1993 No. 2721 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES
TABLE) REGULATIONS
1 Notified in the Commonwealth of Australia Gazette on 1 November 1993.
1993 No. 272 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES TABLE)
REGULATIONS
- REG 1
Citation
REG
1. These Regulations may be cited as the Health Insurance (1993-1994
General Medical Services Table) Regulations.
1993 No. 272 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES TABLE)
REGULATIONS
- REG 2
Commencement
REG
2. These Regulations commence on 1 November 1993.
1993 No. 272 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES TABLE)
REGULATIONS
- REG 3
Repeal
REG
3. Statutory Rules 1992 Nos. 338, 347 and 398, and 1993 No. 145 are
repealed.
1993 No. 272 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES TABLE)
REGULATIONS
- REG 4
General medical services table
REG
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.
1993 No. 272 HEALTH INSURANCE (1993-1994 GENERAL MEDICAL SERVICES TABLE)
REGULATIONS
- SCHEDULE
SCH
SCHEDULE Regulation 4
TABLE OF GENERAL MEDICAL SERVICES
PART 1-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;
"general intensive care unit" means a separate hospital area that:
(a) is equipped and staffed so as to be capable of providing to a
patient:
(i) mechanical ventilation for a period of several days; and
(ii) invasive cardiovascular monitoring; and
(b) is supported by:
(i) at least one specialist or consultant physician in the specialty
of intensive care who is immediately available during normal working
hours; and
(ii) a registered medical practitioner who is present in the
hospital and immediately available to the unit at all times; and
(iii) a registered nurse for at least 18 hours each day; and
(c) has defined admission and discharge policies;
"general practitioner" means:
(a) a practitioner who is vocationally registered under section 3F of
the Act; or
(b) a practitioner who:
(i) is a Fellow of the RACGP; and
(ii) participates in the quality assurance and continuing medical
education of the RACGP; and
(iii) meets the RACGP requirements for quality assurance and
continuing education; or
(c) a practitioner who is undertaking an approved placement in general
practice:
(i) as part of a training program for general practice leading to
the award of the Fellowship of the RACGP; or
(ii) as part of some other training program recognised by the RACGP
as being of an equivalent standard;
"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;
"intensive care unit" means a general intensive care unit or a
neo-natal intensive care unit;
"neo-natal intensive care unit" means a separate hospital area that:
(a) is equipped and staffed so as to be capable of providing to a
patient who is a newly born child:
(i) mechanical ventilation for a period of several days; and
(ii) invasive cardiovascular monitoring; and
(b) is supported by:
(i) at least one consultant physician in paediatric medicine who is
immediately available during normal working hours; and
(ii) a registered medical practitioner who is present in the
hospital and immediately available to the unit at all times; and
(iii) a registered nurse for at least 18 hours each day; and
(c) has defined admission and discharge policies;
"RACGP" means the Royal Australian College of General Practitioners;
"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; and
(d) if the referral:
(i) arises out of a dental service given by a dental practitioner
who is approved by the Minister for the purposes of paragraph (b) of the
definition of "professional service" in subsection 3 (1) of the Act; and
(ii) is given to a consultant physician;
a dental practitioner.
"the Act" means the Health Insurance Act 1973.
(2) In this table, a reference by number to an item in the series
65001 to 73921 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
55028 to 61502 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.
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, being:
(a) a service that:
(i) is given to a patient who has been referred to the specialist;
and
(ii) is the first service given by the specialist in accordance with
the referral; or
(b) a service that:
(i) is given to a patient who has been referred to the specialist;
and
(ii) is either:
(A) part of a single course of treatment given for the condition
identified in the referral; or
(B) if no condition was identified in the referral-part of a
single course of treatment for the condition identified by the
specialist; and
(iii) is given within the period of validity of the referral
applicable under regulation 12 of the Health Insurance Regulations; or
(c) a service that:
(i) is given 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; and
(ii) is the first service given by the specialist in accordance with
the referral; or
(d) a service that:
(i) is given to a patient who has not been referred to the
specialist; and
(ii) is a service that, in an emergency, the specialist decides is
necessary in the patient's interests to be given as soon as practicable
without a referral.
(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 initial attendance by a specialist or consultant physician;
and
(b) the continuing management or treatment up to and including the
stage when the patient is referred back to the care of the referring
practitioner; and
(c) 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
4. (1) In items 104 to 159, a reference to an attendance on a patient
by a specialist, or consultant physician, in the practice or his or her
specialty where 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; or
(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 subrule (1) and in items 104 to 159, 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 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 of advice to the patient about the patient's
condition or conditions and, if applicable, about treatment;
(d) if authorised by the patient, the provision of advice to another
person, or other persons, about the patient's condition or conditions
and, if applicable, about treatment;
(e) the recording of the clinical details of the service or services
given to the patient.
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 $17.10 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 $17.10 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 $17.10 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 $17.10 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.
(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
(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
8. (1) For the purposes of items 10921 to 10929, 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.
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 items 3 to 153, 157 to 164, 173 to 10815, 11012,
11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630,
11701,11712, 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, 13809, 13812,
13815, 13818, 13819, 13821, 13824, 13827, 13830, 13833, 13836, 14200,
14203, 14206, 14209, 16000 to 16552 and 16558 to 51309.
(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 who:
(i) is employed by the proprietor of a hospital other than a private
hospital; and
(ii) 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 items 3 to 10815, 11012, 11015, 11018, 11021, 11212,
11303, 11500, 11600, 11627, 11630, 11701, 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, 13809, 13812, 13815, 13818, 13819, 13821, 13824,
13827, 13830, 13833, 13836, 14200, 14203, 14206, 14209, 16000 to 16552
and 16558 to 51309.
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 items 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, 11702, 11706, 11708, 11709, 11710,
11711, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900,
11903, 11906, 11909, 11912, 11915, 11918, 12006, 12009, 12200, 12500 to
12530, 13200, 13203, 13206, 13212, 13215, 13218, 13221, 13915 to 13948,
14050, 14053, 15000 to 15533, 15536 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 AS1269-1983 of the Standards
Association of Australia, as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard
AS2586-1983 of the Standards Association of Australia, as in force on 1
August 1987.
Application of items 51700 to 53455
13. Items 51700 to 53455 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.
Meaning of "administration of an anaesthetic" in items 18102 to 18118
14. In items 18102 to 18118, "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 location" in item 18013
15. In item 18013, "prescribed location" means any of the following:
(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;
(n) Townsville Hospital, Townsville, Queensland;
(o) Royal Perth Hospital, Perth, Western Australia;
(p) Prince of Wales Hospital, Randwick, New South Wales;
(q) John Hunter Hospital, New Lambton, New South Wales;
(r) Woden Valley Hospital, Woden, Australian Capital Territory.
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-$12.20 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15103-$13.45 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(iii) for item 15109-$16.15 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(iv) for item 15204-$21.20 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(v) for item 15208-$21.20 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(vi) for item 15214-$17.80 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-$13.25 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15115-$33.60 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); 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).
Meaning of "(AD)" in Groups C2-Oral surgical services and C3-General and
Prosthodontic services
19. An item in the series 75200 to 75854 that includes the symbol
"(AD)" applies only to a service given by a State registered dental
practitioner practising as a dentist.
Orthodontic services
20. (1) In this rule:
"accredited orthodontist" means:
(a) a dental practitioner who is registered or licensed as an
orthodontist under the relevant law; or
(b) a dental practitioner:
(i) who is not registered or licensed under the relevant law as an
orthodontist or who practises in a State or Territory in which there is
no provision for the registration or licensing of orthodontists; 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; 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.
(2) An item in the series 75000 to 75051 that includes the symbol
"(AO)" applies 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) An item in the series 75200 to 75609 that includes the symbol
"(AOS)" applies 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.
Meaning of "report" in Group D1-Miscellaneous diagnostic procedures and
investigations
22. In items 11000 to 12200, "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, "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 assisted reproductive 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.
Items relating to assisted reproductive services not to apply in certain
pregnancy-related circumstances
25. Items 13200 to 13221 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.
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 obstetrical procedures constitute a single operation
28. The procedures mentioned in 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 and 52342 to 52375, "maxilla" includes the
zygoma.
Items 46300 to 46510 apply only in certain circumstances
30. Items 46300 to 46510 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
31. In items 47000 to 50239:
"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;
"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 20% 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 20% 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.
Meaning of "Amount under rule 35" in item 18219
35. (1) In item 18219, "Amount under rule 35" means an amount equal to
the sum of:
(a) the amount of the fee for the service shown in item 18216
including continuous attendance by the medical practitioner for 1 hour;
and
(b) an amount of $13.15 for each additional 15 minutes or part thereof
for continuous attendance by the medical practitioner beyond the first
hour.
Histopathological proof of malignancy in certain cases for purposes of
certain items relating to surgical procedures
36. For the purposes of items 30196 to 30203, the requirement for
histopathological proof of malignancy is satisfied where multiple
lesions are to be removed from the one anatomical region if a single
lesion from that region is histologically tested and proven positive for
malignancy.
PART 2-SERVICES AND FEES
ATTENDANCES
GROUP A1-GENERAL PRACTITIONER ATTENDANCES TO
WHICH NO OTHER ITEM APPLIES
Item
Service
Fee
3
Professional attendance at consulting rooms (not being a service to
which any other item applies) by a 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
$11.45
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 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
$28.65
13
Professional attendance at an institution (not being a service to
which any other item applies) by a 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 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
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 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 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 36 or 44 applies-each attendance
$24.15
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 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 37 or 47 applies-each attendance
$41.25
25
Professional attendance at an institution (not being a service to
which any other item applies) by a 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 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 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 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
36
Professional attendance at consulting rooms (not being a service to
which any other item applies) by a 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
$43.55
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 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
$60.75
38
Professional attendance at an institution (not being a service to
which any other item applies) by a 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 1 institution on 1 occasion-each patient
Amount under rule 6
40
Professional attendance at a hospital (not being a service to which
any other item applies) by a 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 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
44
Professional attendance at consulting rooms (not being a service to
which any other item applies) by a 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
$64.20
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 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
$81.40
48
Professional attendance at an institution (not being a service to
which any other item applies) by a 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
50
Professional attendance at a hospital (not being a service to which
any other item applies) by a 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 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
GROUP A2-OTHER NON-REFERRED
ATTENDANCES TO WHICH NO OTHER ITEM
APPLIES
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 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
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
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 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 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
general practitioner)-each attendance
$31.50
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
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 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 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
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
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 general practitioner)-an attendance on
1 or more patients at 1 institution on 1 occasion-each patient
Amount under rule 6
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 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
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
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 general practitioner)-an attendance on
1 or more patients at 1 hospital on 1 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 general
practitioner)-an attendance on 1 or more patients at 1 nursing home on 1
occasion-each patient
Amount under rule 6
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 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 general practitioner)-an attendance on 1 or
more patients at 1 nursing home on 1 occasion-each patient
Amount under rule 6
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 general practitioner)-an
attendance on 1 or more patients at 1 nursing home on 1 occasion-each
patient
Amount under rule 6
GROUP A3-EMERGENCY AFTER HOURS ATTENDANCES TO WHICH NO OTHER ITEM
APPLIES
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
a.m. or after 1 p.m. on a Saturday or at any time other than between 8
a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday,
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 a.m. or after 1
p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m.
on a day not being a Saturday, Sunday or public holiday, 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
GROUP A4-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
$61.00
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
$30.50
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 (not being 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
$50.15
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
$89.30
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
$56.50
GROUP A5-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
$107.45
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 (not being a service to which item
119 applies) subsequent to the first in a single course of treatment
$53.75
119
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 minor attendance subsequent to the first in a
single course of treatment
$30.50
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 psychiatry) where the patient is
referred to him or her by a medical practitioner-initial attendance in a
single course of treatment
$130.40
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 psychiatry) where the patient is
referred to him or her by a medical practitioner-each attendance (other
than a service to which item 131 applies) subsequent to the first in a
single course of treatment
$78.80
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 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
$56.75
GROUP A6-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 him
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
$30.80
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
$61.60
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
$90.30
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
$124.65
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
$151.90
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
$56.60
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
$88.85
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
$123.25
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
$149.05
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
$177.70
153
Attendance for electroconvulsive therapy, including associated
consultation (AU 3)
$40.55
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 to 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
$35.15
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
$46.65
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
$68.95
157
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, involving an interview of a person
other than the patient of not less than 20 minutes' duration but less
than 45 minutes' duration, in the course of initial diagnostic
evaluation of a patient
$37.20
158
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, involving an interview of a person
other than the patient of not less than 45 minutes' duration, in the
course of initial diagnostic evaluation of a patient
$83.80
159
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, 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 12 month period
$37.25
GROUP A7-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
$87.55
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
$143.00
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
$198.45
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
$253.85
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
$306.40
GROUP A8-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
GROUP A9-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 A10-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
$86.75
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
$86.75
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
$86.75
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
$86.75
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)
$86.75
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
$86.75
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
$86.75
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
$86.75
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
$86.75
10815
Attendance for the refitting of contact lenses with keratotomy 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 item 10801, 10802, 10803, 10804, 10805, 10806,
10807, 10808 or 10809 applies
$6.20
GROUP A11-OPTOMETRICAL CONSULTATIONS
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
$50.15
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
$50.15
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 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
$50.15
10904
Professional attendance that is the sole or first attendance in
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 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
$50.15
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
$25.15
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
$25.15
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, 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
$126.40
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, 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
$126.40
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, 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
$126.40
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, 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
$126.40
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, 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)
$126.40
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, 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
$126.40
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, 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
$126.40
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, 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
$126.40
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, 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
$126.40
DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
GROUP D1-MISCELLANEOUS DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Subgroup 1-Neurology
11000
Electroencephalography, not being a service associated with a service
to which item 11003, 11006 or 11009 applies (AU 6)
$87.60
11003
Electroencephalography, prolonged recording of at least 3 hours'
duration, not being a service associated with a service to which item
11000, 11006 or 11009 applies
$232.00
11006
Electroencephalography, temporosphenoidal
$118.95
11009
Electrocorticography
$162.20
11012
Neuromuscular electrodiagnosis-conduction studies on 1 nerve or
electromyography of 1 or more muscles using concentric needle electrodes
or both these examinations (not being a service associated with a
service to which item 11015 or 11018 applies)
$79.75
11015
Neuromuscular electrodiagnosis-conduction studies on 2 or 3 nerves
with or without electromyography (not being a service associated with a
service to which item 11012 or 11018 applies)
$106.80
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 being a service
associated with a service to which item 11012 or 11015 applies)
$159.50
11021
Neuromuscular electrodiagnosis-repetitive stimulation for study of
neuromuscular conduction or electromyography with quantitative
computerised analysis or both of these examinations
$106.80
11024
Investigation of central nervous system evoked responses by
computerised averaging techniques-1 or 2 studies
$81.10
11027
Investigation of central nervous system evoked responses by
computerised averaging techniques-3 or more studies
$120.30
Subgroup 2-Ophthalmology
11200
Provocative test or tests for glaucoma, including water drinking
$29.05
11203
Tonography-in the investigation or management of glaucoma, of 1 or
both eyes-using an electrical tonography machine producing a directly
recorded tracing
$49.15
11206
Electroretinography of 1 or both eyes or electro-oculography of 1 or
both eyes
$78.30
11209
Electroretinography of 1 or both eyes and electro-oculography of 1 or
both eyes
$116.10
11212
Optic fundi, examination of following intravenous dye injection
$49.95
11215
Retinal photography, multiple exposures, of 1 eye with intravenous
dye injection
$97.20
11218
Retinal photography, multiple exposures of both eyes with intravenous
dye injection
$120.15
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
$53.60
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
$32.35
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
$5.65
Subgroup 3-Otolaryngology
11300
Brain stem evoked response audiometry
(AU 6)
$137.05
11303
Electrocochleography including the insertion of electrodes
$135.75
11306
Non-determinate audiometry
$15.65
11309
Audiogram, air conduction
$18.65
11312
Audiogram, air and bone conduction or air conduction and speech
discrimination
$26.45
11315
Audiogram, air and bone conduction and speech
$35.10
11318
Audiogram, air and bone conduction and speech, with other cochlear
tests
$43.20
11321
Glycerol induced cochlear function changes assessed by a minimum of 4
air conduction and speech discrimination tests (Klockoff's test)
$82.15
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 being a service associated with a
service to which item 11309, 11312, 11315 or 11318 applies
$23.45
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-being a service associated with a
service to which item 11309, 11312, 11315 or 11318 applies
$14.05
11330
Impedance audiogram where the patient is not referred by a medical
practitioner-1 examination in any 4 week period
$5.65
11333
Caloric test of labyrinth or labyrinths
$31.75
11336
Simultaneous bithermal caloric test of labyrinths
$31.95
11339
Electronystagmography
$31.75
Subgroup 4-Respiratory
11500
Bronchospirometry, including gas analysis
$118.95
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 (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
$98.70
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
$14.60
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
$25.45
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
$44.05
Subgroup 5-Vascular
11600
Blood pressure monitoring by intravascular cannula (not being a
service associated with a service to which item 13818 or 13819 applies)
(AU 4)
$49.30
11603
Examination of peripheral vessels at rest (unilateral or bilateral)
with hard copy recordings of wave forms, involving one of the following
techniques-Doppler recordings (pulsed, continuous wave, or both) of
blood flow velocity with or without pulse volume recordings; Doppler
recordings involving real time fast fourier transform analysis; venous
occlusion plethysmography; air plethysmography; strain-gauge
plethysmography; impedance plethysmography; or photo plethysmography
(not being a service associated with a service to which item 11612 or
11615 applies)-1 examination and report
$36.80
11606
2 examinations of the kind referred to in item 11603 and report (not
being a service associated with a service to which item 11612 or 11615
applies)
$52.20
11609
3 or more examinations of the kind referred to in item 11603 and
report (not being a service associated with a service to which item
11612 or 11615 applies)
$67.65
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)
$67.65
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
$54.00
11618
Examination of carotid vessels (unilateral or bilateral), with hard
copy recordings of wave forms, involving 1 of the following
techniques-Doppler real time fast fourier transform analysis;
oculoplethysmography, phonoangiography or both; or periorbital Doppler
examination (not being a service associated with a service to which item
55201, 55204, 55225 or 55231 applies)-1 examination and report
$48.05
11621
2 examinations of the kind referred to in item 11618, and report (not
being a service associated with a service to which item 55201, 55204,
55225 or 55231 applies)
$72.40
11624
3 examinations of the kind referred to in item 11618, and report (not
being a service associated with a service to which item 55201, 55204,
55225 or 55231 applies)
$96.10
11627
Pulmonary artery pressure monitoring during open heart surgery, in a
person under 12 years of age
$162.90
11630
Pulmonary artery pressure monitoring during open heart surgery, in a
person over 12 years of age
$60.45
Subgroup 6-Cardiovascular
11700
Twelve-lead electrocardiography, tracing and report
$24.70
11701
Twelve-lead electrocardiography, report only where the tracing has
been forwarded to another medical practitioner, including any
consultation on the same day
$12.35
11702
Twelve-lead electrocardiography, tracing only
$12.35
11706
Phonocardiography with electrocardiograph lead with indirect arterial
or venous pulse tracing, with or without apex cardiogram-interpretation
and report
$51.35
11708
Continuous ECG recording ambulatory patient for 12 or more hours,
including microprocessor based analysis, interpretation and report of
recordings, not being a service to which item 11709 applies
$101.10
11709
Continuous ECG recording (Holter) of ambulatory patient for 12 or
more hours involving recording and storage on a device, utilising a
system capable of superimposition and full disclosure printout of at
least 12 hours of recorded ECG data, microprocessor based scanning
analysis, interpretation and report, including resting ECG and the
recording of parameters
$132.50
11710
Ambulatory ECG monitoring, patient activated, single or multiple
event recording, utilising a looping memory recording device which is
connected continuously to the patient for 12 hours or more and is
capable of recording for at least 20 seconds prior to each activation
and for 15 seconds after each activation, including transmission,
analysis, interpretation and report-payable once in any 4 week period
$36.90
11711
Ambulatory ECG monitoring for 12 hours or more, patient activated,
single or multiple event recording, utilising a memory recording device
which is capable of recording for at least 30 seconds after each
activation, including transmission, analysis, interpretation and
report-payable once in any 4 week period
$20.20
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
$120.30
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
$49.65
11715
Blood dye-dilution indicator test
$86.10
11718
Implanted pacemaker testing involving electrocardiography,
measurement of rate, width and amplitude of stimulus, including
reprogramming when required, not being a service associated with a
service to which item 11700 or 11721 applies
$24.80
11721
Implanted pacemaker testing of atrioventricular (AV) sequential, rate
responsive, or antitachycardia pacemakers, including reprogramming when
required, not being a service associated with a service to which item
11700 or 11718 applies
$49.65
Subgroup 7-Gastroenterology & Colorectal
11800
Oesophageal motility test, manometric
$124.30
11810
Clinical assessment of gastro-oesophageal reflux disease involving 24
hour pH monitoring, including analysis, interpretation and report and
including any associated consultation
$122.05
11830
Diagnosis of abnormalities of the pelvic floor involving anal
manometry or measurement of anorectal sensation or measurement of the
rectosphincteric reflex
$93.10
11833
Diagnosis of abnormalities of the pelvic floor and sphincter muscles
involving electromyography or measurement of pudendal and spinal nerve
motor latency
$177.90
Subgroup 8-Genito-urinary Physiological Investigations
11900
Urine flow study including peak urine flow measurement, not being a
service associated with a service to which item 11918 applies
$19.65
11903
Cystometrography, not being a service associated with a service to
which item 11012-11027, 11912, 11915, 11918, 11921, 36800 or any item in
Group I3 of the Diagnostic Imaging Services Table applies
$79.10
11906
Urethral pressure profilometry, not being a service associated with a
service to which item 11012-11027, 11909, 11918, 11921, 36800 or any
item in Group I3 of the Diagnostic Imaging Services Table applies
$79.10
11909
Urethral pressure profilometry with simultaneous measurement of
urethral sphincter electromyography, not being a service associated with
a service to which item 11906, 11915, 11918, 36800 or any item in Group
I3 of the Diagnostic Imaging Services Table applies
$117.55
11912
Cystometrography with simultaneous measurement of rectal pressure,
not being a service associated with a service to which item 11012-11027,
11903, 11915, 11918, 11921, 36800 or any item in Group I3 of the
Diagnostic Imaging Services Table applies (AU 6)
$117.55
11915
Cystometrography with simultaneous measurement of urethral sphincter
electromyography, not being a service associated with a service to which
item 11012-11027, 11903, 11909, 11912, 11918, 11921, 36800 or any item
in Group I3 of the Diagnostic Imaging Services Table applies (AU 6)
$117.55
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
being a service associated with a service to which items 11012-11027,
11900-11915, 11921 and 36800 apply (AU 6)
$305.10
11921
Bladder washout test for localization of urinary infection-not
including bacterial counts for organisms in specimens
$53.40
Subgroup 9-Allergy Testing
12000
Skin sensitivity testing for allergens, using 1 to 20 allergens, not
being a service associated with a service to which item 12006 or 12009
applies
$27.70
12003
Skin sensitivity testing for allergens, using more than 20 allergens,
not being a service associated with a service to which item 12006 or
12009 applies
$41.90
12006
Epicutaneous patch testing in the investigation of allergic
dermatitis, using 1 to 20 allergens
$27.85
12009
Epicutaneous patch testing in the investigation of allergic
dermatitis, using more than 20 allergens
$41.80
Subgroup 10-Intensive Care Management and Procedures
12100
Arterial puncture and collection of blood for diagnostic purposes
$16.40
12103
Intra-arterial cannulisation for the purpose of taking multiple
arterial blood samples for blood gas analysis
$49.30
12106
Counterpulsation by intra-aortic balloon-management on the first day,
including percutaneous insertion, initial and subsequent consultations
and monitoring of parameters
$385.30
12109
Counterpulsation by intra-aortic balloon-management on each day
subsequent to the first, including associated consultations and
monitoring of parameters
$93.30
12112
Circulatory support device, management of, on first day
$351.65
12115
Circulatory support device, management of, on each day subsequent to
the first
$81.70
Subgroup 11-Other Diagnostic Procedures and Investigations
12200
Collection of specimen of sweat by iontophoresis
$26.50
GROUP D2-NUCLEAR MEDICINE (NON-IMAGING)
12500
Blood volume estimation
$154.25
12503
Erythrocyte radioactive uptake survival time test or iron kinetic
test
$302.60
12506
Gastrointestinal blood loss estimation involving examination of stool
specimens
$215.95
12509
Gastrointestinal protein loss
$154.25
12512
Radioactive B12 absorption test-1 isotope
$74.75
12515
Radioactive B12 absorption test-2 isotopes
$163.75
12518
Thyroid uptake (using probe)
$74.75
12521
Perchlorate discharge study
$90.20
12524
Renal function test (without imaging procedure)
$112.75
12527
Renal function test (with imaging and at least 2 blood samples)
$60.50
12530
Whole body count-not being a service associated with a service to
which another item applies
$90.20
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
$98.55
13003
Hyperbaric oxygen therapy where the medical practitioner is confined
in the chamber
$159.30
13006
Administration of a general anaesthetic (including the administration
of oxygen) during hyperbaric therapy where the medical practitioner is
not confined in the chamber
$133.65
13009
Administration of a general anaesthetic (including the administration
of oxygen) during hyperbaric therapy where the medical practitioner is
confined in the chamber
$197.10
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
$97.35
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
$50.70
13106
Declotting of an arteriovenous shunt
$86.50
13109
Indwelling peritoneal catheter (Tenckhoff or similar) for
dialysis-insertion and fixation of (AU 8)
$162.20
13112
Peritoneal dialysis, establishment of by abdominal puncture and
insertion of temporary catheter (including associated consultation)
$97.35
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 to
which item 13203, 13206 or 13218 applies-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
$1,582.10
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 to
which item 13200, 13206, 13212, 13215 or 13218 applies
$395.55
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 a service to which item 13212
applies
$678.05
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)
$67.80
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 a service to which item 13200 or 13206 applies (AU 9)
$288.15
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 a service to which item 13200 or 13206 applies, being services
rendered in 1 treatment cycle (AU 9)
$90.40
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
and excluding a service to which item 13200, 13203, 13206, 13212 or
13215 applies (AU 9)
$678.05
13221
Preparation of semen for the purposes of assisted reproductive
technologies or for artificial insemination
$41.25
Subgroup 4-Paediatric & Neonatal
13300
Umbilical or scalp vein catheterisation in a neonate with or without
infusion; or cannulation of a vein
$40.55
13303
Umbilical artery catheterisation with or without infusion
$60.15
13306
Blood transfusion with venesection and complete replacement of blood,
including collection from donor
$237.95
13309
Blood transfusion with venesection and complete replacement of blood,
using blood already collected
$202.80
13312
Blood for pathology test, collection of, by femoral or external
jugular vein puncture in infants
$20.30
13315
Intra-uterine foetal blood transfusion using blood already collected,
including necessary amniocentesis
$162.00
13318
Central vein catheterisation (via jugular or subclavian vein) by open
exposure, in a person under 12 years of age (AU 12)
$162.00
Subgroup 5-Cardiovascular
13400
Restoration of cardiac rhythm by electrical stimulation
(cardioversion), other than in the course of cardiac surgery (AU 4)
$68.95
Subgroup 6-Gastroenterology
13500
Gastric hypothermia by closed circuit circulation of refrigerant in
the absence of gastrointestinal haemorrhage
$128.45
13503
Gastric hypothermia by closed circuit circulation of refrigerant for
upper gastrointestinal haemorrhage
$256.85
Subgroup 7-Perfusion
13600
Perfusion of limb or organ using heart-lung machine or equivalent
$316.10
13603
Whole body perfusion, cardiac bypass, using heart-lung machine or
equivalent
$457.30
13606
Induced controlled hypothermia-total body
$78.00
Subgroup 8-Haematology
13700
Harvesting of homologous (including allogeneic) or autologous bone
marrow for the purpose of transplantation (AU 10)
$237.35
13703
Administration of blood including collection from donor
$85.05
13706
Administration of blood or bone marrow already collected
$59.40
13709
Collection of blood for autologous transfusion or when homologous
blood is required for immediate transfusion in emergency situation
$34.45
Subgroup 9-Intensive Care Management and Procedures
13809
Management of a patient in an intensive care unit by a specialist or
consultant physician-including initial and subsequent attendances,
electrocardiograms, arterial sampling, bladder catheterisation and blood
sampling-management on the first day
$217.35
13812
Management of a patient in an intensive care unit by a specialist or
consultant physician-including all attendances, electrocardiograms,
arterial sampling, bladder catheterisation and blood sampling-management
on each day subsequent to the first day
$161.75
13815
Central vein catheterisation (via jugular, subclavian or femoral
vein) by percutaneous or open exposure not being a service to which item
13318 applies (AU 6)
$60.75
13818
Right heart balloon flotation using a pulmonary artery catheter,
including pulmonary wedge pressure and cardiac output measurement and
including monitoring of pulmonary arterial and central venous pressures
on the day of insertion-management on the first day
$169.55
13819
Central venous pressure, pulmonary arterial pressure, systemic
arterial pressure or cardiac intracavity pressure, continuous monitoring
by indwelling catheter by a specialist or consultant physician in an
intensive care unit-each day of monitoring for each pressure up to a
maximum of 4 pressures (not being a service to which item 11600 or 13818
applies
$48.50
13821
Mechanical ventilation, initiation of, by a specialist or consultant
physician in conjunction with subsequent management of ventilatory
support on the first day, in an intensive care unit
$157.70
13824
Ventilatory support in an intensive care unit, management of, by a
specialist or consultant physician-not being a service to which item
13821 applies-each day
$53.60
13827
Gastro-oesophageal balloon intubation, Minnesota,
Sengstaken-Blakemore or similar, for control of bleeding from gastric
oesophageal varices
$131.40
13830
Intracranial pressure, monitoring of, by intraventricular or subdural
catheter, subarachnoid bolt or similar, by a specialist or consultant
physician-each day
$53.60
13833
Continuous arterio venous or veno venous haemofiltration, management
by a specialist or consultant physician-on the first day in an intensive
care unit
$97.05
13836
Continuous arterio venous or veno venous haemofiltration, management
by a specialist or consultant physician-on each day subsequent to the
first day in an intensive care unit
$50.55
Subgroup 10-Chemotherapeutic Procedures
13915
Chemotherapy, administration of, either by intravenous push technique
(directly into a vein, or a butterfly needle, or the side-arm of an
infusion) or by intravenous infusion of not more than 1 hour's duration
payable once only on the same day
$46.30
13918
Chemotherapy, administration of, by intravenous infusion of more than
1 hour's duration but not more than 6 hours' duration-payable once only
on the same day
$69.75
13921
Chemotherapy, administration of, by intravenous infusion of more than
6 hours' duration-for the first day of treatment
$78.85
13924
Chemotherapy, administration of, by intravenous infusion of more than
6 hours' duration-on each day subsequent to the first in the same
continuous treatment episode
$46.50
13927
Chemotherapy, administration of, either by intra-arterial push
technique (directly into an artery, a butterfly needle or the side-arm
of an infusion) or by intra-arterial infusion of not more than 1 hour's
duration-payable once only on the same day
$60.15
13930
Chemotherapy, administration of, by intra-arterial infusion of more
than 1 hour's duration but not more than 6 hours' duration-payable once
only on the same day
$83.90
13933
Chemotherapy, administration of, by intra-arterial infusion of more
than 6 hours' duration-for the first day of treatment
$93.00
13936
Chemotherapy, administration of, by intra-arterial infusion of more
than 6 hours' duration-on each day subsequent to the first in the same
continuous treatment episode
$60.65
13939
Implanted pump or reservoir, loading of, with a therapeutic agent or
agents, not being a service associated with a service to which item
13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies
$69.75
13942
Ambulatory drug delivery device, loading of, with a therapeutic agent
or agents for the infusion of the agent or agents via the intravenous,
intra-arterial or spinal routes, not being a service associated with a
service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or
13936 applies
$46.50
13945
Long-term implanted drug delivery device, accessing of
$37.40
13948
Cytotoxic agent, instillation of, into a body cavity
$46.50
Subgroup 11-Dermatology
14050
PUVA therapy or UVB therapy administered in whole body cabinet (not
being a service associated with a service to which item 14053 applies)
including associated consultations other than an initial consultation
$41.75
14053
PUVA therapy or UVB therapy administered to localised body areas in a
hand and foot cabinet (not being a service associated with a service to
which item 14050 applies) including associated consultations other than
an initial consultation
$41.75
Subgroup 12-Other Therapeutic Procedures
14200
Gastric lavage in the treatment of ingested poison
$42.60
14203
Hormone or living tissue implantation, by direct implantation
involving incision and suture
$36.45
14206
Hormone or living tissue implantation-by cannula
$25.40
14209
Intra-arterial infusion or retrograde intravenous perfusion of a
sympatholytic agent
$63.25
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
another item in this Group applies-each attendance at which fractionated
treatment is given-1 field
$30.25
15003
Radiotherapy, superficial (including treatment with X-rays, radium
rays or other radioactive substances), not being a service to which
another item in this Group applies-each attendance at which fractionated
treatment is given-2 or more fields up to a maximum of 5 additional
fields
Amount under rule 16
15006
Radiotherapy, superficial-attendance at which a single dose technique
is applied-1 field
$67.25
15009
Radiotherapy, superficial-attendance at which a single dose technique
is applied-2 or more fields up to a maximum of 5 additional fields
Amount under rule 17
15012
Radiotherapy, superficial-each attendance at which treatment is given
to an eye
$38.05
Subgroup 2-Orthovoltage
15100
Radiotherapy, deep or orthovoltage-each attendance at which
fractionated treatment is given at 3 or more treatments per week-1 field
$33.95
15103
Radiotherapy, deep or orthovoltage-each attendance at which
fractionated treatment is given at 3 or more treatments per week-2 or
more fields up to a maximum of 5 additional fields (rotational therapy
being 3 fields)
Amount under rule 16
15106
Radiotherapy, deep or orthovoltage-each attendance at which
fractionated treatment is given at 2 treatments per week or less
frequently-1 field
$40.10
15109
Radiotherapy, deep or orthovoltage-each attendance at which
fractionated treatment is given at 2 treatments per week or less
frequently-2 or more fields up to a maximum of 5 additional fields
(rotational therapy being 3 fields)
Amount under rule 16
15112
Radiotherapy, deep or orthovoltage-attendance at which a single dose
technique is applied-1 field
$85.60
15115
Radiotherapy, deep or orthovoltage-attendance at which a single dose
technique is applied-2 or more fields up to a maximum of 5 additional
fields (rotational therapy being 3 fields)
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
$33.35
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
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
$33.20
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
$30.50
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)
$254.25
15304
Intrauterine treatment alone using radioactive sealed sources having
a half life greater than 115 days using automatic afterloading
techniques (AU 5)
$251.75
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)
$480.30
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)
$482.05
15311
Intravaginal treatment alone using radioactive sealed sources having
a half-life greater than 115 days using manual afterloading techniques
(AU 4)
$237.30
15312
Intravaginal treatment alone using radioactive sealed sources having
a half-life greater than 115 days using automatic afterloading
techniques (AU 4)
$235.65
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)
$463.35
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)
$465.95
15319
Combined intrauterine and intravaginal treatment using radioactive
sealed sources having a half-life greater than 115 days using manual
afterloading techniques (AU 5)
$288.15
15320
Combined intrauterine and intravaginal treatment using radioactive
sealed sources having a half-life greater than 115 days using automatic
afterloading techniques (AU 5)
$289.20
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)
$514.20
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)
$514.15
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)
$559.40
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)
$557.00
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)
$531.15
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)
$530.25
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)
$480.30
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)
$482.05
15339
Removal of a sealed radioactive source under general anaesthesia, or
under epidural or spinal nerve block (AU 4)
$54.25
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
$135.60
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
$361.65
15348
Subsequent applications of radioactive mould referred to in item
15342 or 15345-each attendance
$41.55
15351
Construction and first application of a radioactive mould not
exceeding 5 cm in diameter to an external surface
$83.05
15354
Construction and first application of a radioactive mould more than 5
cm in diameter to an external surface
$100.85
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
$28.50
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 being a service associated with a service
to which item 15509 applies)
$135.60
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 being
a service associated with a service to which item 15512 applies)
$174.05
15506
Radiation field setting using a simulator or isocentric X-ray or
megavoltage machine 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 being a service associated with a service
to which item 15515 applies)
$259.90
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
being a service associated with a service to which item 15500 applies)
$117.55
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 being a service associated with a
service to which item 15503 applies)
$151.45
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 being a
service associated with a service to which item 15506 applies)
$219.25
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
$42.95
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
$189.85
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
$356.00
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
$44.05
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
$196.65
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
$372.95
15536
Brachytherapy planning, computerised radiation dosimetry
$190.05
GROUP T3-THERAPEUTIC NUCLEAR MEDICINE
16000
Administration of a therapeutic dose of a radioisotope-not being a
service to which another item in this Group applies
$28.80
16003
Intra-cavitary administration of a therapeutic dose of Yttrium 90
(not including preliminary paracentesis) (AU 5)
$463.35
16006
Administration of a therapeutic dose of Iodine 131 for thyroid cancer
by single dose technique
$356.00
16009
Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis
by single dose technique
$242.95
16012
Intravenous administration of a therapeutic dose of Phosphorous 32
$210.20
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
$21.90
16503
Antenatal care (not including any service or services to which item
16516 or 16517 applies) where the attendances exceed 10
$217.20
16506
Confinement and postnatal care for 9 days where the medical
practitioner has not given the antenatal care (G)
$170.10
16507
Confinement and postnatal care for 9 days where the medical
practitioner has not given the antenatal care (S)
$290.00
16510
Confinement as an independent procedure, including all related
attendances (S)
$246.80
16513
Confinement, incomplete, with or without postnatal care 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
$113.00
16516
Antenatal care, confinement with delivery by any means (including
Caesarean section) and postnatal care for 9 days (G)
$480.30
16517
Antenatal care, confinement with delivery by any means (including
Caesarean section) and postnatal care for 9 days (S)
$621.55
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
$444.25
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
$15.75
16526
Threatened abortion, threatened miscarriage or hyperemesis
gravidarum, requiring admission to hospital, treatment of-each
attendance that is not a routine antenatal attendance
$15.75
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
$15.75
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
$15.75
16535
Cervix, purse string ligation of, for threatened miscarriage (G) (AU
6)
$117.45
16536
Cervix, purse string ligation of, for threatened miscarriage (S) (AU
6)
$156.60
16539
Cervix, removal of purse string ligature of, under general
anaesthesia (AU 5)
$45.25
16542
Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of-each
attendance that is not a routine antenatal attendance
$15.75
16545
Management of second trimester labour, with or without induction (G)
$170.10
16546
Management of second trimester labour, with or without induction (S)
$210.60
16549
Amnioscopy or amniocentesis
$45.25
16552
Chorionic villus sampling including any associated imaging
$182.65
16555
Antenatal cardiotocography in the management of high risk pregnancy
(not during the course of the confinement)
$26.10
16558
Version, external, under general anaesthesia, not being a service to
which items 16506 to 16517 apply (AU 6)
$45.25
16561
Version, internal, under general anaesthesia, not being a service to
which items 16506 to 16517 apply (AU 6)
$81.00
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
$123.40
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
$123.40
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
$246.80
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
$185.10
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 which contains the reference (AU 21), (AU 22), (AU 23), (AU 24),
(AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 31), (AU 32),
(AU 33), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40), (AU 42),
(AU 44), (AU 46), (AU 47), (AU 50), (AU 52), (AU 58) or (AU 59)
$96.85
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
$22.15
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 a place other than an operating
theatre or an anaesthetic induction room
$30.50
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 which contains the reference (AU 1)
$13.05
17902
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 2)
$26.10
17903
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 3)
$39.15
17904
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 4)
$52.15
17905
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 5)
$65.20
17906
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 6)
$78.25
17907
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 7)
$91.30
17908
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 8)
$104.35
17909
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 9)
$117.40
17910
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 10)
$130.45
17911
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 11)
$143.50
17912
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 12)
$156.50
17913
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 13)
$169.55
17914
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 14)
$182.60
17915
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 15)
$195.65
17916
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 16)
$208.70
17917
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 17)
$221.75
17918
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 18)
$234.80
17919
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 19)
$247.80
17920
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 20)
$260.85
17921
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 21)
$273.90
17922
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 22)
$286.95
17923
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 23)
$300.00
17924
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 24)
$313.05
17925
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 25)
$326.10
17926
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 26)
$339.10
17927
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 27)
$352.15
17928
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 28)
$365.20
17929
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 29)
$378.25
17930
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 30)
$391.30
17931
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 31)
$404.35
17932
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 32)
$417.40
17933
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 33)
$430.45
17934
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 34)
$443.45
17935
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 35)
$456.50
17936
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 36)
$469.55
17938
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 38)
$495.65
17939
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 39)
$508.70
17940
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 40)
$521.75
17942
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 42)
$547.80
17944
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 44)
$573.90
17946
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 46)
$600.00
17947
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 47)
$613.05
17950
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 50)
$652.15
17952
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 52)
$678.25
17958
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 58)
$756.50
17959
Administration of an anaesthetic in connection with a medical
service, being a medical service which contains the reference (AU 59)
$769.55
17965
Administration of an anaesthetic in connection with radio-therapy
$78.25
17968
Administration of an anaesthetic in connection with forceps delivery,
vacuum extraction delivery, breech delivery by manipulation, rotation of
head followed by delivery
$91.30
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
$13.05
17974
Administration of an anaesthetic where the anaesthetic is
administered as a therapeutic procedure
$130.45
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
$104.35
17983
Administration of an anaesthetic in connection with computerised
axial tomography-body scan, plain study with or without contrast medium
study
$104.35
17986
Administration of an anaesthetic in connection with the removal of
phaeochromocytoma
$209.25
17989
Administration of an anaesthetic in connection with peripheral venous
cannulation
$52.30
17992
Administration of an anaesthetic in connection with peripheral venous
cannulation by open exposure
$64.85
17995
Administration of an anaesthetic in connection with percutaneous
central venous cannulation
$64.85
17998
Administration of an anaesthetic in connection with
electrocochleography (insertion of electrodes and brain stem evoked
response audiometry)
$143.15
18001
Administration of an anaesthetic in connection with manual removal of
products of conception, treatment of postpartum haemorrhage or repair of
third degree tear
$91.30
18004
Administration of an anaesthetic in connection with manipulative
correction of acute inversion of uterus by vaginal approach
$104.35
18007
Administration of an anaesthetic in connection with Caesarean section
$130.45
18010
Administration of an anaesthetic in connection with repair of
episiotomy
$65.40
18013
Administration of an anaesthetic in connection with magnetic
resonance imaging services provided at prescribed locations
$142.75
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 the extraction of
teeth or restorative dental work where the procedure is less than 15
minutes' duration
$51.70
18103
Administration by a medical practitioner of an anaesthetic in
connection with a dental operation other than for the extraction of
teeth or restorative dental work where the procedure is more than 15
minutes' duration
$91.00
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
$78.25
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
$104.35
18113
Administration by a medical practitioner of an anaesthetic for
restorative dental work where the procedure is of not more than 30
minutes' duration
$78.25
18118
Administration by a medical practitioner of an anaesthetic for
restorative dental work where the procedure is of more than 30 minutes'
duration
$130.45
GROUP T7-REGIONAL OR FIELD NERVE BLOCKS
18206
Introduction of a narcotic, for the control of post-operative pain,
into the epidural or intrathecal space in conjunction with an operation
$35.75
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 conjunction with general anaesthesia
$35.65
18213
Intravenous regional anaesthesia of limb by retrograde perfusion
$63.20
18216
Intrathecal, epidural or caudal infusion of a therapeutic substance,
initial injection or commencement of, including up to 1 hour of
continuous attendance by the medical practitioner
$75.80
18219
Intrathecal, epidural or caudal infusion of a therapeutic substance,
initial injection or commencement of, where continuous attendance by the
medical practitioner extends beyond the first hour
Amount under rule 35
18222
Infusion of a therapeutic substance to maintain regional anaesthesia
or analgesia, subsequent injection or revision of, where the period of
continuous medical practitioner attendance is 15 minutes or less
$26.80
18225
Infusion of a therapeutic substance to maintain regional anaesthesia
or analgesia, subsequent injection or revision of, where the period of
continuous medical practitioner attendance is more than 15 minutes
$35.90
18228
Interpleural block, initial injection or commencement of infusion of
a therapeutic substance
$44.50
18230
Intrathecal, epidural or caudal injection of neurolytic substance
$169.85
18232
Intrathecal, epidural or caudal injection of substance other than
anaesthetic, contrast or neurolytic solutions, not being a service to
which another item in this Group applies
$71.75
18233
Epidural injection of blood for blood patch
$71.75
18234
Trigeminal nerve, primary division of, injection of an anaesthetic
agent
$88.95
18236
Trigeminal nerve, peripheral branch of, injection of an anaesthetic
agent
$44.50
18238
Facial nerve, injection of an anaesthetic agent, not being a service
associated with a service to which item 18240 applies
$26.80
18240
Retrobulbar or peribulbar injection of an anaesthetic agent
$66.70
18242
Greater occipital nerve, injection of an anaesthetic agent
$26.80
18244
Vagus nerve, injection of an anaesthetic agent
$71.75
18246
Glossopharyngeal nerve, injection of an anaesthetic agent
$71.75
18248
Phrenic nerve, injection of an anaesthetic agent
$62.70
18250
Spinal accessory nerve, injection of an anaesthetic agent
$44.50
18252
Cervical plexus, injection of an anaesthetic agent
$71.75
18254
Brachial plexus, injection of an anaesthetic agent
$71.75
18256
Suprascapular nerve, injection of an anaesthetic agent
$44.50
18258
Intercostal nerve (single), injection of an anaesthetic agent
$44.50
18260
Intercostal nerves (multiple), injection of an anaesthetic agent
$62.70
18262
Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of,
injection of an anaesthetic agent
$44.50
18264
Pudendal nerve, injection of an anaesthetic agent
$71.75
18266
Ulnar, radial or median nerve of main trunk, 1 or more of, injection
of an anaesthetic agent, not being associated with a brachial plexus
block
$44.50
18268
Obturator nerve, injection of an anaesthetic agent
$62.70
18270
Femoral nerve, injection of an anaesthetic agent
$62.70
18272
Saphenous, sural, popliteal or posterior tibial nerve of main trunk,
1 or more of, injection of an anaesthetic agent
$44.50
18274
Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal
nerves, injection of an anaesthetic agent, (single vertebral level)
$62.70
18276
Paravertebral nerves, injection of an anaesthetic agent, (multiple
levels)
$88.95
18278
Sciatic nerve, injection of an anaesthetic agent
$62.70
18280
Sphenopalatine ganglion, injection of an anaesthetic agent
$88.95
18282
Carotid sinus, injection of an anaesthetic agent, as an independent
percutaneous procedure
$71.75
18284
Stellate ganglion, injection of an anaesthetic agent, (cervical
sympathetic block)
$105.15
18286
Lumbar or thoracic nerves, injection of an anaesthetic agent,
(paravertebral sympathetic block)
$105.15
18288
Coeliac plexus or splanchnic nerves, injection of an anaesthetic
agent
$105.15
18290
Cranial nerve other than trigeminal, destruction by a neurolytic
agent
$177.90
18292
Nerve branch, destruction by a neurolytic agent (not being a service
to which any other item in this group applies)
$88.95
18294
Coeliac plexus or splanchnic nerves, destruction by a neurolytic
agent
$125.35
18296
Lumbar sympathetic chain, destruction by a neurolytic agent
$107.15
18298
Cervical or thoracic sympathetic chain, destruction by a neurolytic
agent
$125.35
GROUP T8-SURGICAL OPERATIONS
Subgroup 1-General
30000
Operative procedure on tissue, organ or region (not being a service
to which another item in this Group applies), including any consultation
on the same occasion
$13.10
30003
Dressing of localised burns (not involving grafting)-each attendance
at which the procedure is performed, including any associated
consultation
$21.90
30006
Dressing of burns, extensive, without anaesthesia (not involving
grafting)-each attendance at which the procedure is performed, including
any associated consultation
$33.10
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)
$43.20
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)
$52.65
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)
$93.15
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)
$110.70
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)
$232.20
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)
$452.25
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)
$232.20
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 another item in Group T4
applies (AU 5)
$37.15
30029
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),
involving deeper tissue, not being a service to which another item in
Group T4 applies (AU 6)
$64.15
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)
$58.75
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)
$83.70
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 another item in Group T4
applies (AU 6)
$64.15
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 another item in
Group T4 applies (G) (AU 7)
$102.60
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 another item in
Group T4 applies (S) (AU 7)
$130.95
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)
$83.70
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)
$106.65
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)
$132.30
30052
Repair of full thickness laceration of ear, eyelid or nose with
accurate apposition of each layer of tissue (AU 10)
$180.90
30055
Dressing and removal of sutures requiring a general anaesthetic, not
being a service associated with a service to which another item in this
Group applies (AU 5)
$52.65
30058
Control of post-operative haemorrhage under general anaesthesia
following perineal or vaginal operations (AU 6)
$102.60
30061
Superficial foreign body, removal of, (including from cornea or
sclera) as an independent procedure (AU 5)
$16.75
30064
Subcutaneous foreign body, removal of, requiring incision and suture,
as an independent procedure (AU 6)
$78.30
30067
Foreign body in muscle, tendon or other deep tissue, removal of, as
an independent procedure (G) (AU 7)
$159.30
30068
Foreign body in muscle, tendon or other deep tissue, removal of, as
an independent procedure (S) (AU 7)
$197.10
30071
Biopsy of skin or mucous membrane, as an independent procedure (AU 5)
$37.15
30074
Biopsy of lymph gland, muscle or other deep tissue or organ, as an
independent procedure (G) (AU 6)
$83.70
30075
Biopsy of lymph gland, muscle or other deep tissue or organ, as an
independent procedure (S) (AU 6)
$106.65
30078
Drill biopsy of lymph gland, deep tissue or organ, as an independent
procedure (AU 5)
$34.45
30081
Biopsy of bone marrow by trephine using an open approach (AU 5)
$78.30
30084
Biopsy of bone marrow by trephine using a percutaneous approach with
a Jamshidi needle or similar device (AU 5)
$41.85
30087
Biopsy of bone marrow by aspiration or punch biopsy of synovial
membrane (AU 5)
$21.00
30090
Biopsy of pleura, percutaneous-1 or more biopsies on any 1 occasion
(AU 5)
$91.55
30093
Needle biopsy of vertebra (AU 8)
$122.15
30094
Percutaneous aspiration biopsy of deep organ using interventional
techniques-but not including imaging (AU 6)
$134.95
30096
Scalene node biopsy (AU 5)
$130.95
30099
Sinus, excision of, involving superficial tissue only (AU 6)
$64.15
30102
Sinus, excision of, involving muscle and deep tissue (G) (AU 7)
$106.65
30103
Sinus, excision of, involving muscle and deep tissue (S) (AU 7)
$130.95
30106
Ganglion or small bursa, excision of (G) (AU 6)
$110.70
30107
Ganglion or small bursa, excision of (S) (AU 6)
$156.60
30110
Bursa (large), including olecranon, calcaneum or patella, excision of
(G) (AU 6)
$202.50
30111
Bursa (large), including olecranon, calcaneum or patella, excision of
(S) (AU 6)
$264.60
30114
Bursa, semimembranosus (Baker's cyst), excision of (AU 7)
$264.60
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)
$68.85
30118
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 30122, 30126, 30129, 30132 or 30195 applies (S) (AU 6)
$90.45
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)
$180.90
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)
$232.20
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)
$240.30
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)
$290.25
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)
$357.75
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 which item
30195 applies (AU 17)
$492.75
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)
$101.25
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)
$122.85
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 5 mm 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
another item in this Group applies, involving muscle, bone or other deep
tissue (G) (AU 8)
$140.40
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 5 mm 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
another item in this Group applies, involving muscle, bone or other deep
tissue (S) (AU 8)
$175.50
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 another item in this Group applies (G) (AU 8)
$232.20
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 another item in this Group applies (S) (AU 8)
$264.60
30147
Malignant tumour, removal of, from skin, requiring wide and deep
excision, other than removal of basal cell carcinoma (AU 8)
$283.50
30150
Malignant tumour, removal of, from skin, requiring wide and deep
excision with immediate block dissection of lymph glands (AU 13)
$594.05
30153
Tumour, removal of, from soft tissue (including muscle, fascia and
connective tissue), extensive excision of, without skin graft (AU 8)
$357.75
30156
Tumour, removal of, from soft tissue (including muscle, fascia and
connective tissue), extensive excision of, with skin graft (AU 10)
$418.50
30159
Malignant tumour, removal of, from any region involving a radical
operation (not being an operation to which another item in this Group
applies) (AU 13)
$594.05
30162
Malignant tumour, removal of, from any region involving a limited
operation, other than removal of basal cell carcinoma (not being an
operation to which another item in this Group applies) (AU 8)
$283.50
30165
Lipectomy-transverse wedge excision of abdominal apron (AU 10)
$324.00
30168
Lipectomy-wedge excision of skin or fat (not being a service to which
item 30165 applies)-1 excision (AU 10)
$324.00
30171
Lipectomy-wedge excision of skin or fat (not being a service to which
item 30165 applies)-2 or more excisions (AU 12)
$492.75
30174
Lipectomy-subumbilical excision with undermining of skin edges and
strengthening of musculo-aponeurotic wall (AU 12)
$492.75
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)
$702.05
30180
Axillary hyperhidrosis, wedge excision for (AU 7)
$97.20
30183
Axillary hyperhidrosis, total excision of sweat gland bearing area
(AU 10)
$174.75
30186
Plantar wart, removal of (AU 5)
$33.75
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 being a service
associated with a service to which another item in this Group applies
(AU 6)
$104.90
30192
Premalignant skin lesions, treatment of, by galvanocautery or
electrodesiccation or cryocautery (10 or more lesions) (AU 4)
$28.25
30195
Neoplastic skin lesions, other than viral verrucae (common warts) and
seborrheic keratoses, treatment by electrosurgical destruction, simple
curettage or shave excision, not being a service associated with a
service to which item 30196, 30197, 30202, 30203 or 30205 applies-(1 or
more lesions) (AU 4)
$45.25
30196
Cancer of skin or mucous membrane proven by histopathology or
confirmed by a specialist opinion, removal of, by serial curettage,
including any associated cryotherapy or diathermy, not being a service
to which item 30197 applies
$89.95
30197
Cancer of skin or mucous membrane proven by histopathology or
confirmed by a specialist opinion, removal of, by serial curettage,
including any associated cryotherapy or diathermy, (10 or more lesions)
$313.40
30202
Cancer of skin or mucous membrane proven by histopathology or
confirmed by a specialist opinion, removal of, by liquid nitrogen
cryotherapy using repeat freeze-thaw cycles, not being a service to
which item 30203 applies
$34.35
30203
Cancer of skin or mucous membrane proven by histopathology or
confirmed by a specialist opinion, removal of, by liquid nitrogen
cryotherapy using repeat freeze-thaw cycles (10 or more lesions)
$121.30
30205
Cancer of skin proven by histopathology, removal of, by liquid
nitrogen cryotherapy using repeat freeze-thaw cycles where cancer
extends into cartilage
$89.95
30207
Skin lesions, multiple injections with hydrocortisone or similar
preparations
$31.75
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-hospital facility (AU 5)
$116.10
30213
Telangiectases or starburst vessels on the head or neck, diathermy or
sclerosant injection of, including associated consultation-for a session
of at least 20 minutes' duration
$78.20
30216
Haematoma, aspiration of (AU 4)
$19.45
30219
Haematoma, furuncle, small abscess or similar lesion not requiring a
general anaesthetic, incision with drainage of (excluding after-care)
$19.45
30222
Large haematoma, large abscess, carbuncle, cellulitis or similar
lesion requiring a general anaesthetic, incision with drainage of
(excluding after-care) (G) (AU 5)
$83.70
30223
Large haematoma, large abscess, carbuncle, cellulitis or similar
lesion requiring a general anaesthetic, incision with drainage of
(excluding after-care) (S) (AU 5)
$116.10
30224
Percutaneous drainage of deep abscess using interventional
techniques-but not including imaging (AU 7)
$169.25
30225
Abscess drainage tube, exchange of using interventional
techniques-but not including imaging (AU 5)
$190.65
30226
Muscle, excision of (limited) or fasciotomy (AU 6)
$106.65
30229
Muscle, excision of (extensive) (AU 7)
$194.40
30232
Muscle, ruptured, repair of (limited), not associated with external
wound (AU 7)
$159.30
30235
Muscle, ruptured, repair of (extensive), not associated with external
wound (AU 7)
$210.60
30238
Fascia, deep, repair of, for herniated muscle (AU 7)
$106.65
30241
Bone tumour, innocent, excision of, not being a service to which
another item in this Group applies (AU 7)
$253.80
30244
Styloid process of temporal bone, removal of (AU 7)
$253.80
30247
Parotid gland, total extirpation of (AU 15)
$526.50
30250
Parotid gland, total extirpation of with preservation of facial nerve
(AU 18)
$891.05
30253
Parotid gland, superficial lobectomy or removal of tumour from, with
exposure of facial nerve (AU 14)
$594.05
30256
Submandibular gland, extirpation of (AU 8)
$317.25
30259
Sublingual gland, extirpation of (AU 7)
$140.40
30262
Salivary gland, dilatation or diathermy of duct (AU 6)
$41.85
30265
Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures (G) (AU 7)
$83.70
30266
Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures (S) (AU 7)
$106.65
30269
Salivary gland, repair of cutaneous fistula of (AU 7)
$106.65
30272
Tongue, partial excision of (AU 7)
$210.60
30275
Radical excision of intra-oral tumour involving resection of mandible
and lymph glands of neck (commando-type operation) (AU 18)
$1,255.55
30278
Tongue tie, repair of, not being a service to which another item in
this Group applies (AU 6)
$33.10
30281
Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in
a person aged not less than 2 years, under general anaesthesia (AU 6)
$85.05
30282
Ranula or mucous cyst of mouth, removal of (G) (AU 9)
$110.70
30283
Ranula or mucous cyst of mouth, removal of (S) (AU 9)
$145.80
30286
Branchial cyst, removal of (AU 9)
$283.50
30289
Branchial fistula, removal of (AU 9)
$357.75
30292
Cystic hygroma, removal of massive lesion requiring extensive
excision-with or without thoracotomy (AU 11)
$681.80
30293
Cervical oesophagostomy; or closure of cervical oesophagostomy with
or without plastic repair (AU 13)
$317.25
30294
Cervical oesophagectomy with tracheostomy and oesophagostomy, with or
without plastic reconstruction; or laryngopharyngectomy with
tracheostomy and plastic reconstruction (AU 22)
$1,255.55
30296
Thyroidectomy, total (AU 14)
$729.15
30297
Thyroidectomy following previous thyroid surgery (AU 14)
$729.15
30306
Total hemithyroidectomy (AU 12)
$568.85
30308
Bilateral subtotal thyroidectomy (AU 12)
$568.85
30309
Thyroidectomy, subtotal for thyrotoxicosis (AU 14)
$729.15
30310
Thyroid, unilateral sub-total thyroidectomy or equivalent partial
thyroidectomy (AU 10)
$325.80
30313
Thyroglossal cyst, removal of (AU 10)
$194.45
30314
Thyroglossal cyst or fistula or both, radical removal of, including
thyroglossal duct and portion of hyoid bone (AU 10)
$325.80
30315
Parathyroid operation for hyperparathyroidism (AU 16)
$811.90
30317
Cervical re-exploration for recurrent or persistent
hyperparathyroidism (AU 20)
$972.20
30318
Mediastinum, exploration of, via the cervical route, for
hyperparathyroidism (including thymectomy) (AU 15)
$46.40
30320
Mediastinum, exploration of, via mediastinotomy, for
hyperparathyroidism (including thymectomy) (AU 17)
$972.20
30321
Retroperitoneal neuroendocrine tumour, removal of (AU 15)
$646.40
30323
Retroperitoneal neuroendocrine tumour, removal of, requiring complex
and extensive dissection (AU 26)
$972.20
30324
Adrenal gland tumour, excision of (AU 20)
$972.20
30325
Lymph glands of neck, limited excision of (AU 9)
$264.60
30328
Lymph glands of neck, radical excision of (AU 20)
$702.05
30329
Lymph glands of groin, limited excision of (AU 9)
$175.80
30330
Lymph glands of groin, radical excision of (AU 13)
$511.95
30332
Lymph glands of axilla, limited excision of (AU 9)
$175.80
30333
Lymph glands of axilla, radical excision of (AU 13)
$511.95
30337
Simple mastectomy with or without frozen section biopsy (G) (AU 9)
$232.20
30338
Simple mastectomy with or without frozen section biopsy (S) (AU 9)
$317.25
30341
Breast, excision of cyst, fibro adenoma or other local lesion or
segmental resection for any other reason (G) (AU 7)
$140.40
30342
Breast, excision of cyst, fibro adenoma or other local lesion or
segmental resection for any other reason (S) (AU 7)
$182.60
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)
$186.30
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)
$232.20
30349
Partial mastectomy involving more than 25% of the breast tissue with
or without frozen section biopsy (G) (AU 8)
$186.30
30350
Partial mastectomy involving more than 25% of the breast tissue with
or without frozen section biopsy (S) (AU 8)
$232.20
30353
Breast, extended simple mastectomy with or without frozen section
biopsy (AU 12)
$418.50
30356
Subcutaneous mastectomy with or without frozen section biopsy (AU 12)
$391.50
30359
Breast, radical or modified radical mastectomy with or without frozen
section biopsy (AU 16)
$614.30
30360
Fine needle breast biopsy, imaging guided-but not including imaging
(AU 6)
$134.95
30361
Breast, preoperative localisation of lesion of, by hookwire or
similar device, using interventional techniques-but not including
imaging (AU 6)
$134.95
30363
Breast, core biopsy of solid tumour or tissue of, using mechanical
biopsy device, for histological examination (AU 7)
$98.25
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 approved
day-hospital facility, excluding aftercare (AU 8)
$115.85
30366
Breast, microdochotomy of, for benign or malignant condition (AU 12)
$237.90
30367
Breast central ducts, excision of, for benign condition (AU 12)
$190.30
30369
Accessory breast tissue, excision of (AU 8)
$190.30
30370
Inverted nipple, surgical eversion of (AU 7)
$107.55
30372
Accessory nipple, excision of (AU 7)
$90.00
30373
Laparotomy (exploratory), including associated biopsies, where no
other intra-abdominal procedure is performed (AU 9)
$344.25
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)
$371.25
30376
Laparotomy involving division of peritoneal adhesions (where no other
intra-abdominal procedure is performed) (AU 14)
$371.25
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)
$372.95
30379
Laparotomy with division of extensive adhesions (duration greater
than 2 hours) with or without insertion of long intestinal tube (AU 20)
$661.10
30381
Faecal fistula, abdominal repair of, by simple excision of bowel (AU
12)
$499.50
30384
Laparotomy for grading of lymphoma, including splenectomy, liver
biopsies, lymph node biopsies and oophoropexy (AU 14)
$783.05
30385
Laparotomy for control of post-operative haemorrhage, where no other
procedure is performed (AU 11)
$401.20
30387
Laparotomy involving operation on abdominal viscera (including pelvic
viscera), not being a service to which another item in this Group
applies (AU 12)
$452.25
30390
Laparoscopy, diagnostic (AU 7)
$156.60
30391
Laparoscopy, with biopsy (AU 7)
$202.50
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)
$351.00
30400
Laparotomy with insertion of portacath for administration of
cytotoxic therapy including placement of reservoir (AU 11)
$450.45
30402
Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9)
$330.85
30403
Ventral, incisional, or recurrent hernia or burst abdomen, repair of
(AU 10)
$371.25
30406
Paracentesis abdominis
$37.15
30409
Liver biopsy, percutaneous (AU 6)
$124.30
30411
Liver biopsy by wedge excision when performed in association with
another intra-abdominal procedure (AU 11)
$63.30
30431
Liver abscess, open abdominal drainage of (AU 11)
$371.25
30439
Operative cholangiography or operative pancreatography or intra
operative ultrasound (including 1 or more examinations performed during
the 1 operation) (AU 10)
$132.30
30440
Cholangiogram, percutaneous transhepatic, and biliary drainage, using
interventional techniques-but not including imaging (AU 11)
$374.90
30442
Choledochoscopy in conjunction with another procedure (AU 7)
$132.30
30443
Cholecystectomy (AU 11)
$526.50
30451
Biliary drainage tube, exchange of, using interventional
techniques-but not including imaging (AU 6)
$190.65
30454
Choledochotomy (with or without cholecystectomy), with or without
removal of calculi (AU 13)
$614.30
30455
Choledochotomy (with or without cholecystectomy), with removal of
calculi including biliary intestinal anastomosis (AU 18)
$722.30
30458
Transduodenal operation on sphincter of Oddi, involving 1 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)
$722.30
30460
Cholecystoduodenostomy, cholecysto-enterostomy, choledochojejunostomy
or Roux-en-Y as a bypass procedure when no prior biliary surgery
performed (AU 15)
$614.30
30461
Radical resection of porta hepatis for gall bladder or common bile
duct carcinoma with biliary-enteric anastomoses, not being a service
associated with a service to which item 30443, 30454, 30455, 30458 or
30460 applies (AU 19)
$1,053.05
30473
Oesophagoscopy (not being a service to which item 41816 or 41822
applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such
procedures), with or without biopsy, not being a service associated with
a service to which item 30476 or 30478 applies (AU 6)
$140.15
30475
Endoscopy with balloon dilatation of gastric or gastroduodenal
stricture (AU 7)
$253.40
30476
Oesophagoscopy (not being a service to which item 41816 or 41822
applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such
procedures), with endoscopic sclerosing injection of oesophageal or
gastric varices, not being a service associated with a service to which
item 30473 or 30478 applies (AU 7)
$194.40
30478
Oesophagoscopy (not being a service to which item 41816, 41822 or
41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more
such procedures), with 1 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 being a service associated with a service
to which item 30473 or 30476 applies (AU 7)
$194.40
30479
Endoscopic laser therapy for neoplasia and benign vascular lesions or
strictures of the gastrointestinal tract (AU 12)
$339.05
30481
Percutaneous endoscopic gastrostomy (initial procedure) (AU 10)
$254.25
30482
Percutaneous endoscopic gastrostomy (repeat procedure) (AU 10)
$180.80
30484
Endoscopic retrograde cholangio-pancreatography (AU 8)
$259.90
30485
Endoscopic sphincterotomy with or without extraction of stones from
common bile duct (AU 8)
$401.20
30487
Small bowel intubation with biopsy
$128.85
30488
Small bowel intubation-as an independent procedure
$64.15
30490
Oesophageal prosthesis, insertion of, including endoscopy and
dilatation (AU 9)
$372.95
30491
Bile duct, endoscopic stenting of (including endoscopy and
dilatation) (AU 11)
$395.55
30493
Biliary manometry (AU 9)
$237.30
30494
Endoscopic biliary dilatation (AU 11)
$299.45
30496
Vagotomy, truncal or selective, with or without pyloroplasty or
gastroenterostomy (AU 11)
$418.85
30497
Vagotomy and antrectomy (AU 12)
$499.50
30499
Vagotomy, highly selective (AU 13)
$594.05
30500
Vagotomy, highly selective with duodenoplasty for peptic stricture
(AU 15)
$636.05
30502
Vagotomy, highly selective, with dilatation of pylorus (AU 13)
$702.05
30503
Vagotomy or antrectomy, or both, for peptic ulcer following previous
operation for peptic ulcer (AU 11)
$786.05
30505
Bleeding peptic ulcer, control of, involving suture of bleeding point
or wedge excision (AU 11)
$393.00
30506
Bleeding peptic ulcer, control of, involving suture of bleeding point
or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy
(AU 13)
$687.80
30508
Bleeding peptic ulcer, control of, involving suture of bleeding point
or wedge excision, and highly selective vagotomy (AU 13)
$724.00
30509
Bleeding peptic ulcer, control of, involving gastric resection (other
than wedge resection) (AU 13)
$724.00
30511
Morbid obesity, gastric reduction or gastroplasty for, by any method
(AU 13)
$605.05
30512
Morbid obesity, gastric bypass for, by any method including
anastomosis (AU 21)
$744.65
30514
Morbid obesity, surgical reversal of procedure to which item 30511 or
30512 applies (AU 22)
$1,096.30
30515
Gastroenterostomy (including gastroduodenostomy) or enterocolostomy
or enteroenterostomy (AU 12)
$501.60
30517
Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction
of (AU 14)
$656.75
30518
Partial gastrectomy (AU 15)
$703.30
30520
Gastric tumour, removal of, by local excision, not being a service to
which item 30518 applies (AU 15)
$480.95
30521
Gastrectomy, total, for benign disease (AU 19)
$1,029.10
30523
Gastrectomy, sub-total radical, for carcinoma, (including splenectomy
when performed) (AU 19)
$1,075.60
30524
Gastrectomy, total radical, for carcinoma (including extended node
dissection and distal pancreatectomy and splenectomy when performed) (AU
21)
$1,184.20
30526
Gastrectomy, total, and including lower oesophagus, performed by left
thoraco-abdominal incision or opening of diaghragmatic hiatus,
(including splenectomy when performed) (AU 25)
$1,535.85
30527
Antireflux operation by fundoplasty, via abdominal or thoracic
approach, with or without closure of the diaphragmatic hiatus-not being
a service to which item 30601 applies (AU 18)
$620.55
30529
Antireflux operation by fundoplasty, with oesophagoplasty for
stricture or short oesophagus (AU 20)
$930.85
30530
Antireflux operation by cardiopexy, with or without fundoplasty (AU
20)
$558.50
30532
Oesophagogastric myotomy (Heller's operation) via abdominal or
thoracic approach, with or without closure of the diaphragmatic hiatus
(AU 17)
$641.30
30533
Oesophagogastric myotomy (Heller's operation) via abdominal or
thoracic approach, with fundoplasty, with or without closure of the
diaphragmatic hiatus (AU 18)
$762.80
30535
Oesophagectomy with gastric reconstruction by abdominal mobilisation
and thoracotomy (AU 27)
$1,208.30
30536
Oesophagectomy involving gastric reconstruction by abdominal
mobilisation, thoracotomy and anastomosis in the neck-1 surgeon (AU 31)
$1,225.60
30538
Oesophagectomy involving gastric reconstruction by abdominal
mobilisation, thoracotomy and anastomosis in the neck-conjoint surgery,
principal surgeon (including aftercare) (AU 31)
$848.10
30539
Oesophagectomy involving gastric reconstruction by abdominal
mobilisation, thoracotomy and anastomosis in the neck-conjoint surgery,
co-surgeon
$620.55
30541
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal
mobilisation, anastomosis) with posterior or anterior mediastinal
placement-1 surgeon (AU 31)
$1,080.80
30542
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal
mobilisation, anastomosis) with posterior or anterior mediastinal
placement-conjoint surgery, principal surgeon (including aftercare) (AU
31)
$734.30
30544
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal
mobilisation, anastomosis) with posterior or anterior mediastinal
placement-conjoint surgery, co-surgeon
$537.80
30545
Oesophagectomy with colon or jejunal anastomosis, (abdominal and
thoracic mobilisation with thoracic anastomosis)-1 surgeon (AU 31)
$1,308.35
30547
Oesophagectomy with colon or jejunal anastomosis, (abdominal and
thoracic mobilisation with thoracic anastomosis)-conjoint surgery,
principal surgeon (including aftercare) (AU 31)
$899.80
30548
Oesophagectomy with colon or jejunal anastomosis, (abdominal and
thoracic mobilisation with thoracic anastomosis)-conjoint surgery,
co-surgeon
$672.25
30550
Oesophagectomy with colon or jejunal replacement (abdominal and
thoracic mobilisation with anastomosis of pedicle in the neck)-1 surgeon
(AU 31)
$1,468.65
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)
$1,013.55
30553
Oesophagectomy with colon or jejunal replacement (abdominal and
thoracic mobilisation with anastomosis of pedicle in the neck)-conjoint
surgery, co-surgeon
$749.85
30554
Oesophagectomy with reconstruction by free jejunal graft-1 surgeon
(AU 31)
$1,634.10
30556
Oesophagectomy with reconstruction by free jejunal graft-conjoint
surgery, principal surgeon (including aftercare) (AU 31)
$1,127.35
30557
Oesophagectomy with reconstruction by free jejunal graft-conjoint
surgery, co-surgeon
$832.55
30559
Oesophagus, local excision for tumour of (AU 21)
$605.05
30560
Oesophageal perforation, repair of, by thoracotomy (AU 25)
$672.25
30562
Enterostomy or colostomy, closure of-not involving resection of bowel
(AU 11)
$423.80
30563
Colostomy or ileostomy, refashioning of (AU 10)
$3.80
30565
Small intestine, resection of, without anastomosis (including
formation of stoma) (AU 17)
$621.55
30566
Small intestine, resection of, with anastomosis (AU 18)
$689.35
30568
Intraoperative enterotomy for visualisation of the small intestine by
endoscopy (AU 8)
$517.15
30569
Endoscopic examination of small bowel with flexible endoscope passed
at laparotomy, with or without biopsies (AU 8)
$263.75
30571
Appendicectomy, not being a service to which item 30574 applies (AU
8)
$317.25
30572
Laparoscopic appendicectomy (AU 8)
$341.30
30574
Appendicectomy, when performed in conjunction with any other
intra-abdominal procedure through the same incision (AU 5)
$87.75
30575
Pancreatic abscess, laparotomy and external drainage of, not
requiring retro-pancreatic dissection (AU 11)
$365.15
30577
Pancreatic necrosectomy for pancreatic necrosis or abscess formation
requiring major pancreatic or retro-pancreatic dissection, excluding
aftercare (AU 24)
$775.70
30578
Endocrine tumour, exploration of pancreas or duodenum, followed by
local excision of pancreatic tumour (AU 22)
$817.05
30580
Endocrine tumour, exploration of pancreas or duodenum, followed by
local excision of duodenal tumour (AU 22)
$744.65
30581
Endocrine tumour, exploration of pancreas or duodenum for, but no
tumour found (AU 20)
$543.00
30583
Distal pancreatectomy (AU 15)
$850.55
30584
Pancreatico-duodenectomy, Whipple's operation, with or without
preservation of pylorus (AU 30)
$1,255.55
30586
Pancreatic cyst-anastomosis to stomach or duodenum (AU 13)
$499.50
30587
Pancreatic cyst, anastomosis to Roux loop of jejunum (AU 14)
$517.15
30589
Pancreatico-jejunostomy for pancreatitis or trauma (AU 18)
$891.05
30590
Pancreatico-jejunostomy following previous pancreatic surgery (AU 20)
$982.55
30593
Pancreatectomy, near total or total (including duodenum), with or
without splenectomy (AU 30)
$1,344.55
30594
Pancreatectomy for pancreatitis following previously attempted
drainage procedure or partial resection (AU 20)
$1,551.40
30596
Splenorrhaphy or partial splenectomy for trauma (AU 13)
$639.05
30597
Splenectomy (AU 13)
$513.00
30599
Splenectomy, for massive spleen (weighing more than 1500gms) or
involving thoraco-abdominal incision (AU 19)
$930.85
30600
Diaphragmatic hernia, traumatic, repair of (AU 17)
$553.50
30601
Diaphragmatic hernia, congential, repair of, by thoracic or abdominal
approach) (AU 14)
$681.80
30602
Portal hypertension, porto-caval shunt for (AU 24)
$1,106.65
30603
Portal hypertension, meso-caval shunt for
(AU 24)
$1,168.70
30605
Portal hypertension, selective spleno-renal shunt for (AU 24)
$1,329.00
30606
Portal hypertension, oesophageal transection via stapler or oversew
of gastric varices with or without devascularisation (AU 18)
$791.20
30609
Femoral or inguinal hernia, laparoscopic repair of, not being a
service associated with a service to which item 30612 or 30614 applies
(AU 8)
$328.55
30612
Femoral or inguinal hernia or infantile hydrocele, repair of, not
being a service to which item 30403 or 30615 applies (G) (AU 8)
$253.80
30614
Femoral or inguinal hernia or infantile hydrocele, repair of, not
being a service to which item 30403 or 30615 applies (S) (AU 8)
$330.75
30615
Strangulated, incarcerated or obstructed hernia, repair of, without
bowel resection (AU 10)
$371.25
30616
Umbilical, epigastric or linea alba hernia, repair of, in a person
under 10 years of age (G) (AU 8)
$189.00
30617
Umbilical, epigastric or linea alba hernia, repair of, in a person
under 10 years of age (S) (AU 8)
$253.80
30620
Umbilical, epigastric or linea alba hernia, repair of, in a person 10
years of age or over (G) (AU 8)
$213.30
30621
Umbilical, epigastric or linea alba hernia, repair of, in a person 10
years of age or over (S) (AU 8)
$290.25
30628
Hydrocele, tapping of
$25.40
30631
Hydrocele, removal of, not being a service associated with a service
to which items 30638, 30641 and 30644 apply (AU 7)
$168.50
30632
Pyloroplasty, infant, or pyloromyotomy (Ramstedt's operation) (AU 9)
$317.25
30633
Intussusception, reduction of, by fluid
$167.40
30634
Varicocele, surgical correction of, not being a service associated
with a service to which items 30638, 30641 and 30644 apply, 1 procedure
(G) (AU 7)
$167.40
30635
Varicocele, surgical correction of, not being a service associated
with a service to which items 30638, 30641 and 30644 apply, 1 procedure
(S) (AU 7)
$207.90
30638
Orchidectomy, simple or subcapsular, unilateral with or without
insertion of testicular prosthesis (G) (AU 7)
$213.30
30641
Orchidectomy, simple or subcapsular, unilateral with or without
insertion of testicular prosthesis (S) (AU 7)
$290.25
30644
Exploration of spermatic cord, inguinal approach, with or without
testicular biopsy and with or without excision of spermatic cord and
testis (AU 8)
$371.25
30647
Undescended testis, orchidopexy or transplantation of, with or
without associated hernial repair (AU 8)
$371.25
30650
Secondary detachment of testis from thigh (AU 6)
$81.00
30653
Circumcision of a person under 6 months of age (AU 6)
$33.10
30656
Circumcision of a person under 10 years of age but not less than 6
months of age (AU 6)
$76.95
30659
Circumcision of a person 10 years of age or over (G) (AU 6)
$106.65
30660
Circumcision of a person 10 years of age or over (S) (AU 6)
$132.30
30663
Haemorrhage, arrest of, following circumcision requiring general
anaesthesia (AU 5)
$102.85
30666
Paraphimosis, reduction of, under general anaesthesia, with or
without dorsal incision, not being a service associated with a service
to which another item in this Group applies (AU 5)
$33.75
30672
Coccyx, excision of (AU 8)
$317.25
30675
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (AU
8)
$213.30
30676
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (AU
8)
$270.00
30679
Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU
6)
$68.55
Subgroup 2-Colorectal
32000
Large intestine, resection of, without anastomosis, including right
hemicolectomy (including formation of stoma) (AU 18)
$734.55
32003
Large intestine, resection of, with anastomosis, including right
hemicolectomy (AU 20)
$768.45
32004
Large intestine, subtotal colectomy (resection of right colon,
transverse colon and splenic flexure) without anastomosis, not being a
service associated with a service to which item 32000, 32003, 32005 or
32006 applies (AU 20)
$817.05
32005
Large intestine, subtotal colectomy (resection of right colon,
transverse colon and splenic flexure) with anastomosis, not being a
service associated with a service to which item 32000, 32003, 32004 or
32006 applies (AU 22)
$925.65
32006
Left hemicolectomy, including the descending and sigmoid colon
(including formation of stoma) (AU 20)
$819.30
32009
Total colectomy and ileostomy (AU 22)
$971.90
32012
Total colectomy and ileo-rectal anastomosis (AU 20)
$1,073.60
32015
Total colectomy with excision of rectum and ileostomy-1 surgeon (AU
20)
$1,324.40
32018
Total colectomy with excision of rectum and ileostomy, combined
synchronous operation; abdominal resection (including after-care) (AU
17)
$1,118.80
32021
Total colectomy with excision of rectum and ileostomy, combined
synchronous operation; perineal resection
$401.20
32024
Rectum, high restorative anterior resection with intraperitoneal
anastomosis (of the rectum) greater than 10 cm from the anal
verge-excluding resection of sigmoid colon alone (AU 22)
$971.90
32027
Rectum, low restorative anterior resection with extraperitoneal
anastomosis (of the rectum) less than 10 cm from the anal verge (AU 26)
$1,265.70
32030
Rectosigmoidectomy-(Hartmann's operation) (AU 15)
$734.30
32033
Restoration of bowel following Hartmann's or similar operation,
including dismantling of the stoma (AU 15)
$1,073.60
32036
Sacrococcygeal and presacral tumour-excision of (AU 13)
$1,361.75
32039
Rectum and anus, abdomino-perineal resection of-1 surgeon (AU 17)
$1,093.35
32042
Rectum and anus, abdomino-perineal resection of, combined synchronous
operation, abdominal resection (AU 16)
$921.00
32045
Rectum and anus, abdomino-perineal resection of, combined synchronous
operation-perineal resection
$344.70
32046
Rectum and anus, abdomino-perineal resection of, combined synchronous
operation-perineal resection where the perineal surgeon also provides
assistance to the abdominal surgeon
$532.65
32047
Perineal proctectomy (AU 20)
$620.55
32048
Abdomino-perineal pull-through resection with colo-anal anastomosis
(1 or 2 stages), including associated colostomy (AU 30)
$1,361.75
32051
Total colectomy with excision of rectum and ileoanal anastomosis with
formation of ileal reservoir, with or without creation of temporary
ileostomy-1 surgeon (AU 36)
$1,649.95
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)
$1,514.30
32057
Total colectomy with excision of rectum and ileoanal anastomosis with
formation of ileal reservoir-conjoint surgery, perineal surgeon
$401.20
32060
Ileostomy closure with rectal resection and mucosectomy and ileoanal
anastomosis with formation of ileal reservoir, with or without temporary
loop ileostomy-1 surgeon (AU 30)
$1,649.95
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)
$1,514.30
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
$401.20
32069
Ileostomy reservoir, continent type, creation of, including
conversion of existing ileostomy where appropriate (AU 30)
$1,220.50
32072
Sigmoidoscopic examination (with rigid sigmoidoscope), with or
without biopsy
$37.85
32075
Sigmoidoscopic examination (with rigid sigmoidoscope), under general
anaesthesia, with or without biopsy, not being a service associated with
a service to which another item in this Group applies (AU 5)
$59.40
32078
Sigmoidoscopic examination with diathermy or resection of 1 or more
polyps where the time taken is less than or equal to 45 minutes (AU 7)
$133.35
32081
Sigmoidoscopic examination with diathermy or resection of 1 or more
polyps where the time taken is greater than 45 minutes (AU 10)
$183.05
32084
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the
hepatic flexure, with or without biopsy (AU 6)
$88.15
32087
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the
hepatic flexure with removal of 1 or more polyps-not being a service to
which item 32078 applies (AU 10)
$162.00
32090
Fibreoptic colonoscopy-examination of colon beyond the hepatic
flexure with or without biopsy (AU 8)
$264.60
32093
Fibreoptic colonoscopy-examination of colon beyond the hepatic
flexure with removal of 1 or more polyps (AU 10)
$371.25
32094
Endoscopic dilatation of colorectal strictures including colonoscopy
(AU 10)
$393.00
32095
Endoscopic examination of small bowel with flexible endoscope passed
by stoma, with or without biopsies (AU 8)
$91.00
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)
$183.05
32099
Rectal tumour of 5 cm or less in diameter, per anal submucosal
excision of (AU 10)
$237.30
32102
Rectal tumour of greater than 5 cm in diameter, indicated by
pathological examination, per anal submucosal excision of (AU 14)
$452.05
32105
Anorectal carcinoma-per anal full thickness excision of (AU 13)
$344.70
32108
Rectal tumour, trans-sphincteric excision of (Kraske or similar
operation) (AU 13)
$711.95
32111
Rectal prolapse, Delorme procedure for (AU 10)
$452.05
32114
Rectal stricture, per anal release of (AU 8)
$124.30
32117
Rectal prolapse, abdominal repair of (AU 13)
$711.95
32120
Rectal prolapse, perineal repair of (AU 6)
$183.05
32123
Anal stricture, anoplasty for (AU 7)
$237.30
32126
Anal incontinence, Parks' intersphincteric procedure for (AU 12)
$344.70
32129
Anal sphincter, direct repair of (AU 12)
$452.05
32132
Haemorrhoids or rectal prolapse-sclerotherapy for (AU 6)
$32.20
32135
Haemorrhoids or rectal prolapse-rubber band ligation of, with or
without sclerotherapy, cryosurgery or infrared therapy for (AU 5)
$48.05
32138
Haemorrhoidectomy (AU 8)
$261.90
32142
Anal skin tags or anal polyps, excision of 1 or more of (AU 7)
$48.10
32145
Anal skin tags or anal polyps, excision of 1 or more of, undertaken
in the operating theatre of a hospital or approved day-hospital facility
(AU 7)
$96.20
32147
Perianal thrombosis, incision of (AU 7)
$32.20
32150
Operation for fissure-in-ano including excision, or sphincterotomy
but excluding dilatation only (AU 6)
$183.05
32153
Anus, dilatation of, under general anaesthesia, with or without
disimpaction of faeces, not being a service associated with a service to
which another item in this Group applies (AU 4)
$49.95
32156
Fistula-in-ano, subcutaneous, excision of (AU 7)
$93.80
32159
Anal fistula, excision of, involving lower half of the anal sphincter
mechanism (AU 7)
$237.30
32162
Anal fistula, excision of, involving the upper half of the anal
sphincter mechanism (AU 11)
$344.70
32165
Anal fistula, repair of by mucosal flap advancement (AU 15)
$452.05
32166
Anal fistula-readjustment of Seton (AU 7)
$146.85
32168
Fistula wound-repair of, under general or regional anaesthetic, as an
independent procedure (AU 7)
$93.80
32171
Anorectal examination, with or without biopsy, under general
anaesthetic, not being a service associated with a service to which
another item in this Group applies (AU 6)
$63.30
32174
Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding
aftercare) (AU 8)
$63.30
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)
$115.85
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 being a service associated with a
service to which item 35507 or 35508 applies (AU 6)
$124.10
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 being a service associated with a service to
which item 35507 or 35508 applies (AU 11)
$184.10
32183
Intestinal sling procedure prior to radiotherapy (AU 15)
$259.90
32186
Colonic lavage, total, intra-operative (AU 12)
$206.85
Subgroup 3-Vascular
32500
Varicose veins, multiple simultaneous injections by continuous
compression techniques including associated consultation-1 or both legs
not being a service associated with any other varicose veins operation
on the same leg (excluding after-care)
$99.60
32503
Varicose veins, multiple ligations, with or without local stripping
or excision, including sub-fascial ligation of 1 or more deep
perforating veins through separate incisions-1 leg-not being a service
associated with a service to which item 32506, 32509 or 32530 applies on
the same leg (AU 7)
$190.65
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-1 leg (AU 10)
$348.15
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-1 leg (AU 12)
$522.20
32512
Long saphenous vein, complete dissection and ligation of, at the
sapheno-femoral junction, for migrating thrombosis of long saphenous
vein (AU 11)
$316.00
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-1 leg (AU 6)
$230.30
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-1
leg (AU 6)
$230.30
32521
Varicose veins, sub-fascial ligation of single deep perforating vein,
not being a service associated with any other varicose vein operation on
the same leg-1 leg (AU 6)
$143.55
32524
Varicose veins, sub-fascial ligation of multiple deep perforating
vein-1 leg (Cockett's operation, Linton's operation or similar
procedure) (AU 7)
$353.50
32527
Groin or popliteal fossa, reoperation in, for recurrent
sapheno-popliteal incompetence-1 leg (AU 12)
$428.45
32530
Groin or popliteal fossa, reoperation in, for recurrent
sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence
with 1 or more of the following-multiple ligations, local stripping or
excision of minor veins or sclerotherapy of minor veins-1 leg (AU 13)
$562.35
32700
Artery of neck, bypass using vein or synthetic material (AU 19)
$1,022.95
32703
Internal carotid artery, transection and reanastomosis of, or
resection of small length and reanastomosis of-with or without
endarterectomy (AU 18)
$846.25
32706
Internal carotid artery, re-operation for recurrent stenosis with
by-pass by graft of vein or synthetic material (AU 19)
$1,210.45
32709
Aorto-iliac or aorto-femoral grafting, straight or bifurcated (AU 21)
$996.20
32712
Ilio-femoral bypass grafting (AU 18)
$894.45
32715
Axillary or subclavian to femoral bypass grafting to 1 or both
femoral arteries (AU 19)
$894.45
32718
Femoro-femoral or ilio-femoral cross-over bypass grafting (AU 18)
$846.25
32721
Renal artery, bypass grafting to (AU 22)
$1,344.30
32724
Renal arteries (both), bypass grafting to (AU 26)
$1,526.40
32727
Spleno-renal arterial bypass grafting (AU 21)
$1,344.30
32730
Mesenteric vessel (single), bypass grafting to (AU 18)
$1,156.85
32733
Mesenteric vessels (multiple), bypass grafting to (AU 21)
$1,344.30
32736
Inferior mesenteric artery, operation on, when performed in
conjunction with another intra-abdominal vascular operation (AU 17)
$294.55
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)
$921.20
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)
$1,055.10
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)
$1,205.05
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)
$1,306.85
32751
Femoral artery bypass grafting using synthetic graft, with lower
anastomosis above or below the knee (AU 18)
$846.25
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 1 or both anastomoses (AU
20)
$1,055.10
32757
Femoral artery sequential bypass grafting (using a vein or synthetic
material) where an additional anastomosis is made to separately
revascularise more than 1 artery-each additional artery revascularised
beyond a femoral bypass (AU 16)
$294.55
32760
Vein, harvesting of, from leg or arm for bypass or replacement graft
when not performed on the limb which is the subject of the bypass or
graft-each vein (AU 9)
$289.20
32763
Arterial bypass grafting, using vein or synthetic material, not being
a service to which another item in this Group applies (AU 18)
$846.25
32766
Arterial or venous anastomosis, not being a service to which another
item in this Group applies, as an independent procedure (AU 15)
$562.35
32769
Arterial or venous anastomosis not being a service to which another
item in this Group applies, when performed in combination with another
vascular operation (including graft to graft anastomosis) (AU 15)
$194.95
33100
Aneurysm of common or internal carotid artery, or both, replacement
by graft of vein or synthetic material (AU 20)
$1,022.95
33103
Thoracic aneurysm, replacement by graft (AU 35)
$1,435.35
33106
Artery or vein bypass graft, patch grafting to using vein or
synthetic material, not being a service associated with any other
vascular operation (AU 14)
$503.45
33109
Thoraco-abdominal aneurysm, replacement by graft including
re-implantation of arteries (AU 40)
$1,735.30
33112
Suprarenal abdominal aortic aneurysm, replacement by graft including
re-implantation of arteries (AU 35)
$1,505.00
33115
Infrarenal abdominal aortic aneurysm, replacement by tube graft (AU
26)
$1,055.10
33118
Infrarenal abdominal aortic aneurysm, replacement by bifurcation
graft to iliac arteries (with or without excision of common iliac
aneurysms) (AU 29)
$1,205.05
33121
Infrarenal abdominal aortic aneurysm, replacement by bifurcation
graft to 1 or both femoral arteries (with or without excision or bypass
of common iliac aneurysms) (AU 29)
$1,205.05
33124
Aneurysm of iliac artery (common, external or internal), replacement
by graft-unilateral (AU 18)
$862.30
33127
Aneurysms of iliac arteries (common, external or internal),
replacement by graft-bilateral (AU 20)
$1,130.10
33130
Aneurysm of visceral artery, excision and repair by direct
anastomosis or replacement by graft (AU 18)
$985.50
33133
Aneurysm of visceral artery, dissection and ligation of arteries
without restoration of continuity (AU 16)
$739.10
33136
False aneurysm, repair of, at aortic anastomosis following previous
aortic surgery (AU 25)
$1,863.85
33139
False aneurysm, repair of, in iliac artery and restoration of
arterial continuity (AU 19)
$1,130.10
33142
False aneurysm, repair of, in femoral artery and restoration of
arterial continuity (AU 18)
$1,055.10
33145
Ruptured thoracic aortic aneurysm, replacement by graft (AU 38)
$1,815.65
33148
Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (AU
40)
$2,254.80
33151
Ruptured suprarenal abdominal aortic aneurysm, replacement by graft
(AU 38)
$2,142.35
33154
Ruptured infrarenal abdominal aortic aneurysm, replacement by tube
graft (AU 28)
$1,585.35
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)
$1,767.45
33160
Ruptured infrarenal abdominal aortic aneurysm, replacement by
bifurcation graft to 1 or both femoral arteries (AU 30)
$1,767.45
33163
Ruptured iliac artery aneurysm, replacement by graft (AU 22)
$1,499.65
33166
Ruptured aneurysm of visceral artery, replacement by anastomosis or
graft (AU 22)
$1,499.65
33169
Ruptured aneurysm of visceral artery, simple ligation of (AU 18)
$1,167.60
33172
Aneurysm of major artery, replacement by graft, not being a service
to which another item in this Group applies (AU 21)
$910.50
33500
Artery or arteries of neck, endarterectomy of, including closure by
suture (where endarterectomy of 1 or more arteries is undertaken through
1 arteriotomy incision) (AU 17)
$808.75
33503
Internal carotid artery, re-operation for recurrent stenosis with
endarterectomy and closure by suture (AU 19)
$1,022.95
33506
Innominate or subclavian artery, endarterectomy of, including closure
by suture (AU 18)
$905.15
33509
Aortic endarterectomy, including closure by suture, not being a
service associated with another procedure on the aorta (AU 18)
$937.30
33512
Aorto-iliac endarterectomy (1 or both iliac arteries), including
closure by suture not being a service associated with a service to which
item 33515 applies (AU 19)
$1,012.25
33515
Aorto-femoral endarterectomy (1 or both femoral arteries) or
bilateral ilio-femoral endarterectomy, including closure by suture, not
being a service associated with a service to which item 33512 applies
(AU 20)
$1,087.25
33518
Iliac endarterectomy, including closure by suture, not being a
service associated with another procedure on the iliac artery (AU 17)
$905.15
33521
Ilio-femoral endarterectomy (1 side), including closure by suture (AU
17)
$980.10
33524
Renal artery, endarterectomy of (AU 19)
$1,156.85
33527
Renal arteries (both), endarterectomy of (AU 21)
$1,344.30
33530
Coeliac or superior mesenteric artery, endarterectomy of (AU 19)
$1,156.85
33533
Coeliac and superior mesenteric artery, endarterectomy of (AU 20)
$1,344.30
33536
Inferior mesenteric artery, endarterectomy of, not being a service
associated with a service to which another item in this Group applies
(AU 19)
$958.70
33539
Artery of extremities, endarterectomy of, including closure by suture
(AU 12)
$690.90
33542
Extended deep femoral endarterectomy where the endarterectomy is at
least 7 cm long (AU 17)
$985.50
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 3 cm long (AU 13)
$194.95
33548
Artery or vein, patch grafting to by vein or synthetic material in
conjunction with another arterial or venous operation where patch is 3
cm long or greater (AU 14)
$396.3
33551
Vein, harvesting of from leg or arm for patch when not performed
through same incision as operation (AU 9)
$194.95
33554
Endarterectomy, in conjunction with an arterial bypass operation to
prepare the site for anastomosis-each site (AU 16)
$100.70
33800
Embolus, removal of, from artery of neck (AU 15)
$840.85
33803
Embolectomy or thrombectomy, by abdominal approach, of an artery or
bypass graft of trunk (AU 16)
$803.40
33806
Embolectomy or thrombectomy, from an artery or bypass graft of
extremities, or embolectomy of abdominal artery via the femoral artery
(AU 11)
$578.45
33809
Inferior vena cava or iliac vein, thrombectomy of (AU 12)
$712.35
33812
Thrombus, removal of, from femoral or other similar large vein (AU
10)
$664.15
33815
Major artery or vein of extremity, repair of wound of, with
restoration of continuity, by lateral suture (AU 12)
$610.55
33818
Major artery or vein of extremity, repair of wound of, with
restoration of continuity, by direct anastomosis (AU 13)
$712.35
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)
$814.10
33824
Major artery or vein of neck, repair of wound of, with restoration of
continuity, by lateral suture (AU 13)
$776.60
33827
Major artery or vein of neck, repair of wound of, with restoration of
continuity, by direct anastomosis (AU 14)
$910.50
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)
$1,044.40
33833
Major artery or vein of abdomen, repair of wound of, with restoration
of continuity by lateral suture (AU 16)
$948.00
33836
Major artery or vein of abdomen, repair of wound of, with restoration
of continuity by direct anastomosis (AU 17)
$1,130.10
33839
Major artery or vein of abdomen, repair of wound of, with restoration
of continuity by means of interposition graft (AU 18)
$1,322.90
33842
Artery of neck, re-operation for bleeding or thrombosis after carotid
or vertebral artery surgery (AU 12)
$653.40
33845
Laparotomy for control of post operative bleeding or thrombosis after
intra-abdominal vascular procedure, where no other procedure is
performed (AU 14)
$455.25
33848
Extremity, re-operation on, for control of bleeding or thrombosis
after vascular procedure, where no other procedure is performed (AU 12)
$455.25
34100
Major artery of neck, elective ligation or exploration of, not being
a service associated with any other vascular procedure (AU 11)
$503.45
34103
Great artery or great vein (including subclavian, axillary, iliac,
femoral or popliteal), ligation of, or exploration of, not being a
service associated with any other vascular procedure (AU 13)
$294.55
34106
Artery or vein (including brachial, radial, ulnar or tibial),
ligation of, by elective operation, or exploration of, not being a
service associated with any other vascular procedure (AU 9)
$207.80
34109
Temporal artery, biopsy of (AU 7)
$241.00
34112
Arterio-venous fistula of an extremity, dissection and ligation (AU
14)
$610.55
34115
Arterio-venous fistula of the neck, dissection and ligation (AU 17)
$690.90
34118
Arterio-venous fistula of the abdomen, dissection and ligation (AU
19)
$985.50
34121
Arterio-venous fistula of an extremity, dissection and repair of,
with restoration of continuity (AU 18)
$787.30
34124
Arterio-venous fistula of the neck, dissection and repair of, with
restoration of continuity (AU 18)
$862.30
34127
Arterio-venous fistula of the abdomen, dissection and repair of, with
restoration of continuity (AU 22)
$1,130.10
34130
Surgically created arterio-venous fistula of an extremity, closure of
(AU 10)
$353.50
34133
Scalenotomy (AU 10)
$396.35
34136
First rib, resection of portion of (AU 13)
$637.35
34139
Cervical rib, removal of, or other operation for removal of thoracic
outlet compression, not being a service to which another item in this
Group applies (AU 13)
$637.35
34142
Coeliac artery, decompression of, for coeliac artery compression
syndrome, as an independent procedure (AU 19)
$787.30
34145
Popliteal artery, exploration of, for popliteal entrapment, with or
without division of fibrous tissue and muscle (AU 13)
$573.10
34148
Carotid body tumour, resection of, with or without repair or
reconstruction of internal or common carotid arteries, when tumour is
less than 4 cm in maximum diameter (AU 19)
$1,022.95
34151
Carotid body tumour, resection of, with or without repair or
reconstruction of internal or common carotid arteries, when tumour is
greater than 4 cm in maximum diameter (AU 19)
$1,397.90
34154
Recurrent carotid body tumour, resection of, with or without repair
or replacement of portion of common or internal carotid arteries (AU 19)
$1,665.70
34157
Neck, excision of infected bypass graft, including closure of vessel
or vessels (AU 15)
$846.25
34160
Aorto-duodenal fistula, repair of, by suture of aorta and repair of
duodenum (AU 24)
$1,585.35
34163
Aorto-duodenal fistula, repair of, by insertion of aortic graft and
repair of duodenum (AU 26)
$2,035.25
34166
Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta,
repair of duodenum and axillo bifemoral grafting (AU 26)
$2,035.25
34169
Infected bypass graft from trunk, excision of, including closure of
arteries (AU 20)
$1,130.10
34172
Infected axillo-femoral or femoro-femoral graft, excision of,
including closure of arteries (AU 15)
$921.20
34175
Infected bypass graft from extremities, excision of including closure
of arteries (AU 15)
$846.25
34500
Arteriovenous shunt, external, insertion of (AU 9)
$219.60
34503
Arteriovenous anastomosis of upper or lower limb, in conjunction
with another venous or arterial operation (AU 14)
$294.55
34506
Arteriovenous shunt, external, removal of (AU 5)
$149.95
34509
Arteriovenous anastomosis of upper or lower limb, not in conjunction
with another venous or arterial operation (AU 14)
$696.25
34512
Arteriovenous access device, insertion of (AU 14)
$765.90
34515
Arteriovenous access device, thrombectomy of (AU 11)
$546.30
34518
Stenosis of arteriovenous fistula or prosthetic arteriovenous access
device, correction of (AU 14)
$915.85
34521
Intra-abdominal artery or vein, cannulation of for infusion
chemotherapy, by open operation (excluding aftercare) (AU 11)
$374.90
34524
Arterial cannulation for infusion chemotherapy by open operation, not
being a service to which item 34521 applies (excluding after-care) (AU
10)
$294.55
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)
$294.55
34530
Hickman or broviac catheter, or other chemotherapy device, removal of
(AU 10)
$294.55
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)
$883.70
34800
Inferior vena cava, plication, ligation, or application of caval clip
(AU 13)
$578.45
34803
Inferior vena cava, reconstruction of or bypass by vein or synthetic
material (AU 24)
$1,274.70
34806
Cross leg bypass grafting, saphenous to iliac or femoral vein (AU 14)
$690.90
34809
Saphenous vein anastomosis to femoral or popliteal vein for femoral
vein bypass (AU 14)
$690.90
34812
Venous stenosis or occlusion, vein bypass for, using vein or
synthetic material, not being a service associated with a service to
which item 34806 or 34809 applies (AU 13)
$835.50
34815
Vein stenosis, patch angioplasty for, (excluding vein graft
stenosis)-using vein or synthetic material (AU 15)
$690.90
34818
Venous valve, plication or repair to restore valve competency (AU 25)
$760.55
34821
Vein transplant to restore valvular function (AU 15)
$1,033.70
34824
External stent, application of, to restore venous valve competency to
superficial vein-1 stent (AU 10)
$353.50
34827
External stents, application of, to restore venous valve competency
to superficial vein or veins-more than 1 stent (AU 11)
$428.45
34830
External stent, application of, to restore venous valve competency to
deep vein (1 stent) (AU 11)
$503.45
34833
External stents, application of, to restore venous valve competency
to deep vein or veins (more than 1 stent) (AU 12)
$653.40
35000
Lumbar sympathectomy (AU 11)
$503.45
35003
Cervical or upper thoracic sympathectomy by any surgical approach (AU
16)
$653.40
35006
Cervical or upper thoracic sympathectomy, where operation is a
reoperation for previous incomplete sympathectomy by any surgical
approach (AU 13)
$819.45
35009
Lumbar sympathectomy, where operation is following chemical
sympathectomy or for previous incomplete surgical sympathectomy (AU 11)
$637.35
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)
$262.45
35103
Ischaemic limb, debridement of necrotic material, gangrenous tissue,
or slough in, in the operating theatre of a hospital, superficial tissue
only (AU 9)
$167.10
35200
Operative arteriography or venography, 1 or more of, performed during
the course of an operative procedure on an artery or vein, 1 site (AU 8)
$122.10
35300
Transluminal balloon angioplasty of 1 peripheral artery or vein of 1
limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare (AU 10)
$367.15
35303
Transluminal balloon angioplasty of aortic arch branches, aortic
visceral branches, or more than 1 peripheral artery or vein of 1 limb,
percutaneous or by open exposure, excluding associated radiological
services or preparation, and excluding aftercare (AU 12)
$470.60
35304
Transluminal balloon angioplasty of 1 coronary artery, percutaneous
or by open exposure, excluding associated radiological services or
preparation, and excluding aftercare (AU 10)
$367.15
35305
Transluminal balloon angioplasty of more than 1 coronary artery,
percutaneous or by open exposure, excluding associated radiological
services or preparation, and excluding aftercare (AU 12)
$470.60
35306
Transluminal stent insertion including associated balloon dilatation
for 1 peripheral artery or vein of 1 limb, percutaneous or by open
exposure, excluding associated radiological services or preparation, and
excluding aftercare (AU 11)
$434.40
35309
Transluminal stent insertion including associated balloon dilatation
for visceral arteries or veins, or more than 1 peripheral artery or vein
of 1 limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare (AU 13)
$543.00
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)
$543.00
35312
Peripheral arterial atherectomy including associated balloon
dilatation of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding aftercare
(AU 13)
$615.40
35315
Peripheral laser angioplasty including associated balloon dilatation
of 1 limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare (AU 13)
$615.40
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 being a service associated with a service to
which item 13903 applies) (AU 6)
$253.40
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)
$579.20
35324
Angioscopy not combined with any other procedure, excluding
associated radiological services or preparation, and excluding aftercare
(AU 8)
$217.20
35327
Angioscopy combined with any other procedure, excluding associated
radiological services or preparation, and excluding aftercare (AU 6)
$108.60
35330
Insertion of inferior vena caval filter, percutaneous or by open
exposure, excluding associated radiological services or preparation, and
excluding aftercare (AU 11)
$367.15
Subgroup 4-Gynaecological
35500
Gynaecological examination under anaesthesia, not being a service
associated with a service to which another item in this Group applies
(AU 5)
$57.90
35503
Intrauterine contraceptive device, introduction of, not being a
service associated with a service to which another item in this Group
applies (AU 5)
$38.15
35506
Intrauterine contraceptive device, removal of under general
anaesthesia, not being a service associated with a service to which
another item in this Group applies (AU 5)
$38.15
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 being a service
associated with a service to which item 32177 or 32180 applies (AU 6)
$124.30
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 being a service associated
with a service to which item 32177 or 32180 applies (AU 11)
$183.05
35509
Hymenectomy (AU 5)
$63.85
35512
Bartholin's cyst, excision of (G) (AU 7)
$127.70
35513
Bartholin's cyst, excision of (S) (AU 7)
$157.95
35516
Bartholin's cyst or gland, marsupialisation of (G) (AU 6)
$82.95
35517
Bartholin's cyst or gland, marsupialisation of (S) (AU 6)
$104.00
35520
Bartholin's abscess, incision of (AU 5)
$41.45
35523
Urethra or urethral caruncle, cauterisation of (AU 4)
$41.45
35526
Urethral caruncle, excision of (G) (AU 6)
$82.95
35527
Urethral caruncle, excision of (S) (AU 6)
$104.00
35530
Clitoris, amputation of, where medically indicated (AU 7)
$192.20
35533
Vulvoplasty or labioplasty, where medically indicated, not being a
service associated with a service to which item 35536 applies (AU 9)
$249.20
35536
Vulva, wide local excision of suspected malignancy or hemivulvectomy,
1 or both procedures (AU 9)
$248.20
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-1 anatomical site (AU
5)
$194.45
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-2 or more anatomical
sites (AU 6)
$227.55
35545
Colposcopically directed CO2 laser therapy for condylomata,
unsuccessfully treated by other methods (AU 6)
$130.80
35548
Vulvectomy, radical, for malignancy (AU 17)
$594.05
35551
Pelvic lymph glands, excision of (radical) (AU 15)
$487.05
35554
Vagina, dilatation of, as an independent procedure including any
associated consultation (AU 4)
$30.95
35557
Vagina, removal of simple tumour-(including Gartner duct cyst) (AU 8)
$152.70
35560
Vagina, partial or complete removal of (AU 13)
$487.05
35561
Vaginectomy, radical, for proven invasive malignancy-1 surgeon (AU
25)
$982.55
35562
Vaginectomy, radical, for proven invasive malignancy, conjoint
surgery-abdominal surgeon (including aftercare) (AU 25)
$806.70
35564
Vaginectomy, radical, for proven invasive malignancy, conjoint
surgery-perineal surgeon
$372.35
35565
Vaginal reconstruction for congenital absence, gynatresia or
urogenital sinus (AU 18)
$486.10
35566
Vaginal septum, excision of, for correction of double vagina (AU 12)
$283.00
35567
Vaginal repair (involving repair of enterocele) with transvaginal
sacrospinus ligament colposuspension (AU 10)
$356.80
35569
Plastic repair to enlarge vaginal orifice (AU 9)
$114.50
35572
Colpotomy, not being a service to which another item in this Group
applies (AU 6)
$88.20
35575
Anterior vaginal repair or posterior vaginal repair (involving repair
of rectocele or enterocele or both) not being a service to which item
35579, 35580, 35583 or 35584 applies (G) (AU 10)
$247.45
35576
Anterior vaginal repair or posterior vaginal repair (involving repair
of rectocele or enterocele or both) not being a service to which item
35579, 35580, 35583 or 35584 applies (S) (AU 10)
$302.75
35579
Anterior vaginal repair and posterior vaginal repair (involving
repair of rectocele or enterocele or both) not being a service to which
item 35583 or 35584 applies (G) (AU 10)
$302.75
35580
Anterior vaginal repair and posterior vaginal repair (involving
repair of rectocele or enterocele or both) not being a service to which
item 35583 or 35584 applies (S) (AU 10)
$381.75
35583
Donald-Fothergill or Manchester operation for genital prolapse (G)
(AU 10)
$362.00
35584
Donald-Fothergill or Manchester operation for genital prolapse (S)
(AU 10)
$480.45
35587
Urethrocele, operation for (AU 9)
$125.05
35590
Operation involving abdominal approach for repair of enterocoele or
suspension of vaginal vault or enterocoele and suspension of vaginal
vault (AU 9)
$381.75
35593
Vaginal repair of enterocele with or without repair of rectocele, not
being a service associated with a service to which item 35575, 35576,
35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673 applies, and
where on a previous occasion there had been performed surgery reflected
by a procedure to which item 35575, 35576, 35579, 35580, 35583, 35584,
35590, 35656, 35657 or 35673 applies (AU 8)
$379.70
35596
Fistula between genital and urinary or alimentary tracts, repair of,
not being a service to which item 37029, 37333 or 37336 applies (AU 13)
$487.05
35599
Stress incontinence, sling operation for (AU 12)
$480.45
35602
Stress incontinence, combined synchronous abdomino-vaginal operation
for; abdominal procedure (including after-care) (AU 12)
$480.45
35605
Stress incontinence, combined synchronous abdomino-vaginal operation
for; vaginal procedure (including after-care)
$260.65
35608
Cervix, cauterisation (other than by chemical means), ionisation,
diathermy or biopsy of, with or without dilatation of cervix (AU 5)
$45.40
35611
Cervix, removal of polyp or polypi, with or without dilatation of
cervix, not being a service associated with a service to which item
35608 applies (AU 5)
$45.15
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)
$45.40
35615
Vulva, biopsy of, when performed in conjunction with a service to
which item 35614 applies
$38.25
35617
Cervix, cone biopsy, amputation or repair of, not being a service to
which item 35583 or 35584 applies (G) (AU 7)
$123.75
35618
Cervix, cone biopsy, amputation or repair of, not being a service to
which item 35583 or 35584 applies (S) (AU 7)
$152.70
35621
Cervix, dilatation of, under general anaesthesia, not being a service
to which item 35639, 35640 or 35643 applies (AU 5)
$57.90
35624
Endometrial biopsy where malignancy is suspected in patients with
abnormal uterine bleeding or post menopausal bleeding (AU 5)
$37.95
35625
Endometrium, endoscopic ablation of, by laser or diathermy, for
chronic refractory menorrhagia including any hysteroscopy performed on
the same day, with or without uterine curettage, not being a service
associated with a service to which item 30390 applies (AU 9)
$429.20
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 being a service associated with a
service to which item 35627 or 35630 applies and including procedures to
which item 35639, 35640 or 35643 applies, where performed
$58.95
35627
Hysteroscopy with dilatation of the cervix performed in the operating
theatre of a hospital or approved day-hospital facility-not being a
service associated with a service to which item 35626 or 35630 applies,
and including procedures to which item 35639, 35640 or 35643 applies,
where performed (AU 7)
$76.35
35630
Hysteroscopy, with endometrial biopsy, performed in the operating
theatre of a hospital or approved day-hospital facility-not being a
service associated with a service to which item 35626 or 35627 applies,
and including procedures to which item 35639, 35640 or 35643 applies,
where performed (AU 7)
$130.30
35633
Hysteroscopy with uterine adhesiolysis or polypectomy or tubal
catheterization or removal of IUD which cannot be removed by other
means, 1 or more of (AU 8)
$154.25
35636
Hysteroscopy and laparoscopy under general anaesthesia involving
either myomectomy or resection of uterine septum, or both (AU 10)
$308.50
35637
Laparoscopy, involving puncture of cysts, diathermy of endometriosis,
ventrosuspension, division of adhesions or similar procedure-1 or more
procedures with or without biopsy-not being a service associated with
any other laparoscopic procedure or hysterectomy (AU 7)
$289.60
35638
Complicated operative laparoscopy, including use of laser when
required, for 1 or more of the following procedures; oophorectomy,
ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation
of moderate or severe endometriosis requiring more than 1 hours
operating time, division of adhesions requiring more than 1 hours
operating time or division of utero-sacral ligaments for significant
dysmenorrhoea (AU 12)
$506.80
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)
$96.10
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)
$130.30
35643
Evacuation of the contents of the gravid uterus by curettage or
suction curettage not being a service to which item 35639 or 35640
applies (AU 5)
$155.30
35644
Cervix, electrocoagulation diathermy with colposcopy, for previously
confirmed intraepithelial neoplastic changes of the cervix, including
any local anaesthesia and biopsies, not being a service associated with
a service to which item 35639, 35640 or 35647 applies (AU 8)
$144.95
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 1 or more sites of
vagina, vulva, urethra or anus, not being a service associated with a
service to which item 35649 applies (AU 8)
$227.05
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)
$144.80
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 being a
service associated with a service to which item 35644 applies (AU 8)
$144.95
35648
Cervix, large loop excision diathermy for previously confirmed
intraepithelial neoplastic changes of the cervix, including any local
anaesthesia and biopsies, in conjunction with ablative treatment of
additional areas of intraepithelial change of 1 or more sites of vagina,
vulva, urethra or anus, not being a service associated with a service to
which item 35645 applies (AU 8)
$227.05
35649
Hysterotomy or uterine myomectomy, abdominal (AU 10)
$381.75
35653
Hysterectomy, abdominal, sub total or total, with or without removal
of uterine adnexae (AU 11)
$480.45
35657
Hysterectomy, vaginal, with or without uterine curettage, not being a
service to which item 35673 applies (AU 11)
$480.55
35661
Hysterectomy, abdominal, requiring extensive retroperitoneal
dissection with or without exposure of 1 or both ureters, for the
management of severe endometrioses, pelvic inflammatory disease or
benign pelvic tumours, with or without conservation of ovaries (AU 12)
$620.55
35664
Radical hysterectomy with radical excision of pelvic lymph glands
(with or without excision of uterine adnexae) for proven malignancy
including excision of any 1 or more of parametrium, paracolpos, upper
vagina or contiguous pelvic peritoneum and involving ureterolysis where
performed (AU 17)
$1,034.25
35667
Radical hysterectomy without gland dissection (with or without
excision of uterine adnexae) for proven malignancy including excision of
any 1 or more of parametrium, paracolpos, upper vagina or contiguous
pelvic peritoneum and involving ureterolysis where performed (AU 17)
$879.10
35670
Hysterectomy, abdominal, with radical excision of pelvic lymph
glands, with or without removal of uterine adnexae (AU 19)
$723.80
35673
Hysterectomy, vaginal, (with or without uterine curettage) with
salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or
both sides (AU 12)
$539.70
35676
Ectopic pregnancy, removal of (G) (AU 9)
$302.75
35677
Ectopic pregnancy, removal of (S) (AU 9)
$381.75
35678
Ectopic pregnancy, laparoscopic removal of (AU 10)
$460.25
35680
Bicornuate uterus, plastic reconstruction for (AU 14)
$414.65
35683
Uterus, suspension or fixation of, as an independent procedure (G)
(AU 8)
$250.10
35684
Uterus, suspension or fixation of, as an independent procedure (S)
(AU 8)
$335.65
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)
$231.65
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)
$283.00
35691
Sterilisation by interruption of fallopian tubes when performed in
conjunction with Caesarean section (AU 5)
$113.00
35694
Tuboplasty (salpingostomy, salpingolysis or tubal implantation into
uterus), unilateral or bilateral, 1 or more procedures (AU 11)
$454.15
35697
Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal
implantation into uterus), unilateral or bilateral, 1 or more procedures
(AU 16)
$673.90
35700
Fallopian tubes, unilateral microsurgical anastomosis of, using
operating microscope (AU 18)
$519.95
35703
Hydrotubation of fallopian tubes as a non-repetitive procedure, not
being a service associated with a service to which another item in this
Group applies (AU 7)
$48.05
35706
Rubin test for patency of fallopian tubes (AU 7)
$48.05
35709
Fallopian tubes, hydrotubation of, as a repetitive post-operative
procedure (AU 7)
$30.95
35712
Laparotomy, involving oophorectomy, salpingectomy,
salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad
ligament cyst-1 such procedure, not being a service associated with
hysterectomy (G) (AU 9)
$258.00
35713
Laparotomy, involving oophorectomy, salpingectomy,
salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad
ligament cyst-1 such procedure, not being a service associated with
hysterectomy (S) (AU 9)
$322.50
35716
Laparotomy, involving oophorectomy, salpingectomy,
salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad
ligament cyst-2 or more such procedures, unilateral or bilateral, not
being a service associated with hysterectomy (G) (AU 10)
$309.35
35717
Laparotomy, involving oophorectomy, salpingectomy,
salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad
ligament cyst-2 or more such procedures, unilateral or bilateral, not
being a service associated with hysterectomy (S) (AU 10)
$388.30
35720
Radical or debulking operation for advanced gynaecological
malignancy, with or without omentectomy (AU 16)
$480.45
35723
Retro-peritoneal lymph node biopsies from above the level of the
aortic bifurcation, for staging or restaging of gynaecological
malignancy (AU 19)
$344.10
35726
Infra-colic omentectomy with multiple peritoneal biopsies for staging
or restaging of gynaecological malignancy (AU 16)
$344.10
35729
Ovarian transposition out of the pelvis, in conjunction with radical
hysterectomy for invasive malignancy (AU 18)
$155.15
Subgroup 5-Urological
36500
Adrenal gland, excision of-partial or total (AU 12)
$658.55
36503
Renal transplant, not being a service to which item 36506 or 36509
applies (AU 24)
$990.80
36506
Renal transplant, performed by vascular surgeon and urologist
operating together-vascular anastomosis, including after-care (AU 24)
$658.55
36509
Renal transplant, performed by vascular surgeon and urologist
operating together-ureterovesical anastomosis, including after-care
$557.70
36515
Nephrectomy, complete (G) (AU 11)
$545.85
36516
Nephrectomy, complete (S) (AU 11)
$658.55
36519
Nephrectomy, complete, complicated by previous surgery on the same
kidney (AU 13)
$919.60
36522
Nephrectomy, partial (AU 13)
$789.10
36525
Nephrectomy, partial, complicated by previous surgery on the same
kidney (AU 15)
$1,121.35
36528
Nephrectomy, radical, with enbloc dissection of lymph nodes, with or
without adrenalectomy (AU 17)
$919.60
36531
Nephro-ureterectomy, complete, including associated bladder repair
and any associated endoscopic procedure (AU 17)
$824.70
36534
Kidney, fused, renal symphysiotomy for (AU 14)
$658.55
36537
Kidney or perinephric area, exploration of, with or without drainage
of, by open exposure, not being a service to which another item in this
Group applies (AU 10)
$492.45
36540
Nephrolithotomy or pyelolithotomy, or both, through the same skin
incision, for 1 or 2 stones (AU 12)
$789.10
36543
Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn
stone or 3 or more stones, including 1 or more of the following:
nephrostomy, pyelostomy, pedicle control with or without freezing,
calyorrhaphy or pyeloplasty (AU 12)
$919.60
36546
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and
post-treatment care for 3 days, including pre-treatment consultations,
unilateral (AU 12)
$492.45
36549
Ureterolithotomy (AU 11)
$593.30
36552
Nephrostomy or pyelostomy, open, as an independent procedure (AU 11)
$528.05
36555
Nephropexy, as an independent procedure (AU 9)
$361.90
36558
Renal cyst or cysts, excision or unroofing of (AU 11)
$462.75
36561
Renal biopsy (closed) (AU 6)
$122.85
36564
Pyeloplasty, by open exposure (AU 14)
$658.55
36567
Pyeloplasty in congenitally abnormal kidney or solitary kidney, by
open exposure (AU 14)
$723.80
36570
Pyeloplasty, complicated by previous surgery on the same kidney, by
open exposure (AU 15)
$919.60
36573
Divided ureter, repair of (AU 13)
$658.55
36576
Kidney, exposure and exploration of, including repair or nephrectomy,
for trauma, not being a service associated with any other procedure
performed on the kidney, renal pelvis or renal pedicle (AU 13)
$824.70
36579
Ureterectomy, complete or partial, with or without associated bladder
repair, not being a service associated with a service to which item
37000 applies (AU 12)
$528.05
36582
Ureter, replacement of, by bowel (AU 12)
$919.60
36585
Ureter, transplantation of, into skin (AU 10)
$528.05
36588
Ureter, reimplantation into bladder (AU 12)
$658.55
36591
Ureter, reimplantation into bladder with psoas hitch or Boari flap or
both (AU 12)
$789.10
36594
Ureter, transplantation of, into intestine (AU 12)
$658.55
36597
Ureter, transplantation of, into another ureter (AU 12)
$658.55
36600
Ureter, transplantation of, into isolated intestinal segment,
unilateral (AU 14)
$789.10
36603
Ureters, transplantation of, into isolated intestinal segment,
bilateral (AU 16)
$919.60
36606
Intestinal urinary reservoir, continent, formation of, including
formation of non-return valves and implantation of ureters (1 or both)
into reservoir (AU 27)
$1,649.35
36609
Intestinal urinary conduit or ureterostomy, revision of (AU 13)
$528.05
36612
Ureter, exploration of, with or without drainage of, as an
independent procedure (AU 11)
$462.75
36615
Ureterolysis, with or without repositioning of ureter, for
retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU
11)
$528.05
36618
Reduction ureteroplasty (AU 14)
$462.75
36621
Closure of cutaneous ureterostomy (AU 9)
$330.75
36624
Nephrostomy, percutaneous, including associated imaging (AU 9)
$397.50
36627
Nephroscopy, percutaneous, with or without any 1 or more of; stone
extraction, biopsy or diathermy, not being a service to which item
36639, 36642, 36645 or 36648 applies (AU 11)
$492.45
36630
Nephroscopy, being a service to which item 36627 applies, where,
after a substantial portion of the procedure has been performed, it is
necessary to discontinue the operation due to bleeding (AU 10)
$243.25
36633
Nephroscopy, percutaneous, with incision of any 1 or more of; renal
pelvis, calyx or calyces or ureter and including antegrade insertion of
ureteric stent, not being a service associated with a service to which
item 36627, 36639, 36642, 36645 or 36648 applies (AU 11)
$528.05
36636
Nephroscopy, percutaneous, with incision of any 1 or more of; renal
pelvis, calyx or calyces or ureter and including antegrade insertion of
ureteric stent, being a service associated with a service to which item
36627, 36639, 36642, 36645 or 36648 applies (AU 13)
$284.80
36639
Nephroscopy, percutaneous, with destruction and extraction of 1 or 2
stones using ultrasound or electrohydraulic shock waves or lasers (not
being a service to which item 36645 or 36648 applies) (AU 13)
$593.30
36642
Nephroscopy, being a service to which item 36639 applies, where,
after a substantial portion of the procedure has been performed, it is
necessary to discontinue the operation due to bleeding (AU 12)
$296.65
36645
Nephroscopy, percutaneous, with removal or destruction of a stone
greater than 3 cm in any dimension, or for 3 or more stones (AU 17)
$759.40
36648
Nephroscopy, being a service to which item 36645 applies, where,
after a substantial portion of the procedure has been performed, it is
necessary to discontinue the operation (AU 16)
$676.35
36649
Nephrostomy drainage tube, exchange of-but not including imaging (AU
7)
$190.65
36800
Bladder, catheterisation of, where no other procedure is performed
(AU 4)
$19.70
36803
Ureteroscopy, with or without any 1 or more of; cystoscopy, ureteric
meatotomy, ureteric dilatation and pyeloscopy, not being a service
associated with a service to which item 36806, 36809, 36812, 36824,
36848 or 36857 applies (AU 7)
$332.25
36806
Ureteroscopy being a service to which item 36803 applies, plus 1 or
more of extraction of stone, biopsy or diathermy (AU 9)
$462.75
36809
Ureteroscopy being a service to which item 36803 applies, plus
destruction of stone with ultrasound, electrohydraulic shock waves, or
laser, with extraction of fragments (AU 11)
$593.30
36812
Cystoscopy with urethroscopy, with or without urethral dilatation,
not being a service associated with any other urological endoscopic
procedure on the lower urinary tract except a service to which item
37327 applies (AU 5)
$118.65
36815
Cystoscopy, with or without urethroscopy, for the treatment of penile
warts or urethral warts, not being a service associated with a service
to which item 30189 applies (AU 6)
$169.50
36818
Cystoscopy, with ureteric catheterisation including fluoroscopic
imaging of the upper urinary tract, unilateral or bilateral, not being a
service associated with a service to which item 36824 or 36830 applies
(AU 6)
$196.95
36821
Cystoscopy with 1 or more of; ureteric dilatation, insertion of
ureteric stent, or brush biopsy of ureter or of renal pelvis,
unilateral, not being a service associated with a service to which item
36824 or 36830 applies (AU 6)
$230.20
36824
Cystoscopy with ureteric catheterisation, unilateral or bilateral,
not being a service associated with a service to which item 36818 or
36821 applies (AU 5)
$151.90
36827
Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5)
$163.75
36830
Cystoscopy, with ureteric meatotomy (AU 5)
$144.75
36833
Cystoscopy with removal of foreign body (AU 6)
$196.95
36836
Cystoscopy with biopsy of bladder, not being a service associated
with a service to which item 36812, 36830, 36839, 36845, 36848, 36854,
37203, 37206 or 37215 applies (AU 6)
$163.75
36839
Cystoscopy with resection or diathermy of bladder tumour or other
lesion of the bladder or prostate, not being a service associated with a
service to which item 36845 applies (AU 6)
$230.20
36842
Cystoscopy with lavage of blood clots from bladder including any
associated diathermy of prostate or bladder and not being a service
associated with a service to which item 36812, items 36827 to 36863 or
items 37203 and 37206 apply (AU 8)
$231.65
36845
Cystoscopy with diathermy or resection of multiple bladder tumours in
more than 2 quadrants of the bladder or solitary tumour greater than 2
cm in diameter (AU 6)
$492.45
36848
Cystoscopy with resection of ureterocele (AU 5)
$163.75
36851
Cystoscopy with injection into bladder wall (AU 5)
$163.75
36854
Cystoscopy with endoscopic incision or resection of external
sphincter, bladder neck or both (AU 7)
$332.25
36857
Endoscopic manipulation or extraction of ureteric calculus (AU 6)
$261.05
36860
Endoscopic examination of intestinal conduit or reservoir (AU 5)
$118.65
36863
Litholapaxy, with or without cystoscopy (AU 7)
$332.25
37000
Bladder, partial excision of (AU 13)
$528.05
37003
Bladder, repair of rupture (G) (AU 13)
$379.70
37004
Bladder, repair of rupture (S) (AU 13)
$462.75
37007
Cystostomy or cystotomy, suprapubic, not being a service to which
item 37011 applies and not being a service associated with other open
bladder procedure (G) (AU 8)
$237.30
37008
Cystostomy or cystotomy, suprapubic, not being a service to which
item 37011 applies and not being a service associated with other open
bladder procedure (S) (AU 8)
$296.65
37011
Suprapubic stab cystotomy (AU 6)
$66.45
37014
Bladder, total excision of (AU 29)
$759.40
37017
Bladder tumours, suprapubic diathermy of (AU 10)
$492.45
37020
Bladder diverticulum, excision or obliteration of (AU 10)
$528.05
37023
Vesical fistula, cutaneous, operation for (AU 12)
$296.65
37026
Cutaneous vesicostomy, establishment of (AU 9)
$296.65
37029
Vesico-vaginal fistula, closure of by abdominal approach (AU 12)
$658.55
37032
Vesico-vaginal fistula, closure of, synchronous combined approach,
abdominal component, including aftercare (AU 12)
$593.30
37035
Vesico-vaginal fistula, closure of, synchronous combined approach,
vaginal component, including aftercare
$427.15
37038
Vesico-intestinal fistula, closure of, excluding bowel resection (AU
11)
$492.75
37041
Bladder aspiration, by needle
$33.20
37044
Bladder, stress incontinence, suprapubic procedure for, not being a
service to which item 35599 applies (AU 9)
$492.75
37047
Bladder enlargement using intestine (AU 23)
$1,186.60
37050
Bladder extrophy closure, not involving sphincter reconstruction (AU
14)
$528.05
37053
Bladder transection and re-anastomosis to trigone (AU 16)
$610.25
37200
Prostatectomy, open (AU 13)
$723.80
37203
Prostatectomy (endoscopic), with or without cystoscopy, and with or
without urethroscopy, and including services to which item 36854, 37303,
37321 or 37324 applies (AU 10)
$824.70
37206
Prostatectomy (endoscopic), with or without cystoscopy, and with or
without urethroscopy, and including services to which item 36854, 37303,
37321 or 37324 applies, continuation of, within 10 days of initial
procedure which had to be discontinued for medical reasons (AU 9)
$397.50
37209
Prostate, total excision of (AU 13)
$919.60
37212
Prostate, open perineal biopsy or open drainage of abscess (AU 6)
$196.95
37215
Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6)
$296.65
37218
Prostate, needle biopsy of, or injection into (AU 5)
$98.50
37221
Prostatic abscess, endoscopic drainage of (AU 7)
$332.25
37300
Urethral sounds, passage of, as an independent procedure (AU 5)
$33.20
37303
Urethral stricture, dilatation of (AU 5)
$52.80
37306
Urethra, repair of rupture of distal section (AU 9)
$462.75
37309
Urethra, repair of rupture of prostatic or membranous segment (AU 10)
$658.55
37312
Urethral fistula, closure of (AU 8)
$196.95
37315
Urethroscopy, as an independent procedure (AU 5)
$98.50
37318
Urethroscopy, with any 1 or more of; biopsy, diathermy or removal of
foreign body or stone (AU 7)
$196.95
37321
Urethral meatotomy, external (AU 4)
$66.45
37324
Urethrotomy or urethrostomy, internal or external (AU 5)
$163.75
37327
Urethrotomy, optical, for urethral stricture (AU 5)
$230.20
37330
Urethrectomy, partial or complete, for removal of tumour (AU 9)
$462.75
37333
Urethro-vaginal fistula, closure of (AU 9)
$397.50
37336
Urethro-rectal fistula, closure of (AU 10)
$528.05
37339
Peri-urethral injection of Teflon, including urethroscopy and
cystoscopy (AU 5)
$170.85
37342
Urethroplasty-single stage operation (AU 10)
$593.30
37345
Urethroplasty-2 stage operation-first stage (AU 9)
$492.45
37348
Urethroplasty-2 stage operation-second stage (AU 9)
$492.45
37351
Urethroplasty, not being a service to which another item in this
Group applies (AU 9)
$196.95
37354
Hypospadias, meatotomy and hemi-circumcision (AU 7)
$230.20
37357
Hypospadias, glanuloplasty incorporating meatal advancement (AU 8)
$296.65
37360
Hypospadias or epispadias, with or without chordee, correction of, as
a staged procedure, first stage (AU 10)
$332.25
37363
Hypospadias or epispadias, with or without chordee, correction of, as
a staged procedure, second stage (AU 11)
$492.45
37366
Hypospadias or epispadias, with or without chordee, correction of, as
1 stage procedure, not being a service to which item 37357 applies (AU
13)
$593.30
37369
Urethra, excision of prolapse of (AU 7)
$132.90
37372
Urethral diverticulum, excision of (AU 8)
$332.25
37375
Urethral sphincter, reconstruction by bladder tubularisation
technique or similar procedure (AU 16)
$824.70
37378
Urethra, operation for correction of male urinary incontinence, not
being a service to which item 37381 or 37390 applies (AU 9)
$528.05
37381
Artificial urinary sphincter, insertion of cuff, perineal approach
(AU 10)
$528.05
37384
Artificial urinary sphincter, insertion of cuff, abdominal approach
(AU 16)
$824.70
37387
Artificial urinary sphincter, insertion of pressure regulating
balloon and pump (AU 8)
$230.20
37390
Artificial urinary sphincter, revision or removal of, with or without
replacement (AU 12)
$658.55
37393
Priapism, decompression by glanular stab caverno-sospongiosum shunt
or penile aspiration with or without lavage (AU 7)
$163.75
37396
Priapism, shunt operation for, not being a service to which item
37393 applies (AU 10)
$528.05
37399
Urethral valve, destruction of, including cystoscopy and urethroscopy
(AU 7)
$261.05
37402
Penis, partial amputation of (AU 8)
$332.25
37405
Penis, complete or radical amputation of (AU 12)
$658.55
37408
Penis, repair of laceration of cavernous tissue, or fracture
involving cavernous tissue (AU 8)
$332.25
37411
Penis, repair of avulsion (AU 12)
$658.55
37414
Penis, injection of, for investigation or treatment of impotence,
priapism or Peyronie's plaque
$33.20
37417
Penis, correction of chordee, with or without excision of fibrous
plaque or plaques and with or without grafting (AU 8)
$397.50
37420
Penis, surgery to inhibit rapid penile drainage causing impotence, by
ligation of veins deep to Buck's fascia including 1 or more deep
cavernosal veins, with or without pharmacological erection test (AU 7)
$261.05
37423
Penis, lengthening by translocation of corpora (AU 14)
$658.55
37426
Penis, artificial erection device, insertion of, into 1 or both
corpora (AU 8)
$694.15
37429
Penis, artificial erection device, insertion of pump and pressure
regulating reservoir (AU 11)
$230.20
37432
Penis, artificial erection device, complete or partial revision or
removal of components, with or without replacement (AU 11)
$658.55
37435
Penis, frenuloplasty as an independent procedure (AU 5)
$66.45
37438
Scrotum, partial excision of (AU 7)
$196.95
37441
Penis erection test for hypospadias and chordee when performed under
general anaesthesia, as an independent procedure (AU 5)
$65.55
37444
Ureterolithotomy complicated by previous surgery at the same site of
the same ureter (AU 12)
$711.95
37600
Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side
(G) (AU 6)
$163.75
37601
Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side
(S) (AU 6)
$196.95
37604
Exploration of scrotal contents, with or without fixation and with or
without biopsy, unilateral (AU 5)
$196.95
37607
Retroperitoneal lymph node dissection, unilateral, not being a
service associated with a service to which item 36528 applies (AU 12)
$658.55
37610
Retroperitoneal lymph node dissection, unilateral, not being a
service associated with a service to which item 36528 applies, following
previous similar retroperitoneal dissection, retroperitoneal irradiation
or chemotherapy (AU 24)
$990.80
37613
Epididymectomy (AU 8)
$196.95
37616
Vaso-vasostomy or vaso-epididymostomy, unilateral, using the
operating microscope (AU 14)
$492.45
37619
Vaso-vasostomy or vaso-epididymostomy, unilateral (AU 9)
$196.95
37622
Vasotomy or vasectomy, unilateral or bilateral (G) (AU 5)
$137.70
37623
Vasotomy or vasectomy, unilateral or bilateral (S) (AU 5)
$163.75
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)
$317.25
38203
Left heart catheterisation by percutaneous arterial puncture,
arteriotomy or percutaneous left ventricular puncture-including
fluoroscopy, oximetry, dye dilution curves, cardiac output measurements
by any method, shunt detection and exercise stress test (AU 12)
$378.60
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)
$457.70
38209
Cardiac electrophysiological study-up to and including 3 catheter
investigation of any 1 or more of-syncope, atrio-ventricular conduction,
sinus node function or simple ventricular tachycardia studies, not being
a service associated with a service to which item 38212 applies (AU 19)
$587.65
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 being a
service associated with a service to which item 38209 applies (AU 27)
$977.55
38215
Selective coronary arteriography-placement of catheters and injection
of opaque material (AU 14)
$322.10
38218
Selective coronary arteriography-placement of catheters and injection
of opaque material with right or left heart catheterisation, or both (AU
16)
$531.15
38250
Single chamber permanent transvenous electrode, insertion of (AU 12)
$454.90
38253
Permanent pacemaker, insertion or replacement of (AU 12)
$181.95
38256
Temporary transvenous pacemaking electrode, insertion of (AU 11)
$190.30
38259
Permanent dual chamber transvenous electrodes, insertion of (AU 12)
$596.45
38400
Thoracic cavity, aspiration of, for diagnostic purposes, not being a
service associated with a service to which item 38403 applies
$27.40
38403
Thoracic cavity, aspiration of, with therapeutic drainage
(paracentesis), with or without diagnostic sample
$54.80
38406
Pericardium, paracentesis of (excluding after-care) (AU 6)
$95.15
38409
Intercostal drain, insertion of, not involving resection of rib
(excluding after-care) (AU 7)
$95.15
38410
Intercostal drain, insertion of, with pleurodesis and not involving
resection of rib (excluding aftercare) (AU 7)
$117.25
38412
Percutaneous needle biopsy of lung (AU 7)
$148.95
38415
Empyema, radical operation for, involving resection of rib (AU 13)
$284.40
38418
Thoracotomy, exploratory, with or without biopsy (AU 11)
$682.60
38421
Thoracotomy, with pulmonary decortication (AU 17)
$1,091.15
38424
Thoracotomy, with pleurectomy or pleurodesis, or enucleation of
hydatid cysts (AU 16)
$682.60
38427
Thoracoplasty (complete)-3 or more ribs (AU 21)
$842.90
38430
Thoracoplasty (in stages)-each stage (AU 14)
$434.40
38436
Thoracoscopy, with or without division of pleural adhesions,
including insertion of intercostal catheter, with or without biopsy (AU
7)
$177.90
38438
Pneumonectomy or lobectomy or segmentectomy (AU 18)
$1,091.15
38440
Lung, wedge resection of (AU 16)
$817.05
38441
Radical lobectomy or pneumonectomy including resection of chest wall,
diaphragm, pericardium, or formal mediastinal node dissection (AU 22)
$1,292.80
38446
Thoracotomy or sternotomy, for removal of thymus or mediastinal
tumour (AU 16)
$842.90
38447
Pericardiectomy via sternotomy or anterolateral thoracotomy without
cardiopulmonary bypass (AU 28)
$1,091.75
38448
Mediastinum, cervical exploration of, with or without biopsy (AU 10)
$258.55
38449
Pericardiectomy via sternotomy or anterolateral thoracotomy with
cardiopulmonary bypass (AU 32)
$1,526.45
38450
Pericardium, transthoracic drainage of (AU 14)
$610.20
38452
Pericardium, sub-xyphoid drainage of (AU 12)
$408.55
38453
Tracheal excision and repair without cardiopulmonary bypass (AU 28)
$1,225.60
38455
Tracheal excision and repair of, with cardiopulmonary bypass (AU 40)
$1,657.90
38456
Intrathoracic operation on heart, lungs, great vessels, bronchial
tree, oesophagus or mediastinum, or on more than 1 of those organs, not
being a service to which another item in this Group applies (AU 28)
$1,091.15
38457
Pectus excavatum or pectus carinatum, repair or radical correction of
(AU 16)
$1,018.75
38458
Pectus excavatum, repair of, with implantation of subcutaneous
prosthesis (AU 16)
$543.00
38460
Sternal wires or wires, removal of (AU 8)
$196.10
38462
Sternotomy wound, debridement of, not involving reopening of the
mediastinum (AU 12)
$232.50
38464
Sternotomy wound, debridement of, involving curettage of infected
bone with or without removal of wires but not involving reopening of the
mediastinum (AU 12)
$252.70
38466
Sternum, reoperation on for dihiscence or infection involving
reopening of the mediastinum, with or without rewiring (AU 18)
$682.35
38468
Sternum and mediastinum, reoperation for infection of, involving
muscle advancement flaps or greater omentum (AU 28)
$1,051.35
38469
Sternum and mediastinum, reoperation for infection of, involving
muscle advancement flaps and greater omentum (AU 32)
$1,223.20
38470
Permanent myocardial electrode, insertion of, by thoracotomy (AU 11)
$682.60
38473
Permanent pacemaker electrode, insertion by sub-xyphoid approach (AU
11)
$408.55
38486
Aortic valve, decalcification of (AU 32)
$1,223.20
38487
Mitral valve, open valvotomy of (AU 32)
$1,223.20
38488
Valve replacement with bioprosthesis, mechanical prosthesis or
unstented xenograft (AU 32)
$1,359.65
38492
Valve replacement with allograft, subcoronary or cylindrical implant
(AU 36)
$1,617.45
38494
Valve, repair of (AU 32)
$1,427.25
38497
Coronary artery bypass using saphenous vein graft or grafts only,
including harvesting of graft material where performed (AU 36)
$1,458.30
38500
Coronary artery bypass using single arterial graft, with or without
vein graft or grafts, including harvesting of graft material where
performed (AU 36)
$1,566.90
38503
Coronary artery bypass using 2 or more arterial grafts, with or
without vein graft or grafts, including harvesting of graft material
where performed (AU 36)
$1,701.35
38506
Left ventricular aneurysmectomy (AU 32)
$1,158.35
38509
Ischaemic ventricular septal rupture, repair of (AU 40)
$1,701.35
38512
Division of accessory pathway, isolation procedure, procedure on
atrioventricular node or perinodal tissues involving 1 atrial chamber
only (AU 32)
$1,494.50
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)
$1,903.00
38518
Ventricular arrhythmia with mapping and muscle ablation, with or
without aneurysmeotomy (AU 44)
$2,042.65
38521
Automatic defibrillator, insertion of patches for (AU 10)
$749.85
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)
$1,360.05
38553
Ascending thoracic aorta, repair or replacement of, with aortic valve
replacement or repair, without implantation of coronary arteries (AU 46)
$1,768.55
38556
Ascending thoracic aorta, repair or replacement of, with aortic valve
replacement or repair, and implantation of coronary arteries (AU 50)
$2,042.65
38559
Aortic arch and ascending thoracic aorta, repair or replacement of,
not involving valve replacement or repair or coronary artery
implantation (AU 46)
$1,634.10
38562
Aortic arch and ascending thoracic aorta, repair or replacement of,
with aortic valve replacement or repair, without implantation of
coronary arteries (AU 50)
$2,042.65
38565
Aortic arch and ascending thoracic aorta, repair or replacement of,
with aortic valve replacement or repair, and implantation of coronary
arteries (AU 52)
$2,311.55
38568
Descending thoracic aorta, repair or replacement of, without shunt or
cardiopulmonary bypass (AU 32)
$1,158.35
38571
Descending thoracic aorta, repair or replacement of, using shunt or
cardiopulmonary bypass (AU 36)
$1,292.80
38572
Operative management of acute rupture or dissection, in conjunction
with procedures on the thoracic aorta (AU 25)
$1,415.25
38574
Deep hypothermia with cardiac arrest, in conjunction with open heart
surgery
$543.00
38600
Central cannulation for cardiopulmonary bypass excluding
post-operative management, not being a service associated with a service
to which another item in this Subgroup applies (AU 16)
$1,091.15
38603
Peripheral cannulation for cardiopulmonary bypass excluding
post-operative management (AU 13)
$682.60
38606
Intra-aortic balloon pump, percutaneous insertion of (AU 11)
$274.10
38609
Intra-aortic balloon pump, insertion of, by arteriotomy (AU 14)
$341.30
38612
Intra-aortic balloon pump, removal of, with closure of artery by
direct suture (AU 14)
$382.65
38613
Intra-aortic balloon pump, removal of, with closure of artery by
patch graft (AU 20)
$480.20
38615
Left or right ventricular assist device, insertion of (AU 30)
$1,091.15
38618
Left and right ventricular assist device, insertion of (AU 32)
$1,360.05
38621
Left or right ventricular assist device, removal of, as an
independent procedure (AU 18)
$543.00
38624
Left and right ventricular assist device, removal of, as an
independent procedure (AU 20)
$610.20
38640
Re-operation via median sternotomy, for any procedure, including any
divisions of adhesions where the time taken to divide the adhesions is
45 minutes or less (AU 25)
$682.60
38650
Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (AU
32)
$1,360.05
38653
Open heart surgery, not being a service to which another item in this
Group applies (AU 36)
$1,360.05
38656
Thoracotomy or median sternotomy for post-operative bleeding (AU 18)
$682.60
38659
Thoracotomy or sternotomy involving division of adhesions where the
time taken to divide the adhesions exceeds 45 minutes (AU 15)
$760.20
38662
Thoracotomy or sternotomy involving division of extensive adhesions
where the time taken to divide the adhesions exceeds 2 hours (AU 25)
$1,520.35
Subgroup 7-Neurosurgical
39000
Lumbar puncture (AU 5)
$53.55
39003
Cisternal puncture
$61.05
39006
Ventricular puncture (not including burr-hole)
$113.55
39009
Subdural haemorrhage, tap for, each tap (AU 6)
$42.30
39012
Burr-hole, single, preparatory to ventricular puncture or for
inspection purpose-not being a service to which another item applies (AU
11)
$169.25
39013
Injection under image intensification with 1 or more of contrast
media, local anaesthetic or corticosteroid into 1 or more
zygo-apophyseal or costo-transverse joints or 1 or more primary
posterior rami of spinal nerves
$77.85
39015
Ventricular reservoir, external ventricular drain or intracranial
pressure monitoring device, insertion of-including burr-hole (excluding
after-care) (AU 12)
$267.80
39018
Cerebrospinal fluid reservoir, insertion of (AU 10)
$267.80
39100
Injection of primary branch of trigeminal nerve with alcohol,
cortisone, phenol, or similar substance (AU 8)
$169.25
39106
Neurectomy, intracranial, for trigeminal neuralgia (AU 16)
$846.25
39109
Trigeminal gangliotomy by radiofrequency, balloon or glycerol (AU 8)
$316.00
39112
Cranial nerve, intracranial decompression of, using microsurgical
techniques (AU 25)
$1,097.95
39115
Percutaneous neurotomy of posterior divisions (or rami) of spinal
nerves by any method, including any associated spinal, epidural or
regional nerve block (payable once only in a 30 day period) (AU 6)
$70.70
39118
Percutaneous neurotomy for facet joint denervation by radio-frequency
probe or cryoprobe using radiological imaging control (AU 7)
$212.10
39121
Percutaneous cordotomy (AU 9)
$449.90
39124
Cordotomy or myelotomy, laminectomy for, or operation for dorsal root
entry zone (Drez) lesion (AU 13)
$1,151.50
39125
Spinal catheter, insertion of-for an automated infusion device (AU 8)
$212.30
39126
Automated subcutaneous infusion device, insertion of (AU 8)
$257.80
39127
Subcutaneous reservoir and spinal catheter for pain, insertion of (AU
8)
$337.40
39128
Automated subcutaneous infusion device and spinal catheter, insertion
of (AU 11)
$470.05
39130
Percutaneous epidural electrode, insertion of 1 or more of-for spinal
stimulation (AU 10)
$434.70
39131
Percutaneous epidural electrodes, management, adjustment, electronic
programming and trial of stimulation of, by a medical practitioner-each
day
$91.00
39133
Epidural stimulator or intrathecal infusion device, revision of (AU
7)
$113.55
39134
Spinal neurostimulator receiver or pulse generator, subcutaneous
placement of (AU 8)
$242.60
39136
Percutaneous epidural implant for management of pain, removal of (AU
7)
$113.55
39139
Epidural electrode for management of pain, insertion of 1 or more of
by laminectomy, including implantation of pulse generator (1 or 2
stages) (AU 18)
$765.90
39300
Cutaneous nerve (including digital nerve), primary repair of, using
microsurgical techniques (AU 9)
$251.75
39303
Cutaneous nerve (including digital nerve), secondary repair of, using
microsurgical techniques (AU 10)
$332.05
39306
Nerve trunk, primary repair of, using microsurgical techniques (AU
11)
$482.05
39309
Nerve trunk, secondary repair of, using microsurgical techniques (AU
12)
$508.80
39312
Nerve trunk, internal (interfasicular), neurolysis of, using
microsurgical techniques (AU 11)
$283.85
39315
Nerve trunk, nerve graft to, (cable graft) including harvesting of
nerve graft using microsurgical techniques (AU 16)
$733.75
39318
Cutaneous nerve (including digital nerve), nerve graft to, using
microsurgical techniques (AU 12)
$455.25
39321
Nerve, transposition of (AU 8)
$337.40
39323
Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion
generator, not being a service to which another item applies (AU 8)
$196.10
39324
Neurectomy, neurotomy or removal of tumour from superficial
peripheral nerve, by open operation (AU 8)
$197.10
39327
Neurectomy, neurotomy or removal of tumour from deep peripheral
nerve, by open operation (AU 10)
$337.40
39330
Neurolysis by open operation without transposition, not being a
service associated with a service to which item 39312 applies (AU 7)
$197.10
39331
Carpal tunnel release (division of transverse carpal ligament), by
any method (AU 7)
$196.10
39333
Brachial plexus, exploration of, not being a service to which another
item in this Group applies (AU 11)
$283.85
39500
Vestibular nerve, section of, via posterior fossa (AU 24)
$905.15
39503
Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (AU
28)
$680.20
39600
Intracranial haemorrhage, burr-hole craniotomy for-including burr
holes (AU 11)
$337.40
39603
Intracranial haemorrhage, osteoplastic craniotomy or extensive
craniectomy and removal of haematoma (AU 18)
$851.60
39606
Fractured skull, depressed or comminuted, operation for (AU 12)
$567.70
39609
Fractured skull, compound, without dural penetration, operation for
(AU 12)
$680.20
39612
Fractured skull, compound, depressed or complicated, with dural
penetration and brain laceration, operation for (AU 14)
$798.05
39615
Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and
repair of (AU 16)
$851.60
39700
Skull tumour, benign or malignant, excision of, excluding
cranioplasty (AU 27)
$396.35
39703
Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy
of, or drainage of, or both (AU 10)
$369.55
39706
Intracranial tumour, biopsy or decompression of via osteoplastic flap
or biopsy and decompression of via osteoplastic flap (AU 18)
$792.65
39709
Craniotomy for removal of glioma, metastatic carcinoma or any other
tumour in cerebrum, cerebellum or brain stem-not being a service to
which another item in this Group applies (AU 25)
$1,130.10
39712
Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma,
intraventricular tumour or any other intracranial tumour, not being a
service to which another item in this Group applies (AU 25)
$2,040.60
39715
Pituitary tumour, removal of, by transcranial or transphenoidal
approach (AU 25)
$1,413.95
39718
Arachnoidal cyst, craniotomy for (AU 15)
$621.30
39721
Craniotomy, involving osteoplastic flap, for re-opening
post-operatively for haemorrhage, swelling, etc (AU 16)
$567.70
39800
Aneurysm, clipping or reinforcement of sac (AU 28)
$2,035.25
39803
Intracranial arteriovenous malformation, excision of (AU 32)
$2,035.25
39806
Aneurysm, or arteriovenous malformation, intracranial proximal artery
clipping of (AU 24)
$915.85
39809
Arteriovenous malformation, craniotomy and direct embolisation of (AU
32)
$1,017.60
39812
Intracranial aneurysm or arteriovenous fistula, ligation of cervical
vessel or vessels (AU 10)
$449.90
39815
Carotid-cavernous fistula, obliteration of-combined cervical and
intracranial procedure (AU 40)
$1,301.50
39818
Extracranial to intracranial bypass using superficial temporal artery
or saphenous vein graft (AU 32)
$1,301.50
39900
Intracranial infection, drainage of, via burr-hole-including
burr-hole (AU 10)
$369.55
39903
Intracranial abscess, excision of (AU 17)
$1,130.10
39906
Osteomyelitis of skull or removal of infected bone flap, craniectomy
for (AU 10)
$567.70
40000
Ventriculo-cisternostomy (Torkildsen's operation) (AU 15)
$653.40
40003
Cranial or cisternal shunt diversion, insertion of (AU 14)
$653.40
40006
Lumbar shunt diversion, insertion of (AU 13)
$514.15
40009
Cranial, cisternal or lumbar shunt, revision or removal of (AU 12)
$374.90
40012
Third ventriculostomy (AU 15)
$733.75
40015
Subtemporal decompression (AU 26)
$454.90
40018
Lumbar cerebrospinal fluid drain, insertion of (AU 6)
$113.55
40100
Meningocele, excision and closure of (AU 13)
$492.75
40103
Myelomeningocele, excision and closure of, including skin flaps or Z
plasty where performed (AU 15)
$723.05
40106
Arnold-Chiari malformation, decompression of (AU 35)
$733.75
40109
Encephalocoele, excision and closure of (AU 34)
$792.65
40112
Tethered cord, release of, including lipomeningocoele or
diastematomyelia (AU 35)
$1,017.60
40115
Craniostenosis, operation for-single suture (AU 17)
$514.15
40118
Craniostenosis, operation for-more than 1 suture (AU 20)
$680.20
40300
Intervertebral disc or discs, laminectomy for removal of (AU 12)
$680.20
40301
Intervertebral disc or discs, microsurgical discectomy of (AU 12)
$682.35
40303
Recurrent disc lesion or spinal stenosis, or both, laminectomy for-1
level (AU 13)
$776.60
40306
Spinal stenosis, laminectomy for, involving more than 1 vertebral
interspace (disc level) (AU 16)
$1,022.95
40309
Extradural tumour or abscess, laminectomy for (AU 12)
$776.60
40312
Intradural lesion, laminectomy for, not being a service to which
another item in this Group applies (AU 13)
$1,044.40
40315
Craniocervical junction lesion, transoral approach for (AU 29)
$1,130.10
40318
Intramedullary tumour or arteriovenous malformation, laminectomy and
radical excision of (AU 14)
$1,413.95
40321
Posterior spinal fusion, not being a service to which items 40324 and
40327 apply (AU 18)
$776.60
40324
Laminectomy followed by posterior fusion, performed by neurosurgeon
and orthopaedic surgeon operating together-laminectomy, including
aftercare (AU 18)
$455.25
40327
Laminectomy followed by posterior fusion, performed by neurosurgeon
and orthopaedic surgeon operating together-posterior fusion, including
aftercare
$455.25
40330
Spinal rhizolysis involving exposure of spinal nerve roots, with or
without laminectomy (AU 16)
$680.20
40333
Cervical discectomy (anterior), without fusion (AU 19)
$567.70
40336
Intradiscal injection of chymopapain (discase)-1 disc (AU 8)
$225.00
40339
Hydromyelia, plugging of obex for, with or without duroplasty (AU 25)
$1,130.10
40342
Hydromyelia, craniotomy and laminectomy for, with cavity packing and
CSF shunt (AU 25)
$1,044.40
40600
Cranioplasty, reconstructive (AU 16)
$680.20
40700
Corpus callosum, anterior section of, for epilepsy (AU 25)
$1,242.55
40703
Corticectomy, topectomy or partial lobectomy for epilepsy (AU 23)
$1,044.40
40706
Hemispherectomy for intractible epilepsy (AU 40)
$1,526.40
40709
Burr-hole placement of intracranial depth or surface electrodes (AU
15)
$369.55
40712
Intracranial electrode placement via craniotomy (AU 21)
$744.45
40800
Stereotactic anatomical localisation, as an independent procedure (AU
17)
$454.90
40801
Functional stereotactic procedure including computer assisted
anatomical localisation, physiological localisation and lesion
production in the basal ganglia, brain stem or deep white matter tracts
(AU 25)
$1,243.40
40803
Intracranial stereotactic procedure by any method, not being a
service to which another item in this Group applies (AU 17)
$851.60
Subgroup 8-Ear, Nose and Throat
41500
Ear, removal of foreign body in, otherwise than by simple syringing
(AU 4)
$58.75
41503
Ear, removal of foreign body in, involving incision of external
auditory canal (AU 6)
$170.10
41506
Aural polyp, removal of (AU 4)
$102.60
41509
External auditory meatus, surgical removal of keratosis obturans
from, not being a service to which another item in this Group applies
(AU 9)
$116.10
41512
Meatoplasty involving removal of cartilage or bone or both cartilage
and bone, not being a service to which item 41515 applies (AU 9)
$417.35
41515
Meatoplasty involving removal of cartilage or bone or both cartilage
and bone, being a service associated with a service to which item 41530,
41548, 41560, 41560 or 41563 applies (AU 7)
$273.85
41518
External auditory meatus, removal of exostoses in (AU 12)
$661.55
41521
Correction of auditory canal stenosis, including meatoplasty, with or
without grafting (AU 12)
$704.25
41524
Reconstruction of external auditory canal, being a service associated
with a service to which items 41557, 41560 and 41563 apply (AU 9)
$203.45
41527
Myringoplasty, trans-canal approach (Rosen incision) (AU 11)
$418.50
41530
Myringoplasty, post-aural or endaural approach with or without
mastoid inspection (AU 12)
$681.80
41533
Atticotomy without reconstruction of the bony defect, with or without
myringoplasty (AU 12)
$815.10
41536
Atticotomy with reconstruction of the bony defect with or without
myringoplasty (AU 14)
$912.90
41539
Ossicular chain reconstruction (AU 12)
$776.30
41542
Ossicular chain reconstruction and myringoplasty (AU 13)
$850.55
41545
Mastoidectomy (cortical) (AU 12)
$371.25
41548
Obliteration of the mastoid cavity (AU 10)
$492.75
41551
Mastoidectomy, intact wall technique, with myringoplasty (AU 16)
$1,134.60
41554
Mastoidectomy, intact wall technique, with myringoplasty and
ossicular chain reconstruction (AU 18)
$1,336.75
41557
Mastoidectomy (radical or modified radical) (AU 13)
$776.30
41560
Mastoidectomy (radical or modified radical) and myringoplasty (AU 13)
$850.55
41563
Mastoidectomy (radical or modified radical), myringoplasty and
ossicular chain reconstruction (AU 14)
$1,053.05
41566
Revision of mastoidectomy (radical, modified radical or intact wall),
including myringoplasty (AU 16)
$775.95
41569
Decompression of facial nerve in its mastoid portion (AU 13)
$850.55
41572
Labyrinthotomy or destruction of labyrinth (AU 12)
$735.80
41575
Cerebello-pontine angle tumour, removal of by 2 surgeons operating
conjointly, by transmastoid, translabyrinthine or retromastoid
approach-transmastoid, translabyrinthine or retromastoid procedure
(including aftercare) (AU 39)
$1,734.80
41578
Cerebello-pontine angle tumour, removal of by 2 surgeons operating
conjointly, by transmastoid, translabyrinthine or retromastoid
approach-intracranial procedure (including aftercare)
$1,734.80
41581
Skull base tumour, removal of by infra-temporal approach (AU 40)
$1,995.35
41584
Partial temporal bone resection for removal of tumour involving
mastoidectomy with or without decompression of facial nerve (AU 28)
$1,369.35
41587
Total temporal bone resection for removal of tumour (AU 32)
$1,864.95
41590
Endolymphatic sac, transmastoid decompression with or without
drainage of (AU 12)
$850.55
41593
Translabyrinthine vestibular nerve section (AU 22)
$1,108.55
41596
Retrolabyrinthine vestibular nerve section, or cochlear nerve section
or both (AU 26)
$1,238.95
41599
Internal auditory meatus, exploration by middle cranial fossa
approach with cranial nerve decompression (AU 23)
$1,238.95
41602
Fenestration operation-each ear (AU 11)
$850.55
41605
Venous graft to fenestration cavity (AU 12)
$418.50
41608
Stapedectomy (AU 11)
$776.30
41611
Stapes mobilisation (AU 10)
$499.50
41614
Round window surgery including repair of cochleotomy (AU 11)
$776.30
41617
Cochlear implant, insertion of, including mastoidectomy (AU 23)
$1,349.80
41620
Glomus tumour, transtympanic removal of (AU 12)
$587.30
41623
Glomus tumour, transmastoid removal of, including mastoidectomy (AU
13)
$850.55
41626
Abscess or inflammation of middle ear, operation for (excluding
after-care) (AU 7)
$102.60
41629
Middle ear, exploration of (AU 9)
$371.25
41632
Middle ear, insertion of tube for drainage of (including myringotomy)
(AU 7)
$170.10
41635
Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or
more, with or without myringoplasty (AU 10)
$815.10
41638
Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or
more, with or without myringoplasty with ossicular chain reconstruction
(AU 16)
$1,017.25
41641
Perforation of tympanum, cauterisation or diathermy of (AU 6)
$33.75
41644
Excision of rim of eardrum perforation, not being a service
associated with myringoplasty (AU 6)
$101.70
41647
Ear toilet requiring use of operating microscope and microinspection
of tympanic membrane with or without general anaesthesia (AU 7)
$78.30
41650
Tympanic membrane, microinspection of 1 or both ears under general
anaesthesia, not being a service associated with a service to which
another item in this Group applies (AU 7)
$78.30
41653
Examination of nasal cavity or post-nasal space or nasal cavity and
post-nasal space, under general anaesthesia, not being a service
associated with a service to which another item in this Group applies
(AU 6)
$51.30
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)
$87.75
41659
Nose, removal of foreign body in, other than by simple probing (AU 6)
$55.35
41662
Nasal polyp or polypi (simple), removal of
$58.75
41665
Nasal polyp or polypi (requiring admission to hospital), removal of
(G) (AU 7)
$122.85
41668
Nasal polyp or polypi (requiring admission to hospital), removal of
(S) (AU 7)
$156.60
41671
Nasal septum, septoplasty, submucous resection or closure of septal
perforation (AU 9)
$344.25
41674
Cauterisation (other than by chemical means) or cauterisation by
chemical means when performed under general anaesthesia or diathermy of
septum, turbinates or pharynx-1 or more of these procedures (including
any consultation on the same occasion) not being a service associated
with any other operation on the nose (AU 6)
$71.55
41677
Nasal haemorrhage, arrest of during an episode of epistaxis by
cauterisation or nasal cavity packing or both (AU 7)
$64.15
41680
Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7)
$116.10
41683
Division of nasal adhesions, with or without stenting not being a
service associated with any other operation on the nose and not
performed during the post-operative period of a nasal operation (AU 6)
$83.45
41686
Dislocation of turbinate or turbinates, 1 or both sides, not being a
service associated with a service to which another item in this Group
applies (AU 6)
$51.30
41689
Turbinectomy or turbinectomies, partial or total, unilateral (AU 6)
$97.20
41692
Turbinates, submucous resection of, unilateral (AU 8)
$126.90
41695
Nasal turbinates, cryotherapy to (AU 6)
$71.20
41698
Maxillary antrum, proof puncture and lavage of (AU 6)
$23.20
41701
Maxillary antrum, proof puncture and lavage of-under general
anaesthesia (requiring admission to hospital), not being a service
associated with a service to which another item in this Group applies
(AU 6)
$65.50
41704
Maxillary antrum, lavage of-each attendance at which the procedure is
performed, including any associated consultation (AU 6)
$19.45
41707
Maxillary artery, transantral ligation of (AU 9)
$317.25
41710
Antrostomy (radical) (AU 9)
$371.25
41713
Antrostomy (radical) with transantral ethmoidectomy or transantral
vidian neurectomy (AU 10)
$432.00
41716
Antrum, intranasal operation on or removal of foreign body from (AU
8)
$210.60
41719
Antrum, drainage of, through tooth socket (AU 7)
$83.70
41722
Oro-antral fistula, plastic closure of (AU 11)
$418.50
41725
Ethmoidal artery or arteries, transorbital ligation of (unilateral)
(AU 10)
$319.50
41728
Lateral rhinotomy with removal of tumour (AU 12)
$639.05
41731
Fronto-nasal ethmoidectomy by external approach with or without
sphenoidectomy (AU 9)
$553.50
41734
Radical fronto-ethmoidectomy with osteoplastic flap (AU 13)
$722.30
41737
Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9)
$344.25
41740
Frontal sinus, catheterisation of (AU 6)
$41.85
41743
Frontal sinus, trephine of (AU 6)
$240.30
41746
Frontal sinus, radical obliteration of (AU 10)
$553.50
41749
Ethmoidal sinuses, external operation on (AU 10)
$432.00
41752
Sphenoidal sinus, intranasal operation on (AU 10)
$210.60
41755
Eustachain tube, catheterisation of (AU 6)
$33.10
41758
Division of pharyngeal adhesions (AU 7)
$83.70
41761
Post nasal space, direct examination of, with or without biopsy (AU
7)
$87.75
41764
Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx
and larynx, 1 or more of these procedures (AU 7)
$87.40
41767
Nasopharyngeal angiofibroma, transpalatal removal (AU 12)
$521.65
41770
Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy
(AU 16)
$499.50
41773
Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (AU
14)
$418.50
41776
Cricopharyngeal myotomy with or without inversion of pharyngeal pouch
(AU 10)
$417.35
41779
Pharyngotomy (lateral), with or without total excision of tongue (AU
6)
$499.50
41782
Partial pharyngectomy via pharyngotomy (AU 12)
$678.15
41785
Partial pharyngectomy via pharyngotomy with partial or total
glossectomy (AU 14)
$841.20
41786
Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU
15)
$524.90
41788
Tonsils or tonsils and adenoids, removal of, in a person aged less
than 12 years (G) (AU 7)
$156.60
41789
Tonsils or tonsils and adenoids, removal of, in a person aged less
than 12 years (S) (AU 7)
$210.60
41792
Tonsils or tonsils and adenoids, removal of, in a person 12 years of
age or over (G) (AU 8)
$197.10
41793
Tonsils or tonsils and adenoids, removal of, in a person 12 years of
age or over (S) (AU 8)
$264.60
41796
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring
general anaesthesia, following removal of (G) (AU 9)
$81.00
41797
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring
general anaesthesia, following removal of (S) (AU 9)
$102.60
41800
Adenoids, removal of (G) (AU 6)
$83.70
41801
Adenoids, removal of (S) (AU 6)
$116.10
41804
Lingual tonsil or lateral pharyngeal bands, removal of (AU 7)
$64.15
41807
Peritonsillar abscess (quinsy), incision of (AU 7)
$49.95
41810
Uvulotomy or uvulectomy (AU 6)
$25.40
41813
Vallecular or pharyngeal cysts, removal of (AU 8)
$253.80
41816
Oesophagoscopy (with rigid oesophagoscope) (AU 6)
$132.30
41819
Oesophageal and anastomic stricture, endoscopic dilatation of (AU 7)
$248.60
41822
Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7)
$170.10
41825
Oesophagoscopy (with rigid oesoeration on (AU 10)
$210.60
41828
Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6)
$37.15
41831
Oesophagus, endoscopic pneumatic dilatation of (AU 8)
$254.25
41834
Laryngectomy (total) (AU 20)
$918.05
41837
Vertical hemi-laryngectomy including tracheostomy (AU 17)
$880.30
41840
Supraglottic laryngectomy including tracheostomy (AU 21)
$1,082.45
41843
Laryngopharyngectomy or primary restoration of alimentary continuity
after laryngopharyngectomy using stomach or bowel (AU 20)
$951.80
41846
Larynx, direct examination of the supraglottic, glottic and
subglottic regions, not being a service associated with any other
procedure on the larynx or with the administration of a general
anaesthetic (AU 8)
$132.30
41849
Larynx, direct examination of, with biopsy (AU 8)
$194.40
41852
Larynx, direct examination of, with removal of tumour (AU 9)
$210.60
41855
Microlaryngoscopy (AU 8)
$205.20
41858
Microlaryngoscopy with removal of juvenile papillomata (AU 10)
$352.10
41861
Microlaryngoscopy with removal of papillomata by laser surgery (AU
13)
$430.35
41864
Microlaryngoscopy with removal of tumour (AU 9)
$290.25
41867
Microlaryngoscopy with arytenoidectomy (AU 13)
$436.90
41870
Teflon injection into vocal cord (AU 9)
$324.00
41873
Larynx, fractured, operation for (AU 15)
$418.50
41876
Larynx, external operation on, or laryngofissure, with or without
cordectomy (AU 13)
$418.50
41879
Laryngoplasty or tracheoplasty, including tracheostomy (AU 17)
$678.15
41882
Tracheostomy (G) (AU 10)
$130.95
41883
Tracheostomy (S) (AU 10)
$170.10
41886
Trachea, removal of foreign body in (AU 7)
$126.90
41889
Bronchoscopy, as an independent procedure (AU 7)
$126.90
41892
Bronchoscopy with 1 or more endobronchial biopsies or other
diagnostic or therapeutic procedures (AU 8)
$167.40
41895
Bronchus, removal of foreign body in (AU 9)
$261.90
41898
Fibreoptic bronchoscopy with 1 or more transbronchial lung biopsies,
with or without bronchial or broncho-alveolar lavage, with or without
the use of interventional imaging (AU 8)
$183.05
41901
Endoscopic laser resection of endobronchial tumours for relief of
obstruction including any associated endoscopic procedures (AU 15)
$429.45
41904
Bronchoscopy with dilatation of tracheal stricture (AU 7)
$175.50
41907
Nasal septum button, insertion of (AU 6)
$87.40
41910
Duct of major salivary gland, transposition of (AU 16)
$278.00
Subgroup 9-Ophthalmology
42503
Ophthalmological examination under general anaesthesia, not being a
service associated with a service to which another item in this Group
applies (AU 5)
$72.85
42506
Eye, enucleation of, with or without sphere implant (AU 8)
$342.80
42509
Eye, enucleation of, with insertion of integrated implant (AU 9)
$433.85
42512
Globe, evisceration of (AU 8)
$342.80
42515
Globe, evisceration of, and insertion of intrascleral ball or
cartilage (AU 9)
$433.85
42518
Anophthalmic orbit, insertion of cartilage or artificial implant as a
delayed procedure, or removal of implant from socket (AU 9)
$251.75
42521
Anophthalmic socket, treatment of, by insertion of a wired-in
conformer, integrated implant or dermofat graft, as a secondary
procedure (AU 16)
$856.95
42524
Orbit, skin graft to, as a delayed procedure (AU 7)
$145.70
42527
Contracted socket, reconstruction including mucous membrane grafting
and stent mould (AU 11)
$289.20
42530
Orbit, exploration with or without biopsy, requiring removal of bone
(AU 9)
$449.90
42533
Orbit, exploration of, with drainage or biopsy not requiring removal
of bone (AU 8)
$289.20
42536
Orbit, exenteration of, with or without skin graft and with or
without temporalis muscle transplant (AU 11)
$594.50
42539
Orbit, exploration of, with removal of tumour or foreign body,
requiring removal of bone (AU 12)
$846.25
42542
Orbit, exploration of, with removal of tumour or of foreign body (AU
10)
$358.85
42545
Orbit, decompression of, for dysthyroid eye disease, 2 or more walls,
1 eye (AU 16)
$910.50
42548
Optic nerve meninges, incision of (AU 17)
$540.95
42551
Eyeball, perforating wound of, not involving intraocular
structures-repair involving suture of cornea or sclera, or both, not
being a service to which item 42632 applies (AU 10)
$449.90
42554
Eyeball, perforating wound of, with incarceration or prolapse of
uveal tissue-repair (AU 12)
$524.90
42557
Eyeball, perforating wound of, with incarceration of lens or
vitreous-repair (AU 12)
$733.75
42560
Intraocular foreign body, magnetic removal from anterior segment (AU
10)
$289.20
42563
Intraocular foreign body, nonmagnetic removal from anterior segment
(AU 11)
$369.55
42566
Intraocular foreign body, magnetic removal from posterior segment (AU
10)
$524.90
42569
Intraocular foreign body, nonmagnetic removal from posterior segment
(AU 12)
$733.75
42572
Orbital abscess or cyst, drainage of (AU 6)
$83.55
42575
Tarsal cyst, extirpation of (AU 6)
$58.90
42578
Tarsal cartilage, excision of (AU 8)
$332.05
42581
Ectropion or entropion, tarsal cauterisation of
$83.55
42584
Tarsorrhaphy (AU 8)
$197.10
42587
Cryotherapy or electrolysis epilation for trichiasis-each eyelid (AU
6)
$36.95
42590
Canthoplasty, medial or lateral (AU 9)
$241.00
42593
Lacrimal gland, excision of palpebral lobe (AU 8)
$145.70
42596
Lacrimal sac, excision of, or operation on (AU 8)
$358.85
42599
Lacrimal canalicular system, establishment of patency by closed
operation using silicone tubes or similar, 1 eye (AU 10)
$449.90
42602
Lacrimal canalicular system, establishment of patency by open
operation, 1 eye (AU 8)
$449.90
42605
Lacrimal canaliculus, immediate repair of (AU 8)
$332.05
42608
Lacrimal drainage by insertion of glass tube, as an independent
procedure (AU 10)
$214.25
42611
Nasolacrimal tube (unilateral) replacement of, under general
anaesthesia, or lacrimal passages, probing for obstruction, unilateral
or bilateral, with or without lavage (AU 4)
$102.85
42614
Lacrimal passages, lavage of, unilateral, not being a service
associated with a service to which item 42611 applies (excluding
after-care) (AU 4)
$34.30
42617
Punctum snip operation (AU 4)
$97.50
42620
Punctum, occlusion of, by use of a plug (AU 5)
$37.50
42623
Dacryocystorhinostomy (AU 11)
$498.10
42626
Dacryocystorhinostomy where a previous dacryocystorhinostomy has been
performed (AU 11)
$803.40
42629
Conjunctivorhinostomy including dacryocystorhinostomy and fashioning
of conjunctival flaps (AU 12)
$605.20
42632
Conjunctival peritomy or repair of corneal laceration by conjunctival
flap (AU 6)
$83.55
42635
Corneal perforations, sealing of, with tissue adhesive (AU 9)
$214.25
42638
Conjunctival graft over cornea (AU 7)
$267.80
42641
Autoconjunctival transplant, or mucous membrane graft (AU 11)
$348.15
42644
Cornea or sclera, removal of imbedded foreign body from (excluding
after-care) (AU 8)
$51.40
42647
Corneal scars, removal of, by partial keratectomy, not being a
service associated with a service to which item 42686 applies (AU 8)
$145.70
42650
Cornea, epithelial debridement for corneal ulcer or corneal erosion
(excluding after-care) (AU 8)
$51.40
42653
Cornea, transplantation of, full thickness (AU 13)
$953.35
42656
Cornea, transplantation of, where there have been 2 previous graft
operations (AU 13)
$1,189.00
42659
Cornea, transplantation of, superficial or lamellar (AU 11)
$642.70
42662
Sclera, transplantation of, full thickness, including collection of
donor material (AU 15)
$642.70
42665
Sclera, transplantation of, superficial or lamellar, including
collection of donor material (AU 14)
$428.45
42668
Corneal sutures, removal of, not earlier than 6 weeks after operation
requiring use of slit lamp or operating microscope (AU 6)
$53.55
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)
$642.70
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)
$321.35
42677
Conjunctiva, cautery of, including treatment of pannus-each
attendance at which treatment is given including any associated
consultation (AU 4)
$43.40
42680
Conjunctiva, cryotherapy to, for melanotic lesions or similar using
CO2 or N2O (AU 7)
$214.25
42683
Conjunctival cysts, removal of, requiring admission to hospital or
approved day hospital facility (AU 6)
$85.70
42686
Pterygium, removal of (AU 6)
$194.95
42689
Pinguecula, removal of, not being a service associated with the
fitting of contact lenses (AU 6)
$83.55
42692
Limbic tumour, removal of (AU 7)
$197.10
42695
Limbic tumour, excision of, requiring keratectomy or sclerectomy (AU
12)
$321.35
42698
Lens extraction (AU 11)
$557.00
42701
Artificial lens, insertion of (AU 11)
$310.65
42704
Artificial lens, removal or repositioning of by open operation-not
being a service associated with a service to which item 42701 applies
(AU 9)
$332.05
42707
Artificial lens, removal of and replacement with a different lens (AU
12)
$567.70
42710
Artificial lens, removal of, and replacement with a lens inserted
into the posterior chamber and sutured to the iris or sclera (AU 15)
$642.70
42713
Intraocular lenses, repositioning of, by the use of a McCannell
suture or similar (AU 11)
$267.80
42716
Cataract, juvenile, removal of, including subsequent needlings (AU
11)
$851.60
42719
Capsulectomy or removal of vitreous via the anterior chamber by any
method, not being a service associated with any other intraocular
operation on that eye (AU 9)
$369.55
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 being a service associated with any other
intraocular operation on that eye-1 or both procedures (AU 15)
$404.30
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 being a service associated with any other intraocular
operation on that eye, other than a service to which item 42728 applies
(AU 25)
$953.35
42728
Cryotherapy of retina or other intraocular structures with an
internal probe, being a service associated with a service to which item
42725 applies (AU 9)
$160.70
42731
Capsulectomy or lensectomy by posterior chamber sclerotomy in
conjunction 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 being a service associated with any other intraocular operation (AU
25)
$1,081.90
42734
Capsulotomy, other than by laser (AU 9)
$214.25
42737
Needling of posterior capsule (AU 8)
$214.25
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, 1 or more of (AU 9)
$214.25
42743
Anterior chamber, irrigation of blood from, as an independent
procedure (AU 7)
$449.90
42746
Glaucoma, filtering operation for (AU 10)
$680.20
42749
Glaucoma, filtering operation for, where previous filtering operation
has been performed (AU 10)
$851.60
42752
Glaucoma, insertion of Molteno valve for, 1 or more stages (AU 18)
$953.35
42755
Glaucoma, removal of Molteno valve (AU 8)
$117.85
42758
Goniotomy (AU 10)
$498.10
42761
Division of anterior or posterior synechiae, as an independent
procedure, other than by laser (AU 9)
$369.55
42764
Iridectomy (including excision of tumour of iris) or iridotomy, as an
independent procedure, other than by laser (AU 10)
$369.55
42767
Tumour, involving ciliary body or ciliary body and iris, excision of
(AU 12)
$776.60
42770
Cyclodiathermy or cyclocryotherapy (AU 8)
$210.00
42773
Detached retina, diathermy or cryotherapy for, not being a service
associated with a service to which item 42776 applies (AU 11)
$642.70
42776
Detached retina, buckling or resection operation for (AU 15)
$953.35
42779
Detached retina, revision operation for (AU 15)
$1,189.00
42782
Laser trabeculoplasty-each treatment to 1 eye, to a maximum of 4
treatments to that eye in a 2 year period (AU 6)
$321.35
42785
Laser iridotomy-each treatment to 1 eye, to a maximum of 2 treatments
to that eye in a 2 year period (AU 6)
$251.75
42788
Laser capsulotomy-each treatment to 1 eye, to a maximum of 2
treatments to that eye in a 2 year period (AU 6)
$251.75
42791
Laser vitreolysis or corticolysis of lens material or
fibrinolysis-each treatment to 1 eye, to a maximum of 2 treatments to
that eye in a 2 year period (AU 6)
$251.75
42794
Division of suture by laser-each treatment to 1 eye, to a maximum of
2 treatments to that eye in a 2 year period (AU 5)
$48.20
42797
Laser coagulation of corneal or scleral blood vessels-each treatment
to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period
(AU 5)
$48.20
42800
Pterygium, removal by laser in 1 or more stages (AU 6)
$194.95
42803
Pinguecula, removal of by laser in 1 or more stages (not for contact
lenses) (AU 6)
$83.55
42806
Iris tumour, laser photocoagulation of (AU 9)
$251.75
42809
Retina, photocoagulation of (AU 9)
$321.35
42812
Detached retina, removal of encircling silicone band from (AU 8)
$117.85
42815
Posterior chamber, removal of silicone oil from (AU 12)
$449.90
42818
Retina, cryotherapy to, as an independent procedure, with external
probe (AU 13)
$417.75
42821
Retrobulbar transillumination, as an independent procedure (AU 5)
$64.25
42824
Retrobulbar injection of alcohol or other drug, as an independent
procedure
$49.80
42827
Botulinus toxin, injection of, for blepharospasm, including all such
injections on any 1 day (AU 5)
$32.15
42830
Botulinus toxin, injection of, for strabismus including all such
injections on any 1 day and associated electromyography (AU 6)
$111.40
42833
Squint, operation for, on 1 or both eyes, the operation involving a
total of 1 or 2 muscles (AU 8)
$417.75
42836
Squint, operation for, on 1 or both eyes, the operation involving a
total of 1 or 2 muscles where there have been 2 or more previous squint
operations on the eye or eyes (AU 8)
$519.50
42839
Squint, operation for, on 1 or both eyes, the operation involving a
total of 3 or more muscles (AU 9)
$498.10
42842
Squint, operation for, on 1 or both eyes, the operation involving a
total of 3 or more muscles where there have been 2 or more previous
squint operations on the eye or eyes (AU 9)
$621.30
42845
Readjustment of adjustable sutures, 1 or both eyes, as an independent
procedure following an operation for correction of squint (AU 6)
$134.95
42848
Squint, muscle transplant for (Hummelsheim type, or similar
operation) (AU 9)
$498.10
42851
Squint, muscle transplant for (Hummelsheim type, or similar
operation) where there have been 2 or more previous squint operations on
the eye or eyes (AU 9)
$621.30
42854
Ruptured medial palpebral ligament or ruptured extra-ocular muscle,
repair of (AU 9)
$289.20
42857
Resuturing of wound following intraocular procedures with or without
excision of prolapsed iris (AU 9)
$289.20
42860
Lid, upper or lower, scleral graft to, with recession of the lid
retractors (AU 13)
$642.70
42863
Eyelid upper, recession of (AU 12)
$551.65
42866
Entropion, repair of, by tightening, shortening or repair of inferior
retractors by open operation (AU 13)
$535.60
42869
Eyelid closure in facial nerve paralysis, insertion of foreign
implant for (AU 11)
$391.00
42872
Eyebrow, elevation of, for paretic states (AU 9)
$171.40
Subgroup 10-Operations for Osteomyelitis
43500
Operation on phalanx (for acute osteomyelitis) (AU 7)
$87.85
43503
Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia,
fibula, tarsus, skull, mandible or maxilla (other than alveolar margins)
(for acute osteomyelitis)-1 bone (AU 10)
$145.80
43506
Operation on humerus or femur (for acute osteomyelitis)-1 bone (AU
10)
$253.80
43509
Operation on spine or pelvic bones (for acute osteomyelitis)-1 bone
(AU 13)
$253.80
43512
Operation on scapula, sternum, clavicle, rib, ulna, radius,
metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible
or maxilla (other than alveolar margins) (for chronic osteomyelitis)-1
bone or any combination of adjoining bones (AU 12)
$253.80
43515
Operation on humerus or femur (for chronic osteomyelitis)-1 bone (AU
11)
$253.80
43518
Operation on spine or pelvic bones (for chronic osteomyelitis)-1 bone
(AU 12)
$418.50
43521
Operation on skull (for chronic osteomyelitis) (AU 12)
$330.75
43524
Operation on any combination of adjoining bones, being bones referred
to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (AU 12)
$418.50
Subgroup 11-Paediatric
43800
Hypertelorism, correction of (AU 14)
$654.80
43803
Choanal atresia, plastic repair of (AU 16)
$641.30
43806
Choanal atresia, repair of by puncture and dilatation (AU 11)
$159.30
43809
Macrocheilia, macroglossia or macrostomia, operation for (AU 13)
$344.25
43812
Torticollis, operation for (AU 7)
$261.90
43815
Oesophagus, correction of congenital stenosis by oesophagectomy and
anastomosis (AU 21)
$783.05
43818
Tracheo-oesophageal fistula (with or without atresia), ligation and
division of (AU 20)
$783.05
43821
Oesophageal atresia, with or without fistula, correction of (AU 23)
$972.05
43824
Neonatal alimentary obstruction, laparotomy for, with or without
resection, including reduction of volvulus (AU 15)
$681.80
43827
Anal sphincterotomy as an independent procedure for Hirschsprung's
disease (AU 6)
$189.85
43830
Rectosigmoidectomy for Hirschsprung's disease (AU 22)
$891.05
43833
Exomphalos or gastroschisis, operation for (AU 13)
$776.30
43836
Exomphalos or gastroschisis, operation for, by plastic flap (AU 14)
$864.05
43839
Ano-rectal malformation, perineal anoplasty, primary or secondary
repair (AU 10)
$290.25
43842
Ano-rectal malformation, rectoplasty, primary or secondary repair,
not being a service to which item 43839 applies (AU 18)
$843.80
43845
Contracted bladder neck (congenital), wedge excision or perurethral
resection of (AU 11)
$432.00
43848
Urachal fistula, operation for (AU 11)
$371.25
43851
Sphincter reconstruction for ectopia vesicae, ectopia cloacae or
congenital incontinence (AU 12)
$857.30
43854
Urethral valves or urethral membrane, open removal of (AU 12)
$513.00
43857
Lymphangiectasis of limb (Milroy's disease)-limited excision of (AU
14)
$264.60
43860
Lymphangiectasis of limb (Milroy's disease)-radical excision of (AU
18)
$587.30
44100
Extra digit, ligation of pedicle (AU 4)
$34.45
44103
Extra digit, amputation of (AU 6)
$87.75
44106
Dermoid, periorbital or superficial nasal, excision of (G) (AU 8)
$126.90
44107
Dermoid, periorbital or superficial nasal, excision of (S) (AU 8)
$162.00
44110
Dermoid, orbital, excision of (AU 8)
$344.25
44113
Dermoid of nose, excision of, with intranasal extension (AU 8)
$405.00
Subgroup 12-Amputations
44324
Hand, midcarpal or transmetacarpal (G) (AU 7)
$162.00
44325
Hand, midcarpal or transmetacarpal (S) (AU 7)
$210.60
44328
Hand, forearm or through arm (AU 8)
$253.80
44331
At shoulder (AU 12)
$418.50
44334
Interscapulothoracic (AU 15)
$850.55
44337
1 digit of foot (G) (AU 6)
$83.70
44338
1 digit of foot (S) (AU 6)
$102.60
44341
2 digits of 1 foot (G) (AU 7)
$126.90
44342
2 digits of 1 foot (S) (AU 7)
$156.60
44345
3 digits of 1 foot (G) (AU 8)
$145.80
44346
3 digits of 1 foot (S) (AU 8)
$180.90
44349
4 digits of 1 foot (G) (AU 9)
$167.40
44350
4 digits of 1 foot (S) (AU 9)
$205.20
44353
5 digits of 1 foot (G) (AU 10)
$189.00
44354
5 digits of 1 foot (S) (AU 10)
$234.90
44357
Toe, including metatarsal or part of metatarsal-each toe (G) (AU 7)
$102.60
44358
Toe, including metatarsal or part of metatarsal-each toe (S) (AU 7)
$130.95
44361
Foot at ankle (Syme, Pirogoff types) (AU 8)
$253.80
44364
Foot, midtarsal or transmetatarsal (AU 7)
$210.60
44367
Through thigh, at knee or below knee (AU 10)
$371.70
44370
At hip (AU 14)
$513.00
44373
Hindquarter (AU 17)
$1,053.05
44376
Amputation stump, reamputation of, to provide adequate skin and
muscle cover
Amount under rule 18
Subgroup 13-Plastic and Reconsturctive Surgery
45000
Single stage local muscle flap repair, on eyelid, nose, lip, neck,
hand, thumb, finger or genitals (AU 7)
$385.60
45003
Single stage local myocutaneous flap repair to 1 defect, simple and
small (AU 11)
$428.45
45006
Single stage large myocutaneous flap repair to 1 defect, (pectoralis
major, latissimus dorsi, or similar large muscle) (AU 16)
$739.10
45009
Single stage local muscle flap repair to 1 defect, simple and small
(AU 11)
$270.00
45012
Single stage large muscle flap repair to 1 defect, (pectoralis major,
gastrocnemius, gracilis or similar large muscle) (AU 17)
$452.25
45015
Muscle or myocutaneous flap, delay of (AU 8)
$214.25
45018
Dermis, dermofat or fascia graft (excluding transfer of fat by
injection) (AU 12)
$337.40
45021
Abrasive therapy, limited to 1 aesthetic area (AU 6)
$126.40
45024
Abrasive therapy to more than 1 aesthetic area (AU 7)
$283.85
45027
Angioma, cauterisation of or injection into, where undertaken in the
operating theatre of a hospital or approved day-hospital facility (AU 7)
$85.70
45030
Angioma of skin and subcutaneous tissue (excluding facial muscle or
breast) or mucous surface, small, excision and suture of (AU 7)
$92.10
45033
Angioma, large or involving deeper tissue including facial muscle or
breast, excision and suture of (AU 9)
$171.40
45036
Angioma of neck, deep, excision of (AU 10)
$803.40
45039
Arteriovenous malformation (3 cm or less) of superficial tissue,
excision of (AU 11)
$171.40
45042
Arteriovenous malformation, (greater than 3 cm), excision of (AU 16)
$219.60
45045
Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand,
thumb, finger or genitals, excision of (AU 16)
$219.60
45048
Lymphoedematous tissue of lower leg and foot, or thigh, or upper arm,
or forearm and hand, major excision of (AU 15)
$551.65
45051
Contour reconstruction for pathological deformity, insertion of
foreign implant (non biological but excluding injection of liquid or
semisolid material) by open operation (AU 10)
$337.50
45200
Single stage local flap, where indicated to repair 1 defect, simple
and small, excluding flap for male pattern baldness (AU 7)
$202.50
45203
Single stage local flap, where indicated to repair 1 defect,
complicated or large, excluding flap for male pattern baldness (AU 10)
$289.20
45206
Single stage local flap where indicated to repair 1 defect, on
eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (AU 12)
$273.15
45209
Direct flap repair (cross arm, abdominal or similar), first stage (AU
11)
$337.50
45212
Direct flap repair (cross arm, abdominal or similar), second stage
(AU 9)
$167.40
45215
Direct flap repair, cross leg, first stage (AU 13)
$722.30
45218
Direct flap repair, cross leg, second stage (AU 10)
$324.00
45221
Direct flap repair, small (cross finger or similar), first stage (AU
7)
$186.30
45224
Direct flap repair, small (cross finger or similar), second stage (AU
7)
$83.70
45227
Indirect flap or tubed pedicle, formation of (AU 10)
$317.25
45230
Direct or indirect flap or tubed pedicle, delay of (AU 8)
$158.55
45233
Indirect flap or tubed pedicle, preparation of intermediate or final
site and attachment to the site (AU 10)
$337.50
45236
Indirect flap or tubed pedicle, spreading of pedicle, as a separate
procedure (AU 8)
$264.60
45239
Direct, indirect or local flap, revision of (AU 7)
$186.30
45400
Free grafting (split skin) of a granulating area, small (AU 7)
$145.80
45403
Free grafting (split skin) of a granulating area, extensive (AU 11)
$290.25
45406
Free grafting (split skin) to burns, including excision of burnt
tissue-involving not more than 3% of total body surface (AU 8)
$321.35
45409
Free grafting (split skin) to burns, including excision of burnt
tissue-involving 3% or more but less than 6% of total body surface (AU
10)
$428.45
45412
Free grafting (split skin) to burns, including excision of burnt
tissue-involving 6% or more but less than 9% of total body surface (AU
12)
$589.15
45415
Free grafting (split skin) to burns, including excision of burnt
tissue-involving 9% or more but less than 12% of total body surface (AU
14)
$642.70
45418
Free grafting (split skin) to burns, including excision of burnt
tissue-involving 12% or more of total body surface (AU 16)
$696.25
45421
Free grafting (split skin) to burns, including excision of burnt
tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU
18)
$289.20
45424
Free grafting (xenograft or homograft split skin) to burns including
excision of burnt tissue-involving not more than 3% of total body
surface (AU 13)
$235.65
45427
Free grafting (xenograft or homograft split skin) to burns including
excision of burnt tissue-involving 3% or more but less than 6% of total
body surface (AU 15)
$342.80
45430
Free grafting (xenograft or homograft split skin) to burns including
excision of burnt tissue-involving 6% or more but less than 9% of total
body surface (AU 17)
$503.45
45433
Free grafting (xenograft or homograft split skin) to burns including
excision of burnt tissue-involving 9% or more but less than 12% of total
body surface (AU 19)
$557.00
45436
Free grafting (xenograft or homograft split skin) to burns including
excision of burnt tissue-involving 12% or more of total body surface (AU
21)
$621.30
45439
Free grafting (split skin) to 1 defect, including elective
dissection, small (AU 8)
$202.50
45442
Free grafting (split skin) to 1 defect, including elective
dissection, extensive (AU 11)
$417.75
45445
Free grafting (split skin) as inlay graft to 1 defect including
elective dissection using a mould (including insertion of and removal of
mould) (AU 11)
$396.35
45448
Free grafting (split skin) to 1 defect, including elective dissection
on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not
being a service to which item 45442 or 45445 applies (AU 8)
$267.80
45451
Free grafting (full thickness) to 1 defect, excluding grafts for male
pattern baldness (AU 9)
$337.50
45500
Microvascular repair using microsurgical techniques, with restoration
of continuity of artery or vein of distal extremity or digit (AU 14)
$776.60
45502
Microvascular anastomosis of artery or vein using microsurgical
techniques, for reimplantation of limb or digit or free transfer of
tissue (AU 38)
$1,264.00
45503
Micro-arterial or micro-venous graft using microsurgical techniques
(AU 22)
$1,446.10
45506
Scar, of face or neck, not more than 3 cm in length, revision of,
where undertaken in the operating theatre of a hospital or approved
day-hospital facility, or where performed by a specialist in the
practice of his or her specialty (AU 8)
$156.60
45512
Scar, of face or neck, more than 3 cm in length, revision of, where
undertaken in the operating theatre of a hospital or approved
day-hospital facility, or where performed by a specialist in the
practice of his or her specialty (AU 9)
$210.60
45515
Scar, other than on face or neck, not more than 7 cm in length,
revision of, as an independent procedure, where undertaken in the
operating theatre of a hospital or approved day-hospital facility, or
where performed by a specialist in the practice of his or her specialty
(AU 10)
$132.85
45518
Scar, other than on face or neck, more than 7 cm in length, revision
of, as an independent procedure, where undertaken in the operating
theatre of a hospital or approved day-hospital facility, or where
performed by a specialist in the practice of his or her speciality (AU
12)
$160.70
45521
Mammaplasty, reduction (unilateral), with or without repositioning of
nipple (AU 10)
$641.30
45524
Mammaplasty, augmentation, for significant breast asymmetry where the
augmentation is limited to 1 breast (AU 10)
$528.20
45527
Mammaplasty, augmentation, (unilateral), following mastectomy (AU 9)
$528.20
45530
Breast reconstruction (unilateral), using a latissimus dorsi or other
large myocutaneous flap, including repair of secondary skin defect,
excluding repair of muscular aponeurotic layer (AU 20)
$782.50
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)
$886.80
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)
$326.05
45539
Breast reconstruction (unilateral), following mastectomy, using
tissue expansion-insertion of tissue expansion unit and all attendances
for subsequent expansion injections (AU 9)
$762.95
45542
Breast reconstruction (unilateral), following mastectomy, using
tissue expansion-removal of tissue expansion unit and insertion of
permanent prosthesis (AU 9)
$436.90
45545
Nipple or areola or both, reconstruction of by any technique (AU 10)
$443.40
45548
Breast prosthesis, removal of, as an independent procedure (AU 11)
$197.10
45551
Breast prosthesis, removal of, with complete excision of fibrous
capsule as an independent procedure (AU 10)
$316.00
45552
Breast prosthesis, removal of, with complete excision of fibrous
capsule and replacement of prosthesis (AU 13)
$454.90
45554
Breast prosthesis, replacement of, following medical complications
(such as rupture, migration of prosthetic material, or capsule
formation), where new pocket is formed, including excision of fibrous
capsule (AU 15)
$498.10
45560
Hair transplantation for the treatment of alopecia of congenital or
traumatic origin or due to disease, excluding male pattern baldness, not
being a service to which another item in this Group applies (AU 11)
$337.40
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)
$783.05
45566
Tissue expansion not being a service to which item 45539 or 45542
applies-insertion of tissue expansion unit and all attendances for
subsequent expansion injections (AU 10)
$762.95
45572
Intra-operative tissue expansion performed during an operation when
combined with a service to which another item in Group T8 applies
including expansion injections and excluding treatment of male pattern
baldness (AU 13)
$207.80
45575
Facial nerve paralysis, free fascia graft for (AU 12)
$513.00
45578
Facial nerve paralysis, muscle transfer for (AU 13)
$594.05
45581
Facial nerve palsy, excision of tissue for (AU 12)
$197.10
45584
Liposuction (suction assisted lipolysis) to 1 regional area (thigh,
buttock, or similar), for treatment of post-traumatic pseudolipoma (AU
13)
$449.90
45587
Meloplasty for correction of facial asymmetry due to soft tissue
abnormality where the meloplasty is limited to 1 side of the face (AU
14)
$634.55
45590
Orbital cavity, reconstruction of a wall or floor, with or without
foreign implant (AU 12)
$344.25
45593
Orbital cavity, bone or cartilage graft to orbital wall or floor
including reduction of prolapsed or entrapped orbital contents (AU 14)
$404.30
45596
Maxilla, total resection of (AU 29)
$641.30
45597
Maxilla, total resection of both maxillae (AU 30)
$858.45
45599
Mandible, total resection of both sides, including condylectomies
where performed (AU 35)
$667.10
45602
Mandible, including lower border, or maxilla, sub-total resection of
(AU 19)
$498.10
45605
Mandible or maxilla, segmental resection of, for tumours or cysts (AU
13)
$418.50
45608
Mandible, hemi-mandibular reconstruction with bone graft, not being a
service associated with a service to which item 45599 applies (AU 15)
$587.30
45611
Mandible, condylectomy (AU 11)
$337.50
45614
Eyelid, whole thickness reconstruction of, other than by direct
suture only (AU 10)
$418.50
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 1 of these conditions, the
restoration of symmetry of the contralateral upper eyelid (AU 7)
$167.40
45620
Lower eyelid, reduction of, for herniation of orbital fat in
exophthalmos, facial nerve palsy or post-traumatic scarring, or, in
respect of 1 of these conditions, the restoration of symmetry of the
contralateral lower eyelid (AU 8)
$232.20
45623
Ptosis of eyelid (unilateral), correction of (AU 12)
$553.50
45626
Ectropion or entropion, correction of (unilateral) (AU 9)
$232.20
45629
Symblepharon, grafting for (AU 8)
$337.50
45632
Rhinoplasty, correction of lateral or alar cartilages (AU 10)
$364.50
45635
Rhinoplasty, correction of bony vault only (AU 10)
$418.50
45638
Rhinoplasty, total, including correction of all bony and
cartilaginous elements of the external nose (AU 12)
$722.30
45641
Rhinoplasty involving nasal or septal cartilage graft (AU 14)
$771.25
45644
Rhinoplasty involving autogenous bone or cartilage graft obtained
from distant donor site, including obtaining of graft (AU 13)
$911.30
45647
Face, contour restoration of 1 region, using autogenous bone or
cartilage graft (not being a service to which item 45644 applies) (AU
18)
$910.50
45650
Rhinoplasty, secondary revision of (AU 10)
$105.30
45653
Rhinophyma, shaving of (AU 9)
$253.80
45656
Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear
or eyelid (AU 11)
$357.75
45659
Lop ear, bat ear or similar deformity, correction of (AU 8)
$371.25
45662
Congenital atresia, reconstruction of external auditory canal (AU 11)
$499.50
45665
Lip, eyelid or ear, full thickness wedge excision of, with repair by
direct sutures (AU 8)
$232.20
45668
Vermilionectomy (AU 8)
$232.20
45671
Lip or eyelid reconstruction using full thickness flap (Abbe or
similar), first stage (AU 11)
$594.05
45674
Lip or eyelid reconstruction using full thickness flap (Abbe or
similar), second stage (AU 4)
$172.80
45677
Cleft lip, unilateral-primary repair, 1 stage, without anterior
palate repair (AU 12)
$385.60
45680
Cleft lip, unilateral-primary repair, 1 stage, with anterior palate
repair (AU 14)
$482.05
45683
Cleft lip, bilateral-primary repair, 1 stage, without anterior palate
repair (AU 14)
$535.60
45686
Cleft lip, bilateral-primary repair, 1 stage, with anterior palate
repair (AU 16)
$632.00
45689
Cleft lip, lip adhesion procedure, unilateral or bilateral (AU 10)
$186.40
45692
Cleft lip, partial revision, including minor flap revision alignment
and adjustment, including revision of minor whistle deformity if
performed (AU 10)
$214.25
45695
Cleft lip, total revision, including major flap revision, muscle
reconstruction and revision of major whistle deformity (AU 12)
$348.15
45698
Cleft lip, primary columella lengthening procedure, bilateral (AU 10)
$326.70
45701
Cleft lip reconstruction using full thickness flap (Abbe or similar),
first stage (AU 12)
$589.15
45704
Cleft lip reconstruction using full thickness flap (Abbe or similar),
second stage (AU 8)
$214.25
45707
Cleft palate, primary repair (AU 14)
$557.00
45710
Cleft palate, secondary repair, closure of fistula using local flaps
(AU 13)
$348.15
45713
Cleft palate, secondary repair, lengthening procedure (AU 12)
$396.35
45716
Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty
for (AU 15)
$557.00
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)
$776.60
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)
$985.50
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)
$688.55
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)
$877.55
45731
Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the 1 jaw, including transposition of nerves and
vessels and bone grafts taken from the same site (AU 22)
$999.05
45734
Mandible or maxilla, osteotomies or osteectomies of, involving 2 such
procedures of each jaw, including transposition of nerves and vessels
and bone grafts taken from the same site (AU 26)
$1,147.55
45737
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of 1 jaw and 2 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)
$1,262.30
45740
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 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)
$1,377.05
45743
Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the 1 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)
$1,124.75
45746
Mandible or maxilla, osteotomies or osteectomies of, involving 2 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)
$1,290.75
45749
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of 1 jaw and 2 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)
$1,419.30
45752
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 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)
$1,542.50
45753
Midfacial osteotomies-Le Fort II, Modified Le Fort III (Nasomalar),
Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more
osteotomies of the midface including transposition of nerves and vessels
and bone grafts taken from the same site (AU 50)
$1,551.75
45754
Midfacial osteotomies-Le Fort II, Modified Le Fort III (Nasomalar),
Modified Le Fort III(Malar-Maxillary), Le Fort III involving 3 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)
$1,860.05
45755
Temporo-mandibular meniscectomy (AU 9)
$261.90
45758
Temporo-mandibular joint, arthroplasty (AU 6)
$468.70
45761
Genioplasty, including transposition of nerves and bone grafts taken
from the site (AU 10)
$533.25
45764
Genioplasty being a service associated with a service to which item
45719, 45722, 45725, 45728, 45731, 45734, 45743 or 45746 applies (AU 8)
$310.50
45767
Hypertelorism, correction of, intra-cranial (AU 47)
$1,788.85
45770
Hypertelorism, correction of, sub-cranial (AU 26)
$1,370.30
45773
Treacher Collins Syndrome, periorbital correction of, with rib and
iliac bone grafts (AU 30)
$1,248.80
45776
Orbital dystopia (unilateral), correction of, with total
repositioning of 1 orbit, intra-cranial (AU 35)
$1,248.80
45779
Orbital dystopia (unilateral), correction of, with total
repositioning of 1 orbit, extra-cranial (AU 18)
$918.05
45782
Fronto-orbital advancement, unilateral (AU 19)
$702.05
45785
Cranial vault reconstruction for oxycephaly, brachycephaly,
turricephaly or similar condition-(bilateral fronto-orbital advancement)
(AU 39)
$1,188.05
45788
Glenoid fossa, zygomatic arch and temporal bone, reconstruction of,
(Obwegeser technique) (AU 19)
$1,174.55
45791
Absent condyle and ascending ramus in hemifacial microsomia,
construction of, not including harvesting of graft material (AU 15)
$634.55
45794
Osseo-integration procedure, extra-oral, implantation of titanium
fixture (AU 20)
$358.85
45797
Osseo-integration procedure, fixation of transcutaneous abutment (AU
16)
$132.85
Subgroup 14-Hand Surgery
46300
Inter-phalangeal joint or metacarpophalangeal joint, arthrodesis of
(AU 9)
$241.05
46303
Carpometacarpal joint, arthrodesis of (AU 10)
$267.85
46306
Inter-phalangeal joint or metacarpophalangeal joint, interposition
arthroplasty of (including volar plate arthroplasty), and including
tendon transfers or realignment on the 1 ray (AU 10)
$375.00
46309
Inter-phalangeal joint or metacarpophalangeal joint, total
replacement arthroplasty of, including associated synovectomy, tendon
transfer or realignment-1 joint (AU 10)
$375.00
46312
Inter-phalangeal joint or metacarpophalangeal joint, total
replacement arthroplasty of, including associated synovectomy, tendon
transfer or realignment-2 joints (AU 11)
$482.15
46315
Inter-phalangeal joint or metacarpophalangeal joint, total
replacement arthroplasty of, including associated synovectomy, tendon
transfer or realignment-3 joints (AU 14)
$642.85
46318
Inter-phalangeal joint or metacarpophalangeal joint, total
replacement arthroplasty of, including associated synovectomy, tendon
transfer or realignment-4 joints (AU 15)
$803.55
46321
Inter-phalangeal joint or metacarpophalangeal joint, total
replacement arthroplasty of, including associated synovectomy, tendon
transfer or realignment-5 or more joints (AU 16)
$964.30
46324
Carpal bone replacement arthroplasty including associated tendon
transfer or realignment when performed (AU 15)
$541.05
46327
Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of
(AU 8)
$144.65
46330
Inter-phalangeal joint or metacarpophalangeal joint, arthrotmy of ,
with ligamentous or capsular repair (AU 9)
$246.45
46333
Inter-phalangeal joint or metacarpophalangeal joint, ligamentous
repair of, using free tissue graft or implant (AU 10)
$401.80
46336
Inter-phalangeal joint or metacarpophalangeal joint, synovectomy,
capsulectomy or debridement of, not being a service associated with any
other procedure related to that joint (AU 9)
$187.50
46339
Extensor tendons or flexor tendons of hand or wrist, synovectomy of
(AU 10)
$332.15
46342
Distal radioulnar joint or carpometacarpal joint or joints,
synovectomy of (AU 10)
$332.15
46345
Reconstruction of distal radioulnar joint (AU 11)
$401.80
46348
Digit, synovectomy of flexor tendon or tendons-1 digit (AU 9)
$174.10
46351
Digit, synovectomy of flexor tendon or tendons-2 digits (AU 11)
$259.80
46354
Digit, synovectomy of flexor tendon or tendons-3 digits (AU 12)
$348.20
46357
Digit, synovectomy of flexor tendon or tendons-4 digits (AU 14)
$433.95
46360
Digit, synovectomy of flexor tendon or tendons-5 digits (AU 15)
$522.30
46363
Tendon sheath of hand or wrist, open operation on, for stenosing
tendovaginitis (AU 7)
$145.70
46366
Dupuytren's contracture, subcutaneous fasciotomy for-1 hand (AU 7)
$91.05
46369
Dupuytren's contracture, palmar fasciectomy for-1 hand (AU 9)
$91.05
46372
Dupuytren's contracture, fasciectomy for, from 1 ray, including
dissection of nerves-1 hand (AU 10)
$304.80
46375
Dupuytren's contracture, fasciectomy for, from 2 rays, including
dissection of nerves-1 hand (AU 11)
$361.60
46378
Dupuytren's contracture, fasciectomy for, from 3 or more rays,
including dissection of nerves-1 hand (AU 14)
$482.15
46381
Inter-phalangeal joint, joint capsule release when performed in
conjunction with operation for Dupuytren's contracture-each procedure
(AU 7)
$214.30
46384
Z plasty (or similar local flap procedure) when performed in
conjunction with operation for Dupuytren's contracture-1 such procedure
(AU 7)
$214.30
46387
Dupuytren's contracture, fascietomy for, from 1 ray, including
dissection of nerves-operation for recurrence in that ray (AU 11)
$441.95
46390
Dupuytren's contracture, fasciectomy for, from 2 rays, including
dissection of nerves-operation for recurrence in those rays (AU 15)
$589.30
46393
Dupuytren's contracture, fasciectomy for, from 3 or more rays,
including dissection of nerves-operation for recurrence in those rays
(AU 17)
$683.05
46396
Phalanx or metacarpal of the hand, osteotomy or osteectomy of (AU 9)
$241.05
46399
Phalanx or metacarpal of the hand, osteotomy of, with internal
fixation (AU 11)
$294.65
46402
Phalanx or metacarpal, bone grafting of, for pseudarthrosis
(non-union), including obtaining of graft material (AU 12)
$294.65
46405
Phalanx or metacarpal, bone grafting of, for pseudarthrosis
(non-union), involving internal fixation and including obtaining of
graft material (AU 13)
$401.80
46408
Tendon, reconstruction of, by tendon graft (AU 14)
$492.85
46411
Flexor tendon pulley, reconstruction of, by graft (AU 10)
$289.30
46414
Artificial tendon prosthesis, insertion of in preparation for tendon
grafting (AU 11)
$374.90
46417
Tendon transfer for restoration of hand function, each transfer (AU
11)
$348.20
46420
Extensor tendon of hand or wrist, primary repair of, each tendon (AU
10)
$145.70
46423
Extensor tendon of hand or wrist, secondary repair of, each tendon
(AU 10)
$233.05
46426
Flexor tendon of hand or wrist, primary repair of, proximal to A1
pulley, each tendon (AU 10)
$241.05
46429
Flexor tendon of hand or wrist, secondary repair of, proximal to A1
pulley, each tendon (AU 11)
$294.65
46432
Flexor tendon of hand, primary repair of, distal to A1 pulley, each
tendon (AU 11)
$321.45
46435
Flexor tendon of hand, secondary repair of, distal to A1 pulley, each
tendon (AU 12)
$375.00
46438
Mallet finger, closed pin fixation of (AU 7)
$96.45
46441
Mallet finger, open repair of, including pin fixation when performed
(AU 9)
$233.05
46444
Boutonniere deformity without joint contracture, reconstruction of
(AU 10)
$348.20
46447
Boutonniere deformity with joint contracture, reconstruction of (AU
12)
$433.95
46450
Extensor tendon, tenolysis of, following tendon injury, repair or
graft (AU 8)
$160.70
46453
Flexor tendon, tenolysis of, following tendon injury, repair or graft
(AU 9)
$267.85
46456
Finger, percutaneous tenotomy of (AU 7)
$69.65
46459
Operation for osteomyelitis on distal phalanx (AU 9)
$133.95
46462
Operation for osteomyelitis on middle or proximal phalanx, metacarpal
or carpus (AU 10)
$214.30
46465
Amputation of single digit, proximal to nail bed, involving section
of bone or joint and requiring soft tissue cover (AU 8)
$160.70
46468
Amputation of 2 digits, proximal to nail bed, involving section of
bone or joint and requiring soft tissue cover (AU 10)
$281.25
46471
Amputation of 3 digits, proximal to nail bed, involving section of
bone or joint and requiring soft tissue cover (AU 13)
$401.80
46474
Amputation of 4 digits, proximal to nail bed, involving section of
bone or joint and requiring soft tissue cover (AU 15)
$522.30
46477
Amputation of 5 digits, proximal to nail bed, involving section of
bone or joint and requiring soft tissue cover (AU 16)
$642.85
46480
Amputation of single digit, proximal to nail bed, involving section
of bone or joint and requiring soft tissue cover, including metacarpal
(AU 10)
$267.85
46483
Revision of amputation stump to provide adequate soft tissue cover
(AU 9)
$214.30
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)
$160.70
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-hospital facility (AU 9)
$187.50
46492
Flexion contracture of hand or digit, correction of, involving
tissues deeper than skin and subcutaneous tissue (AU 9)
$241.05
46495
Ganglion or mucous cyst of distal digit, excision of, not being a
service associated with a service to which item 30106 or 30107 applies
(AU 9)
$144.65
46498
Ganglion of flexor tendon sheath, excision of, not being a service
associated with a service to which item 30106 or 30107 applies (AU 9)
$128.55
46501
Ganglion of volar or dorsal wrist joint, excision of, not being a
service associated with a service to which item 30106 or 30107 applies
(AU 10)
$187.50
46504
Neurovascular island flap, for pulp innervation (AU 19)
$787.50
46507
Digit, transposition of-complete procedure (AU 23)
$916.05
46510
Macrodactyly, surgical reduction of enlarged elements-each digit (AU
14)
$188.55
Subgroup 15-Orthopaedic
47000
Mandible, treatment of dislocation of, by closed reduction (AU 6)
$50.30
47003
Clavicle, treatment of dislocation of, by closed reduction (AU 6)
$60.35
47006
Clavicle, treatment of dislocation of, by open reduction (AU 9)
$121.30
47009
Shoulder, treatment of dislocation of, requiring general anaesthesia,
not being a service to which item 47012 applies (AU 6)
$120.70
47012
Shoulder, treatment of dislocation of, requiring general anaesthesia,
open reduction (AU 9)
$241.40
47015
Shoulder, treatment of dislocation of, not requiring general
anaesthesia
$60.35
47018
Elbow, treatment of dislocation of, by closed reduction (AU 6)
$140.80
47021
Elbow, treatment of dislocation of, by open reduction (AU 9)
$187.75
47024
Radioulnar joint, distal or proximal, treatment of dislocation of, by
closed reduction, not being a service associated with fracture or
dislocation in the same region (AU 6)
$140.80
47027
Radioulnar joint, distal or proximal, treatment of dislocation of, by
open reduction, not being a service associated with fracture or
dislocation in the same region (AU 9)
$187.75
47030
Carpus, or carpus on radius and ulna, or carpometacarpal joint,
treatment of dislocation of, by closed reduction (AU 6)
$140.80
47033
Carpus, or carpus on radius and ulna, or carpometacarpal joint,
treatment of dislocation of, by open reduction (AU 10)
$187.75
47036
Interphalangeal joint, treatment of dislocation of, by closed
reduction (AU 8)
$60.35
47039
Interphalangeal joint, treatment of dislocation of, by open reduction
(AU 8)
$80.45
47042
Metacarpophalangeal joint, treatment of dislocation of, by closed
reduction (AU 6)
$80.45
47045
Metacarpophalangeal joint, treatment of dislocation of, by open
reduction (AU 9)
$107.30
47048
Hip, treatment of dislocation of, by closed reduction (AU 6)
$231.35
47051
Hip, treatment of dislocation of, by open reduction (AU 11)
$308.45
47054
Knee, treatment of dislocation of, by closed reduction (AU 6)
$231.35
47057
Patella, treatment of dislocation of, by closed reduction (AU 6)
$90.50
47060
Patella, treatment of dislocation of, by open reduction (AU 10)
$120.70
47063
Ankle or tarsus, treatment of dislocation of, by closed reduction (AU
8)
$181.05
47066
Ankle or tarsus, treatment of dislocation of, by open reduction (AU
12)
$241.40
47069
Toe, treatment of dislocation of, by closed reduction (AU 5)
$50.30
47072
Toe, treatment of dislocation of, by open reduction (AU 7)
$67.05
47300
Distal phalanx of finger or thumb, treatment of fracture of, by
closed reduction, including percutaneous fixation where used (AU 6)
$60.35
47303
Distal phalanx of finger or thumb, treatment of intra-articular
fracture of, by closed reduction (AU 6)
$70.40
47306
Distal phalanx of finger or thumb, treatment of fracture of, by open
reduction (AU 8)
$80.45
47309
Distal phalanx of finger or thumb, treatment of intra-articular
fracture of, by open reduction (AU 8)
$100.60
47312
Middle phalanx of finger, treatment of fracture of, by closed
reduction (AU 6)
$90.50
47315
Middle phalanx of finger, treatment of intra-articular fracture of,
by closed reduction (AU 6)
$103.95
47318
Middle phalanx of finger, treatment of fracture of, by open reduction
(AU 8)
$120.70
47321
Middle phalanx of finger, treatment of intra-articular fracture of,
by open reduction (AU 8)
$150.85
47324
Proximal phalanx of finger or thumb, treatment of fracture of, by
closed reduction (AU 6)
$120.70
47327
Proximal phalanx of finger or thumb, treatment of intra-articular
fracture of, by closed reduction (AU 6)
$140.80
47330
Proximal phalanx of finger or thumb, treatment of fracture of, by
open reduction (AU 8)
$160.95
47333
Proximal phalanx of finger or thumb, treatment of intra-articular
fracture of, by open reduction (AU 8)
$201.15
47336
Metacarpal, treatment of fracture of, by closed reduction (AU 6)
$120.70
47339
Metacarpal, treatment of intra-articular fracture of, by closed
reduction (AU 6)
$140.80
47342
Metacarpal, treatment of fracture of, by open reduction (AU 10)
$160.95
47345
Metacarpal, treatment of intra-articular fracture of, by open
reduction (AU 10)
$201.15
47348
Carpus (excluding scaphoid), treatment of fracture of, not being a
service to which item 47351 applies (AU 6)
$67.05
47351
Carpus (excluding scaphoid), treatment of fracture of, by open
reduction (AU 11)
$167.65
47354
Carpal scaphoid, treatment of fracture of, not being a service to
which item 47357 applies (AU 6)
$120.70
47357
Carpal scaphoid, treatment of fracture of, by open reduction (AU 12)
$268.20
47360
Radius or ulna, distal end of, treatment of fracture of, by cast
immobilisation, not being a service to which item 47363 or 47366 applies
(AU 6)
$93.90
47363
Radius or ulna, distal end of, treatment of fracture of, by closed
reduction (AU 6)
$140.80
47366
Radius or ulna, distal end of, treatment of fracture of, by open
reduction (AU 11)
$187.75
47369
Radius, distal end of, treatment of Colles', Smith's or Barton's
fracture of, by cast immobilisation, not being a service to which item
47372 or 47375 applies (AU 6)
$120.70
47372
Radius, distal end of, treatment of Colles', Smith's or Barton's
fracture, by closed reduction (AU 6)
$201.15
47375
Radius, distal end of, treatment of Colles', Smith's or Barton's
fracture, by open reduction (AU 11)
$268.20
47378
Radius or ulna, shaft of, treatment of fracture of, by cast
immobilisation, not being a service to which item 47381, 47384, 47385 or
47386 applies (AU 6)
$120.70
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)
$181.05
47384
Radius or ulna, shaft of, treatment of fracture of, by open reduction
(AU 11)
$241.40
47385
Radius or ulna, shaft of, treatment of fracture of, in conjunction
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)
$207.85
47386
Radius or ulna, shaft of, treatment of fracture of, in conjunction
with dislocation of distal radio-ulnar joint or proximal radio-humeral
joint (Galeazzi or Monteggia injury), by open reduction or internal
fixation (AU 12)
$335.25
47387
Radius and ulna, shafts of, treatment of fracture of, by cast
immobilisation, not being a service to which item 47390 or 47393 applies
(AU 6)
$194.45
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)
$291.70
47393
Radius and ulna, shafts of, treatment of fracture of, by open
reduction (AU 11)
$388.90
47396
Olecranon, treatment of fracture of, not being a service to which
item 47399 applies (AU 7)
$134.10
47399
Olecranon, treatment of fracture of, by open reduction (AU 12)
$268.20
47402
Olecranon, treatment of fracture of, involving excision of olecranon
fragment and reimplantation of tendon (AU 11)
$201.15
47405
Radius, treatment of fracture of head or neck of, closed management
of (AU 6)
$134.10
47408
Radius, treatment of fracture of head or neck of, open management of,
including internal fixation and excision where performed (AU 12)
$268.20
47411
Humerus, treatment of fracture of tuberosity of, not being a service
to which item 47417 applies (AU 6)
$80.45
47414
Humerus, treatment of fracture of tuberosity of, by open reduction
(AU 11)
$160.95
47417
Humerus, treatment of fracture of tuberosity of, and associated
dislocation of shoulder, by closed reduction (AU 8)
$187.75
47420
Humerus, treatment of fracture of tuberosity of, and associated
dislocation of shoulder, by open reduction (AU 15)
$368.80
47423
Humerus, proximal, treatment of fracture of, not being a service to
which item 47426, 47429 or 47432 applies (AU 8)
$154.20
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)
$231.35
47429
Humerus, proximal, treatment of fracture of, by open reduction (AU
15)
$308.45
47432
Humerus, proximal, treatment of intra-articular fracture of, by open
reduction (AU 17)
$385.55
47435
Humerus, proximal, treatment of fracture of, and associated
dislocation of shoulder, by closed reduction (AU 9)
$295.05
47438
Humerus, proximal, treatment of fracture of, and associated
dislocation of shoulder, by open reduction (AU 17)
$469.40
47441
Humerus, proximal, treatment of intra-articular fracture of, and
associated dislocation of shoulder, by open reduction (AU 17)
$586.70
47444
Humerus, shaft of, treatment of fracture of, not being a service to
which item 47447 or 47450 applies (AU 8)
$160.95
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)
$241.40
47450
Humerus, shaft of, treatment of fracture of, by open reduction (AU
15)
$321.85
47453
Humerus, distal, (supracondylar or condylar), treatment of fracture
of, not being a service to which item 47456 or 47459 applies (AU 8)
$187.75
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)
$281.65
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)
$375.50
47462
Clavicle, treatment of fracture of, not being a service to which item
47465 applies (AU 7)
$80.45
47465
Clavicle, treatment of fracture of, by open reduction (AU 13)
$160.95
47466
Sternum, treatment of fracture of, not being a service to which item
47467 applies (AU 7)
$80.45
47467
Sternum, treatment of fracture of, by open reduction (AU 13)
$160.95
47468
Scapula, neck or glenoid region of, treatment of fracture of, by open
reduction (AU 15)
$308.45
47471
Ribs (1 or more), treatment of fracture of-each attendance
$30.55
47474
Pelvic ring, treatment of fracture of, not involving disrupting
pelvic ring or acetabulum
$134.10
47477
Pelvic ring, treatment of fracture of, with disrupting pelvic ring or
acetabulum
$167.65
47480
Pelvic ring, treatment of fracture of, requiring traction (AU 7)
$335.25
47483
Pelvic ring, treatment of fracture of, requiring control by external
fixation (AU 12)
$402.30
47486
Pelvic ring, treatment of fracture of, by open reduction and
involving internal fixation of anterior segment, including diastasis of
pubic symphysis (AU 20)
$670.55
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)
$1,005.80
47492
Acetabulum, treatment of fracture of, and associated dislocation of
hip (AU 7)
$167.65
47495
Acetabulum, treatment of fracture of, and associated dislocation of
hip, requiring traction (AU 8)
$335.25
47498
Acetabulum, treatment of fracture of, and associated dislocation of
hip, requiring internal fixation, with or without traction (AU 16)
$502.90
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)
$670.55
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)
$1,005.80
47507
Acetabulum, treatment of transverse fracture of, by open reduction
and internal fixation, including any osteotomy, osteectomy or
capsulotomy required for exposure and subsequent repair (AU 24)
$1,005.80
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)
$1,005.80
47513
Sacro-iliac joint disruption, treatment of, requiring internal
fixation, being a service associated with a service to which items 47501
to 47510 apply (AU 18)
$268.20
47516
Femur, treatment of fracture of, by closed reduction or traction (AU
8)
$308.45
47519
Femur, treatment of trochanteric or subcapital fracture of, by
internal fixation (AU 14)
$616.90
47522
Femur, treatment of subcapital fracture of, by hemi-arthroplasty (AU
13)
$536.45
47525
Femur, treatment of fracture of, for slipped capital femoral
epiphysis (AU 13)
$616.90
47528
Femur, treatment of fracture of, by internal fixation or external
fixation (AU 14)
$536.45
47531
Femur, treatment of fracture of shaft, by internal fixation and cross
fixation (AU 15)
$683.95
47534
Femur, condylar region of, treatment of intra-articular (T-shaped
condylar) fracture of, requiring internal fixation, with or without
internal fixation of 1 or more osteochondral fragments (AU 20)
$771.10
47537
Femur, condylar region of, treatment of fracture of, requiring
internal fixation of 1 or more osteochondral fragments, not being a
service associated with a service to which item 47534 applies (AU 14)
$308.45
47540
Hip spica or shoulder spica, application of, as an independent
procedure (AU 9)
$154.20
47543
Tibia, plateau of, treatment of medial or lateral fracture of, not
being a service to which item 47546 or 47549 applies (AU 8)
$160.95
47546
Tibia, plateau of, treatment of medial or lateral fracture of, by
closed reduction (AU 8)
$241.40
47549
Tibia, plateau of, treatment of medial or lateral fracture of, by
open reduction (AU 13)
$321.85
47552
Tibia, plateau of, treatment of both medial and lateral fractures of,
not being a service to which item 47555 or 47558 applies (AU 12)
$268.20
47555
Tibia, plateau of, treatment of both medial and lateral fractures of,
by closed reduction (AU 8)
$402.30
47558
Tibia, plateau of, treatment of both medial and lateral fractures of,
by open reduction (AU 13)
$536.45
47561
Tibia, shaft of, treatment of fracture of, by cast immobilisation,
not being a service to which item 47564, 47567, 47570 or 47573 applies
(AU 10)
$194.45
47564
Tibia, shaft of, treatment of fracture of, by closed reduction, with
or without treatment of fibular fracture (AU 8)
$291.70
47567
Tibia, shaft of, treatment of intra-articular fracture of, by closed
reduction, with or without treatment of fibular fracture (AU 8)
$338.60
47570
Tibia, shaft of, treatment of fracture of, by open reduction, with or
without treatment of fibular fracture (AU 12)
$388.90
47573
Tibia, shaft of, treatment of intra-articular fracture of, by open
reduction, with or without treatment of fibular fracture (AU 15)
$486.15
47576
Fibula, treatment of fracture of (AU 6)
$80.45
47579
Patella, treatment of fracture of, not being a service to which item
47582 or 47585 applies (AU 6)
$114.00
47582
Patella, treatment of fracture of, by excision of patella or pole
with reattachment of tendon (AU 10)
$234.70
47585
Patella, treatment of fracture of, by internal fixation (AU 12)
$301.75
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 1 or more ligaments
(AU 19)
$938.75
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 1 or more ligaments
(AU 23)
$1,139.90
47594
Ankle joint, treatment of fracture of, not being a service to which
item 47597 applies (AU 8)
$154.20
47597
Ankle joint, treatment of fracture of, by closed reduction (AU 8)
$231.35
47600
Ankle joint, treatment of fracture of, by internal fixation of 1 of
malleolus, fibula or diastasis (AU 10)
$308.45
47603
Ankle joint, treatment of fracture of, by internal fixation of more
than 1 of malleolus, fibula or diastasis (AU 12)
$402.30
47606
Calcaneum or talus, treatment of fracture of, not being a service to
which item 47609, 47612, 47615 or 47618 applies, with or without
dislocation (AU 8)
$167.65
47609
Calcaneum or talus, treatment of fracture of, by closed reduction,
with or without dislocation (AU 9)
$251.45
47612
Calcaneum or talus, treatment of intra-articular fracture of, by
closed reduction, with or without dislocation (AU 9)
$291.70
47615
Calcaneum or talus, treatment of fracture of, by open reduction, with
or without dislocation (AU 12)
$335.25
47618
Calcaneum or talus, treatment of intra-articular fracture of, by open
reduction, with or without dislocation (AU 13)
$419.10
47621
Tarso-metatarsal, treatment of intra-articular fracture of, by closed
reduction, with or without dislocation (AU 9)
$291.70
47624
Tarso-metatarsal, treatment of fracture of, by open reduction, with
or without dislocation (AU 14)
$402.30
47627
Tarsus (excluding calcaneum or talus), treatment of fracture of (AU
8)
$114.00
47630
Tarsus (excluding calcaneum or talus), treatment of fracture of, by
open reduction, with or without dislocation (AU 13)
$241.40
47633
Metatarsal, 1 of, treatment of fracture of (AU 6)
$80.45
47636
Metatarsal, 1 of, treatment of fracture of, by closed reduction (AU
6)
$120.70
47639
Metatarsal, 1 of, treatment of fracture of, by open reduction (AU 8)
$160.95
47642
Metatarsals, 2 of, treatment of fracture of (AU 7)
$107.30
47645
Metatarsals, 2 of, treatment of fracture of, by closed reduction (AU
7)
$160.95
47648
Metatarsals, 2 of, treatment of fracture of, by open reduction (AU
11)
$214.55
47651
Metatarsals, 3 or more of, treatment of fracture of (AU 8)
$167.65
47654
Metatarsals, 3 or more of, treatment of fracture of, by closed
reduction (AU 8)
$251.45
47657
Metatarsals, 3 or more of, treatment of fracture of, by open
reduction (AU 10)
$335.25
47663
Phalanx of great toe, treatment of fracture of, by closed reduction
(AU 7)
$100.60
47666
Phalanx of great toe, treatment of fracture of, by open reduction (AU
9)
$167.65
47672
Phalanx of toe (other than great toe), 1 of, treatment of fracture
of, by open reduction (AU 8)
$80.45
47678
Phalanx of toe (other than great toe), more than 1 of, treatment of
fracture of, by open reduction (AU 11)
$120.70
47681
Spine (excluding sacrum), treatment of fracture of transverse
process, vertebral body, or posterior elements-each attendance
$30.55
47684
Spine, treatment of fracture, dislocation or fracture-dislocation,
without spinal cord involvement, including immobilisation by calipers
(AU 9)
$536.45
47687
Spine, treatment of fracture, dislocation or fracture-dislocation,
with spinal cord involvement, including immobilisation by calipers, and
including up to 14 days' post-operative care
$938.75
47690
Spine, treatment of fracture, dislocation or fracture-dislocation,
without cord involvement, including immobilisation by calipers,
requiring reduction by closed manipulation (AU 9)
$737.60
47693
Spine, treatment of fracture, dislocation or fracture-dislocation,
with cord involvement, including immobilisation by calipers, requiring
reduction by closed manipulation, including up to 14 days'
post-operative care
$938.75
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)
$268.20
47699
Spine, treatment of fracture, dislocation or fracture-dislocation
without cord involvement requiring open reduction with or without
internal fixation (AU 18)
$1,072.85
47702
Spine, treatment of fracture, dislocation or fracture-dislocation
with cord involvement requiring open reduction with or without internal
fixation, including up to 14 days' post-operative care (AU 18)
$1,341.10
47703
Skull, treatment of fracture of, each attendance
$30.55
47705
Skull calipers, insertion of, as an independent procedure (AU 8)
$201.15
47708
Plaster jacket, application of, as an independent procedure (AU 8)
$154.20
47711
Halo, application of, as an independent procedure (AU 8)
$228.00
47714
Halo, application of, in addition to spinal fusion for scoliosis, or
other conditions (AU 8)
$171.00
47717
Halo-thoracic traction-application of both halo and thoracic jacket
(AU 11)
$301.75
47720
Halo-femoral traction, as an independent procedure (AU 10)
$301.75
47723
Halo-femoral traction in conjunction with a major spine operation (AU
12)
$301.75
47726
Bone graft, harvesting of, via separate incision, in conjunction with
another service-autogenous-small quantity (AU 7)
$100.60
47729
Bone graft, harvesting of, via separate incision, in conjunction with
another service-autogenous-large quantity (AU 7)
$167.65
47732
Vascularised pedicle bone graft, harvesting of, in conjunction with
another service (AU 8)
$268.20
47735
Nasal bones, treatment of fracture of, not being a service to which
item 47738 or 47741 applies
$30.55
47738
Nasal bones, treatment of fracture of, by reduction (AU 8)
$167.65
47741
Nasal bones, treatment of fracture of, by open reduction involving
osteotomies (AU 12)
$342.00
47753
Maxilla, treatment of fracture of, requiring splinting, wiring of
teeth, circumosseous fixation or external fixation (AU 14)
$289.60
47756
Mandible, treatment of fracture of, requiring splinting, wiring of
teeth, circumosseous fixation or external fixation (AU 14)
$289.60
47762
Zygomatic bone, treatment of fracture of, requiring surgical
reduction by a temporal, intra-oral or other approach (AU 7)
$169.60
47765
Zygomatic bone, treatment of fracture of, requiring surgical
reduction and involving internal or external fixation at 1 site (AU 9)
$279.25
47768
Zygomatic bone, treatment of fracture of, requiring surgical
reduction and involving internal or external fixation, or both at 2
sites (AU 10)
$341.30
47771
Zygomatic bone, treatment of fracture of, requiring surgical
reduction and involving internal or external fixation, or both at 3
sites (AU 11)
$393.00
47774
Maxilla, treatment of fracture of, requiring open operation (AU 7)
$310.30
47777
Mandible, treatment of fracture of, requiring open reduction (AU 7)
$310.30
47780
Maxilla, treatment of fracture of, requiring open reduction and
internal fixation not involving plate(s) (AU 9)
$403.35
47783
Mandible, treatment of fracture of, requiring open reduction and
internal fixation not involving plate(s) (AU 9)
$403.35
47786
Maxilla, treatment of fracture of, requiring open reduction and
internal fixation involving plate(s) (AU 11)
$511.95
47789
Mandible, treatment of fracture of, requiring open reduction and
internal fixation involving plate(s) (AU 11)
$511.95
47900
Bone cyst, injection into or aspiration of (AU 8)
$120.70
47903
Epicondylitis, open operation for (AU 8)
$167.65
47904
Digital nail, removal of, not being a service to which item 47906
applies (AU 5)
$40.25
47906
Digital nail, removal of, in the operating theatre of a hospital or
approved day-hospital facility (AU 5)
$80.45
47909
Middle palmar, thenar or hypothenar spaces, drainage of (excluding
aftercare) (AU 6)
$100.60
47912
Pulp space infection, paronychia of hands or feet, incision for, not
being a service to which another item in this Group applies (excluding
after-care) (AU 5)
$40.25
47915
Ingrowing nail of finger or toe, wedge resection for, including
removal of segment of nail, ungual fold and portion of the nail bed (AU
6)
$120.70
47916
Ingrowing nail of finger or toe, partial resection of nail, including
phenolisation but not including excision of nail bed (AU 5)
$60.65
47918
Ingrowing toenail, radical excision of nailbed (AU 6)
$167.65
47921
Orthopaedic pin or wire, insertion of, as an independent procedure
(AU 6)
$80.45
47924
Buried wire, pin or screw, 1 or more of, which were inserted for
internal fixation purposes, removal of requiring incision and suture,
not being a service to which item 47927 or 47930 applies-per bone (AU 6)
$26.80
47927
Buried wire, pin or screw, 1 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)
$100.60
47930
Plate, rod or nail and associated wires, pins or screws, 1 or more
of, all of which were inserted for internal fixation purposes, removal
of, not being a service associated with a service to which item 47924 or
47927 applies-per bone (AU 8)
$187.75
47933
Exostosis of small bone, excision of, including simple removal of
bunion and any associated bursa (AU 6)
$147.50
47936
Exostosis of large bone, excision of (AU 7)
$181.05
47939
Limb lengthening (first stage) osteotomy for, including application
of distracting apparatus (AU 12)
$569.95
47942
Limb lengthening (second stage) internal fixation with bone grafting,
including removal of distracting apparatus (AU 12)
$569.95
47943
Limb lengthening requiring slow distraction and application of ring
fixator, not being a service to which item 47939 applies (AU 26)
$909.80
47945
Distracting apparatus, removal of, without internal fixation (AU 6)
$167.65
47948
External fixation, removal of, in the operating theatre of a hospital
or approved day hospital facility (AU 6)
$114.00
47951
External fixation, removal of, in conjunction with operations
involving internal fixation or bone grafting or both (AU 7)
$134.10
47954
Tendon, large rupture, repair of, not being a service to which
another item in this Group applies (AU 10)
$268.20
47957
Tendon, large, lengthening of, not being a service to which another
item in this Group applies (AU 9)
$201.15
47960
Tenotomy, subcutaneous, not being a service to which another item in
this Group applies (AU 4)
$93.90
47963
Tenotomy, open, with or without tenoplasty, not being a service to
which another item in this Group applies (AU 7)
$154.20
47966
Tendon or ligament transfer, not being a service to which another
item in this Group applies (AU 9)
$308.45
47969
Tenosynovectomy, not being a service to which another item in this
Group applies (AU 8)
$187.75
47972
Tendon sheath, open operation for teno-vaginitis, not being a service
to which another item in this Group applies (AU 8)
$167.65
47975
Forearm or calf, decompression fasciotomy of, for acute compartment
syndrome, requiring excision of muscle and deep tissue (AU 9)
$262.85
47978
Forearm or calf, decompression fasciotomy of, for chronic compartment
syndrome, requiring excision of muscle and deep tissue (AU 7)
$159.70
47981
Forearm, calf or interosseous muscle space of hand, decompression
fasciotomy of, not being a service to which another item applies (AU 5)
$107.15
48200
Femur, bone graft to (AU 12)
$536.45
48203
Femur, bone graft to, with internal fixation (AU 14)
$650.40
48206
Tibia, bone graft to (AU 10)
$402.70
48209
Tibia, bone graft to, with internal fixation (AU 12)
$516.30
48212
Humerus, bone graft to (AU 10)
$402.30
48215
Humerus, bone graft to, with internal fixation (AU 12)
$516.30
48218
Radius or ulna, bone graft to (AU 10)
$402.30
48221
Radius and ulna, bone graft to, with internal fixation of 1 or both
bones (AU 12)
$536.45
48224
Radius or ulna, bone graft to (AU 10)
$268.20
48227
Radius or ulna, bone graft to, with internal fixation of 1 or both
bones (AU 11)
$348.70
48230
Scaphoid, bone graft to, for non-union (AU 10)
$301.75
48233
Scaphoid, bone graft to, for non-union, with internal fixation (AU
10)
$435.85
48236
Scaphoid, bone graft to, for mal-union, including osteotomy, bone
graft and internal fixation (AU 11)
$569.95
48239
Bone graft, not being a service to which another item in this Group
applies (AU 10)
$315.15
48242
Bone graft, with internal fixation, not being a service to which
another item in this Group applies (AU 11)
$435.85
48400
Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or
osteectomy of, excluding services to which item 49848 or 49851 applies
(AU 7)
$234.70
48403
Phalanx or metatarsal, osteotomy or osteectomy of, with internal
fixation (AU 8)
$368.80
48406
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib,
tarsus or carpus, osteotomy or osteectomy of (AU 9)
$234.70
48409
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib,
tarsus or carpus, osteotomy or osteectomy, with internal fixation (AU
10)
$368.80
48412
Humerus, osteotomy or osteectomy of (AU 11)
$449.25
48415
Humerus, osteotomy or osteectomy of, with internal fixation (AU 12)
$569.95
48418
Tibia, osteotomy or osteectomy of (AU 9)
$449.25
48421
Tibia, osteotomy or osteectomy of, with internal fixation (AU 12)
$569.95
48424
Femur or pelvis, osteotomy or osteectomy of (AU 15)
$536.45
48427
Femur or pelvis, osteotomy or osteectomy of, with internal fixation
(AU 17)
$650.40
48500
Femur, epiphysiodesis of (AU 11)
$234.70
48503
Tibia and fibula, epiphysiodesis of (AU 11)
$234.70
48506
Femur, tibia and fibula, epiphysiodesis of (AU 15)
$348.70
48509
Epiphysiodesis, staple arrest of hemi-epiphysis (AU 10)
$167.65
48512
Epiphysiolysis, operation to prevent closure of plate (AU 15)
$637.00
48600
Spine, manipulation of, performed in the operating theatre of a
hospital or approved day-hospital facility (AU 6)
$67.05
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 being a service associated with a service to which item 48600 or
50115 applies (AU 6)
$100.60
48606
Scoliosis or Kyphosis, spinal fusion for (without instrumentation)
(AU 24)
$938.75
48609
Scoliosis or Kyphosis, spinal fusion for, using Harrington or other
nonsegmental fixation (AU 24)
$1,173.45
48612
Scoliosis, spinal fusion for, using segmental instrumentation (C D,
Zielke, Luque, or similar) (AU 30)
$1,743.40
48615
Scoliosis, re-exploration for, involving adjustment or removal of
instrumentation or simple bone grafting procedure (AU 14)
$315.15
48618
Scoliosis, revision of failed scoliosis surgery, involving more than
1 of multiple osteotomy, fusion or instrumentation (AU 26)
$1,743.40
48621
Scoliosis, anterior correction of, with fusion and segmental fixation
(Dwyer, Zielke, or similar)-not more than 4 levels (AU 26)
$1,139.90
48624
Scoliosis, anterior correction of, with fusion and segmental fixation
(Dwyer, Zielke or similar)-more than 4 levels (AU 30)
$1,408.15
48627
Scoliosis, spinal fusion for, combined with segmental instrumentation
(C D, Zielke or similar) down to and including pelvis (AU 30)
$1,810.45
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)
$2,011.60
48632
Scoliosis, congenital, vertebral resection and fusion for (AU 30)
$1,112.00
48636
Percutaneous lumbar discectomy, 1 or more levels (AU 9)
$576.65
48639
Vertebral body, total or sub-total excision of, including bone
grafting or other form of fixation (AU 28)
$972.30
48642
Spine, posterior, bone graft to, not being a service to which item
48648 or 48651 applies-1 or 2 levels (AU 16)
$569.95
48645
Spine, posterior, bone graft to, not being a service to which item
48648 or 48651 applies-more than 2 levels (AU 18)
$771.10
48648
Spine, bone graft to, (postero-lateral fusion)-1 or 2 levels (AU 16)
$771.10
48651
Spine, bone graft to, (postero-lateral fusion)-more than 2 levels (AU
18)
$1,072.85
48654
Spinal fusion (posterior interbody), with laminectomy, 1 level (AU
18)
$771.10
48657
Spinal fusion (posterior interbody), with laminectomy, more than 1
level (AU 21)
$1,072.85
48660
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-1 level (AU 18)
$771.10
48663
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-1 level (where an assisting surgeon performs the approach)
principal surgeon (AU 18)
$576.65
48666
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-1 level (where an assisting surgeon performs the approach)
assisting surgeon
$348.70
48669
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-more than 1 level (AU 20)
$1,039.35
48672
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-more than 1 level (where an assisting surgeon performs the
approach)-principal surgeon (AU 20)
$777.85
48675
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar
regions-more than 1 level (where an assisting surgeon performs the
approach)-assisting surgeon
$469.40
48678
Spine, simple internal fixation of, involving 1 or more of facetal
screw, wire loop or similar, being a service associated with a service
to which items 48642 to 48675 apply (AU 16)
$402.30
48681
Spine, non-segmental internal fixation of (Harrington or similar),
other than for scoliosis, being a service associated with a service to
which any one of items 48642 to 48675 applies (AU 16)
$670.55
48684
Spine, segmental internal fixation of, other than for scoliosis,
being a service associated with a service to which any one of items
48642 to 48675 applies-1 or 2 levels (AU 16)
$670.55
48687
Spine, segmental internal fixation of, other than for scoliosis,
being a service associated with a service to which any one of items
48642 to 48675 applies-3 or 4 levels (AU 20)
$938.75
48690
Spine, segmental internal fixation of, other than for scoliosis,
being a service associated with a service to which any one of items
48642 to 48675 applies-more than 4 levels (AU 22)
$1,072.85
48900
Shoulder, excision of coraco-acromial ligament or removal of calcium
deposit from cuff or both (AU 10)
$201.15
48903
Shoulder, decompression of subacromial space by acromionectomy,
excision of coraco-acromial ligament and distal clavicle, or any
combination (AU 14)
$402.30
48906
Shoulder, repair of rotator cuff, including excision of
coraco-acromial ligament or removal of calcium deposit from cuff, or
both-not being a service associated with a service to which item 48900
applies (AU 14)
$402.30
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 being a service
associated with a service to which item 48903 applies (AU 15)
$536.45
48912
Shoulder, arthrotomy of (AU 9)
$234.70
48915
Shoulder, hemi-arthroplasty of (AU 14)
$536.45
48918
Shoulder, total replacement arthroplasty of, including any associated
rotator cuff repair (AU 17)
$1,072.85
48921
Shoulder, total replacement arthroplasty, revision of (AU 17)
$1,106.40
48924
Shoulder, total replacement arthroplasty, revision of, requiring bone
graft to scapula or humerus, or both (AU 23)
$1,274.05
48927
Shoulder prosthesis, removal of (AU 10)
$261.50
48930
Shoulder, anterior stabilisation procedure for recurrent dislocation
(AU 13)
$536.45
48933
Shoulder, stabilisation procedure for multi-directional instability
(AU 15)
$704.05
48936
Shoulder, synovectomy of, as an independent procedure (AU 12)
$536.45
48939
Shoulder, arthrodesis of (AU 16)
$771.10
48942
Shoulder, arthrodesis of, including removal of prosthesis, requiring
bone grafting or internal fixation (AU 18)
$1,005.80
48945
Shoulder, diagnostic arthroscopy of (including biopsy)-not being a
service associated with any other arthroscopic procedure of the shoulder
region (AU 7)
$194.45
48948
Shoulder, arthroscopic surgery of, involving any 1 or more of:
removal of loose bodies; debridement of labrum, synovium or rotator
cuff; or chondroplasty-not being a service associated with any other
arthroscopic procedure of the shoulder region (AU 12)
$435.85
48951
Shoulder, arthroscopic division of coraco-acromial ligament including
acromionplasty-not being a service associated with any other
arthroscopic procedure of the shoulder region (AU 12)
$637.00
48954
Shoulder, arthroscopic total synovectomy of-not being a service
associated with any other arthroscopic procedure of the shoulder region
(AU 12)
$670.55
48957
Shoulder, arthroscopic stabilisation of, for recurrent
instability-not being a service associated with any other arthroscopic
procedure of the shoulder region (AU 14)
$771.10
48960
Shoulder, arthroscopic reconstruction of, including repair of rotator
cuff-not being a service associated with any other arthroscopic
procedure of the shoulder region (AU 14)
$670.55
49100
Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose
body or division of contracture (AU 11)
$234.70
49103
Elbow, ligamentous stabilisation of (AU 11)
$502.90
49106
Elbow, arthrodesis of (AU 13)
$670.55
49109
Elbow, total synovectomy of (AU 13)
$502.90
49112
Elbow, silastic or other replacement of radial head (AU 13)
$502.90
49115
Elbow, total joint replacement of (AU 19)
$804.65
49118
Elbow, diagnostic arthroscopy of, including biopsy (AU 7)
$194.45
49121
Elbow, arthroscopic surgery involving any 1 or more of drilling of
defect, removal of loose body or chondroplasty-not being a service
associated with any other arthroscopic procedure of the elbow joint (AU
10)
$435.85
49200
Wrist, arthrodesis of, including bone graft, with or without internal
fixation of the radiocarpal joint (AU 12)
$583.35
49203
Wrist, limited arthrodesis of the intercarpal joint, including bone
graft (AU 12)
$435.85
49206
Wrist, excision arthroplasty of, with radial styloidectomy and
proximal carpectomy (AU 12)
$402.30
49209
Wrist, total replacement arthroplasty of (AU 18)
$536.45
49212
Wrist, arthrotomy of (AU 10)
$167.65
49215
Wrist, reconstruction of, including repair of single or multiple
ligaments or capsules, including associated arthrotomy (AU 12)
$462.65
49218
Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal
joints, or both (including biopsy)-not being a service associated with
any other arthroscopic procedure of the wrist joint (AU 7)
$194.45
49221
Wrist, arthroscopic surgery of, involving any 1 or more of drilling
of defect, removal of loose body, local synovectomy or debridement-not
being a service associated with any other arthroscopic procedure of the
wrist joint (AU 2)
$435.85
49224
Wrist, arthroscopic debridement of or total synovectomy of-not being
a service associated with any other arthroscopic procedure of the wrist
joint (AU 12)
$502.90
49227
Wrist, arthroscopic pinning of osteochondral fragment-not being a
service associated with any other arthroscopic procedure of the wrist
joint (AU 12)
$502.90
49300
Sacro-iliac joint-arthrodesis of (AU 16)
$371.25
49303
Hip, arthrotomy of, including lavage, drainage or biopsy when
performed (AU 11)
$388.90
49306
Hip, arthrodesis of (AU 20)
$771.10
49309
Hip, arthectomy or excision arthroplasty of, including removal of
prosthesis (Austin Moore or similar (non cement)) (AU 16)
$536.45
49312
Hip, arthrectomy or excision arthroplasty of, including removal of
prosthesis (cemented, porous coated or similar) (AU 16)
$670.55
49315
Hip, arthroplasty of, unipolar or bipolar (AU 13)
$603.50
49318
Hip, total replacement arthroplasty of, including minor bone grafting
(AU 18)
$938.75
49321
Hip, total replacement arthroplasty of, including major bone
grafting, including obtaining of graft (AU 20)
$1,139.90
49324
Hip, total replacement arthroplasty of, revision procedure including
removal of prosthesis (AU 22)
$1,341.10
49327
Hip, total replacement arthroplasty of, revision procedure requiring
bone grafting to acetabulum, including obtaining of graft (AU 22)
$1,542.25
49330
Hip, total replacement arthroplasty of, revision procedure requiring
bone grafting to femur, including obtaining of graft (AU 22)
$1,542.25
49333
Hip, total replacement arthroplasty of, revision procedure requiring
bone grafting to both acetabulum and femur, including obtaining of graft
(AU 24)
$1,743.40
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), being a service associated with a
service to which items 49324 to 49333 apply (AU 22)
$254.80
49339
Hip, revision total replacement of, requiring anatomic specific
allograft of proximal femur greater than 5 cm in length (AU 24)
$1,978.10
49342
Hip, revision total replacement of, requiring anatomic specific
allograft of acetabulum (AU 24)
$1,978.10
49345
Hip, revision total replacement of, requiring anatomic specific
allograft of both femur and acetabulum (AU 26)
$2,346.90
49348
Hip, congenital dislocation of, treatment of, by closed reduction (AU
5)
$114.00
49351
Hip, congenital dislocation of, treatment of, involving supervision
of splint, harness or cast-each attendance (AU 5)
$40.25
49354
Hip, congenital dislocation of, open reduction of (AU 8)
$603.50
49357
Hip spica, initial application of, for congenital dislocation of hip
(excluding aftercare) (AU 8)
$252.70
49500
Knee, arthrotomy of, involving 1 or more of; capsular release, biopsy
or lavage, or removal of loose body or foreign body (AU 10)
$268.20
49503
Knee, meniscectomy of, repair of collateral or cruciate ligament,
patellectomy of, chondroplasty of, osteoplasty of, patello-femoral
stabilisation or single transfer of ligament or tendon or any other
single procedure (not being a service to which another item in this
Group applies)-any 1 procedure (AU 10)
$348.70
49506
Knee, meniscectomy of, repair of collateral or cruciate ligament,
patellectomy of, chondroplasty of, osteoplasty of, patello-femoral
stabilisation or single transfer of ligament or tendon or any other
single procedure (not being a service to which another item in this
Group applies)-any 2 or more procedures (AU 12)
$523.00
49509
Knee, total synovectomy or arthrodesis of (AU 12)
$536.45
49512
Knee, arthrodesis of, with removal of prosthesis (AU 13)
$771.10
49515
Knee, removal of prosthesis, cemented or uncemented, including
associated cement, as the first stage of a 2 stage procedure (AU 9)
$603.50
49517
Knee, hemiarthroplasty of (AU 20)
$859.25
49518
Knee, total replacement arthroplasty of (AU 18)
$938.75
49521
Knee, total replacement arthroplasty of, requiring major bone
grafting to femur or tibia, including obtaining of graft (AU 19)
$1,139.90
49524
Knee, total replacement arthroplasty of, requiring major bone
grafting to femur and tibia, including obtaining of graft (AU 20)
$1,341.10
49527
Knee, total replacement arthroplasty of, revision procedure,
including removal of prosthesis (AU 21)
$1,139.90
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)
$1,408.15
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)
$1,609.30
49536
Knee, repair or reconstruction of, for chronic instability involving
either cruciate or collateral ligaments (AU 15)
$670.55
49539
Knee, reconstructive surgery of cruciate ligaments (open or
arthroscopic, or both), including surgery to other internal
derangements, not being a service to which another item in this Group
applies (AU 13)
$670.55
49542
Knee, reconstructive surgery of cruciate ligaments (open or
arthroscopic, or both), including meniscus repair, extracapsular
procedure and debridement when performed (AU 14)
$938.75
49545
Knee, revision arthrodesis of (AU 15)
$536.45
49548
Knee, revision of patello-femoral stabilisation (AU 11)
$670.55
49551
Knee, revision of procedures to which item 49536, 49539 or 49542
applies (AU 15)
$938.75
49554
Knee, revision of total replacement of, by anatomic specific
allograft of tibia or femur (AU 23)
$1,341.10
49557
Knee, diagnostic arthroscopy of (including biopsy, simple trimming of
meniscal margin or plica)-not being a service associated with any other
arthroscopic procedure of the knee region (AU 7)
$194.45
49560
Knee, arthroscopic surgery of, involving any 1 or more of:
meniscectomy, removal of loose body, lateral release, or
chondroplasty-not being a service associated with any other
arthroscopic procedure of the knee region (AU 10)
$435.85
49563
Knee, arthroscopic surgery of, involving meniscus repair or
osteoplasty, or both (AU 10)
$637.00
49566
Knee, arthroscopic total synovectomy of (AU 12)
$536.45
49700
Ankle, diagnostic arthroscopy of, including biopsy (AU 8)
$194.45
49703
Ankle, arthroscopic surgery of (AU 12)
$435.85
49706
Ankle, arthrotomy of, involving 1 or more of: lavage, removal of
loose body or division of contracture (AU 10)
$234.70
49709
Ankle, ligamentous stabilisation of (AU 11)
$502.90
49712
Ankle, arthrodesis of (AU 12)
$536.45
49715
Ankle, total joint replacement of (AU 17)
$804.65
49718
Ankle, Achilles' tendon or other major tendon, repair of (AU 10)
$268.20
49721
Ankle, Achilles' tendon rupture managed by non-operative treatment
$167.65
49724
Ankle, Achilles' tendon, secondary repair or reconstruction of (AU
11)
$469.40
49727
Ankle, Achilles' tendon, operation for lengthening (AU 10)
$201.15
49800
Foot, flexor or extensor tendon, primary repair of (AU 9)
$93.90
49803
Foot, flexor or extensor tendon, secondary repair of (AU 9)
$120.70
49806
Foot, subcutaneous tenotomy of, 1 or more tendons (AU 4)
$93.90
49809
Foot, open tenotomy of, with or without tenoplasty (AU 7)
$154.20
49812
Foot, tendon or ligament transplantation of, not being a service to
which another item in this Group applies (AU 10)
$308.45
49815
Foot, triple arthrodesis of (AU 12)
$536.45
49818
Foot, excision of calcaneal spur (AU 6)
$194.45
49821
Foot, correction of hallux valgus or hallux rigidus by excision
arthroplasty (Keller's or similar procedure)-unilateral (AU 9)
$308.45
49824
Foot, correction of hallux valgus or hallux rigidus by excision
arthroplasty (Keller's or similar procedure)-bilateral (AU 10)
$539.80
49827
Foot, correction of hallux valgus and transfer of adductor hallucis
tendon-unilateral (AU 10)
$335.25
49830
Foot, correction of hallux valgus and transfer of adductor hallucis
tendon-bilateral (AU 12)
$586.70
49833
Foot, correction of hallux valgus by osteotomy of first metatarsal
including internal fixation where performed-unilateral (AU 10)
$368.80
49836
Foot, correction of hallux valgus by osteotomy of first metatarsal
including internal fixation where performed-bilateral (AU 13)
$637.00
49839
Foot, correction of hallux rigidus or hallux valgus by prosthetic
arthroplasty-unilateral (AU 11)
$368.80
49842
Foot, correction of hallux rigidus or hallux valgus by prosthetic
arthroplasty-bilateral (AU 14)
$637.00
49845
Foot, arthrodesis of, first metatarso-phalangeal joint (AU 10)
$335.25
49848
Foot, correction of claw or hammer toe (AU 8)
$114.00
49851
Foot, correction of claw or hammer toe with internal fixation (AU 8)
$147.50
49854
Foot, radical plantar fasciotomy or fasciectomy of (AU 9)
$268.20
49857
Foot, metatarso-phalangeal joint replacement (AU 12)
$248.10
49860
Foot, synovectomy of metatarso-phalangeal joint, single joint (AU 9)
$201.15
49863
Foot, synovectomy of metatarso-phalangeal joint, 2 or more joints (AU
11)
$301.75
49866
Foot, neurectomy for plantar-digital neuritis (Morton's or Bett's
syndrome) (AU 7)
$214.55
49869
Talipes equinovarus, posterior release of (AU8)
$268.20
49872
Talipes equinovarus, medial release of (AU 8)
$268.20
49875
Talipes equinovarus, combined postero-medial release of (AU 9)
$402.30
49878
Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment
by cast, splint or manipulation-each attendance (AU 6)
$40.25
50100
Joint, diagnostic arthroscopy of (including biopsy), not being a
service to which another item in this Group applies and not being a
service associated with any other arthroscopic procedure (AU 8)
$194.45
50103
Joint, arthrotomy of, not being a service to which another item in
this Group applies (AU 9)
$234.70
50104
Joint, synovectomy of, not being a service to which another item in
this Group applies (AU 9)
$222.40
50106
Joint, stabilisation of, involving 1 or more of: repair of capsule,
repair of ligament or internal fixation, not being a service to which
another item in this Group applies (AU 10)
$335.25
50109
Joint, arthrodesis of, not being a service to which another item in
this Group applies (AU 11)
$335.25
50112
Joint, cicatricial flexion contracture of, correction of, involving
tissues deeper than skin and subcutaneous tissue (AU 10)
$268.20
50115
Joint or joints, manipulation of, performed in the operating theatre
of a hospital or approved day hospital facility, not being a service
associated with a service to which another item in this Group applies
(AU 4)
$100.60
50118
Subtalar joint, arthrodesis of (AU 11)
$308.45
50121
Greater Trochanter, transplantation of ileopsoas tendon to (AU 13)
$603.50
50124
Joint or other synovial cavity, aspiration of, injection into, or
both of these procedures; payable on not more than 25 occasions in any
12-month period (AU 5)
$21.10
50127
Joint or joints, arthroplasty of, by any technique not being a
service to which another item applies (AU 15)
$500.40
50130
Joint or joints, application of external fixator to, other than for
treatment of fractures (AU 9)
$222.40
50200
Aggressive or potentially malignant bone or deep soft tissue tumour,
biopsy of (not including aftercare) (AU 5)
$134.10
50203
Bone or malignant deep soft tissue tumour, lesional or marginal
excision of (AU 8)
$295.05
50206
Bone tumour, lesional or marginal excision of, combined with any 1
of: liquid nitrogen freezing, autograft, allograft or cementation (AU 9)
$435.85
50209
Bone tumour, lesional or marginal excision of, combined with any 2 or
more of: liquid nitrogen freezing, autograft, allograft or cementation
(AU 10)
$536.45
50212
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, without reconstruction (AU 19)
$1,173.45
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)
$1,475.20
50218
Malignant tumour of long bone, enbloc resection of, with replacement
or arthrodesis of adjacent joint (AU 21)
$1,944.55
50221
Malignant or aggressive soft tissue tumour of pelvis, sacrum or
spine; or scapula and shoulder, enbloc resection of (AU 22)
$1,810.45
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)
$2,011.60
50227
Malignant bone tumour, enbloc resection of, with massive anatomic
specific allograft or autograft, with or without prosthetic replacement
(AU 27)
$2,346.90
50230
Benign tumour, resection of, requiring anatomic specific allograft,
with or without internal fixation (AU 19)
$1,206.95
50233
Malignant tumour, amputation for, hemipelvectomy or
interscapulo-thoracic (AU 26)
$1,542.25
50236
Malignant tumour, amputation for, hip dis-articulation, shoulder
disarticulation or proximal third femur (AU 20)
$1,206.95
50239
Malignant tumour, amputation for, not being a service to which
another item in this Group applies (AU 13)
$804.65
GROUP T9-ASSISTANCE AT OPERATIONS
51300
Assistance at any operation for which the fee exceeds $180.90 but
does not exceed $321.35 or at a series or a combination of operations
where the fee for at least 1 of the operations exceeds $180.90 but where
the fee for the series or combination of operations does not exceed
$321.35
$61.45
51303
Assistance at any operation for which the fee exceeds $321.35 or at a
combination of operations for which the aggregate fee exceeds $321.35
provided that the fee for at least 1 of the operations exceeds $180.90
Amount under rule 33
51306
Assistance at a delivery involving Caesarean section
$88.85
51309
Assistance at a series or combination of operations, 1 of which is a
delivery involving Caesarean section
Amount under rule 34
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 the approved dental practitioner-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
$61.05
51703
Professional attendance by an approved dental practitioner where the
patient is referred to the approved dental practitioner-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
$30.55
GROUP O2-ASSISTANCE AT OPERATION
51800
Assistance by an approved dental practitioner at any operation for
which the fee exceeds $180.90 but does not exceed $321.35 or at a series
or a combination of operations where the fee for 1 of the operations
exceeds $180.90 but where the fee for the series or combination of
operations does not exceed $321.35
$61.05
51803
Assistance by an approved dental practitioner at any operation for
which the fee exceeds $321.35 or at a combination of operations for
which the aggregate fee exceeds $321.35 provided that the fee for at
least 1 of the operations exceeds $180.90
Amount under rule 33
GROUP O3-GENERAL SURGERY
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)
$58.90
52001
Operative procedure on tissue, organ or region, not being a service
to which another item in Groups O3 to O9 applies, including any
consultation on the same occasion
$5.15
52003
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)
$83.55
52006
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)
$83.55
52009
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 (AU 8)
$132.85
52012
Superficial foreign body, removal of, as an independent procedure (AU
5)
$16.70
52015
Subcutaneous foreign body, removal of, requiring incision and suture,
as an independent procedure (AU 6)
$78.20
52018
Foreign body in muscle, tendon or other deep tissue, removal of, as
an independent procedure (AU 7)
$197.10
52021
Aspiration biopsy of 1 or more jaw cysts as an independent procedure
to obtain material for diagnostic purposes and not being a service
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)
$37.25
52027
Biopsy of lymph gland, muscle or other deep tissue or organ, as an
independent procedure (AU 6)
$107.10
52030
Sinus, excision of, involving superficial tissue only (AU 6)
$64.25
52033
Sinus, excision of, involving muscle and deep tissue (AU 7)
$130.70
52036
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 52039 applies (AU 6)
$90.00
52039
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 (AU 9)
$230.30
52042
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 (AU 6)
$122.10
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 5 mm 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 being a service to
which another item in Groups O3 to O9 applies, involving muscle, bone,
or other deep tissue (AU 8)
$175.65
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 5 mm 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 being
a service to which another item in Groups O3 to O9 applies (AU 8)
$262.45
52051
Tumour, removal of, from soft tissue (including muscle, fascia and
connective tissue), extensive excision of, without skin or mucosal graft
(AU 8)
$358.85
52054
Tumour, removal of, from soft tissue (including muscle, fascia and
connective tissue), extensive excision of, with skin or mucosal graft
(AU 10)
$417.75
52055
Haematoma, abscess or cellulitis not requiring a general anaesthesia,
incision with drainage of (excluding after-care)
$19.45
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)
$115.70
52060
Muscle, excision of (AU 6)
$134.95
52063
Bone tumour, innocent, excision of, not being a service to which
another item in Groups O3 to O9 applies (AU 7)
$251.75
52066
Submandibular gland, extirpation of (AU 8)
$316.00
52069
Sublingual gland, extirpation of (AU 7)
$141.40
52072
Salivary gland, dilatation or diathermy of duct (AU 6)
$41.80
52075
Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures (AU 7)
$107.10
52078
Tongue, partial excision of (AU 7)
$210.00
52081
Tongue tie, division or excision of frenulum (AU 6)
$33.20
52084
Tongue tie, mandibular frenulum or maxillary frenulum, division or
excision of frenulum, in a person aged not less than 2 years (AU 6)
$84.60
52087
Ranula or mucous cyst of mouth, removal of (AU 9)
$145.70
52090
Operation on mandible or maxilla (other than alveolar margins) for
osteomyelitis-1 bone (AU 10)
$253.40
52092
Operation on skull for osteomyelitis (AU 12)
$330.95
52096
Orthopaedic pin or wire, insertion of, into maxilla or mandible or
zygoma, as an independent procedure (AU 5)
$80.65
52099
Buried wire, pin or screw, 1 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 being a service associated with a service to which item 52102 or
52105 applies (AU 6)
$100.30
52102
Buried wire, pin or screw, 1 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)
$100.30
52105
Plate, 1 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 being a service associated with a service to
which item 52099 or 52102 applies (AU 6)
$188.25
52108
Lip, full thickness wedge excision of, with repair by direct sutures
(AU 8)
$230.30
52111
Vermilionectomy (AU 8)
$230.30
52114
Mandible or maxilla, segmental resection of, for tumours or cysts (AU
13)
$417.75
52117
Mandible, including lower border, or maxilla, sub-total resection of
(AU 13)
$496.45
52120
Mandible, hemimandiblectomy of, including condylectomy where
performed (AU 29)
$589.15
52122
Mandible, hemi-mandibular reconstruction with bone graft, not being a
service associated with a service to which item 52123 applies (AU 15)
$589.50
52123
Mandible, total resection of both sides, including condylectomies
where performed (AU 35)
$667.10
52126
Maxilla, total resection of (AU 25)
$642.70
52129
Maxilla, total resection of both maxillae (AU 30)
$856.95
52132
Tracheostomy (AU 10)
$169.25
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)
$102.85
52138
Maxillary artery, ligation of (AU 12)
$316.00
52141
Facial, mandibular or lingual artery or vein or artery and vein,
ligation of, not being a service to which item 52138 applies (AU 12)
$316.00
52144
Foreign body, deep, removal of using interventional imaging
techniques (AU 10)
$294.55
52147
Duct of major salivary gland, transposition of (AU 16)
$278.50
52148
Parotid duct, repair of, using micro-surgical techniques (AU 14)
$491.25
GROUP O4-PLASTIC AND RECONSTRUCTIVE
52300
Single-stage local flap, where indicated, repair to 1 defect, with
skin or mucosa (AU 7)
$203.50
52303
Single-stage local flap, where indicated, repair to 1 defect, with
buccal pad of fat (AU 10)
$289.20
52306
Single-stage local flap, where indicated, repair to 1 defect, using
temporalis muscle (AU 10)
$429.20
52309
Free grafting (mucosa or split skin) of a granulating area (AU 7)
$145.70
52312
Free grafting (mucosa or split skin) to 1 defect, including elective
dissection (AU 8)
$203.50
52315
Free grafting, full thickness, to 1 defect (mucosa or skin) (AU 9)
$337.40
52318
Bone graft, harvesting of, via separate incision, being a service
associated with a service to which another item in Groups O3 to O9
applies-Autogenous-small quantity (AU 7)
$100.30
52319
Bone graft, harvesting of, via separate incision, being a service
associated with a service to which another item in Groups O3 to O9
applies-Autogenous-large quantity (AU 7)
$167.55
52321
Foreign implant (non-biological), insertion of, for contour
reconstruction of pathological deformity, not being a service associated
with a service to which item 52624 applies (AU 10)
$337.40
52324
Direct flap repair, using tongue, first stage (AU 7)
$337.40
52327
Direct flap repair, using tongue, second stage (AU 7)
$167.55
52330
Palatal defect (oro-nasal fistula), plastic closure of, including
services to which item 52300, 52303, 52306 or 52324 applies (AU 14)
$557.00
52333
Cleft palate, primary repair (AU 14)
$557.00
52336
Cleft palate, secondary repair, closure of fistula using local flaps
(AU 13)
$348.15
52339
Cleft palate, secondary repair, lengthening procedure (AU 12)
$396.35
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)
$687.80
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)
$775.70
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)
$878.35
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)
$987.70
52354
Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the 1 jaw, including transposition of nerves and
vessels and bone grafts taken from the same site (AU 29)
$998.05
52357
Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the 1 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)
$1,122.15
52360
Mandible or maxilla, osteotomies or osteectomies of, involving 2 such
procedures of each jaw including transposition of nerves and vessels and
bone grafts taken from the same site (AU 26)
$1,146.15
52363
Mandible or maxilla, osteotomies or osteectomies of, involving 2 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 32)
$1,292.80
52366
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of 1 jaw and 2 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)
$1,264.00
52369
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of 1 jaw and 2 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)
$1,416.90
52372
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 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)
$1,376.45
52375
Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 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)
$1,541.05
52378
Genioplasty including transposition of nerves and vessels and bone
grafts taken from the same site (AU 16)
$532.65
52379
Face, contour reconstruction of 1 region, using autogenous bone or
cartilage graft (AU 18)
$910.15
52380
Midfacial osteotomies-Le Fort II, Modified Le Fort III (Nasomalar),
Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more
osteotomies of the midface including transposition of nerves and vessels
and bone grafts taken from the same site (AU 50)
$1,551.40
52382
Midfacial osteotomies-Le Fort II, Modified Le Fort III (Nasomalar),
Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 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)
$1,861.65
52420
Mandible, fixation by intermaxillary wiring, excluding wiring for
obesity
$171.70
GROUP O5-PREPROSTHETIC
52600
Mandibular or palatal exostosis, excision of (AU 10)
$241.00
52603
Mylohyloid ridge, reduction of (AU 10)
$230.30
52606
Maxillary tuberosity, reduction of (AU 12)
$175.65
52609
Papillary hyperplasia of the palate, removal of-less than 5 lesions
(AU 10)
$230.30
52612
Papillary hyperplasia of the palate, removal of-5 to 20 lesions (AU
12)
$289.20
52615
Papillary hyperplasia of the palate, removal of-more than 20 lesions
(AU 13)
$358.85
52618
Vestibuloplasty, submucosal or open, including excision of muscle and
skin or mucosal graft when performed-unilateral or bilateral (AU 19)
$417.75
52621
Floor of mouth lowering (Obwegeser or similar procedure), including
excision of muscle and skin or mucosal graft when performed-unilateral
(AU 19)
$417.75
52624
Alveolar ridge augmentation with bone or alloplast or both-unilateral
(AU 13)
$337.40
52626
Alveolar ridge augmentation-unilateral, insertion of tissue expanding
device into maxillary or mandibular alveolar ridge region for (AU 13)
$206.85
52627
Osseo-integration procedure-extra oral implantation of titanium
fixture (AU 11)
$358.85
52630
Osseo-integration procedure-fixation of transcutaneous abutment (AU
6)
$132.85
GROUP O6-NEUROSURGICAL
52800
Neurolysis by open operation, without transposition, not being a
service associated with a service to which item 52803 applies (AU 7)
$197.10
52803
Nerve trunk, internal (interfasicular), neurolysis of, using
microsurgical techniques (AU 11)
$283.85
52806
Neurectomy, neurotomy or removal of tumour from superficial
peripheral nerve (AU 8)
$197.10
52809
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve
(AU 10)
$337.40
52812
Nerve trunk, primary repair of, using microsurgical techniques (AU 8)
$482.05
52815
Nerve trunk, secondary repair of, using microsurgical techniques (AU
9)
$508.80
52818
Nerve, transposition of (AU 8)
$337.40
52821
Nerve graft to nerve trunk (cable graft) including harvesting of
nerve graft using microsurgical techniques (AU 16)
$733.75
52824
Peripheral branches of the trigeminal nerve, cryosurgery of, for pain
relief (AU 8)
$316.00
GROUP O7-EAR, NOSE & THROAT
53000
Maxillary antrum, proof puncture and lavage of (AU 6)
$23.05
53003
Maxillary antrum, proof puncture and lavage of, where undertaken in
the operating theatre of a hospital or approved day-hospital facility
not being a service associated with a service to which another item in
this Group applies (AU 6)
$65.35
53006
Antrostomy (radical) (AU 9)
$372.35
53009
Antrum, intranasal operation on or removal of foreign body from (AU
8)
$210.00
53012
Antrum, drainage of, through tooth socket (AU 7)
$83.55
53015
Oro-antral fistula, plastic closure of (AU 11)
$417.75
53018
Turbinectomy or turbinectomies, partial or total, unilateral (AU 6)
$97.50
53019
Maxillary sinus, bone graft to floor of maxillary sinus following
elevation of mucosal lining (sinus lift procedure), (unilateral) (AU 20)
$413.70
GROUP O8-TEMPOROMANDIBULAR JOINT
53200
Mandible, treatment of a dislocation of, not requiring open reduction
(AU 4)
$33.75
53203
Mandible, treatment of a dislocation of, requiring open reduction (AU
4)
$84.60
53206
Temporomandibular joint, manipulation of, performed in the operating
theatre of a hospital or approved day-hospital facility, not being a
service associated with a service to which another item in Groups O3 to
O9 applies (AU 4)
$101.75
53209
Glenoid fossa, zygomatic arch and temporal bone, reconstruction of
(Obwegeser technique) (AU 19)
$1,172.95
53212
Absent condyle and ascending ramus in hemifacial microsomia,
construction of, not including harvesting of graft material (AU 15)
$636.05
53215
Temporomandibular joint, arthroscopy of, with or without biopsy, not
being a service associated with any other arthroscopic procedure of that
joint (AU 9)
$230.30
53218
Temporomandibular joint, arthroscopy of, removal of loose bodies,
debridement, or treatment of adhesions-1 or more of such procedures (AU
12)
$471.30
53221
Temporomandibular joint, open surgical exploration of, with or
without microsurgical techniques (AU 18)
$621.30
53224
Temporomandibular joint, open surgical exploration of, with
condylectomy or condylotomy, with or without microsurgical techniques
(AU 20)
$690.90
53225
Arthrocentesis, irrigation of temporomandibular joint after insertion
of 2 cannuli into the appropriate joint space(s) (AU 13)
$206.85
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)
$846.25
53230
Temporomandibular joint, open surgical exploration of, with meniscus,
capsular and condylar head surgery, with or without microsurgical
techniques (AU 24)
$953.35
53233
Temporomandibular joint, surgery of, involving procedures to which
items 53224, 53227 and 53230 apply and also involving the use of tissue
flaps, or cartilage graft, or allograft implants, with or without
microsurgical techniques (AU 28)
$1,071.15
GROUP O9-TREATMENT OF FRACTURES
53400
Maxilla, unilateral or bilateral, treatment of fracture of, not
requiring splinting
$92.05
53403
Mandible, treatment of fracture of, not requiring splinting
$112.45
53406
Maxilla, treatment of fracture of, requiring splinting, wiring of
teeth, circumosseous fixation or external fixation (AU 14)
$289.20
53409
Mandible, treatment of fracture of, requiring splinting, wiring of
teeth, circumosseous fixation or external fixation (AU 14)
$289.20
53410
Zygomatic bone, treatment of fracture of, not requiring surgical
reduction
$61.05
53411
Zygomatic bone, treatment of fracture of, requiring surgical
reduction, by temporal, intra-oral or other approach (AU 7)
$169.25
53412
Zygomatic bone, treatment of fracture of, requiring surgical
reduction and involving internal or external fixation at 1 site (AU 9)
$278.50
53413
Zygomatic bone, treatment of fracture of, requiring surgical
reduction and involving internal or external fixation, or both at 2
sites (AU 10)
$342.80
53414
Zygomatic bone, treatment of, requiring surgical reduction and
involving internal or external fixation, or both at 3 sites (AU 11)
$391.00
53415
Maxilla, treatment of fracture of, requiring open reduction (AU 7)
$310.65
53416
Mandible, treatment of fracture of, requiring open reduction (AU 7)
$310.65
53418
Maxilla, treatment of fracture of, requiring open reduction and
internal fixation not involving plate(s) (AU 9)
$401.70
53419
Mandible, treatment of fracture of, requiring open reduction and
internal fixation not involving plate(s) (AU 9)
$401.70
53422
Maxilla, treatment of fracture of, requiring open reduction and
internal fixation involving plate(s) (AU 11)
$514.15
53423
Mandible, treatment of fracture of, requiring open reduction and
internal fixation involving plate(s) (AU 11)
$514.15
53424
Maxilla, treatment of a complicated fracture of, involving viscera,
blood vessels or nerves, requiring open reduction not involving plate(s)
(AU 10)
$439.20
53425
Mandible, treatment of a complicated fracture of, involving viscera,
blood vessels or nerves, requiring open reduction not involving plate(s)
(AU 10)
$439.20
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)
$599.85
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)
$599.85
53439
Mandible, treatment of a closed fracture of, involving a joint
surface (AU 6)
$169.25
53453
Orbital cavity, reconstruction of a wall or floor with or without
foreign implant (AU 12)
$346.45
53455
Orbital cavity, bone or cartilage graft to orbital wall or floor
including reduction of prolapsed or entrapped orbital contents (AU 14)
$403.35
CLEFT LIP & CLEFT PALATE SERVICES
GROUP C1-ORTHODONTIC SERVICES
75000
Professional attendance not being a service to which item 75003
applies (AO)
$29.00
75003
Professional attendance and treatment planning where treatment is
deferred (AO)
$58.70
75006
Production of dental study models not being a service associated with
a service to which item 75003 applies, or not being a service to which
item 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045, 75048, or
75051 applies (AO)
$29.00
75009
Orthodontic radiography-orthopantomography (panoramic radiography)
(AO)
$48.55
75012
Orthodontic radiography-anteroposterior cephalometric radiography
with cephalometric tracings or lateral cephalometric radiography with
cephalometric tracings (AO)
$76.85
75015
Orthodontic radiography-anteroposterior and lateral cephalometric
radiography, with cephalometric tracings (AO)
$105.80
75018
Orthodontic radiography-anteroposterior and lateral cephalometric
radiography, with cephalometric tracings and orthopantomography (AO)
$134.80
75021
Orthodontic radiography-anteroposterior and lateral cephalometric
radiography, with cephalometric tracings, orthopantomography and
hand-wrist studies (including growth prediction) (AO)
$165.25
75024
Pre-surgical infant maxillary arch repositioning, including supply of
appliances and all associated consultations-where 1 appliance is used
(AO)
$391.40
75027
Pre-surgical infant maxillary arch repositioning, including supply of
appliances and all associated consultations-where 2 appliances are used
(AO)
$463.90
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)
$521.85
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)
$855.30
75036
Deciduous and permanent dentition treatment (not being treatment
associated with treatment to which item 75033 applies)-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)
$1,181.45
75039
Permanent dentition treatment (not being treatment associated with
treatment to which item 75045 or 75048 applies)-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 3 months of active treatment (AO)
$391.40
75042
Permanent dentition treatment (not being treatment associated with
treatment to which item 75045 or 75048 applies)-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 3 months of active treatment after the
first for a maximum of a further 33 months (AO)
$147.85
75045
Permanent dentition treatment (not being treatment associated with
treatment to which item 75039 or 75042 applies)-2-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 3 months of active treatment (AO)
$768.30
75048
Permanent dentition treatment (not being treatment associated with
treatment to which item 75039 or 75042 applies)-2-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 3 months of active treatment after the
first for a maximum of a further 33 months (AO)
$202.95
75051
Pre-surgical or post-surgical jaw growth guidance using removable
appliances, including supply of appliances and all associated
consultations and treatment-planning (AO)
$521.85
GROUP C2-ORAL SURGICAL SERVICES
75200
Removal of tooth or tooth fragment (not being treatment to which item
75400, 75403, 75406, 75409, 75412 or 75415 applies), where the patient
is referred by an accredited orthodontist (AD)
$39.15
75203
Removal of tooth or tooth fragment under general anaesthesia, where
the patient is referred by an accredited orthodontist (AD)
$58.70
75206
Removal of each additional tooth or tooth fragment at the same
attendance at which a service to which item 75200 or 75203 applies is
rendered (AD)
$19.45
75400
Surgical removal of erupted tooth, where the patient is referred by
an accredited orthodontist (AOS)
$117.40
75403
Surgical removal of tooth with soft tissue impaction, where the
patient is referred by an accredited orthodontist (AOS)
$134.80
75406
Surgical removal of tooth with partial bone impaction, where the
patient is referred by an accredited orthodontist (AOS)
$153.65
75409
Surgical removal of tooth with complete bone impaction, where the
patient is referred by an accredited orthodontist (AOS)
$173.95
75412
Surgical removal of tooth fragment requiring incision of soft tissue
only, where the patient is referred by an accredited orthodontist (AOS)
$97.15
75415
Surgical removal of tooth fragment requiring removal of bone, where
the patient is referred by an accredited orthodontist (AOS)
$117.40
75600
Surgical exposure, stimulation and packing of unerupted tooth, where
the patient is referred by an accredited orthodontist (AOS)
$165.25
75603
Surgical exposure of unerupted tooth for the purpose of fitting a
traction device, where the patient is referred by an accredited
orthodontist (AOS)
$194.25
75606
Surgical repositioning of unerupted tooth, where the patient is
referred by an accredited orthodontist (AOS)
$194.25
75609
Transplantation of tooth bud, where the patient is referred by an
accredited orthodontist (AOS)
$289.95
GROUP C3-GENERAL AND PROSTHODONTIC SERVICES
75800
Attendance comprising consultation, preventive treatment and
prophylaxis, of not less than 30 minutes' duration-each attendance to a
maximum of 3 attendances in any period of 12 months (AD)
$58.70
75803
Provision and fitting of acrylic base partial denture, including
retainers-1 tooth (AD)
$234.85
75806
Provision and fitting of acrylic base partial denture, including
retainers-2 teeth (AD)
$275.45
75809
Provision and fitting of acrylic base partial denture, including
retainers-3 teeth (AD)
$326.15
75812
Provision and fitting of acrylic base partial denture, including
retainers-4 teeth (AD)
$362.40
75815
Provision and fitting of acrylic base partial denture, including
retainers-5 to 9 teeth (AD)
$442.15
75818
Provision and fitting of acrylic base partial denture, including
retainers-10 to 12 teeth (AD)
$521.85
75821
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-1 tooth (AD)
$420.40
75824
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-2 teeth (AD)
$485.65
75827
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-3 teeth (AD)
$558.10
75830
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-4 teeth (AD)
$616.10
75833
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-5 to 9 teeth (AD)
$753.80
75836
Provision and fitting of cast metal base (cobalt chromium alloy)
partial denture including casting and retainers-10 to 12 teeth (AD)
$862.55
75839
Provision and fitting of retainers (not being treatment associated
with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818,
75821, 75824, 75827, 75830, 75833 or 75836 applies)-each retainer (AD)
$19.45
75842
Adjustment of partial denture (not being treatment associated with
treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821,
75824, 75827, 75830, 75833 or 75836 applies) (AD)
$29.00
75845
Relining of partial denture by laboratory process and associated
fitting (AD)
$144.95
75848
Remodelling and fitting of partial denture of more than 4 teeth (AD)
$173.95
75851
Repair to cast metal base of partial denture-1 or more points (AD)
$87.00
75854
Addition of a tooth or teeth to a partial denture to replace
extracted tooth or teeth, including taking of necessary impression (AD)
$87.00