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1995 No. 160 HEALTH INSURANCE (1994-1995 GENERAL MEDICAL SERVICES TABLE) REGULATIONS (AMENDMENT) - REG 4
4. Schedule (Part 2-Services and fees)
4.1 Items 11000 and 11003: Omit the items, substitute:
"11000 Electroencephalography, not being a service:
(a) associated with a service to which item 11003,
11006 or 11009 applies; or
(b) involving quantitative topographic mapping using
neurometrics or similar devices
(Anaes. 17708 = 5B + 3T) $88.70
11003 Electroencephalography, prolonged recording of at
least 3 hours duration, not being a service:
(a) associated with a service to which item 11000,
11006 or 11009 applies; or
(b) involving quantitative topographic mapping using
neurometrics or similar devices $234.95".
4.2 Item 11006: Omit "temporosphenoidal", substitute "temporosphenoidal, not
being a service involving quantitative topographic mapping using neurometrics
or similar devices".
4.3 Item 11024: Omit "techniques-1 or 2 studies", substitute "techniques, not
being a service involving quantitative topographic mapping of event related
potentials-1 or 2 studies".
4.4 Item 11027: Omit "techniques-3 or more studies", substitute "techniques,
not being a service involving quantitative topographic mapping of event
related potentials-3 or more studies".
4.5 After item 11721, insert:
"11724 Up-right tilt table testing for the investigation
of syncope of suspected cardiothoracic origin,
including blood pressure monitoring, continuous ECG
monitoring and the recording of other parameters,
and involving an established intravenous line and the
continuous attendance of a specialist or consultant
physician-on premises equipped with a mechanical
respirator and defibrillator $121.85".
4.6 After item 12200, insert in subgroup 10 of Group D1:
"12203 Overnight investigation for sleep apnoea for a
period of at least 8 hours duration:
(a) involving continuous monitoring of oxygen
saturation and breathing using a multi-channel
polygraph, and recordings of EEG, EOG, submental
EMG, anterior tibial EMG, respiratory movement,
airflow, oxygen saturation and ECG; and
(b) with the continuous attendance of a technician; and
(c) under the supervision of a consultant physician
in the practice of his or her specialty of thoracic
medicine, or under the supervision of a specialist
in a sleep laboratory of a recognised hospital; and
(d) where the patient has been referred to the consultant
physician or specialist by a medical practitioner; and
(e) including interpretation of recordings by the
consultant physician or specialist;
payable only in relation to each of the first 3 times
the investigation is performed in any 12 month period
$475.95
12206 Overnight investigation for sleep apnoea for a period
of at least 8 hours duration:
(a) involving continuous monitoring of oxygen saturation
and breathing using a multi-channel polygraph, and
recordings of EEG, EOG, submental EMG, anterior
tibial EMG, respiratory movement, airflow, oxygen
saturation and ECG; and
(b) with the continuous attendance of a technician; and
(c) under the supervision of a consultant physician
in the practice of his or her specialty of thoracic
medicine, or under the supervision of a specialist
in a sleep laboratory of a recognised hospital; and
(d) where the patient has been referred to the consultant
physician or specialist by a medical practitioner; and
(e) including interpretation of recordings by the
consultant physician or specialist;
payable only in relation to the fourth investigation, and
each subsequent investigation, performed in a 12 month
period identified for the purposes of item 12203
$5.20".
4.7 After item 12530, insert in Group D2:
"12533 C-14 urea breath test using oral C-14 urea, including
the measurement of exhaled 14CO2, performed by a
specialist or a consultant physician (to whom the
patient has been referred by another medical
practitioner) for:
(a) the monitoring of the success of eradication therapy
for Helicobactor pylori; or
(b) the confirmation of Helicobactor pylori colonisation
$61.00".
4.8 After item 13009, insert in Subgroup 1 of Group T1:
"13012 Hyperbaric treatment, including oxygen therapy,
for a period of more than 2 hours (including
examination immediately before and after
treatment)-per hour $82.90".
4.9 After item 14053, insert in Subgroup 12 of Group T1:
"14056 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 30
minutes but less than 60 minutes-payable not more
than 12 times (including any times payment is made in
respect of the patient for a service described in item
14059, 14062, 14065, 14068, 14071 or 14074) in any
12 month period (Anaes. 17708 = 5B + 3T) $91.35
14059 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 60
minutes but less than 1 hour and 15 minutes-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14056, 14062, 14065, 14068, 14071
or 14074) in any 12 month period
(Anaes. 17710 = 5B + 5T) $115.35
14062 Laser photocoagulation using laser light within
the wave length of 510-600 nanometres in the
treatment of severely disfiguring vascular lesions
of the head or neck where the individual abnormal
vessels are visible at a distance of 2 metres,
including any associated consultation-session with a
duration of at least 1 hour and 15 minutes but less
than 1 hour and 30 minutes-payable not more than
12 times (including any times payment is made in
respect of the patient for a service described in item
14056, 14059, 14065, 14068, 14071 or 14074) in any
12 month period (Anaes. 17711 = 5B + 6T) $139.40
14065 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 1
hour and 30 minutes but less than 1 hour and 45
minutes-payable not more than 12 times (including any
times payment is made in respect of the patient for
a service described in item 14056, 14059, 14062, 14068,
14071 or 14074) in any 12 month period
(Anaes. 17712 = 5B + 7T) $163.45
14068 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 1
hour and 45 minutes but less than 2 hours-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14056, 14059, 14062, 14065, 14071
or 14074) in any 12 month period (Anaes. 17713 = 5B + 8T)
$187.45
14071 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 2
hours but less than 2 hours and 15 minutes-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14056, 14059, 14062, 14065, 14068 or
14074) in any 12 month period (Anaes. 17714 = 5B + 9T)
$211.50
14074 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
severely disfiguring vascular lesions of the head or
neck where the individual abnormal vessels are visible
at a distance of 2 metres, including any associated
consultation-session with a duration of at least 2
hours and 15 minutes-payable not more than 12 times
(including any times payment is made in respect of the
patient for a service described in item 14056, 14059,
14062, 14065, 14068 or 14071) in any 12 month period
(Anaes. 17715 = 5B + 10T) $235.50
14077 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
port wine stains, including any associated
consultations-session with a duration of at least 30
minutes but less than 60 minutes-payable not more than
12 times (including any times payment is made in respect
of the patient for a service described in item 14080,
14083, 14086, 14089, 14092 or 14095) in any 12 month
period (Anaes. 17708 = 5B + 3T) $91.35
14080 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment of
port wine stains, including any associated
consultation-session with a duration of at least 60
minutes but less than 1 hour and 15 minutes-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14077, 14083, 14086, 14089, 14092 or
14095) in any 12 month period (Anaes. 17710 = 5B + 5T)
$115.35
14083 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of port wine stains, including any associated
consultation-session with a duration of at least
1 hour and 15 minutes but less than 1 hour and
30 minutes-payable not more than 12 times (including
any times payment is made in respect of the patient
for a service described in item 14077, 14080, 14086,
14089, 14092 or 14095) in any 12 month period
(Anaes. 17711 = 5B + 6T) $139.40
14086 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of port wine stains, including any associated
consultation-session with a duration of at least
1 hour and 30 minutes but less than 1 hour and
45 minutes-payable not more than 12 times (including
any times payment is made in respect of the patient
for a service described in item 14077, 14080, 14083,
14089, 14092 or 14095) in any 12 month period
(Anaes. 17712 = 5B + 7T) $163.45
14089 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of port wine stains, including any associated
consultation-session with duration of at least
1 hour and 45 minutes but less than 2 hours-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14077, 14080, 14083, 14086, 14092 or
14095) in any 12 month period (Anaes. 17713 = 5B + 8T)
$187.45
14092 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of port wine stains, including any associated
consultation-session with a duration of at least
2 hours but less than 2 hours and 15 minutes-payable
not more than 12 times (including any times payment
is made in respect of the patient for a service
described in item 14077, 14080, 14083, 14086, 14089 or
14095) in any 12 month period (Anaes. 17714 = 5B + 9T)
$211.50
14095 Laser photocoagulation using laser light within the
wave length of 510-600 nanometres in the treatment
of port wine stains, including any associated
consultation-session with a duration of at least
2 hours and 15 minutes-payable not more than 12
times (including any times payment is made in
respect of the patient for a service described
in item 14077, 14080, 14083, 14086, 14089 or 14092)
in any 12 month period (Anaes. 17715 = 5B + 10T)
$235.50".
4.10 Items 16549 and 16552: Omit the items.
4.11 After item 16573, insert in Group T4:
"16600 Amniocentesis, diagnostic $45.80
16603 Chorionic villus sampling, by any route $87.95
16606 Foetal blood sampling, using interventional
techniques from umbilical cord or foetus,
including foetal neuromuscular blockade and
amniocentesis $175.40
16609 Foetal intravascular blood transfusion, using
blood already collected, including neuromuscular
blockade, amniocentesis and foetal blood sampling
$357.70
16612 Foetal intraperitoneal blood transfusion, using
blood already collected, including neuromuscular
blockade, amniocentesis and foetal blood
sampling-not performed in conjunction with a
service described in item 16609 $281.55
16615 Foetal intraperitoneal blood transfusion, using
blood already collected, including neuromuscular
blockade, amniocentesis and foetal blood
sampling-performed in conjunction with a service
described in item 16609 $149.85
16618 Amniocentesis, therapeutic, when indicated
because of polyhdramnios with at least 500ml
being aspirated $149.85
16621 Amnioinfusion, for diagnostic or therapeutic
purposes in the presence of severe
oligohydramnios $149.85
16624 Foetal fluid filled cavity, drainage of $215.70
16627 Foeto-amniotic shunt, insertion of, into
foetal fluid filled cavity, including
neuromuscular blockade and amniocentesis $439.25
16633 Provision of a service specified in any of
items 16600 to 16627 in relation to more than
1 foetus in a multiple pregnancy
Amount under rule 38".
4.12 After item 18019, insert in Subgroup 2 of Group T6:
"18021 Administration of an anaesthetic in connection
with muscle biopsy for malignant hyperpyrexia $79.00".
4.13 After item 30379, insert:
"30382 Enterocutaneous fistula, radical repair of,
involving extensive dissection and resection
of bowel (Anaes. 17716 = 7B + 9T) $942.65".
4.14 After item 30387, insert:
"30388 Laparotomy for trauma, involving 3 or more
organs (Anaes. 17721 = 7B + 14T) $1,152.15".
4.15 After item 30394, insert:
"30396 Laparotomy for gross intra peritoneal sepsis
requiring debridement of fibrin, with or without
removal of foreign material or enteric contents,
with lavage of the entire peritoneal cavity via a
major abdominal incision, with or without
closure of abdomen, and with or without mesh
or zipper insertion (Anaes. 17720 = 7B + 13T) $733.20
30397 Laparostomy, via wound previously made and left
open or closed with zipper, involving change
of dressings or packs, and with or without
drainage of loculated collections
(Anaes. 17713 = 7B + 6T) $167.60
30399 Laparostomy, final closure of wound made at a
previous operation, after removal of dressings
or packs and removal of mesh or zipper if
previously inserted (Anaes. 17714 = 7B + 7T) $230.45".
4.16 After item 30403, insert:
"30405 Ventral or incisional hernia, repair of, requiring
muscle transposition, mesh hernioplasty or
resection of strangulated bowel
(Anaes. 17716 = 6B + 10T) $659.90".
4.17 After item 30406, insert:
"30408 Peritoneo venous (Leveen) shunt, insertion of
(Anaes. 17711 = 7B + 4T) $282.80".
4.18 After item 30411, insert:
"30412 Liver biopsy by core needle, performed in
association with another intra-abdominal procedure
(Anaes. 17711 = 7B + 4T) $37.70
30414 Liver, subsegmental resection of (local excision),
other than for trauma (Anaes. 17716 = 7B + 9T) $497.50
30415 Liver, segmental resection of, other than for trauma
(Anaes. 17722 = 13B + 9T) $995.05
30418 Liver, lobectomy of, other than for trauma
(Anaes. 17724 = 13B + 11T) $1,152.15
30421 Liver, tri-segmental resection (extended
lobectomy) of, other than for trauma
(Anaes. 17726 = 13B + 13T) $1,440.15
30422 Liver, repair of superficial laceration of,
for trauma (Anaes. 17712 = 7B + 5T) $487.05
30425 Liver, repair of deep multiple lacerations of,
or debridement of, for trauma
(Anaes. 17718 = 7B + 11T) $942.65
30427 Liver, segmental resection of, for trauma
(Anaes. 17724 = 13B + 11T) $1,125.90
30428 Liver, lobectomy of, for trauma
(Anaes. 17726 = 13B + 13T) $1,204.50
30430 Liver, extended lobectomy (tri-segmental
resection) of, for trauma
(Anaes. 17728 = 13B + 15T) $1,675.80".
4.19 After item 30431, insert:
"30433 Liver abscess (multiple), open abdominal
drainage of (Anaes. 17716 = 7B + 9T) $523.70
30434 Hydatid cyst of liver, peritoneum or viscus,
complete removal of contents of, with or
without suture of biliary radicles
(Anaes. 17714 = 7B + 7T) $424.15
30436 Hydatid cyst of liver, peritoneum or viscus,
complete removal of contents of, with or
without suture of biliary radicles, with
omentoplasty or myeloplasty
(Anaes. 17716 = 7B + 9T) $471.30
30437 Hydatid cyst of liver, total excision of,
by cysto-pericystectomy (membrane plus
fibrous wall) (Anaes. 17718 = 7B + 11T) $586.55".
4.20 After item 30443, insert:
"30445 Laparoscopic cholecystectomy
(Anaes. 17715 = 7B + 8T) $586.55
30446 Laparoscopic cholecystectomy when procedure
is completed by laparotomy
(Anaes. 17717 = 7B + 10T) $586.55
30448 Laparoscopic cholecystectomy, involving
removal of common duct calculi via the
cystic duct (Anaes. 17718 = 7B + 11T) $701.75
30449 Laparoscopic cholecystectomy with removal
of common duct calculi via laparoscopic
choledochotomy (Anaes. 17720 = 7B + 13T) $780.30".
4.21 After item 30451, insert:
"30452 Choledochoscopy with balloon dilation of a
stricture or passage of stent or extraction
of calculi (Anaes. 17716 = 7B + 9T) $272.30".
4.22 After item 30455, insert:
"30457 Choledochotomy, intrahepatic, involving
removal of intrahepatic bile duct calculi
(Anaes. 17716 = 7B + 9T) $995.05".
4.23 After item 30461, insert:
"30463 Radical resection of common hepatic duct and
right and left hepatic ducts for carcinoma,
with two duct anastomoses
(Anaes. 17724 = 7B + 17T) $1,309.20
30464 Radical resection of common hepatic duct and
right and left hepatic ducts for carcinoma,
involving more than 2 anastomoses or resection
of segment or major portion of segment of liver
(Anaes. 17730 = 7B + 23T) $1,571.10
30466 Intrahepatic biliary bypass of left hepatic
ductal system by Roux-en-Y loop to peripheral
ductal system (Anaes. 17722 = 7B + 15T) $906.00
30467 Intraheptic bypass of right hepatic ductal
system by Roux-en-Y loop to peripheral ductal
system (Anaes. 17722 = 7B + 15T) $1,120.70
30469 Biliary stricture, repair of, after 1 or more
operations on the biliary tree
(Anaes. 17724 = 7B + 17T) $1,241.15
30470 Bile duct fistula, repair of, following
previous bile duct surgery
(Anaes. 17722 = 7B + 15T) $785.55
30472 Hepatic or common bile duct, repair of, as
the primary procedure subsequent to
transection of bile duct or ducts
(Anaes. 17722 = 7B + 15T) $670.30".
4.24 Items 30653, 30656, 30659 and 30660: Omit "person" (wherever occurring),
substitute "male".
4.25 After item 30679, insert in Subgroup 1 of Group T8:
"31000 Micrographically controlled serial excision of
skin tumour utilising horizontal frozen
sections with mapping of all excised tissue,
and histological examination of all excised
tissue by the specialist performing the
procedure-6 or fewer sections $418.95
31001 Micrographically controlled serial excision
of skin tumour utilising horizontal frozen
sections with mapping of all excised tissue,
and histological examination of all excised
tissue by the specialist performing the
procedure-7 to 12 sections (inclusive) $523.70
31002 Micrographically controlled serial excision
of skin tumour utilising horizontal frozen
sections with mapping of all excised tissue,
and histological examination of all excised
tissue by the specialist performing the
procedure-13 or more sections $628.45".
4.26 Item 32138: Omit "Haemorrhoidectomy", substitute "Haemorrhoidectomy,
including excision of anal skin tags when performed".
4.27 Item 32727: Omit the item.
4.28 Item 34530:
After "removal of", insert "by open surgical procedure".
4.29 After item 35517, insert:
"35518 Ovarian cyst aspiration, for cysts of at
least 4cm in diameter in premenopausal
women and at least 2cm in diameter in
postmenopausal women, by abdominal or
vaginal route, using interventional imaging
techniques and not associated with services
provided for assisted reproductive techniques $149.85".
4.30 After item 35673, insert:
"35674 Ultrasound guided needling and injection of
ectopic pregnancy $149.85".
4.31 Item 36515: Omit the item.
4.32 Item 36839: Omit "Cystoscopy with resection or diathermy", substitute
"Cystoscopy, with resection, diathermy or visual laser destruction".
4.33 Item 36845: Omit "Cytoscopy with diathermy or resection", substitute
"Cytoscopy, with diathermy, resection or visual laser destruction".
4.34 Item 37003: Omit the item.
4.35 Item 37007: Omit the item.
4.36 Items 37203 and 37206: Omit the items, substitute:
"37203 Prostatectomy (endoscopic, using diathermy
or cold punch), with or without cystoscopy,
and with or without urethroscopy, and
including services to which item 36854,
37207, 37208, 37303, 37321 or 37324
applies (Anaes. 17710 = 6B + 4T) $835.15
37206 Prostatectomy (endoscopic, using diathermy
or cold punch), 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 the procedure described by item 37203 or
37208 which had to be discontinued for medical
reasons (Anaes. 17709 = 6B + 3T) $402.55
37207 Prostate, endoscopic non-contact (side firing)
visual laser ablation, with or without cystoscopy,
and with or without urethroscopy, and including
services to which item 36854, 37203, 37206,
37321 or 37324 applies (Anaes. 17710 = 6B + 4T) $625.00
37208 Prostate, endoscopic non-contact (side firing)
visual laser ablation, with or without cystoscopy,
and with or without urethroscopy, and including
services to which item 36854, 37203, 37321 or 37324
applies, continuation of, within 10 days of the
procedure described by items 37203 or 37207 which
had to be discontinued for medical reasons
(Anaes. 17709 = 6B + 3T) $300.00".
4.37 Item 37318: Omit "diathermy", substitute "diathermy, visual laser
destruction of stone".
4.38 Item 37339: Omit "Peri-urethral injection of Teflon,", substitute
"Periurethral or transurethral injection of materials for the treatment of
urinary incontinence,".
4.39 Item 37378: Omit the item.
4.40 Item 37600: Omit the item.
4.41 Item 38212: Omit "catheter ablation;", substitute "catheter ablation to
intentionally induce complete AV block;".
4.42 After item 38524, insert:
"38530 Ablation of arrhythmia circuit or focus;
or isolation procedure involving 1 atrial
chamber (Anaes. 17734 = 20B + 14T) $1,513.50
38533 Ablation of arrhythmia circuits or foci;
or isolation procedure involving both
atrial chambers and including curative
procedures for atrial fibrillation
(Anaes. 17738 = 20B + 18T) $1,927.15
38536 Ventricular arrhythmia with mapping and
ablation, including all associated
electrophysiological studies performed on the
same day (Anaes. 17744 = 20B + 24T) $2,068.60".
4.43 After item 38662, insert in subgroup 6 of Group T8:
"38700 Patent ductus arteriosus, shunt, collateral
or other single large vessel, division or
ligation of, without cardiopulmonary bypass,
for congenital heart disease
(Anaes. 17727 = 15B + 12T) $769.85
38703 Patent ductus arteriosus, shunt, collateral or
other single large vessel, division or ligation
of, with cardiopulmonary bypass, for congenital
heart disease (Anaes. 17732 = 20B + 12T) $1,387.80
38706 Aorta, anastomosis or repair of, without
cardiopulmonary bypass, for congenital heart
disease (Anaes. 17729 = 15B + 14T) $1,314.50
38709 Aorta, anastomosis or repair of, with
cardiopulmonary bypass, for congenital heart
disease (Anaes. 17736 = 20B + 16T) $1,539.65
38712 Aortic interruption, repair of, for congenital
heart disease (Anaes. 17729 = 15B + 14T) $1,848.65
38715 Main pulmonary artery-banding, debanding or
repair of, without cardiopulmonary bypass, for
congenital heart disease (Anaes. 17727 = 15B + 12T)
$1,230.70
38718 Main pulmonary artery-banding, debanding or
repair of, with cardiopulmonary bypass, for
congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,539.65
38721 Vena cava, anastomosis or repair of, without
cardiopulmonary bypass, for congenital heart
disease (Anaes. 17731 = 15B + 16T) $1,078.85
38724 Vena cava, anastomosis or repair of, with
cardiopulmonary bypass, for congenital heart
disease (Anaes. 17738 = 20B + 18T) $1,539.65
38727 Intrathoracic vessels, anastomosis or repair
of, without cardiopulmonary bypass, not being
a service to which item 38700, 38703, 38706,
38709, 38712, 38715, 38718, 38721 or 38724
applies, for congenital heart disease
(Anaes. 17732 = 15B + 17T) $1,078.85
38730 Intrathoracic vessels, anastomosis or repair
of, with cardiopulmonary bypass, not being a
service to which item 38700, 38703, 38706,
38709, 38712, 38715, 38718, 38721 or 38724
applies, for congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,539.65
38733 Systemic pulmonary or cavo-pulmonary shunt,
creation of, without cardiopulmonary bypass,
for congenital heart disease
(Anaes. 17733 = 15B + 18T) $1,078.85
38736 Systemic pulmonary or cavo-pulmonary shunt,
creation of, with cardiopulmonary bypass,
for congenital heart disease
(Anaes. 17740 = 20B + 20T) $1,539.65
38739 Atrial septectomy, with or without
cardiopulmonary bypass, for congenital heart
disease (Anaes. 17733 = 15B + 18T) $1,387.80
38742 Atrial septal defect, closure by direct suture
or patch, for congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,387.80
38745 Intra-atrial baffle, insertion of, for
congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,539.65
38748 Ventricular septectomy, for congenital heart
disease (Anaes. 17734 = 20B + 14T) $1,539.65
38751 Ventricular septal defect, closure by direct
suture or patch, for congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,539.65
38754 Intraventricular baffle or conduit, insertion
of, for congenital heart disease
(Anaes. 17738 = 20B + 18T) $1,927.15
38757 Extracardiac conduit, insertion of, for
congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,539.65
38760 Extracardiac conduit, replacement of, for
congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,539.65
38763 Ventricular myectomy, for relief of ventricular
obstruction, right or left, for congenital
heart disease (Anaes. 17734 = 20B + 14T) $1,539.65
38766 Ventricular augmentation, right or left, for
congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,539.65".
4.44 Item 39013: After "nerves", insert "(Anaes. 17708 = 5B + 3T)".
4.45 Item 39115: Omit "$71.60", substitute "$54.25".
4.46 After item 39615, insert:
"39640 Tumour involving anterior cranial fossa,
removal of, involving craniotomy, radical
excision of the skull base and dural repair
(Anaes. 17748 = 12B + 36T) $1,547.50
39642 Tumour involving anterior cranial fossa,
removal of, involving frontal craniotomy with lateral
rhinotomy for clearance of paranasal sinus extension
(intracranial procedure)-conjoint surgery, principal
surgeon (Anaes. 17751 = 12B + 39T) $1,625.00
39644 Tumour involving anterior cranial fossa,
removal of, involving frontal craniotomy
with lateral rhinotomy for clearance of
paranasal sinus extension (intracranial
procedure)-conjoint surgery, co-surgeon $1,218.75
39646 Tumour involving anterior cranial fossa,
removal of, involving frontal craniotomy
with lateral rhinotomy and radical clearance
of paranasal sinus and orbital fossa extensions,
with intracranial decompression of the optic
nerve (intracranial procedure)-conjoint surgery,
principal surgeon (Anaes. 17754 = 12B + 42T) $1,875.00
39648 Tumour involving anterior cranial fossa,
removal of, involving frontal craniotomy
with lateral rhinotomy and radical clearance
of paranasal sinus and orbital fossa extensions,
with intracranial decompression of the optic
nerve (intracranial procedure)-conjoint surgery,
co-surgeon $1,406.25
39650 Tumour involving infra-temporal fossa, removal
of, involving craniotomy and radical excision,
with division and reconstruction of zygomatic
arch, and disarticulation of temporo-mandibular
joint and complete facial nerve mobilisation
(intracranial procedure)-conjoint surgery,
principal surgeon (Anaes. 17763 = 12B + 51T) $1,345.00
39652 Tumour involving infra-temporal fossa,
removal of, involving craniotomy and radical
excision, with division and reconstruction
of zygomatic arch, and disarticulation of
temporo-mandibular joint and complete facial
nerve mobilisation (intra cranial procedure)
-conjoint surgery, co-surgeon $1,008.75
39654 Petro-clival and clival tumour, removal of,
by supra and infratentorial approaches for
radical excision (intracranial procedure)-conjoint
surgery, principal surgeon
(Anaes. 17763 = 12B + 51T) $1,750.00
39656 Petro-clival and clival tumour, removal of,
by supra and infratentorial approaches for
radical excision (intracranial procedure)-conjoint
surgery, co-surgeon $1,312.50
39658 Tumour involving the clivus, radical excision
of, involving transoral approach and division
of palate (Anaes. 17763 = 12B + 51T) $1,547.50
39660 Tumour or vascular lesion of cavernous sinus,
radical excision of, involving craniotomy with
or without carotid artery exposure
(Anaes. 17762 = 20B + 42T) $1,547.50
39662 Tumour or vascular lesion of foramen magnum,
radical excision of, via transcondylar or far
lateral suboccipital approach
(Anaes. 17762 = 20B + 42T) $1,547.50".
4.47 Item 39809: Omit the item.
4.48 Item 39818: Omit the item, substitute:
"39818 Extracranial to intracranial bypass using
superficial temporal artery
(Anaes. 17750 = 20B + 30T) $1,318.05
39821 Extracranial to intracranial bypass using
saphenous vein graft
(Anaes. 17750 = 20B + 30T) $1,565.00".
4.49 Item 40012: After "ventriculostomy", insert "(open or endoscopic) with or
without endoscopic septum pellucidotomy".
4.50 After item 40315, insert:
"40316 Odontoid screw fixation
(Anaes. 17728 = 10B + 18T) $1,500.00".
4.51 Item 40330: Omit the item, substitute
"40330 Spinal rhizolysis involving exposure of
spinal nerve roots-for lateral recess, exit
foraminal stenosis, adhesive radiculopathy
or extensive epidural fibrosis, at 1 or more
levels-with or without laminectomy
(Anaes. 17719 = 9B + 10T) $688.85".
4.52 After item 40330, insert:
"40331 Cervical decompression of spinal cord with
or without involvement of nerve roots,
without fusion, 1 level, by any approach,
not being a service to which item 40330
applies (Anaes. 17720 = 10B + 10T) $688.85
40332 Cervical decompression of spinal cord with
or without involvement of nerve roots,
including anterior fusion, 1 level, not
being a service to which item 40330 applies
(Anaes. 17724 = 10B + 14T) $860.00".
4.53 After item 40333, insert:
"40334 Cervical decompression of spinal cord with
or without involvement of nerve roots,
without fusion, more than 1 level, by any
approach, not being a service to which
item 40330 applies (Anaes. 17724 = 10B + 14T) $760.00
40335 Cervical decompression of spinal cord with
or without involvement of nerve roots,
including anterior fusion, more than 1 level,
by any approach, not being a service to
which item 40330 applies
(Anaes. 17728 = 10B + 18T) $1,185.00".
4.54 After item 40342, insert:
"40345 Thoracic decompression of spinal cord with
or without involvement of nerve roots, via
pedicle or costotransversectomy
(Anaes. 17726 = 10B + 16T) $984.65
40348 Thoracic decompression of spinal cord via
thoracotomy with vertebrectomy, not including
stabilisation procedure
(Anaes. 17735 = 13B + 22T) $1,250.00
40351 Thoraco-lumbar or high lumbar anterior
decompression of spinal cord, not including
stabilisation procedure
(Anaes. 17732 = 10B + 22T) $1,250.00".
4.55 After item 40803, insert in Subgroup 7 of Group T8:
"40903 Neuroendoscopy, for inspection of an
intraventricular lesion, with or without
biopsy including burr hole
(Anaes. 17722 = 12B + 10T) $400.00".
4.56 Items 41578 and 41581: Omit the items, substitute:
"41578 Cerebello-pontine angle tumour, removal of,
by transmastoid, translabyrinthine or
retromastoid approach (intracranial
procedure)-conjoint surgery, principal
surgeon (Anaes. 17748 = 12B + 36T) $1,756.85
41579 Cerebello-pontine angle tumour, removal of,
by transmastoid, translabyrinthine or
retromastoid approach (intracranial
procedure)-conjoint surgery, co-surgeon $1,317.65
41581 Tumour involving infra-temporal fossa,
removal of, involving craniotomy and radical
excision of (Anaes. 17749 = 12B + 37T) $2,020.70".
4.57 After item 41883, insert:
"41884 Cricothyrostomy, by direct stab or Seldinger
technique, using Minitrach or a similar
device, for tracheobronchial toilet
(Anaes. 17708 = 6B + 2T) $65.60".
4.58 Item 42725: Omit "(Anaes. 17715 = 8B + 7T)", substitute "(Anaes. 17718 =
10B + 8T)".
4.59 Item 42731: Omit "(Anaes. 17716 = 8B + 8T)", substitute "(Anaes. 17718 =
10B + 8T)".
4.60 Items 47939, 47942, 47943 and 47945: Omit the items.
4.61 Items 49869, 49872 and 49875: Omit the items.
4.62 After item 50239, insert in Subgroup 15 of Group T8:
"50300 Joint deformity, slow correction of, using
ring fixator or similar device, including
all associated attendances-payable only once
in any 12 month period
(Anaes. 17718 = 4B + 14T) $835.00
50303 Limb lengthening, up to and including 5cm,
requiring slow distraction under general
anaesthesia in the operating theatre of a
hospital or approved day hospital facility,
with or without application of a ring fixator
or similar device, including all associated
attendances-payable only once in any 12 month
period (Anaes. 17721 = 4B + 17T) $1,140.00
50306 Limb lengthening, where the lengthening is
bipolar, or bone transport is performed or
where the fixator is extended to correct an
adjacent joint deformity
(Anaes. 17734 = 4B + 30T) $1,780.00
50309 Ring fixator or similar device, adjustment of,
with or without insertion or removal of fixation
pins, performed under general anaesthesia in the
operating theatre of a hospital or approved day
hospital facility, not being a service to which
item 50303 or 50306 applies
(Anaes. 17708 = 3B + 5T) $220.00
50312 Ankle, synovectomy of (Anaes. 17711 = 3B + 8T) $505.00
50315 Talipes equinovarus, posterior release of
(Anaes. 17707 = 3B + 4T) $500.00
50318 Talipes equinovarus, medial release of
(Anaes. 17707 = 3B + 4T) $500.00
50321 Talipes equinovarus, combined postero-medial
release of (Anaes. 17709 = 3B + 6T) $670.00
50324 Talipes equinovarus, combined postero-medial
release of, revision procedure
(Anaes. 17715 = 3B + 12T) $955.00
50327 Talipes equinovarus, bilateral procedures
(Anaes. 17718 = 3B + 15T) $1,165.00
50330 Talipes equinovarus, or talus, vertical,
congenital-post operative manipulation and
change of plaster, performed under general
anaesthesia in the operating theatre of a
hospital or approved day hospital facility,
not being a service to which item 50315, 50318,
50321, 50324 or 50327 applies
(Anaes. 17707 = 3B + 4T) $165.00
50333 Tarsal coalition, excision of, with
interposition of muscle, fat graft or similar
graft (Anaes. 17711 = 3B + 8T) $445.00
50336 Talus, vertical, congenital-combined anterior
and posterior reconstruction
(Anaes. 17716 = 3B + 13T) $665.00
50339 Foot and ankle, tibialis anterior tendon
(split or whole) transfer to lateral column
(Anaes. 17710 = 3B + 7T) $405.00
50342 Foot and ankle, tibialis or tibialis posterior
tendon transfer, through the interosseous
membrane to anterior or posterior aspect of
foot (Anaes. 17711 = 3B + 8T) $470.00
50345 Hyperextension deformity of toe, release
incorporating V-Y plasty of skin, lengthening
of extensor tendons and release of capsule
contracture (Anaes. 17708 = 3B + 5T) $250.00
50348 Knee, deformity of, or post-operative
manipulation and change of plaster-performed
under general anaesthesia in the operating
theatre of a hospital or approved day hospital
facility (Anaes. 17707 = 3B + 4T) $165.00
50351 Hip, congenital or developmental dislocation,
open reduction of (Anaes. 17720 = 6B + 14T) $720.00
50354 Tibia, pseudarthrosis of, congenital, resection
and internal fixation (Anaes. 17715 = 3B + 12T) $945.00
50357 Knee, leg or thigh, rectus femoris tendon
transfer or medial or lateral hamstring tendon
transfer (Anaes. 17712 = 4B + 8T) $405.00
50360 Knee, leg or thigh, combined medial and
lateral hamstring tendon transfer
(Anaes. 17712 = 4B + 8T) $470.00
50363 Knee, contracture of, posterior release
involving multiple tendon lengthening or
tenotomies-unilateral (Anaes. 17712 = 4B + 8T) $360.00
50366 Knee, contracture of, posterior release
involving multiple tendon lengthening or
tenotomies-bilateral (Anaes. 17718 = 4B + 14T) $630.00
50369 Knee, contracture of, posterior release
involving multiple tendon lengthening with
or without tenotomies and release of joint
capsule with or without cruciate
ligaments-unilateral (Anaes. 17714 = 4B + 10T) $470.00
50372 Knee, contracture of, posterior release
involving multiple tendon lengthening with
or without tenotomies and release of joint
capsule with or without cruciate
ligaments-bilateral (Anaes. 17720 = 4B + 16T) $825.00
50375 Hip, contracture of, medial release,
involving lengthening or division of the
adductors and psoas with or without division
of the obturator nerve-unilateral
(Anaes. 17714 = 4B + 10T) $360.00
50378 Hip, contracture of, medial release, involving
lengthening or division of the adductors and
psoas with or without division of the
obturator nerve-bilateral
(Anaes. 17718 = 4B + 14T) $630.00
50381 Hip, contracture of, anterior release,
involving lengthening or division of the hip
flexors and psoas with or without division
of the joint capsule-unilateral
(Anaes. 17714 = 4B + 10T) $470.00
50384 Hip, contracture of, anterior release,
involving lengthening or division of the
hip flexors and psoas with or without division
of the joint capsule-bilateral
(Anaes. 17722 = 4B + 18T) $825.00
50387 Hip, iliopsoas tendon transfer to greater
trochanter, or transfer of abdominal musculature
to greater trochanter, or transfer of
adductors to ischium (Anaes. 17716 = 4B + 12T) $470.00
50390 Perthes, cerebral palsy, or other neuromuscular
conditions, affecting hips or knees-application
of cast under general anaesthesia, performed in
the operating theatre of a hospital or approved
day hospital facility (Anaes. 17709 = 3B + 6T) $165.00
50393 Pelvis, bone graft or shelf procedures for
acetabular dysplasia (Anaes. 17720 = 6B + 14T) $610.00
50396 Hand, congenital abnormalities or duplication
of digits-amputation or splitting of phalanx
or phalanges, with ligament or joint
reconstruction (Anaes. 17711 = 3B + 8T) $335.00
50399 Forearm, radial aplasia or dysplasia (radial
club hand), centralisation or radialisation
of (Anaes. 17727 = 3B + 24T) $665.00
50402 Torticollis, bipolar release of
sternocleidomastoid muscle and associated
soft tissue (Anaes. 17712 = 5B + 7T) $305.00
50405 Elbow-flexorplasty, or tendon transfer to
restore elbow function
(Anaes. 17713 = 3B + 10T) $415.00
50408 Shoulder, congenital or developmental
dislocation, open reduction of
(Anaes. 17721 = 5B + 16T) $720.00
50411 Lower limb deficiency, treatment of congenital
deficiency of the femur by resection of the
distal femur and proximal tibia followed by
knee fusion (Anaes. 17721 = 5B + 16T) $945.00
50414 Lower limb deficiency, treatment of congenital
deficiency of the femur by resection of the
distal femur and proximal tibia followed by
knee fusion and rotationplasty
(Anaes. 17732 = 5B + 27T) $1,275.00
50417 Lower limb deficiency, treatment of congenital
deficiency of the tibia by reconstruction of
the knee, involving transfer of fibula or
tibia, and repair of quadriceps mechanism
(Anaes. 17727 = 5B + 22T) $945.00
50420 Patella, congenital dislocation of,
reconstruction of the quadriceps
(Anaes. 17720 = 4B + 16T) $780.00
50423 Tibia, fibula or both, congenital deficiency
of, transfer of the fibula to tibia, with
internal fixation (Anaes. 17720 = 4B + 16T) $720.00
50426 Diaphyseal aclasia, removal of lesion or
lesions from bone-1 approach
(Anaes. 17714 = 6B + 8T) $335.00".
4.63 Item 51300: Omit "$325.45" (second occurring), substitute "$325.45, not
being a service associated with a service to which item 30473, 30475, 30476,
30478, 32072, 32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies".
4.64 Item 51303: Omit "$183.20", substitute "$183.20, not being a service
associated with a service to which item 30473, 30475, 30476, 30478, 32072,
32075, 32078, 32081, 32084, 32087, 32090 or 32093 applies".
4.65 After item 51309, insert in Group T9:
"51312 Assistance at any interventional obstetric
procedure described in item 16609, 16612,
16615 or 16633 Amount under rule 39".
4.66 Items 75000 and 75003: Omit the items, substitute:
"75001 Initial professional attendance in a single
course of treatment by an accredited
orthodontist (AO) $61.75
75004 Professional attendance by an accredited
orthodontist subsequent to the first
professional attendance by the orthodontist
in a single course of treatment (AO) $30.90".
4.67 Item 75006: Omit the item, substitute:
"75006 Production of dental study models (not being
a service associated with a service to which
item 75004 applies) prior to provision of
a service to which:
(a) item 75030, 75033, 75034, 75035, 75036,
75037, 75039, 75045 or 75051 applies; or
(b) an item in Group T8 or Groups O3 to O9
applies;
in a single course of treatment (AO) $55.00".
4.68 Item 75009: Omit "(panoramic radiography) (AO)", substitute "(panoramic
radiography), including any consultation on the same occasion (AO) (AOS)".
4.69 Item 75012: Omit "tracings (AO)", substitute "tracings, including any
consultation on the same occasion (AO) (AOS)".
4.70 Items 75015: Omit "tracings (AO)", substitute "tracings, including any
consultation on the same occasion (AO) (AOS)".
4.71 Item 75018: Omit "orthopantomography (AO)", substitute
"orthopantomography, including any consultation on the same occasion (AO)
(AOS)".
4.72 Items 75021, 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045,
75048 and 75051: Omit the items, substitute:
"75021 Orthodontic radiography-hand-wrist studies
(including growth prediction), including any
consultation on the same occasion (AO) (AOS) $167.35
75023 Intraoral radiography-single area, periapical
or bitewing film (AO) (AOS) $33.45
75024 Pre-surgical infant maxillary arch repositioning,
including supply of appliances, all adjustments
of appliances and supervision-where 1 appliance
is used (AO) $432.90
75027 Pre-surgical infant maxillary arch repositioning,
including supply of appliances, all adjustments
of appliances and supervision-where 2
appliances are used (AO) $593.55
75030 Maxillary arch expansion not associated with a
service to which item 75039, 75042, 75045 or
75048 applies, including supply of appliances,
all adjustments of the appliances, removal of
the appliances and retention (AO) $528.50
75033 Mixed dentition treatment-incisor alignment
using fixed appliances in maxillary arch,
including supply of appliances, all adjustments
of appliances, removal of the appliances and
retention (AO) $866.15
75034 Mixed dentition treatment-incisor alignment
with or without lateral arch expansion using
a removable appliance in the maxillary arch,
including supply of appliances, associated
adjustments and retention (AO) $440.85
75036 Mixed dentition treatment-lateral arch expansion
and incisor alignment using fixed appliances
in maxillary arch, including supply of
appliances, all adjustments of appliances,
removal of appliances and retention (AO) $1,196.45
75037 Mixed dentition treatment, lateral arch
expansion and incisor correction-2-arch
(maxillary and mandibular) using fixed
appliances in both maxillary and mandibular
arches, including supply of appliances, all
adjustments of appliances, removal of
appliances and retention (AO) $1,506.90
75039 Permanent dentition treatment-single arch
(mandibular or maxillary) treatment
(correction and alignment) using fixed
appliances, including supply of
appliances-initial 3 months of active
treatment (AO) $400.45
75042 Permanent dentition treatment-single arch
(mandibular or maxillary) treatment
(correction and alignment) using fixed
appliances, including supply of appliances-each
3 months of active treatment (including all
adjustments and maintenance and removal of
the appliances) after the first for a maximum
of a further 33 months (AO) $149.75
75045 Permanent dentition treatment-2-arch
(mandibular and maxillary) treatment
(correction and alignment) using fixed
appliances, including supply of
appliances-initial 3 months of active
treatment (AO) $801.70
75048 Permanent dentition treatment-2-arch
(mandibular and maxillary) treatment
(correction and alignment) using fixed
appliances, including supply of
appliances-each 3 months of active
treatment (including all adjustments and
maintenance, and removal of the appliances)
after the first for a maximum of a further
33 months (AO) $205.55
75049 Retention, fixed or removable, single arch
(mandibular or maxillary)-supply of
retainer and supervision of retention (AO) $240.60
75050 Retention, fixed or removable, 2-arch
(mandibular or maxillary)-supply of retainers
and supervision of retention (AO) $464.55
75051 Jaw growth guidance using removable or
functional appliances, including supply of
appliances and all adjustments to
appliances (AO) $713.10".
4.73 Before item 75200, insert in Group C2:
"75150 Initial professional attendance in a single
course of treatment by an accredited oral and
maxillofacial surgeon where the patient is
referred to the surgeon by an accredited
orthodontist (AD) $61.75
75153 Professional attendance by an accredited oral
and maxillofacial surgeon subsequent to the
first professional attendance by the surgeon
in a single course of treatment where the
patient is referred to the surgeon by an
accredited orthodontist (AD) $30.90
75156 Production of dental study models (not being
a service associated with a service to which
item 75153 applies) prior to provision of a
service:
(a) to which item 52321, 53212 or 75618 applies; or
(b) to which an item in the series 52300 to
52382, 52600 to 52630, 53400 to 53409 or
53415 to 53429 applies;
in a single course of treatment (AD) $55.00".
4.74 After item 75609, insert in Group C2:
"75612 Surgical procedure for intra oral implantation
of osseointegrated fixture (first stage) (AOS) $363.40
75615 Surgical procedure for fixation of trans-mucosal
abutment (second stage of osseointegrated
implant) (AOS) $134.55
75618 Provision and fitting of a bite rising appliance
or dental splint for the management of
temporomandibular joint dysfunction
syndrome (AOS) $167.00
75621 Provision and fitting of a surgical template in
conjunction with orthognathic surgical procedures
in association with:
(a) an item in the series 52342 to 52375; or
(b) item 52380 or 52382; (AOS) $167.00".
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