 | Shoulder prosthesis, removal of (AU 10) | 260.00 |
48930 | Shoulder, anterior stabilisation procedure for recurrent dislocation (AU 13) | 530.00 |
48933 | Shoulder, stabilisation procedure for multi- directional instability (AU 15) | 695.00 |
48936 | Shoulder, synovectomy of, as an independent procedure (AU 12) | 530.00 |
48939 | Shoulder, arthrodesis of (AU 16) | 765.00 |
48942 | Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (AU 18) | 995.00 |
48945 | Shoulder, diagnostic arthroscopy of (including biopsy)—not associated with any other arthroscopic procedure of the shoulder region (AU 7) | 192.00 |
48948 | Shoulder, arthroscopic surgery of, involving any oneor more of: removal of loose bodies; debridement of labrum, synovium or rotator cuff; or chondroplasty—not associated with any other arthroscopic procedure of the shoulder region (AU 12) | 430.00 |
48951 | Shoulder, arthroscopic division of coraco-acromial ligament including acromionplasty—not associated with any other arthroscopic procedure of the shoulder region (AU 12) | 630.00 |
48954 | Shoulder, arthroscopic total synovectomy of—not associated with any other arthroscopic procedure of the shoulder region (AU 12) | 665.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
48957 | Shoulder, arthroscopic stabilisation of, for recurrent instability—not associated with any other arthroscopic procedure of the shoulder region (AU 14) | 765.00 |
48960 | Shoulder, arthroscopic reconstruction of, including repair of rotator cuff—not associated with any other arthroscopic procedure of the shoulder region (AU 14) | 665.00 |
49100 | Elbow, arthrotomy of, involving one or more of lavage, removal of loose body or division of contracture (AU 11) | 230.00 |
49103 | Elbow, ligamentous stabilisation of (AU 11) | 495.00 |
49106 | Elbow, arthrodesis of (AU 13) | 665.00 |
49109 | Elbow, total synovectomy of (AU 13) | 495.00 |
49112 | Elbow, silastic or other replacement of radial head (AU 13) | 495.00 |
49115 | Elbow, total joint replacement of (AU 19) | 795.00 |
49118 | Elbow, diagnostic arthroscopy of, including biopsy (AU 7) | 192.00 |
49121 | Elbow, arthroscopic surgery involving any one or more of drilling of defect, removal of loose body or chondroplasty—not associated with any other arthroscopic procedure of the elbow joint (AU 10) | 430.00 |
49200 | Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (AU 12) | 575.00 |
49203 | Wrist, limited arthrodesis of the intercarpal joint, including bone graft (AU 12) | 430.00 |
49206 | Wrist, excision arthroplasty of, with radial styloidectomy and proximal carpectomy (AU 12) | 400.00 |
49209 | Wrist, total replacement arthroplasty of (AU 18) | 530.00 |
49212 | Wrist, arthrotomy of (AU 10) | 166.00 |
49215 | Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (AU 12) | 460.00 |
49218 | Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—not associated with any other arthroscopic procedure of the wrist joint (AU 7) | 192.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
49221 | Wrist, arthroscopic surgery of, involving any one or more of drilling of defect, removal of loose body, local synovectomy or debridement—not associated with any other arthroscopic procedure of the wrist joint (AU 12) | 430.00 |
49224 | Wrist, arthroscopic debridement of or total synovectomy of—not associated with any other arthroscopic procedure of the wrist joint (AU 12) | 495.00 |
49227 | Wrist, arthroscopic pinning of osteochondral fragment—not associated with any other arthroscopic procedure of the wrist joint (AU 12) | 495.00 |
49300 | Sacro-iliac joint—arthrodesis of (AU 16) | 365.00 |
49303 | Hip, arthrotomy of, including lavage, drainage or biopsy when performed (AU 11) | 385.00 |
49306 | Hip—arthrodesis of (AU 20) | 765.00 |
49309 | Hip, arthectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (AU 16) | 530.00 |
49312 | Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (AU 16) | 665.00 |
49315 | Hip, arthroplasty of, unipolar or bipolar (AU 13) | 595.00 |
49318 | Hip, total replacement arthroplasty of, including minor bone grafting (AU 18) | 930.00 |
49321 | Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (AU 20) | 1,130.00 |
49324 | Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (AU 22) | 1,325.00 |
49327 | Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (AU 22) | 1,525.00 |
49330 | Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (AU 22) | 1,525.00 |
49333 | Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (AU 24) | 1,725.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
49336 | Hip, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), in association with items 49324 to 49333 (AU 22) | 250.00 |
49339 | Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cms in length (AU 24) | 1,955.00 |
49342 | Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (AU 24) | 1,955.00 |
49345 | Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (AU 26) | 2,320.00 |
49348 | Hip, congenital dislocation of, manipulation of, with application of cast (excluding aftercare) (AU 5) | 112.00 |
49351 | Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast—each attendance (AU 5) | 40.00 |
49354 | Hip, congenital dislocation of, open reduction of (AU 8) | 595.00 |
49500 | Knee, arthrotomy of, involving one or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (AU 10) | 265.00 |
49503 | Knee, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other single procedure not covered by any other item in this Group—any one procedure (AU 10) | 345.00 |
49506 | Knee, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other procedure not covered by any other item in this Group—any two or more procedures (AU 12) | 515.00 |
49509 | Knee, total synovectomy of, arthrodesis of, patello- femoral stabilisation or repair of cruciate ligament—any one procedure (AU 12) | 530.00 |
49512 | Knee, arthrodesis of, with removal of prosthesis (AU 13) | 765.00 |
49515 | Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a two stage procedure (AU 9) | 595.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
49518 | Knee, total replacement arthroplasty of (AU 18) | 930.00 |
49521 | Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (AU 19) | 1,130.00 |
49524 | Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (AU 20) | 1,325.00 |
49527 | Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (AU 21) | 1,130.00 |
49530 | Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (AU 22) | 1,395.00 |
49533 | Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (AU 23) | 1,590.00 |
49536 | Knee, repair or reconstruction of, for chronic instability involving either cruciate or collateral ligaments (AU 15) | 665.00 |
49539 | Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including surgery to other internal derangements, not covered by any other item in this Group (AU 13) | 665.00 |
49542 | Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including meniscus repair, extracapsular procedure and debridement when performed (AU 14) | 930.00 |
49545 | Knee, revision arthrodesis of (AU 15) | 530.00 |
49548 | Knee, revision of patello-femoral stabilisation (AU 11) | 665.00 |
49551 | Knee, revision of procedures covered by items 49536, 49539 or 49542 (AU 15) | 930.00 |
49554 | Knee, revision total knee replacement of, by anatomic specific allograft of tibia or femur (AU 23) | 1,325.00 |
49557 | Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica)—not associated with any other arthroscopic procedure of the knee region (AU 7) | 192.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
49560 | Knee, arthroscopic surgery of, involving any one or more of: meniscectomy, removal of loose body, lateral release, or chondroplasty—not associated with any other arthroscopic procedure of the knee region (AU 10) | 430.00 |
49563 | Knee, arthroscopic surgery of, involving meniscus repair or osteoplasty, or both (AU 10) | 630.00 |
49566 | Knee, arthroscopic total synovectomy of (AU 12) | 530.00 |
49700 | Ankle, diagnostic arthroscopy of, including biopsy (AU 8) | 192.00 |
49703 | Ankle, arthroscopic surgery of (AU 12) | 430.00 |
49706 | Ankle, arthrotomy of, involving one or more of; lavage, removal of loose body or division of contracture (AU 10) | 230.00 |
49709 | Ankle, ligamentous stabilisation of (AU 11) | 495.00 |
49712 | Ankle, arthrodesis of (AU 12) | 530.00 |
49715 | Ankle, total joint replacement of (AU 17) | 795.00 |
49718 | Ankle, Achilles' tendon or other major tendon, repair of (AU 10) | 265.00 |
49721 | Ankle, Achilles' tendon rupture managed by non- operative treatment | 166.00 |
49724 | Ankle, Achilles' tendon, secondary repair or reconstruction of (AU 11) | 465.00 |
49727 | Ankle, Achilles' tendon, operation for lengthening (AU 10) | 198.00 |
49800 | Foot, flexor or extensor tendon, primary repair of (AU 9) | 93.00 |
49803 | Foot, flexor or extensor tendon, secondary repair of (AU 9) | 120.00 |
49806 | Foot, subcutaneous tenotomy of, one or more tendons (AU 4) | 93.00 |
49809 | Foot, open tenotomy of, with or without tenoplasty (AU 7) | 152.00 |
49812 | Foot, tendon or ligament transplantation of, not covered by any other item in the Group (AU 10) | 305.00 |
49815 | Foot, triple arthrodesis of (AU 12) | 530.00 |
49818 | Foot, excision of calcaneal spur (AU 6) | 192.00 |
49821 | Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Kellers or similar procedure)—unilateral (AU 9) | 305.00 |
49824 | Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Kellers or similar procedure)—bilateral (AU 10) | 535.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
49827 | Foot, correction of hallux valgus and transfer of adductor hallucis tendon—unilateral (AU 10) | 330.00 |
49830 | Foot, correction of hallux valgus and transfer of adductor hallucis tendon—bilateral (AU 12) | 580.00 |
49833 | Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—unilateral (AU 10) | 365.00 |
49836 | Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—bilateral (AU 13) | 630.00 |
49839 | Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—unilateral (AU 11) | 365.00 |
49842 | Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—bilateral (AU 14) | 630.00 |
49845 | Foot, arthrodesis of, first metatarso-phalangeal joint (AU 10) | 330.00 |
49848 | Foot, correction of claw or hammer toe (AU 8) | 112.00 |
49851 | Foot, correction of claw or hammer toe with internal fixation (AU 8) | 146.00 |
49854 | Foot, radical plantar fasciotomy or fasciectomy of (AU 9) | 265.00 |
49857 | Foot, metatarso-phalangeal joint replacement (AU 12) | 245.00 |
49860 | Foot, synovectomy of metatarso-phalangeal joint, single joint (AU 9) | 198.00 |
49863 | Foot, synovectomy of metatarso-phalangeal joint, two or more joints (AU 11) | 300.00 |
49866 | Foot, neurectomy for plantar digital neuritis (Morton's or Bett's syndrome) (AU 7) | 210.00 |
49869 | Talipes equinovarus, posterior release of (AU 8) | 265.00 |
49872 | Talipes equinovarus, medial release of (AU 8) | 265.00 |
49875 | Talipes Equinovarus, combined postero-medial release of (AU 9) | 400.00 |
49878 | Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation—each attendance (AU 6) | 40.00 |
50100 | Joint, diagnostic arthroscopy of (including biopsy), not covered by any other item in this Group and not associated with any other arthroscopic procedure (AU 8) | 192.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
50103 | Joint, arthrotomy of, not covered by any other item in this Group (AU 9) | 230.00 |
50106 | Joint, stabilisation of, involving one or more of: repair of capsule, repair of ligament or internal fixation, not covered by any other item in this Group (AU 10) | 330.00 |
50109 | Joint, arthrodesis of, not covered by any other item in this Group (AU 11) | 330.00 |
50112 | Joint, cicatricial flexion contracture of, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 10) | 265.00 |
50115 | Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility not associated with any other item in this Group (AU 4) | 99.00 |
50118 | Subtalar joint, arthrodesis of (AU 11) | 305.00 |
50121 | Greater Trochanter, transplantation of ileopsoas tendon to (AU 13) | 595.00 |
50124 | Joint or other synovial cavity, aspiration of, injection into, or both of these procedures; payable on not more than 25 occasions in any twelve month period (AU 5) | 21.00 |
50200 | Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including aftercare) (AU 5) | 132.00 |
50203 | Bone or malignant deep soft tissue tumour, lesional or marginal excision of (AU 8) | 290.00 |
50206 | Bone tumour, lesional or marginal excision of, combined with any one of; liquid nitrogen freezing, autograft, allograft or cementation (AU 9) | 430.00 |
50209 | Bone tumour, lesional or marginal excision of, combined with any two or more of; liquid nitrogen freezing, autograft, allograft or cementation (AU 10) | 530.00 |
50212 | Malignant or aggresive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction (AU 19) | 1,160.00 |
50215 | Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (AU 21) | 1,460.00 |
50218 | Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (AU 21) | 1,925.00 |
50221 | Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (AU 22) | 1,790.00 |
50224 | Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (AU 25) | 1,990.00 |
50227 | Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (AU 27) | 2,320.00 |
50230 | Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (AU 19) | 1,195.00 |
50233 | Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (AU 26) | 1,525.00 |
50236 | Malignant tumour, amputation for, hip dis-articulation, shoulder dis-articulation or proximal third femur (AU 20) | 1,195.00 |
50239 | Malignant tumour, amputation for, not covered by any other item in this Group (AU 13) | 795.00 |
GROUP T9—ASSISTANCE AT OPERATIONS
51300 | Assistance at any operation for which the fee exceeds 178 but does not exceed 320 or at a series or a combination of operations where the fee for at least one of the operations exceeds 178 but where the fee for the series or combination of operations does not exceed 320 | 61.00 |
51303 | Assistance at any operation for which the fee exceeds 320 or at a combination of operations for which the aggregate fee exceeds 320 provided that the fee for at least one of the operations exceeds 178 | Amount under rule 33 |
51306 | Assistance at a delivery involving Caesarean section | 88.00 |
51309 | Assistance at a series or combination of operations, one of which is a delivery involving Caesarean section | Amount under rule 34 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
CATEGORY 4—ORAL AND MAXILLOFACIAL SERVICES
GROUP O1—CONSULTATIONS
51700 | Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner where the patient is referred to him/her—being an attendance related to a subsequent operative procedure described in an item in Groups O3 to O9 where that attendance is at consulting rooms, hospital or nursing home | 60.00 |
51703 | Professional attendance by an approved dental practitioner where the patient is referred to him/her—each attendance related to an operative procedure described in an item in Groups O3 to O9 subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 30.00 |
GROUP O2—ASSISTANCE AT OPERATION
51800 | Assistance by an approved dental practitioner at any operation for which the fee exceeds $178 but does not exceed $320 or at a series or a combination of operations where the fee for one of the operations exceeds $178 but where the fee for the series or combination of operations does not exceed $320 | 60.00 |
51803 | Assistance by an approved dental practitioner at any operation for which the fee exceeds $320 or at a combination of operations for which the aggregate fee exceeds $320 provided that the fee for at least one of the operations exceeds $178 | Amount under rule 33 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP O3—GENERAL SURGERY
52000 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (AU 7) | 58.00 |
52001 | Operative procedure on tissue, organ or region not covered by any other item in Groups O3 to O9, including any consultation on the same occasion | 5.10 |
52003 | 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 (AU 7) | 83.00 |
52006 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (AU 7) | 83.00 |
52009 | 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 (AU 8) | 132.00 |
52012 | Superficial foreign body, removal of, as an independent procedure (AU 5) | 16.60 |
52015 | Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6) | 77.00 |
52018 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (AU 7) | 194.00 |
52021 | Aspiration biopsy of one or more jaw cysts as an independent procedure to obtain material for diagnostic purposes and not associated with an operative procedure on the same day (AU 6) | 21.00 |
52024 | Biopsy of skin or mucous membrane, as an independent procedure (AU 5) | 37.00 |
52027 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (AU 6) | 106.00 |
52030 | Sinus, excision of, involving superficial tissue only (AU 6) | 64.00 |
52033 | Sinus, excision of, involving muscle and deep tissue (AU 7) | 130.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52036 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 52039 (AU 6) | 89.00 |
52039 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (AU 9) | 230.00 |
52042 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (AU 6) | 120.00 |
52045 | Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in Groups O3 to O9, involving muscle, bone, or other deep tissue (AU 8) | 174.00 |
52048 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not covered by any other item in Groups O3 to O9 (AU 8) | 260.00 |
52051 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (AU 8) | 355.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52054 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (AU 10) | 415.00 |
52055 | Haematoma, abscess or cellulitis not requiring a general anaesthesia, incision with drainage of (excluding after-care) | 19.20 |
52057 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, incision with drainage of (excluding after-care), where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 5) | 114.00 |
52060 | Muscle, excision of (AU 6) | 134.00 |
52063 | Bone tumour, innocent, excision of, not covered by any other item in Groups O3 to O9 (AU 7) | 250.00 |
52066 | Submandibular gland, extirpation of (AU 8) | 315.00 |
52069 | Sublingual gland, extirpation of (AU 7) | 140.00 |
52072 | Salivary gland, dilatation or diathermy of duct (AU 6) | 41.50 |
52075 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (AU 7) | 106.00 |
52078 | Tongue, partial excision of (AU 7) | 210.00 |
52081 | Tongue tie, division or excision of frenulum (AU 6) | 33.00 |
52084 | Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (AU 6) | 84.00 |
52087 | Ranula or mucous cyst of mouth, removal of (AU 9) | 144.00 |
52090 | Operation on mandible or maxilla (other than alveolar margins) for osteomyelitis—one bone (AU 10) | 250.00 |
52092 | Operation on skull for osteomyelitis (AU 12) | 325.00 |
52096 | Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (AU 5) | 80.00 |
52099 | Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not associated with items 52102 or 52105 (AU 6) | 99.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52102 | Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital or approved day-hospital facility, per bone (AU 6) | 99.00 |
52105 | Plate, one or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not associated with items 52099 or 52102 (AU 6) | 186.00 |
52108 | Lip, full thickness wedge excision of, with repair by direct sutures (AU 8) | 230.00 |
52111 | Vermilionectomy (AU 8) | 230.00 |
52114 | Mandible or maxilla, segmental resection of, for tumours or cysts (AU 13) | 415.00 |
52117 | Mandible, including lower border, or maxilla, sub- total resection of (AU 13) | 490.00 |
52120 | Mandible, hemimandiblectomy of, including condylectomy where performed (AU 29) | 585.00 |
52122 | Mandible, hemi-mandibular reconstruction with bone graft, not associated with Item 52123 (AU 15) | 585.00 |
52123 | Mandible, total resection of both sides, including condylectomies where performed (AU 35) | 660.00 |
52126 | Maxilla, total resection of (AU 25) | 635.00 |
52129 | Maxilla, total resection of both maxillae (AU 30) | 850.00 |
52132 | Tracheostomy (AU 10) | 168.00 |
52135 | Post-operative or post-nasal haemorrhage, or both, control of, where undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7) | 102.00 |
52138 | Maxillary artery, ligation of (AU 12) | 315.00 |
52141 | Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not covered by item 52138 (AU 12) | 315.00 |
52144 | Foreign body, deep, removal of using interventional imaging techniques (AU 10) | 290.00 |
52147 | Duct of major salivary gland, transposition of (AU 16) | 275.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52148 | Parotid duct, repair of, using micro-surgical techniques (AU 14) | 485.00 |
GROUP O4—PLASTIC & RECONSTRUCTIVE
52300 | Single stage local flap, where indicated, repair to one defect, with skin or mucosa (AU 7) | 200.00 |
52303 | Single stage local flap, where indicated, repair to one defect, with buccal pad of fat (AU 10) | 285.00 |
52306 | Single stage local flap, where indicated, repair to one defect, using temporalis muscle (AU 10) | 425.00 |
52309 | Free grafting (mucosa or split skin) of a granulating area (AU 7) | 144.00 |
52312 | Free grafting (mucosa or split skin) to one defect, including elective dissection (AU 8) | 200.00 |
52315 | Free grafting, full thickness, to one defect (mucosa or skin) (AU 9) | 335.00 |
52318 | Bone graft, harvesting of bone graft via separate incision, associated with any other item in Groups O3 to O9—Autogenous -small quantity (AU 7) | 99.00 |
52319 | Bone graft, harvesting of, via separate incision, associated with any other item in Groups O3 to O9—Autogenous—large quantity (AU 7) | 166.00 |
52321 | Foreign implant (non-biological), insertion of, for contour reconstruction of pathological deformity, not associated with item 52624 (AU 10) | 335.00 |
52324 | Direct flap repair, using tongue, first stage (AU 7) | 335.00 |
52327 | Direct flap repair, using tongue, second stage (AU 7) | 166.00 |
52330 | Palatal defect (oro-nasal fistula), plastic closure of, including services covered by item 52300, 52303, 52306 or 52324 (AU 14) | 550.00 |
52333 | Cleft palate, primary repair (AU 14) | 550.00 |
52336 | Cleft palate, secondary repair, closure of fistula using local flaps (AU 13) | 345.00 |
52339 | Cleft palate, secondary repair, lengthening procedure (AU 12) | 390.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52342 | Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14) | 680.00 |
52345 | Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 19) | 765.00 |
52348 | Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 25) | 870.00 |
52351 | Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 29) | 975.00 |
52354 | Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 29) | 985.00 |
52357 | Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 32) | 1,110.00 |
52360 | Mandible or maxilla, osteotomies or osteectomies of involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26) | 1,135.00 |
52363 | Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates (AU 32) | 1,280.00 |
52366 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (AU 47) | 1,250.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52369 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 50) | 1,400.00 |
52372 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (AU 50) | 1,360.00 |
52375 | Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving three or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 59) | 1,525.00 |
52378 | Genioplasty including transposition of nerves and vessels and bone grafts taken from the site (AU 16) | 525.00 |
52379 | Face, contour reconstruction of one region, using autogenous bone or cartilage graft (AU 18) | 900.00 |
52380 | Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar- Maxillary), Le Fort III involving three or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (AU 50) | 1,535.00 |
52382 | Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar- Maxillary), Le Fort III involving three or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 58) | 1,840.00 |
52420 | Mandible, fixation by intermaxillary wiring, excluding wiring for obesity | 170.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP O5—PREPROSTHETIC
52600 | Mandibular or palatal exostosis, excision of (AU 10) | 240.00 |
52603 | Mylohyloid ridge, reduction of (AU 10) | 230.00 |
52606 | Maxillary tuberosity, reduction of (AU 12) | 174.00 |
52609 | Papillary hyperplasia of the palate, removal of—less than five lesions (AU 10) | 230.00 |
52612 | Papillary hyperplasia of the palate, removal of—five to twenty lesions (AU 12) | 285.00 |
52615 | Papillary hyperplasia of the palate, removal of—more than twenty lesions (AU 13) | 355.00 |
52618 | Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed—unilateral or bilateral (AU 19) | 415.00 |
52621 | Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed (AU 19) | 415.00 |
52624 | Alveolar ridge augmentation with bone or alloplast or both—unilateral (AU 13) | 335.00 |
52626 | Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (AU 13) | 205.00 |
52627 | Osseo-integration procedure—extra oral implantation of titanium fixture (AU 11) | 355.00 |
52630 | Osseo-integration procedure—fixation of transcutaneous abutment (AU 6) | 132.00 |
GROUP O6—NEUROSURGICAL
52800 | Neurolysis by open operation, without transposition, not associated with item 52803 (AU 7) | 194.00 |
52803 | Nerve trunk, internal (interfasicular), neurolysis of, using microsurgical techniques (AU 11) | 280.00 |
52806 | Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (AU 8) | 194.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
52809 | Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (AU 10) | 335.00 |
52812 | Nerve trunk, primary repair of, using microsurgical techniques (AU 8) | 475.00 |
52815 | Nerve trunk, secondary repair of, using microsurgical techniques (AU 9) | 505.00 |
52818 | Nerve, transposition of (AU 8) | 335.00 |
52821 | Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16) | 725.00 |
52824 | Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (AU 8) | 315.00 |
GROUP O7—EAR, NOSE & THROAT
53000 | Maxillary antrum, proof puncture and lavage of (AU 6) | 23.00 |
53003 | Maxillary antrum, proof puncture and lavage of, where undertaken in the operating theatre of a hospital or approved day-hospital facility—not associated with any other item in this Group (AU 6) | 65.00 |
53006 | Antrostomy (radical) (AU 9) | 370.00 |
53009 | Antrum, intranasal operation on or removal of foreign body from (AU 8) | 210.00 |
53012 | Antrum, drainage of, through tooth socket (AU 7) | 83.00 |
53015 | Oro-antral fistula, plastic closure of (AU 11) | 415.00 |
53018 | Turbinectomy or turbinectomies, partial or total, unilateral (AU 6) | 96.00 |
53019 | Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (AU 20) | 410.00 |
GROUP O8—TEMPOROMANDIBULAR JOINT
53200 | Mandible, treatment of a dislocation of, not requiring open reduction (AU 4) | 33.50 |
53203 | Mandible, treatment of a dislocation of, requiring open reduction (AU 4) | 84.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
53206 | Temporomandibular joint, manipulation of, performed in the operating theatre of a hospital or day- hospital facility, not associated with any other item in Groups O3 to O9 (AU 4) | 100.00 |
53209 | Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (AU 19) | 1,160.00 |
53212 | Absent condyle and asending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (AU 15) | 630.00 |
53215 | Temporomandibular joint, arthroscopy of, with or without biopsy, not associated with any other arthroscopic procedure of that joint (AU 9) | 230.00 |
53218 | Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions—one or more of such procedures (AU 12) | 465.00 |
53221 | Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (AU 18) | 615.00 |
53224 | Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (AU 20) | 685.00 |
53225 | Arthrocentesis, irrigation of temporomandibular joint after insertion of two cannuli into the appropriate joint space(s) (AU 13) | 205.00 |
53227 | Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including menisectomy when performed, with or without microsurgical techniques (AU 24) | 835.00 |
53230 | Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (AU 24) | 945.00 |
53233 | Temporomandibular joint, surgery of, involving procedures covered by items 53224, 53227 and 53230 and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (AU 28) | 1,060.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP O9—TREATMENT OF FRACTURES
53400 | Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting | 91.00 |
53403 | Mandible, treatment of fracture of, not requiring splinting | 112.00 |
53406 | Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14) | 285.00 |
53409 | Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14) | 285.00 |
53410 | Zygomatic bone, treatment of fracture of, not requiring surgical reduction | 60.00 |
53411 | Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (AU 7) | 168.00 |
53412 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one (1) site (AU 9) | 275.00 |
53413 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at two (2) sites (AU 10) | 340.00 |
53414 | Zygomatic bone, treatment of, requiring surgical reduction and involving internal and/or external fixation at three (3) sites (AU 11) | 385.00 |
53415 | Maxilla, treatment of fracture of, requiring open reduction (AU 7) | 305.00 |
53416 | Mandible, treatment of fracture of, requiring open reduction (AU 7) | 305.00 |
53418 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9) | 395.00 |
53419 | Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9) | 395.00 |
53422 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11) | 510.00 |
53423 | Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11) | 510.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
53424 | Maxilla, treatment of a complicated fracture of,involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (AU 10) | 435.00 |
53425 | Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (AU 10) | 435.00 |
53427 | Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (AU 12) | 595.00 |
53429 | Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (AU 12) | 595.00 |
53439 | Mandible, treatment of a closed fracture of involving a joint surface (AU 6) | 168.00 |
53453 | Orbital cavity, reconstruction of a wall or floor with or without foreign implant (AU 12) | 345.00 |
53455 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (AU 14) | 400.00 |
CATEGORY 7—CLEFT LIP & CLEFT PALATE SERVICES
GROUP C1—ORTHODONTIC SERVICES
75000 | Professional attendance not covered by item 75003 (AO) | 28.50 |
75003 | Professional attendance and treatment planning where treatment is deferred (AO) | 58.00 |
75006 | Production of dental study models not associated with item 75003 or with a service covered by item 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045, 75048, or 75051 (AO) | 28.50 |
75009 | Orthodontic radiography—orthopantomography (AO) | 48.00 |
75012 | Orthodontic radiography—anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO) | 76.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
75015 | Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO) | 104.00 |
75018 | Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO) | 134.00 |
75021 | Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO) | 164.00 |
75024 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where one appliance is used (AO) | 385.00 |
75027 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where two appliances are used (AO) | 460.00 |
75030 | Deciduous dentition treatment—maxillary arch expansion, including supply of appliances and all associated consultations, treatment planning and retention services beyond the period of active treatment (AO) | 515.00 |
75033 | Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO) | 845.00 |
75036 | Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by item 75033)—lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO) | 1,170.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
75039 | Permanent dentition treatment (not being treatment associated with treatment covered by item 75045 or 75048)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial three months of active treatment (AO) | 385.00 |
75042 | Permanent dentition treatment (not being treatment associated with treatment covered by item 75045 or 75048)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each three months of active treatment after the first for a maximum of a further 33 months (AO) | 146.00 |
75045 | Permanent dentition treatment (not being treatment associated with treatment covered by item 75039 or 75042)—two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial three months of active treatment (AO) | 760.00 |
75048 | Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923)—two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each three months of active treatment after the first for a maximum of a further 33 months (AO) | 200.00 |
75051 | Pre-sugical or post-sugrical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO) | 515.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
GROUP C2—ORAL SURGICAL SERVICES
75200 | Removal of tooth or tooth fragment (not being treatment covered by item 75400, 75403, 75406, 75409, 75412 or 75415), where the patient is referred by a recognized orthodontist (AD) | 38.50 |
75203 | Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD) | 58.00 |
75206 | Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in item 75200 or 75203 is rendered (AD) | 19.20 |
75400 | Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 116.00 |
75403 | Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS) | 134.00 |
75406 | Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS) | 152.00 |
75409 | Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS) | 172.00 |
75412 | Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS) | 96.00 |
75415 | Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS) | 116.00 |
75600 | Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 164.00 |
75603 | Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS) | 192.00 |
75606 | Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 192.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
75609 | Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS) | 285.00 |
GROUP C3—GENERAL AND PROSTHODONTIC SERVICES
75800 | Attendance comprising consultation, preventive treatment and prophylaxis, of not less than thirty minutes duration—each attendance to a maximum of three attendances in any period of twelve months (AD) | 58.00 |
75803 | Provision and fitting of acrylic base partial denture, including retainers—one tooth (AD) | 230.00 |
75806 | Provision and fitting of acrylic base partial denture, including retainers—two teeth (AD) | 270.00 |
75809 | Provision and fitting of acrylic base partial denture, including retainers—three teeth (AD) | 325.00 |
75812 | Provision and fitting of acrylic base partial denture, including retainers—four teeth (AD) | 360.00 |
75815 | Provision and fitting of acrylic base partial denture, including retainers—five to nine teeth (AD) | 435.00 |
75818 | Provision and fitting of acrylic base partial denture, including retainers—ten to twelve teeth (AD) | 515.00 |
75821 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—one tooth (AD) | 415.00 |
75824 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—two teeth (AD) | 480.00 |
75827 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—three teeth (AD) | 550.00 |
75830 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—four teeth (AD) | 610.00 |
75833 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—five to nine teeth (AD) | 745.00 |
SCHEDULE—continued
SERVICES AND FEES
Item | Service | Fee $ |
75836 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—ten to twelve teeth (AD) | 855.00 |
75839 | Provision and fitting of retainers (not being treatment associated with treatment covered by item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836)—each retainer (AD) | 19.20 |
75842 | Adjustment of partial denture (not being treatment associated with treatment covered by item 75803, 75827, 75830, 75833 or 75836) (AD) | 28.50 |
75845 | Relining of partial denture by laboratory process and associated fitting (AD) | 144.00 |
75848 | Remodelling and fitting of partial denture of more than four teeth (AD) | 172.00 |
75851 | Repair to cast metal base of partial denture—one or more points (AD) | 86.00 |
75854 | Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) | 86.00 |
___________________________________________________________
NOTE
1. Notified in the Commonwealth of Australia Gazette on 27 October 1992.