Commonwealth Numbered Regulations
[Index]
[Table]
[Search]
[Search this Regulation]
[Notes]
[Noteup]
[Previous]
[Download]
[Help]
1995 No. 298 HEALTH INSURANCE (1995-96 GENERAL MEDICAL SERVICES TABLE) REGULATIONS - SCHEDULE 1
SCHEDULE Regulation 4
TABLE OF GENERAL MEDICAL SERVICES
PART 1-RULES OF INTERPRETATION General
1. (1) In this table, unless the contrary intention appears:
"Act" means the Health Insurance Act 1973;
"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;
"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;
"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 1 specialist or consultant physician in the specialty
of intensive care who is immediately available and exclusively
rostered to the intensive care unit 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 another 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 1 consultant physician in paediatric medicine who is
immediately available and exclusively rostered to the intensive
care unit 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;
"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;
"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 made to a specialist who is an ophthalmologist-an
optometrist; and
(c) if the referral:
(i) arises out of a dental service provided by a dental
practitioner; and
(ii) is made to a specialist (but not a consultant physician); a
dental practitioner; and
(d) if the referral:
(i) arises out of a dental service provided 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 made to a consultant physician; a dental practitioner.
(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, a reference by number in an item to a combined anaesthetic
unit value is a reference to the number that is calculated using the formula:
n1 + n2 where: n1 is:
(a) if the service in connection with which the anaesthetic is
administered is a service described in another item that includes the
formula described in rule 5-the number associated with B in the
formula in the other item; and
(b) in any other case-0; n2 is:
(a) if the service in connection with which the anaesthetic is
administered is a service described in another item that includes the
formula described in rule 5-the number associated with T in the
formula in the other item;and
(b) in any other case-the number of whole periods of:
(i) 15 minutes in a period of up to 6 hours; and
(ii) 10 minutes in any period in excess of that period; that
commences when the medical practitioner begins to prepare his
or her patient for anaesthesia and ends when he or she ceases
to attend the patient.
Meaning of symbols "(S)" and "(G)"
2. (1) An item including the symbol "(S)" applies only to a service provided
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 provided to a patient who has been referred to the
specialist; and
(ii) is the first service provided by the specialist in accordance
with the referral; or
(b) a service that:
(i) is provided 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 provided within the period of validity of the referral
applicable under regulation 31 of the Health Insurance
Regulations; or
(c) a service that:
(i) is provided 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 provided; and
(ii) is the first service provided by the specialist in accordance
with the referral; or
(d) a service that:
(i) is provided to a patient who has not been referred to the
specialist; and
(ii) is a service that, in an emergency within the meaning of the
Health Insurance Regulations, the specialist decides is
necessary in the patient's interests to be provided as soon as
practicable without a referral.
(2) An item including the symbol "(G)" applies only to a service provided
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 6 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.
Meaning of "professional attendance" in certain items
4. 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 than 1, 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
provided to the patient.
Administration of anaesthetics in connection with certain services
5. If a general anaesthetic is administered in connection with a service
specified in an item that includes the formula:
Anaes. n = n1 B + n2 T where:
(a) n is a number; and
(b) n1 and n2 are other numbers; the service that is provided by the
medical practitioner who administers the anaesthetic is the service
described in item n.
Interpretation of items 104 to 159
6. (1) In items 104 to 159, a reference to an attendance on a patient by a
specialist, or consultant physician, in the practice of his or her specialty
if the patient is referred to him or her:
(a) includes an attendance by a specialist, or consultant physician, in
the practice of his or her specialty:
(i) if the patient has declared that a written referral of the
patient was completed by a medical practitioner; or
(ii) if, in an emergency within the meaning of the Health Insurance
Regulations, the patient has not been referred to the
specialist, or consultant physician, who decides that it is
necessary in the patient's interests to provide 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 provided 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 made.
(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 "Amount under rule 7" in certain items
7. (1) In items 13, 19 and 20, "Amount under rule 7" 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 $17.35 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 7" 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 $17.35 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 7" 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 $17.35 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 7" 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 $17.35 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 7" 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 7" 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 7" 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 7" 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
8. Items 10809 and 10929 do not apply if the patient requires contact lenses
only for 1, or more than 1, 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
9. (1) For the purposes of items 10921 to 10929, a patient has an ocular
condition that 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
10. (1) The items mentioned in subrule (2) apply only to a service provided 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, 11304, 11500, 11600, 11601, 11627, 11701,11712,
11921, 12000, 12003, 13000, 13003, 13012, 13100, 13103, 13106, 13109, 13112,
13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503,
13506, 13600, 13603, 13606, 13609, 13700, 13703, 13706, 13709, 13815, 13818,
13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876,
13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118,
14200, 14203, 14206, 14209, 14212, 16000 to 16512 and 16515 to 51312.
(3) Items 154, 155, 156, 170, 171 and 172 apply only to a service provided in
the course of a personal attendance by a medical practitioner.
Personal attendance by certain medical practitioners
11. (1) The items mentioned in subrule (2) apply only to a service provided 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) provides 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,
11304, 11500, 11600, 11601, 11627, 11701, 11712, 11921, 12000, 12003, 13000,
13003, 13012, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306,
13309, 13312, 13315, 13318, 13400, 13500, 13503, 13506, 13600, 13603, 13606,
13609, 13700, 13703, 13706, 13709, 13815, 13818, 13830, 13839, 13842, 13845,
13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888,
14100, 14103, 14106, 14109, 14112, 14115, 14118, 14200, 14203, 14206, 14209,
14212, 16000 to 16512 and 16515 to 51312.
Certain services may be provided by persons other than medical practitioners
12. (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,
12012, 12015, 12018, 12021, 12200, 12203, 12206, 12500 to 12533, 13200, 13203,
13206, 13212, 13215, 13218, 13221, 13915 to 13948, 14050, 14053, 15000 to
15536 and 16514.
Conditions under which certain services to be provided
13. Items 11309, 11312, 11315, 11318 and 11321 apply only to a service
provided:
(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
14. Items 51700 to 53455 apply only to a service provided 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
15. 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
16. 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) Prince of Wales Hospital, Randwick, New South Wales;
(e) John Hunter Hospital, New Lambton, New South Wales;
(f) Royal Melbourne Hospital, Parkville, Victoria;
(g) St Vincent's Hospital, Fitzroy, Victoria;
(h) Alfred Group of Hospitals, Prahran, Victoria;
(i) Austin Hospital, Heidelberg, Victoria;
(j) Princess Alexandra Hospital, Woolloongabba, Queensland;
(k) Royal Brisbane Hospital, Herston, Queensland;
(l) Townsville Hospital, Townsville, Queensland;
(m) Royal Adelaide Hospital, Adelaide, South Australia;
(n) Flinders Medical Centre, Bedford Park, South Australia;
(o) Sir Charles Gairdner Hospital, Nedlands, Western Australia;
(p) Poyal Perth Hospital, Perth, Western Australia;
(q) Royal Hobart Hospital, Hobart, Tasmania;
(r) Woden Valley Hospital, Garran, Australian Capital Territory. Meaning
of "Amount under rule 17" in certain items
17. In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or
(vi), "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
radiotherapy treatment of the kind mentioned in the first-mentioned
item when given for 1 field only; and:
(b) the following amount:
(i) for item 15003-$12.55 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15103-$13.85 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(iii) for item 15109-$16.65 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(iv) for item 15204-$21.85 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(v) for item 15208-$21.85 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(vi) for item 15214-$18.35 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 mentioned in subparagraph (b) (i) or (ii), "Amount under rule
18" 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 for 1 field only; and
(b) the following amount:
(i) for item 15009-$13.65 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15115-$34.65 for each field separately treated in
excess of 1 up to a maximum of 5 additional fields. Meaning of
"Amount under rule 19" in certain items
19. In an item to which paragraph (a) or (b) applies, "Amount under rule 19"
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 Group C2-Oral and maxillofacial surgical services
and Group C3-General and Prosthodontic services
20. An item in the series 75200 to 75854 that includes the symbol "(AD)"
applies only to a service provided by a State registered dental practitioner
practising as a dentist. Orthodontic services
21. (1) In this rule:
"accredited orthodontist" means:
(a) a dental practitioner who is:
(i) registered or licensed as an orthodontist under the relevant
law ; and
(ii) accredited by the Minister for the purposes of this rule; 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
75001 to 75051; and
(iii) who is accredited by the Minister for the purposes of this
rule;
"appropriate law", in relation to a service rendered to a patient, means the
law of the State or Territory in which the service is rendered that provides
for the registration or licensing of oral and maxillofacial surgeons;
"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 provided to a patient, means the law
of the State or Territory in which the service is provided that provides for
the registration or licensing of orthodontists.
(2) An item in the series 75001 to 75006 or 75024 to 75051 that includes the
symbol "(AO)" applies only to a service provided by an accredited
orthodontist.
(3) An item in the series 75009 to 75023 that includes the symbol "(AO)" and
the symbol "(AOS)" applies only to a service provided by:
(a) an accredited orthodontist; or
(b) a dental practitioner who is:
(i) registered under the appropriate law as an oral and maxillofacial
surgeon; and
(ii) a dental practitioner approved by the Minister for the purposes of the
definition of "professional service" in subsection 3 (1) of the Act.
Oral surgery services
22. (1) In this rule, "relevant law", in relation to a service rendered to a
patient, means the law of the State or Territory in which the service is
rendered that provides for the registration or licensing of oral and
maxillofacial surgeons.
(2) An item in the series 75200 to 75609 that includes the symbol "(AOS)"
applies only to a service provided by a dental practitioner who is:
(a) registered under the relevant law as an oral and maxillofacial
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
23. In items 11000 to 12206, "report" means a report prepared by a medical
practitioner. Meaning of "treatment cycle of a patient"
24. In rule 25 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 provided as part of treatment cycle
25. 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 provided 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
26. 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
27. 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 "delivery" in certain items
28. In items 16515 and 16519, "delivery" 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) evacuation of the products of conception by manual removal. Certain
obstetrical procedures constitute a single operation
29. The procedures mentioned in item 16519, 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. Meanng of "maxilla" in
certain items
30. In items 45719 to 45752 and 52342 to 52375, "maxilla" includes the zygoma.
Items 46300 to 46534 apply only in certain circumstances
31. Items 46300 to 46534 apply only to a service provided in the course of an
operation on a hand or hands. Meaning of "closed reduction" and "open
reduction" in items 47000 and 50239
32. In items 47000 and 50239:
"closed reduction":
(a) means treatment of a dislocation or fracture by non-operative
reduction; and
(b) includes the use of percutaneous fixation and 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) if intra-medullary fixation or
external fixation is used. Services in association with spinal fusion
services
33. 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 34" in items 51303 and 51803
34. In items 51303 and 51803, "Amount under rule 34", 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 35" in item 51309
35. (1) In item 51309, "Amount under rule 35" 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 36" in item 18219
36. (1) In item 18219, "Amount under rule 36" 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 $13.95 for each additional period of 15 minutes, or part
of a period of 15 minutes, 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
37. 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.
Meaning of "Amount under rule 38" in item 16633
38. In item 16633 "Amount under rule 38" means the amount equal to the sum of:
(a) the fee specified in an item in the series 16600 to 16627 for
provision of the relevant service in relation to a foetus; and
(b) 50% of that fee for each additional foetus in relation to whom that
service is provided. Meaning of "Amount under rule 39" in item 51312
39. In item 51312 "Amount under rule 39", in relation to an amount payable for
assistance at a procedure, means an amount equal to 20% of the sum of the fees
payable under the Act for the services at that procedure of the practitioner
to whom the assistance was given.
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 $11.60
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 $29.10
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 7
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 7
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 7
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 $24.50
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 $41.85
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 7
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 7
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
Amount under rule 7
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
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 $44.25
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 $61.70
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 7
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 7
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 Amount under rule 7
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
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 $65.20
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 $82.65
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 7
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 $46.20
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 $46.20
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 $62.85
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 $31.45
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 $51.70
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 $92.10
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 $58.25
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 $110.75
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 $55.45
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 $31.45
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 $134.45
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 $81.25
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 $58.50
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 $31.75
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 $63.50
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 $93.10
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 $128.50
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 $156.60
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 $58.35
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 $91.60
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 $127.05
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 $153.65
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 $183.20
153 Attendance for electroconvulsive therapy, with or
without the use of stimulus dosing techniques,
including any electroencephalographic monitoring and
associated consultation (Anaes. 17705 = 4B + 1T) $51.55
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 hours
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 $36.25
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 hours 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 $48.10
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 hours 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 $71.10
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 $38.40
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 $86.40
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 4 times in any 12 month
period $38.40
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 $89.70
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 $146.50
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 $203.30
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 $260.05
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 $313.90
GROUP A8-GROUP THERAPY
170 Professional attendance for the purpose of group
therapy of not less than 1 hours 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 $93.45
171 Professional attendance for the purpose of group
therapy of not less than 1 hours 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 $98.50
172 Professional attendance for the purpose of group
therapy of not less than 1 hours 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 $119.80
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 $21.65
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 $89.45
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 $89.45
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 $89.45
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 $89.45
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) $89.45
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 $89.45
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 $89.45
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 $89.45
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 $89.45
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 $6.40
GROUP A11-OPTOMETRICAL CONSULTATIONS
10900 Professional attendance, not being an attendance
covered by item 10906, 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 $51.70
10902 Professional attendance, not being an attendance
covered by item 10906, 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, 10904 or 10906 applies $51.70
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 $51.70
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 $51.70
10906 Professional attendance, which would otherwise be
covered by Items 10900, 10902, 10903 or 10904 where
the duration of the attendance is not more than 15
minutes $25.90
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, 10904 or 10906 applies $25.90
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, and the
attendance follows an attendance covered by item
10908 or 10909 $25.90
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, 10904 or 10906 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 $130.30
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 $130.30
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 $130.30
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 $130.30
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) $130.30
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 $130.30
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
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 $130.30
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 $130.30
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 $130.30
GROUP D1-MISCELLANEOUS DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
Subgroup 1-Neurology
11000 Electroencephalography, not being a service associated
with 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) $90.30
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 $239.20
11006 Electroencephalography, temporosphenoidal, not
being a service involving quantitative topographic
mapping using neurometrics or similar devices $122.60
11009 Electrocorticography $167.20
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) $82.20
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) $110.10
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) $164.45
11021 Neuromuscular electrodiagnosis-repetitive stimulation
for study of neuromuscular conduction or
electromyography with quantitative computerised
analysis or both of these examinations $110.10
11024 Central nervous system evoked responses, investigation
of, by computerised averaging techniques, not being
a service involving quantitative topographic mapping of
event-related potentials-1 or 2 studies $83.65
11027 Central nervous system evoked responses, investigation
of, by computerised averaging techniques, not being
a service involving quantitative topographic mapping of
event-related potentials-3 or more studies $124.05
Subgroup 2-Ophthalmology
11200 Provocative test or tests for glaucoma, including water
drinking $29.95
11203 Tonography-in the investigation or management of
glaucoma, of 1 or both eyes-using an electrical
tonography machine producing a directly recorded
tracing $50.65
11206 Electroretinography of 1 or both eyes or
electro-oculography of 1 or both eyes $80.75
11209 Electroretinography of 1 or both eyes and
electro-oculography of 1 or both eyes $119.65
11212 Optic fundi, examination of following intravenous dye
injection $51.50
11215 Retinal photography, multiple exposures, of 1 eye with
intravenous dye injection $100.20
11218 Retinal photography, multiple exposures of both eyes
with intravenous dye injection $123.90
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 $55.30
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 $33.35
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 $5.80
Subgroup 3-Otolaryngology
11300 Brain stem evoked response audiometry
(Anaes. 17707 = 5B + 2T) $141.30
11303 Electrocochleography, extratympanic method, 1 or
both ears $141.30
11304 Electrocochleography, transtympanic membrane
insertion technique, 1 or both ears $232.70
11306 Non-determinate audiometry $16.15
11309 Audiogram, air conduction $19.25
11312 Audiogram, air and bone conduction or air conduction
and speech discrimination $27.30
11315 Audiogram, air and bone conduction and speech $36.20
11318 Audiogram, air and bone conduction and speech, with
other cochlear tests $44.55
11321 Glycerol induced cochlear function changes assessed
by a minimum of 4 air conduction and speech
discrimination tests (Klockoff's test) $84.70
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 $24.20
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 $14.50
11330 Impedance audiogram where the patient is not referred
by a medical practitioner-1 examination in any 4 week
period $5.80
11333 Caloric test of labyrinth or labyrinths $32.75
11336 Simultaneous bithermal caloric test of labyrinths $32.75
11339 Electronystagmography $32.75
Subgroup 4-Respiratory
11500 Bronchospirometry, including gas analysis $122.60
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 $101.75
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 $15.05
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 $26.20
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 $45.40
Subgroup 5-Vascular
11600 Blood pressure monitoring (central venous, pulmonary
arterial, systemic arterial or cardiac intracavity),
by indwelling catheter-each day of monitoring for each
pressure up to a maximum of 4 pressures (not being a
service to which item 13876 applies)
(Anaes. 17703 = 2B + 1T) $50.85
11601 Blood pressure monitoring (central venous, pulmonary
arterial, systemic arterial or cardiac intracavity),
by indwelling catheter-for each pressure up to a
maximum of 4 pressures (not being a service to which
item 13876 applies) performed in association with the
administration of an anaesthetic relating to another
discrete operation on the same day
(Anaes. 17703 = 2B + 1T) $50.85
11603 Examination of peripheral vessels at rest (unilateral
or bilateral) with hard copy recordings of wave forms,
involving 1 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 $37.90
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) $53.80
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) $69.75
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)
$69.75
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 $55.70
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 $49.55
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) $74.60
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) $99.05
11627 Pulmonary artery pressure monitoring during open heart
surgery, in a person under 12 years of age $167.90
Subgroup 6-Cardiovascular
11700 12-lead electrocardiography, tracing and report $25.45
11701 Twelve-lead electrocardiography, report only where
the tracing has been forwarded to another medical
practitioner, including any consultation on the same
day $12.70
11702 12-lead electrocardiography, tracing only $12.70
11706 Phonocardiography with electrocardiograph lead with
indirect arterial or venous pulse tracing, with or
without apex cardiogram-interpretation and report $52.95
11708 Continuous ECG recording of ambulatory patient for
12 or more hours (including resting ECG and the
recording of parameters), not in association with
ambulatory blood pressure monitoring, involving
microprocessor based analysis equipment,
interpretation and report of recordings by a
specialist physician or consultant physician, not
being a service to which item 11709 applies $104.25
11709 Continuous ECG recording (Holter) of ambulatory
patient for 12 or more hours (including resting ECG
and the recording of parameters), not in association
with ambulatory blood pressure monitoring, utilising
a system capable of superimposition and full disclosure
printout of at least 12 hours of recorded ECG data,
microprocessor based scanning analysis, with
interpretation and report by a specialist physician
or consultant physician $136.60
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 $38.00
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 $20.80
11712 Multi channel ECG monitoring and recording during
exercise (motorised treadmill or cycle ergometer capable
of quantifying external workload in watts) or
pharmacological stress, involving the continuous
attendance of a medical practitioner for not less than
20 minutes, with resting ECG, and with or without
continuous blood pressure monitoring and the recording
of other parameters, on premises equipped with
mechanical respirator and defibrillator $124.05
11713 Signal averaged ECG 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 by a specialist physician or
consultant physician $51.20
11715 Blood dye-dilution indicator test $88.75
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 $25.45
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 $51.20
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 the 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 $124.05
Subgroup 7-Gastroenterology and Colorectal
11800 Oesophageal motility test, manometric $128.15
11810 Clinical assessment of gastro-oesophageal reflux
disease involving 24 hour pH monitoring, including
analysis, interpretation and report and including any
associated consultation $128.15
11830 Diagnosis of abnormalities of the pelvic floor
involving anal manometry or measurement of anorectal
sensation or measurement of the rectosphincteric
reflex $137.10
11833 Diagnosis of abnormalities of the pelvic floor and
sphincter muscles involving electromyography or
measurement of pudendal and spinal nerve motor
latency $183.40
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 $20.25
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 $81.55
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 $81.55
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
$121.20
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
(Anaes. 17704 = 3B + 1T) $121.20
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
(Anaes. 17704 = 3B + 1T) $121.20
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 imaging, not
being a service associated with a service to which
items 11012-11027, 11900-11915, 11921 and 36800 apply
(Anaes. 17704 = 3B + 1T) $314.50
11921 Bladder washout test for localisation of urinary
infection-not including bacterial counts for organisms
in specimens $55.05
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 12012, 12015, 12018 or 12021
applies $28.55
12003 Skin sensitivity testing for allergens, using more
than 20 allergens, not being a service associated
with a service to which item 12012, 12015, 12018
or 12021 applies $43.20
12012 Epicutaneous patch testing in the investigation of
allergic dermatitis using less than the number of
allergens included in a standard patch test battery $15.25
12015 Epicutaneous patch testing in the investigation of
allergic dermatitis using all of the allergens in a
standard patch test battery $45.80
12018 Epicutaneous patch testing in the investigation of
allergic dermatitis using all of the allergens in a
standard patch test battery and additional allergens
to a total of up to and including 50 allergens $59.05
12021 Epicutaneous patch testing in the investigation of
allergic dermatitis, performed by a specialist in the
practice of his or her specialty, using more than
50 allergens $86.55
Subgroup 10-Other Diagnostic Procedures And Investigations
12200 Collection of specimen of sweat by iontophoresis $27.35
12203 Overnight investigation for sleep apnoea for a period
of at least 8 hours duration, if the patient is
referred to the consultant physician or specialist by
a medical practitioner:
(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 of a specialist in a sleep laboratory of
a recognised hospital; and
(d) 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 $484.50
12206 Overnight investigation for sleep apnoea for a period
of at least 8 hours duration, if the patient is
referred to the consultant physician or specialist by
a medical practitioner:
(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 of a specialist in a sleep laboratory
of a recognised hospital; and
(d) 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 $5.30
GROUP D2-NUCLEAR MEDICINE (NON-IMAGING)
12500 Blood volume estimation $159.00
12503 Erythrocyte radioactive uptake survival time test or
iron kinetic test $311.95
12506 Gastrointestinal blood loss estimation involving
examination of stool specimens $222.65
12509 Gastrointestinal protein loss $159.00
12512 Radioactive B12 absorption test-1 isotope $77.05
12515 Radioactive B12 absorption test-2 isotopes $168.85
12518 Thyroid uptake (using probe) $77.05
12521 Perchlorate discharge study $93.00
12524 Renal function test (without imaging procedure) $116.25
12527 Renal function test (with imaging and at least 2
blood samples) $62.35
12530 Whole body count-not being a service associated with
a service to which another item applies $93.00
12533 Carbon-labelled urea breath test using oral C13 or
C14 urea, including the measurement of exhaled 13CO2
or 14CO2, performed by a specialist or a consultant
physician, if the patient is 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 $62.10
GROUP T1-MISCELLANEOUS THERAPEUTIC PROCEDURES
Subgroup 1-Hyperbaric Oxygen Therapy
13000 Hyperbaric oxygen therapy, if the medical practitioner
is not in the chamber $101.60
13003 Hyperbaric oxygen therapy, if the medical practitioner
is in the chamber $164.20
13012 Hyperbaric treatment, including oxygen therapy, for
a period of more than 2 hours (including examination
immediately before and after treatment)-per hour $84.40
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 $100.35
13103 Supervision in hospital by a medical specialist of
haemodialysis, haemofiltration, haemoperfusion or
peritoneal dialysis, including all professional
attendances, if the total attendance time on the
patient by the supervising medical specialist does
not exceed 45 minutes in 1 day $52.25
13106 Declotting of an arteriovenous shunt $89.20
13109 Indwelling peritoneal catheter (Tenckhoff or similar)
for dialysis-insertion and fixation of
(Anaes. 17710 = 6B + 4T) $167.20
13112 Peritoneal dialysis, establishment of by abdominal
puncture and insertion of temporary catheter
(including associated consultation) $100.35
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 $1,631.05
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 $407.75
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 $699.00
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) $69.90
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
(Anaes. 17707 = 4B + 3T) $297.05
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
(Anaes. 17709 = 6B + 3T) $93.20
13218 Preparation and transfer of frozen or donated embryos
or both ova and sperm, to the female reproductive
system, by any means andincluding 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 (Anaes. 17709 = 6B + 3T) $699.00
13221 Preparation of semen for the purposes of assisted
reproductive technologies or for artificial
insemination $42.50
Subgroup 4-Paediatric & Neonatal
13300 Umbilical or scalp vein catheterisation in a neonate
with or without infusion; or cannulation of a vein $41.80
13303 Umbilical artery catheterisation with or without
infusion $62.00
13306 Blood transfusion with venesection and complete
replacement of blood, including collection from
donor $245.30
13309 Blood transfusion with venesection and complete
replacement of blood, using blood already collected $209.10
13312 Blood for pathology test, collection of, by
femoral or external jugular vein puncture in infants $20.90
13315 Intra-uterine foetal blood transfusion using blood
already collected, including necessary amniocentesis $167.00
13318 Central vein catheterisation (via jugular or
subclavian vein) by open exposure, in a person
under 12 years of age (Anaes. 17709 = 5B + 4T) $167.00
Subgroup 5-Cardiovascular
13400 Restoration of cardiac rhythm by electrical
stimulation (cardioversion), other than in the
course of cardiac surgery (Anaes. 17706 = 5B + 1T) $71.10
Subgroup 6-Gastroenterology
13500 Gastric hypothermia by closed circuit circulation of
refrigerant in the absence of gastrointestinal
haemorrhage $132.45
13503 Gastric hypothermia by closed circuit circulation
of refrigerant for upper gastrointestinal haemorrhage $264.80
13506 Gastro-oesophageal balloon intubation, Minnesota,
Sengstaken-Blakemore or similar, for control of
bleeding from gastric oesophageal varices $135.45
Subgroup 7-Perfusion
13600 Perfusion of limb or organ using heart-lung machine
or equivalent $325.85
13603 Whole body perfusion, cardiac bypass, using heart-lung
machine or equivalent $471.45
13606 Induced controlled hypothermia-total body $80.40
13609 Cardioplegia, retrograde administration of, involving
crystalloid or blood, via a roller pump or
pump-oxygenator $185.60
Subgroup 8-Haematology
13700 Harvesting of homologous (including allogeneic) or
autologous bone marrow for the purpose of
transplantation (Anaes. 17712 = 5B + 7T) $244.70
13703 Administration of blood including collection from
donor $87.70
13706 Administration of blood or bone marrow already
collected $61.25
13709 Collection of blood for autologous transfusion or when
homologous blood is required for immediate transfusion
in emergency situation $35.55
Subgroup 9-Procedures Associated With Intensive Care
and Cardiopulmonary Support
13815 Central vein catheterisation (via jugular, subclavian
or femoral vein) by percutaneous or open exposure not
being a service to which item 13318 applies
(Anaes. 17705 = 3B + 2T) $62.60
13818 Right heart balloon catheter, insertion of, including
pulmonary wedge pressure and cardiac output
measurement $83.55
13830 Intracranial pressure, monitoring of, by
intraventricular or subdural catheter, subarachnoid
bolt or similar, by a specialist or consultant
physician-each day $55.30
13839 Arterial puncture and collection of blood for
diagnostic purposes $16.90
13842 Intra-arterial cannulisation for the purpose of taking
multiple arterial blood samples for blood gas
analysis $50.85
13845 Counterpulsation by intra-aortic balloon-management
on the first day, including percutaneous insertion,
initial and subsequent consultations and monitoring
of parameters $397.20
13848 Counterpulsation by intra-aortic balloon-management
on each day subsequent to the first, including
associated consultations and monitoring of parameters $96.20
13851 Circulatory support device, management of, on first
day $362.50
13854 Circulatory support device, management of, on each
day subsequent to the first $84.25
13857 Mechanical ventilation, initiation of (other than
initiation of ventilation in the context of an
anaesthetic for surgery), outside of an intensive
care unit, if subsequent management of ventilatory
support is undertaken in an intensive care unit $107.50
Subgroup 10-Management and Procedures Undertaken
in an Intensive Care Unit
13870 Management of a patient in an intensive care unit by
a specialist or consultant physician-including initial
and subsequent attendances, electrocardiographic
monitoring, arterial sampling, bladder catheterisation
and blood sampling-management on the first day $224.05
13873 Management of a patient in an intensive care unit
by a specialist or consultant physician-including all
attendances, electrocardiographic monitoring, arterial
sampling, bladder catheterisation and blood
sampling-management on each day subsequent to the
first day $166.75
13876 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 $50.85
13879 Mechanical ventilation, initiation of, by a specialist
or consultant physician, in an intensive care unit,
including subsequent management of ventilatory support
on the first day $162.55
13882 Ventilatory support in an intensive care unit,
management of, by a specialist or consultant
physician-not being a service to which item 13879
applies-each day $55.30
13885 Continuous arterio-venous or veno-venous
haemofiltration, management by a specialist or
consultant physician-on the first day in an
intensive care unit $100.05
13888 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 $52.10
Subgroup 11-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 hours
duration-payable once only on the same day $47.75
13918 Chemotherapy, administration of, by intravenous
infusion of more than 1 hours duration but not more
than 6 hours duration-payable once only on the
same day $71.90
13921 Chemotherapy, administration of, by intravenous
infusion of more than 6 hours duration-for the first
day of treatment $81.30
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 $47.95
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 hours duration-payable once only on the same
day $62.00
13930 Chemotherapy, administration of, by intra-arterial
infusion of more than 1 hours duration but not more
than 6 hours duration-payable once only on the same
day $86.50
13933 Chemotherapy, administration of, by intra-arterial
infusion of more than 6 hours duration-for the first
day of treatment $95.90
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 $62.50
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 $71.90
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 $47.95
13945 Long-term implanted drug delivery device, accessing
of $38.55
13948 Cytotoxic agent, instillation of, into a body cavity $47.95
Subgroup 12-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 $43.05
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 $43.05
14100 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of severely
disfiguring vascular lesions of the head or neck where
abnormality is visible from 6 metres, including any
associated consultation, up to a maximum of 6 sessions
(including any sessions to which items 14100 to 14118
and 30213 apply) in any 12 month period-session of at
least 30 minutes duration (Anaes. 17708 = 5B + 3T) $112.00
14103 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of severely
disfiguring vascular lesions of the head or neck where
abnormality is visible from 6 metres, including any
associated consultation, up to a maximum of 6 sessions
(including any sessions to which items 14100 to 14118 and
30213 apply) in any 12 month period-session of at least
60 minutes duration (Anaes. 17710 = 5B + 5T) $137.45
14106 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of port wine
stains and haemangiomas, including any associated
consultation, up to a maximum of 6 sessions (including
any sessions to which items 14100 to 14118 and 30213
apply) in any 12 month period-area of treatment up
to 50cm2 (Anaes. 17707 = 5B + 2T) $112.00
14109 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of port
wine stains and haemangiomas, including any associated
consultation, up to a maximum of 6 sessions
(including any sessions to which items 14100 to 14118
and 30213 apply) in any 12 month period-area of
treatment more than 50cm2 and up to 100cm2
(Anaes. 17708 = 5B + 3T) $137.45
14112 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of port wine
stains and haemangiomas, including any associated
consultation, up to a maximum of 6 sessions
(including any sessions to which items 14100 to
14118 and 30213 apply) in any 12 month period-area
of treatment more than 100cm2 and up to 150cm2
(Anaes. 17709 = 5B + 4T) $162.90
14115 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of port
wine stains and haemangiomas, including any
associated consultation, up to a maximum of 6
sessions (including any sessions to which items
14100 to 14118 and 30213 apply) in any 12 month
period-area of treatment more than 150cm2 and up
to 250cm2 (Anaes. 17710 = 5B + 5T) $188.35
14118 Laser photocoagulation using laser light within the
wave length of 510-600nm in the treatment of port
wine stains and haemangiomas, including any associated
consultation, up to a maximum of 6 sessions
(including any sessions to which items 14100 to
14118 apply) in any 12 month period-area of
treatment more than 250cm2
(Anaes. 17711 = 5B + 6T) $239.25
Subgroup 13-Other Therapeutic Procedures
14200 Gastric lavage in the treatment of ingested poison $43.95
14203 Hormone or living tissue implantation, by direct
implantation involving incision and suture $37.55
14206 Hormone or living tissue implantation-by cannula $26.15
14209 Intra-arterial infusion or retrograde intravenous
perfusion of a sympatholytic agent $65.20
14212 Intussusception, management of fluid or gas reduction
for (Anaes. 17705 = 3B + 2T) $136.10
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 $31.20
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 17
15006 Radiotherapy, superficial-attendance at which a
single dose technique is applied-1 field $69.35
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 18
15012 Radiotherapy, superficial-each attendance at which
treatment is given to an eye $39.25
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 $35.00
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 17
15106 Radiotherapy, deep or orthovoltage-each attendance at
which fractionated treatment is given at 2 treatments
per week or less frequently-1 field $41.35
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 17
15112 Radiotherapy, deep or orthovoltage-attendance at
which a single dose technique is applied-1 field $88.25
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 18
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 $34.35
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 17
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 $34.35
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 17
15211 Radiation oncology treatment, using cobalt unit or
caesium teletherapy unit-each attendance at which
treatment is given-1 field $31.45
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 17
Subgroup 4-Brachytherapy
15303 Intrauterine treatment alone using radioactive sealed
sources having a half-life greater than 115 days
using manual afterloading techniques
(Anaes. 17705 = 3B + 2T) $262.15
15304 Intrauterine treatment alone using radioactive sealed
sources having a half life greater than 115 days using
automatic afterloading techniques
(Anaes. 17705 = 3B + 2T) $262.15
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
(Anaes. 17705 = 3B + 2T) $496.95
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
(Anaes. 17705 = 3B + 2T) $496.95
15311 Intravaginal treatment alone using radioactive sealed
sources having a half-life greater than 115 days
using manual afterloading techniques
(Anaes. 17705 = 3B + 2T) $244.65
15312 Intravaginal treatment alone using radioactive sealed
sources having a half-life greater than 115 days
using automatic afterloading techniques
(Anaes. 17705 = 3B + 2T) $242.95
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
(Anaes. 17705 = 3B + 2T) $480.35
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
(Anaes. 17706 = 3B + 3T) $480.35
15319 Combined intrauterine and intravaginal treatment
using radioactive sealed sources having a half-life
greater than 115 days using manual afterloading
techniques (Anaes. 17706 = 3B + 3T) $298.10
15320 Combined intrauterine and intravaginal treatment
using radioactive sealed sources having a half-life
greater than 115 days using automatic afterloading
techniques (Anaes. 17706 = 3B + 3T) $298.10
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 (Anaes. 17706 = 3B + 3T) $530.10
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 (Anaes. 17706 = 3B + 3T) $530.10
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
(Anaes. 17707 = 4B + 3T) $576.70
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
(Anaes. 17708 = 5B + 3T) $576.70
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
(Anaes. 17708 = 5B + 3T) $547.60
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
(Anaes. 17708 = 5B + 3T) $547.60
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 (Anaes. 17705 = 3B + 2T) $496.95
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 (Anaes. 17705 = 3B + 2T) $496.95
15339 Removal of a sealed radioactive source under general
anaesthesia, or under epidural or spinal nerve block
(Anaes. 17705 = 3B + 2T) $55.95
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 $139.75
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 $372.85
15348 Subsequent applications of radioactive mould referred
to in item 15342 or 15345-each attendance $42.85
15351 Construction and first application of a radioactive
mould not exceeding 5 cm in diameter to an external
surface $85.60
15354 Construction and first application of a radioactive
mould more than 5 cm in diameter to an external
surface $104.00
15357 Attendance upon a patient to apply a radioactive
mould constructed for application to an external
surface of the patient other than an attendance which
is the first attendance to apply the mould-each
attendance $29.35
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) $139.75
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) $179.40
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) $267.95
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) $121.20
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) $156.10
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) $226.05
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 $44.30
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 $195.70
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 $367.00
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 $45.40
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 $202.75
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 $384.50
15536 Brachytherapy planning, computerised radiation
dosimetry $195.90
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 $29.65
16003 Intra-cavitary administration of a therapeutic dose of
Yttrium 90 (not including preliminary paracentesis)
(Anaes. 17705 = 3B + 2T) $477.70
16006 Administration of a therapeutic dose of Iodine 131
for thyroid cancer by single dose technique $367.00
16009 Administration of a therapeutic dose of Iodine 131
for thyrotoxicosis by single dose technique $250.50
16012 Intravenous administration of a therapeutic dose of
Phosphorous 32 $216.70
GROUP T4-OBSTETRICS
16500 Antenatal attendance $24.50
16502 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 1 visit per day $24.50
16504 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 $24.50
16505 Threatened abortion, threatened miscarriage or
hyperemesis gravidarum, requiring admission to hospital,
treatment of-each attendance that is not a routine
antenatal attendance $24.50
16508 Pregnancy complicated by acute intercurrent infection,
intra-uterine 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 $24.50
16509 Pre-eclampsia, eclampsia or antepartum haemorrhage,
treatment of-each attendance that is not a routine
antenatal attendance $24.50
16511 Cervix, purse string ligation of $161.45
16512 Cervix, removal of purse string ligature of $46.60
16514 Antenatal cardiotocography in the management of high
risk pregnancy (not during the course of the
confinement) $26.95
16515 Management of vaginal delivery as an independent
procedure where the patient's care has been transferred
by another medical practitioner for management of the
delivery and the attending medical practitioner has
not provided antenatal care to the patient, including
all attendances related to the delivery $254.45
16518 Management of labour, incomplete, where the patient's
care has been transferred to another medical
practitioner for completion of the delivery $116.50
16519 Management of labour and delivery by any means
(including Caesarean section) including post-partum
care for 5 days $391.95
16520 Caesarean section and post-operative care for 7 days
where the patient's care has been transferred by
another medical practitioner for management of the
confinement and the attending medical practitioner
has not provided any of the antenatal care $458.00
16525 Management of second trimester labour, with or without
induction, for intrauterine foetal death, gross foetal
abnormality or life threatening maternal disease, not
being a service to which item 35643 applies $217.10
16564 Evacuation of retained products of conception
(placenta, membranes or mole) as a complication of
confinement, with or without curettage of the uterus,
as an independent procedure $160.10
16567 Management of postpartum haemorrhage by special
measures such as packing of uterus, as an independent
procedure $234.15
16570 Acute inversion of the uterus, vaginal correction of,
as an independent procedure $305.40
16571 Cervix, repair of extensive laceration or
lacerations $234.15
16573 Third degree tear, involving anal sphincter muscles
and rectal mucosa, repair of, as an independent
procedure $190.80
16600 Amniocentesis, diagnostic $46.60
16603 Chorionic villus sampling, by any route $89.55
16606 Foetal blood sampling, using interventional techniques
from umbilical cord or foetus, including foetal
neuromuscular blockade and amniocentesis $178.55
16609 Foetal intravascular blood transfusion, using blood
already collected, including neuromuscular blockade,
amniocentesis and foetal blood sampling $364.15
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 $286.60
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 $152.55
16618 Amniocentesis, therapeutic, when indicated because of
polyhydramnios with at least 500ml being aspirated $152.55
16621 Amnioinfusion, for diagnostic or therapeutic purposes
in the presence of severe oligohydramnios $152.55
16624 Foetal fluid filled cavity, drainage of $219.60
16627 Foeto-amniotic shunt, insertion of, into foetal fluid
filled cavity, including neuromuscular blockade and
amniocentesis $447.15
16633 Procedure on multiple pregnancies relating to items
16606, 16609, 16612, 16615 and 16627 Amount under rule 38
16636 Procedure on multiple pregnancies relating to items
16600, 16603, 16618, 16621 and 16624 Amount under rule 38
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 where the combined
anaesthetic unit value exceeds 21 units $99.85
GROUP T6-ANAESTHETICS
Subgroup 1-Examination By An Anaesthetist
17603 Examination of a patient in preparation for the
administration of an anaesthetic relating to a
clinically relevant service, being an examination
carried out at a place other than an operating theatre
or an anaesthetic induction room $31.45
Subgroup 2-Administration Of An Anaesthetic In
Connection With A Medical Service
17701 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 1 $13.95
17702 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 2 $27.90
17703 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 3 $41.85
17704 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 4 $55.80
17705 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 5 $69.75
17706 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 6 $83.70
17707 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 7 $97.65
17708 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 8 $111.60
17709 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 9 $125.55
17710 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 10 $139.50
17711 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 11 $153.45
17712 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 12 $167.40
17713 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 13 $181.35
17714 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 14 $195.30
17715 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 15 $209.25
17716 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 16 $223.20
17717 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 17 $237.15
17718 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 18 $251.10
17719 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 19 $265.05
17720 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 20 $279.00
17721 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 21 $292.95
17722 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 22 $306.90
17723 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 23 $320.85
17724 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 24 $334.80
17725 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 25 $348.75
17726 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 26 $362.70
17727 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 27 $376.65
17728 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 28 $390.60
17729 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 29 $404.55
17730 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 30 $418.50
17731 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 31 $432.45
17732 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 32 $446.40
17733 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 33 $460.35
17734 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 34 $474.30
17735 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 35 $488.25
17736 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 36 $502.20
17737 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 37 $516.15
17738 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 38 $530.10
17739 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 39 $544.05
17740 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 40 $558.00
17741 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 41 $571.95
17742 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 42 $585.90
17743 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 43 $599.85
17744 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 44 $613.80
17745 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 45 $627.75
17746 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 46 $641.70
17747 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 47 $655.65
17748 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 48 $669.60
17749 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 49 $683.55
17750 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 50 $697.50
17751 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 51 $711.45
17752 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 52 $725.40
17753 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 53 $739.35
17754 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 54 $753.30
17755 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 55 $767.25
17756 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 56 $781.20
17757 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 57 $795.15
17758 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 58 $809.10
17759 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 59 $823.05
17760 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 60 $837.00
17761 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 61 $850.95
17762 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 62 $864.90
17763 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 63 $878.85
17764 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 64 $892.80
17765 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 65 $906.75
17766 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 66 $920.70
17767 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 67 $934.65
17768 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 68 $948.60
17769 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 69 $962.55
17770 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 70 $976.50
17771 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 71 $990.45
17772 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 72 $1,004.40
17773 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 73 $1,018.35
17774 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 74 $1,032.30
17775 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 75 $1,046.25
17776 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 76 $1,060.20
17777 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 77 $1,074.15
17778 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 78 $1,088.10
17779 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 79 $1,102.05
17780 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 80 $1,116.00
17781 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 81 $1,129.95
17782 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 82 $1,143.90
17783 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 83 $1,157.85
17784 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 84 $1,171.80
17785 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 85 $1,185.75
17786 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 86 $1,199.70
17787 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 87 $1,213.65
17788 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 88 $1,227.60
17789 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 89 $1,241.55
17790 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 90 $1,255.50
17791 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 91 $1,269.45
17792 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 92 $1,283.40
17793 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 93 $1,297.35
17794 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 94 $1,311.30
17795 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 95 $1,325.25
17796 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 96 $1,339.20
17797 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 97 $1,353.15
17798 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 98 $1,367.10
17799 Administration of an anaesthetic in connection with
a medical service, being a medical service which has
a combined anaesthetic unit value of 99 $1,381.05
17965 Administration of an anaesthetic in connection with
radio-therapy(Anaes.= 7B + 4T) $153.45
17968 Administration of an anaesthetic in connection with
forceps delivery, vacuum extraction delivery, breech
delivery by manipulation, rotation of head followed
by delivery (Anaes.= 5B + 3T) $111.60
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 $5.20
17972 Administration of an anaesthetic, where the anaesthetic
is prolonged $2.05
17974 Administration of an anaesthetic where the anaesthetic
is administered as a therapeutic procedure
(Anaes.= 5B + 5T) $139.50
17977 Administration of an anaesthetic in connection with
reamputation of amputation stump referred to in item
44376 Amount under rule 19
17980 Administration of an anaesthetic in connection with
computerised axial tomography-brain scan, plain study
with or without contrast medium study
(Anaes. = 7B + 4T) $153.45
17983 Administration of an anaesthetic in connection with
computerised axial tomography-body scan, plain study
with or without contrast medium study
(Anaes. = 7B + 4T) $153.45
17986 Administration of an anaesthetic in connection with
the removal of phaeochromocytoma (Anaes.= 10B + 15T) $348.75
17989 Administration of an anaesthetic in connection with
peripheral venous cannulation (Anaes.= 3B + 2T) $69.75
17992 Administration of an anaesthetic in connection with
peripheral venous cannulation by open exposure
(Anaes.= 3B + 2T) $69.75
17995 Administration of an anaesthetic in connection with
percutaneous central venous cannulation
(Anaes.= 5B + 2T) $97.65
17998 Administration of an anaesthetic in connection with
electrocochleography (insertion of electrodes and
brain stem evoked response audiometry)
(Anaes.= 5B + 7T) $167.40
18001 Administration of an anaesthetic in connection with
manual removal of products of conception, treatment
of postpartum haemorrhage or repair of third degree
tear (Anaes.= 4B + 3T) $97.65
18004 Administration of an anaesthetic in connection with
manipulative correction of acute inversion of uterus
by vaginal approach (Anaes.= 4B + 4T) $111.60
18007 Administration of an anaesthetic in connection with
Caesarean section (Anaes.= 10B + 5T) $209.25
18010 Administration of an anaesthetic in connection with
repair of episiotomy(Anaes.= 3B + 2T) $69.75
18013 Administration of an anaesthetic in connection with
magnetic resonance imaging services provided at
prescribed locations (Anaes.= 7B + 7T) $195.30
18016 Administration of an anaesthetic in connection with
a regional or field nerve block covered by items
18216, 18219, 18230, 18232, 18233, 18234, 18236,
18280, 18284, 18286, 18288, 18290, 18292, 18294,
18296 or 18298, not being an anaesthetic administered
in conjunction with an operative procedure
(Anaes.= 4B + 4T) $111.60
18019 Administration of an anaesthetic for incision and
drainage of large haematoma, large abscess,
cellulitis or similar lesion causing life
threatening airway obstruction, or for the relief
of life threatening airway obstruction due to
epiglottitus (Anaes.= 15B + 4T) $265.05
18021 Administration of an anaesthetic in connection with
muscle biopsy for malignant hyperpyrexia $181.35
18022 Administration of an anaesthetic in connection with
digital subtraction angiography $139.50
18026 Administration of an anaesthetic during hyperbaric
therapy, if the medical practitioner is not confined
in the chamber (including the administration of oxygen)
(Anaes.= 8B + 6T) $195.30
18027 Administration of an anaesthetic during hyperbaric
therapy, if the medical practitioner is confined in
the chamber (including the administration of oxygen)
(Anaes.= 15B + 11T) $362.70
18030 Administration of an anaesthetic performed on a person
under the age of 10 years in connection with a
procedure covered by an item which has not been
allocated anaesthetic units, if the anaesthesia time
is up to and including 30 minutes (Anaes. = 4B + 2T) $83.70
18031 Administration of an anaesthetic performed on a person
under the age of 10 years in connection with a procedure
covered by an item which has not been allocated
anaesthetic units, if the anaesthesia time exceeds 30
minutes but does not exceed 60 minutes
(Anaes. = 4B + 4T) $111.60
18032 Administration of an anaesthetic performed on a
person under the age of 10 years in connection with
a procedure covered by an item which has not been
allocated anaesthetic units where the anaesthesia
time exceeds 60 minutes (Anaes. = 4B + 5T) $125.55
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 of than 15
minutes duration (Anaes.= 5B + 1T) $83.70
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 of more than 15
minutes duration (Anaes.= 5B + 3T) $111.60
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
(Anaes. = 5B + 2T) $97.65
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
(Anaes.= 5B + 4T) $125.55
18113 Administration by a medical practitioner of an
anaesthetic for restorative dental work where the
procedure is of not more than 30 minutes duration
(Anaes.= 5B + 2T) $97.65
18118 Administration by a medical practitioner of an
anaesthetic for restorative dental work where the
procedure is of more than 30 minutes duration
(Anaes.= 5B + 6T) $153.45
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 $36.85
18209 Introduction of local anaesthetic, for control of
post-operative pain, into the epidural or intrathecal
space, in conjunction with an operation $36.85
18213 Intravenous regional anaesthesia of limb by retrograde
perfusion $65.15
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 $139.45
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 36
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 $27.65
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 $36.85
18228 Interpleural block, initial injection or commencement
of infusion of a therapeutic substance $45.85
18230 Intrathecal, epidural or caudal injection of neurolytic
substance $175.10
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 $139.45
18233 Epidural injection of blood for blood patch $139.45
18234 Trigeminal nerve, primary division of, injection of
an anaesthetic agent $91.70
18236 Trigeminal nerve, peripheral branch of, injection of
an anaesthetic agent $45.85
18238 Facial nerve, injection of an anaesthetic agent, not
being a service associated with a service to which
item 18240 applies $27.65
18240 Retrobulbar or peribulbar injection of an anaesthetic
agent $68.75
18242 Greater occipital nerve, injection of an anaesthetic
agent $27.65
18244 Vagus nerve, injection of an anaesthetic agent $73.95
18246 Glossopharyngeal nerve, injection of an anaesthetic
agent $73.95
18248 Phrenic nerve, injection of an anaesthetic agent $65.15
18250 Spinal accessory nerve, injection of an anaesthetic
agent $45.85
18252 Cervical plexus, injection of an anaesthetic agent $73.95
18254 Brachial plexus, injection of an anaesthetic agent $73.95
18256 Suprascapular nerve, injection of an anaesthetic agent $45.85
18258 Intercostal nerve (single), injection of an anaesthetic
agent $45.85
18260 Intercostal nerves (multiple), injection of an
anaesthetic agent $65.15
18262 Ilio-inguinal, iliohypogastric or genitofemoral nerves,
1 or more of, injection of an anaesthetic agent $45.85
18264 Pudendal nerve, injection of an anaesthetic agent $73.95
18266 Ulnar, radial or median nerve, main trunk of, 1 or
more of, injection of an anaesthetic agent, not being
associated with a brachial plexus block $45.85
18268 Obturator nerve, injection of an anaesthetic agent $65.15
18270 Femoral nerve, injection of an anaesthetic agent $65.15
18272 Saphenous, sural, popliteal or posterior tibial nerve,
main trunk of, 1 or more of, injection of an
anaesthetic agent $45.85
18274 Paravertebral, cervical, thoracic, lumbar, sacral or
coccygeal nerves, injection of an anaesthetic agent,
(single vertebral level) $65.15
18276 Paravertebral nerves, injection of an anaesthetic
agent, (multiple levels) $91.70
18278 Sciatic nerve, injection of an anaesthetic agent $65.15
18280 Sphenopalatine ganglion, injection of an anaesthetic
agent $91.70
18282 Carotid sinus, injection of an anaesthetic agent,
as an independent percutaneous procedure $73.95
18284 Stellate ganglion, injection of an anaesthetic agent,
(cervical sympathetic block) $108.40
18286 Lumbar or thoracic nerves, injection of an anaesthetic
agent, (paravertebral sympathetic block) $108.40
18288 Coeliac plexus or splanchnic nerves, injection of an
anaesthetic agent $108.40
18290 Cranial nerve other than trigeminal, destruction by a
neurolytic agent $183.40
18292 Nerve branch, destruction by a neurolytic agent, not
being a service to which any other item in this Group
applies $91.70
18294 Coeliac plexus or splanchnic nerves, destruction by a
neurolytic agent $129.25
18296 Lumbar sympathetic chain, destruction by a neurolytic
agent $110.45
18298 Cervical or thoracic sympathetic chain, destruction
by a neurolytic agent $129.25
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 $5.20
30003 Localised burns, dressing of, (not involving
grafting)-each attendance at which the procedure is
performed, including any associated consultation $22.60
30006 Extensive burns, dressing of, without anaesthesia
(not involving grafting)-each attendance at which the
procedure is performed, including any associated
consultation $34.10
30009 Localised burns, dressing of, under general anaesthesia
(not involving grafting) (G) (Anaes. 17708 = 4B + 4T) $44.55
30010 Localised burns, dressing of, under general anaesthesia
(not involving grafting) (S) (Anaes. 17708 = 4B + 4T) $54.25
30013 Extensive burns, dressing of, under general anaesthesia
(not involving grafting) (G) (Anaes. 17710 = 4B + 6T) $96.05
30014 Extensive burns, dressing of, under general anaesthesia
(not involving grafting) (S) (Anaes. 17710 = 4B + 6T) $114.10
30017 Burns, excision of, under general anaesthesia,
involving not more than 10 per cent of body surface,
if grafting is not carried out during the same
operation (Anaes. 17710 = 4B + 6T) $239.40
30020 Burns, excision of, under general anaesthesia,
involving more than 10 per cent of body surface,
if grafting is not carried out during the same
operation (Anaes. 17715 = 4B + 11T) $466.25
30023 Wound of soft tissue, deep or extensively
contaminated, debridement of, under general
anaesthesia or regional or field block, including
suturing of that wound when performed
(Anaes. 17707 = 4B + 3T) $239.40
30026 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, other than on face or neck,
small (not more than 7cms long), superficial, not
being a service to which another item in Group T4
applies (Anaes. 17706 = 4B + 2T) $38.30
30029 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, other than on face or neck,
small (not more than 7cm long), involving deeper
tissue, not being a service to which another item in
Group T4 applies (Anaes. 17706 = 4B + 2T) $66.10
30032 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, small
(not more than 7cm long), superficial
(Anaes. 17709 = 4B + 5T) $60.55
30035 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, small
(not more than 7cm long), involving deeper tissue
(Anaes. 17709 = 4B + 5T) $86.30
30038 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, other than on face or neck,
large (more than 7cm long), superficial, not being a
service to which another item in Group T4 applies
(Anaes. 17709 = 4B + 5T) $66.10
30041 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, other than on face or neck,
large (more than 7cm long), involving deeper tissue,
not being a service to which another item in Group
T4 applies (G) (Anaes. 17709 = 4B + 5T) $105.75
30042 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, other than on face or neck,
large (more than 7cm long), involving deeper tissue,
not being a service to which another item in Group
T4 applies (S) (Anaes. 17709 = 4B + 5T) $136.40
30045 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, large
(more than 7cm long), superficial
(Anaes. 17709 = 4B + 5T) $86.30
30048 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, large
(more than 7cm long), involving deeper tissue(G)
(Anaes. 17709 = 4B + 5T) $109.95
30049 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, large
(more than 7cm long), involving deeper tissue(S)
(Anaes. 17709 = 4B + 5T) $136.40
30052 Full thickness laceration of ear, eyelid, nose or
lip, repair of, with accurate apposition of each layer
of tissue (Anaes. 17711 = 5B + 6T) $186.50
30055 Wounds, dressing of, under general anaesthesia, with
or without removal of sutures, not being a service
associated with a service to which another item in
this Group applies (Anaes. 17706 = 4B + 2T) $54.25
30058 Post-operative haemorrhage, control of, under general
anaesthesia, as an independent procedure
(Anaes. 17705 = 3B + 2T) $105.75
30061 Superficial foreign body, removal of, (including
from cornea or sclera) as an independent procedure
(Anaes. 17706 = 4B + 2T) $17.25
30064 Subcutaneous foreign body, removal of, requiring
incision and exploration, including closure of wound,
if performed, as an independent procedure
(Anaes. 17707 = 4B + 3T) $80.75
30067 Foreign body in muscle, tendon or other deep tissue,
removal of, as an independent procedure(G)
(Anaes. 17707 = 4B + 3T) $164.20
30068 Foreign body in muscle, tendon or other deep tissue,
removal of, as an independent procedure(S)
(Anaes. 17707 = 4B + 3T) $203.20
30071 Biopsy of skin or mucous membrane, as an independent
procedure(Anaes. 17706 = 4B + 2T) $38.30
30074 Biopsy of lymph gland, muscle or other deep tissue or
organ, as an independent procedure (G)
(Anaes. 17706 = 4B + 2T) $86.30
30075 Biopsy of lymph gland, muscle or other deep tissue
or organ, as an independent procedure (S)
(Anaes. 17706 = 4B + 2T) $109.95
30078 Drill biopsy of lymph gland, deep tissue or organ,
as an independent procedure(Anaes. 17706 = 4B + 2T) $35.55
30081 Biopsy of bone marrow by trephine using an open
approach (Anaes. 17706 = 4B + 2T) $80.75
30084 Biopsy of bone marrow by trephine using a percutaneous
approach with a Jamshidi needle or similar device
(Anaes. 17706 = 4B + 2T) $43.15
30087 Biopsy of bone marrow by aspiration or punch biopsy of
synovial membrane(Anaes. 17706 = 4B + 2T) $21.65
30090 Biopsy of pleura, percutaneous-1 or more biopsies on
any 1 occasion (Anaes. 17706 = 4B + 2T) $94.35
30093 Needle biopsy of vertebra (Anaes. 17708 = 4B + 4T) $125.95
30094 Percutaneous aspiration biopsy of deep organ using
interventional techniques-but not including imaging
(Anaes. 17706 = 4B + 2T) $139.10
30096 Scalene node biopsy (Anaes. 17707 = 5B + 2T) $135.00
30099 Sinus, excision of, involving superficial tissue only
(Anaes. 17706 = 4B + 2T) $66.10
30102 Sinus, excision of, involving muscle and deep tissue
(G) (Anaes. 17706 = 4B + 2T) $109.95
30103 Sinus, excision of, involving muscle and deep tissue
(S) (Anaes. 17706 = 4B + 2T) $135.00
30104 Pre-auricular sinus, excision of
(Anaes. 17706 = 4B + 2T) $93.25
30106 Ganglion or small bursa, excision of, not being a
service associated with a service to which an item
in this Group applies (G) (Anaes. 17706 = 4B + 2T) $114.10
30107 Ganglion or small bursa, excision of, not being a
service associated with a service to which an item
in this Group applies (S) (Anaes. 17706 = 4B + 2T) $161.45
30110 Bursa (large), including olecranon, calcaneum or
patella, excision of(G) (Anaes. 17707 = 4B + 3T) $208.75
30111 Bursa (large), including olecranon, calcaneum or
patella, excision of(S) (Anaes. 17707 = 4B + 3T) $272.75
30114 Bursa, semimembranosus (Baker's cyst), excision of
(Anaes. 17707 = 3B + 4T) $272.75
30117 Tumour, cyst, ulcer or scar (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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) (Anaes. 17706 = 4B + 2T) $70.95
30118 Tumour, cyst, ulcer or scar (other than a scar removed
during the surgical approach at an operation), up to
3cm 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) (Anaes. 17706 = 4B + 2T) $93.25
30121 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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) (Anaes. 17707 = 4B + 3T) $186.50
30122 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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) (Anaes. 17707 = 4B + 3T) $239.40
30125 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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) (Anaes. 17713 = 4B + 9T) $247.75
30126 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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) (Anaes. 17713 = 4B + 9T) $299.25
30129 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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 (Anaes. 17715 = 4B + 11T) $368.80
30132 Tumours, cysts, ulcers or scars (other than a scar
removed during the surgical approach at an operation),
up to 3cm 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
(Anaes. 17717 = 4B + 13T) $508.00
30135 Tumour, cyst, ulcer or scar (other than a scar
removed during the surgical approach at an operation),
more than 3cm in diameter, removal from cutaneous or
subcutaneous tissue or from mucous membrane (G)
(Anaes. 17706 = 4B + 2T) $104.40
30136 Tumour, cyst, ulcer or scar (other than a scar
removed during the surgical approach at an operation),
more than 3cm in diameter, removal from cutaneous or
subcutaneous tissue or from mucous membrane(S)
(Anaes. 17706 = 4B + 2T) $126.65
30139 Tumour, cyst (other than a cyst associated with a
tooth or tooth fragment unless it has been established
by radiological examination that there is a minimum
of 5mm separation between the cyst lining and tooth
structure), ulcer or scar (other than a scar removed
during the surgical approach at an operation),
removal of, not being a service to which another
item in this Group applies, involving muscle, bone
or other deep tissue (G) (Anaes. 17707 = 4B + 3T) $144.75
30140 Tumour, cyst (other than a cyst associated with a
tooth or tooth fragment unless it has been established
by radiological examination that there is a minimum
of 5mm separation between the cyst lining and tooth
structure), ulcer or scar (other than a scar removed
during the surgical approach at an operation),
removal of, not being a service to which another item
in this Group applies, involving muscle, bone or other
deep tissue (S) (Anaes. 17707 = 4B + 3T) $180.95
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)
(Anaes. 17706 = 4B + 2T) $239.40
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)
(Anaes. 17706 = 4B + 2T) $272.75
30147 Malignant tumour, removal of, from skin, requiring
wide and deep excision, other than removal of basal
cell carcinoma (Anaes. 17707 = 4B + 3T) $292.25
30150 Malignant tumour, removal of, from skin, requiring
wide and deep excision with immediate block dissection
of lymph glands (Anaes. 17713 = 4B + 9T) $612.45
30153 Tumour, removal of, from soft tissue (including
muscle, fascia and connective tissue), extensive
excision of, without skin graft
(Anaes. 17708 = 4B + 4T) $368.80
30156 Tumour, removal of, from soft tissue (including
muscle, fascia and connective tissue), extensive
excision of, with skin graft
(Anaes. 17709 = 4B + 5T) $431.45
30159 Malignant tumour, removal of, from any region
involving a radical operation (not being an operation
to which another item in this Group applies)
(Anaes. 17710 = 5B + 5T) $612.45
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)
(Anaes. 17706 = 4B + 2T) $292.25
30165 Lipectomy-transverse wedge excision of abdominal apron
(Anaes. 17710 = 5B + 5T) $334.00
30168 Lipectomy-wedge excision of skin or fat (not being a
service to which item 30165 applies)-1 excision
(Anaes. 17710 = 4B + 6T) $334.00
30171 Lipectomy-wedge excision of skin or fat (not being a
service to which item 30165 applies)-2 or more
excisions (Anaes. 17712 = 4B + 8T) $508.00
30174 Lipectomy-subumbilical excision with undermining of
skin edges and strengthening of musculo-aponeurotic
wall (Anaes. 17712 = 5B + 7T) $508.00
30177 Lipectomy-radical abdominoplasty (Pitanguy type or
similar) with excision of skin and subcutaneous
tissue, repair of musculo-aponeurotic layer and
transposition of umbilicus(Anaes. 17715 = 5B + 10T) $723.75
30180 Axillary hyperhidrosis, wedge excision for
(Anaes. 17706 = 3B + 3T) $100.20
30183 Axillary hyperhidrosis, total excision of sweat gland
bearing area (Anaes. 17709 = 3B + 6T) $180.95
30186 Palmar or plantar wart, removal of, not being a
service to which item 30187 applies
(Anaes. 17705 = 3B + 2T) $34.80
30187 Palmar or plantar warts, removal of by carbon dioxide
laser, requiring admission to a hospital or day
hospital facility, or when performed by a specialist
in the practice of his or her specialty, if the time
taken is greater than 45 minutes (5 or more warts)
(Anaes. 17707 = 3B + 4T) $188.70
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 (Anaes. 17705 = 4B + 1T) $108.15
30190 Angiofibromas, trichoepitheliomas or other severely
disfiguring tumours suitable for laser excision as
confirmed by specialist opinion, of the face or neck,
removal of, by carbon dioxide laser excision- ablation
including associated resurfacing (10 or more tumours)
(Anaes. 17710 = 4B + 6T) $292.15
30192 Premalignant skin lesions, treatment of, by
galvanocautery or electrodesiccation or cryocautery
(10 or more lesions) (Anaes. 17706 = 4B + 2T) $29.10
30195 Neoplastic skin lesions, other than viral verrucae
(common warts) and seborrheic keratoses, treatment by
electrosurgical destruction, simple curettage or shave
excision, or laser photocoagulation, not being a service
associated with a service to which item 30196, 30197,
30202, 30203 or 30205 applies-(1 or more lesions)
(Anaes. 17706 = 4B + 2T) $46.60
30196 Cancer of skin or mucous membrane proven by
histopathology or confirmed by specialist opinion,
removal of, by serial curettage or carbon dioxide laser
excision-ablation, including any associated cryotherapy,
or diathermy, not being a service to which item 30197
applies $92.75
30197 Cancer of skin or mucous membrane proven by
histopathology or confirmed by specialist opinion,
removal of, by serial curettage or carbon dioxide laser
exision-ablation, including any associated cryotherapy
or diathermy, (10 or more lesions) $323.10
30202 Cancer of skin or mucous membrane proven by
histopathology or confirmed by specialist opinion,
removal of, by liquid nitrogen cryotherapy using repeat
freeze-thaw cycles, not being a service to which item
30203 applies $35.45
30203 Cancer of skin or mucous membrane proven by
histopathology or confirmed by specialist opinion,
removal of, by liquid nitrogen cryotherapy using
repeat freeze-thaw cycles (10 or more lesions) $125.05
30205 Cancer of skin proven by histopathology, removal of,
by liquid nitrogen cryotherapy using repeat freeze-thaw
cycles where cancer extends into cartilage $92.75
30207 Skin lesions, multiple injections with hydrocortisone
or similar preparations $32.75
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
(Anaes. 17706 = 4B + 2T) $119.65
30213 Telangiectases or starburst vessels on the head or
neck where lesions are visible from 3 metres,
diathermy or sclerosant injection of, including
associated consultation-limited to a maximum of 6
sessions (including any sessions to which items 14100
to 14118 and 30213 apply) in any 12 month period-for a
session of at least 20 minutes duration $80.65
30216 Haematoma, aspiration of (Anaes. 17705 = 4B + 1T) $20.05
30219 Haematoma, furuncle, small abscess or similar lesion
not requiring a general anaesthetic, incision with
drainage of (excluding after-care) $20.05
30222 Large haematoma, large abscess, carbuncle, cellulitis
or similar lesion requiring a general anaesthetic,
incision with drainage of (excluding after-care) (G)
(Anaes. 17706 = 4B + 2T) $86.30
30223 Large haematoma, large abscess, carbuncle, cellulitis
or similar lesion requiring a general anaesthetic,
incision with drainage of (excluding after-care) (S)
(Anaes. 17706 = 4B + 2T) $119.65
30224 Percutaneous drainage of deep abscess using
interventional techniques-but not including imaging
(Anaes. 17707 = 4B + 3T) $174.50
30225 Abscess drainage tube, exchange of using
interventional techniques-but not including imaging
(Anaes. 17706 = 4B + 2T) $196.50
30226 Muscle, excision of (limited) or fasciotomy
(Anaes. 17706 = 4B + 2T) $109.95
30229 Muscle, excision of (extensive)
(Anaes. 17707 = 4B + 3T) $200.45
30232 Muscle, ruptured, repair of (limited), not associated
with external wound (Anaes. 17707 = 4B + 3T) $164.20
30235 Muscle, ruptured, repair of (extensive), not associated
with external wound(Anaes. 17707 = 4B + 3T) $217.10
30238 Fascia, deep, repair of, for herniated muscle
(Anaes. 17707 = 4B + 3T) $109.95
30241 Bone tumour, innocent, excision of, not being a
service to which another item in this Group applies
(Anaes. 17707 = 4B + 3T) $261.65
30244 Styloid process of temporal bone, removal of
(Anaes. 17708 = 5B + 3T) $261.65
30247 Parotid gland, total extirpation of
(Anaes. 17715 = 5B + 10T) $542.80
30250 Parotid gland, total extirpation of with preservation
of facial nerve (Anaes. 17718 = 5B + 13T) $918.60
30253 Parotid gland, superficial lobectomy or removal of
tumour from, with exposure of facial nerve
(Anaes. 17714 = 5B + 9T) $612.45
30256 Submandibular gland, extirpation of
(Anaes. 17713 = 5B + 8T) $327.10
30259 Sublingual gland, extirpation of
(Anaes. 17707 = 5B + 2T) $144.75
30262 Salivary gland, dilatation or diathermy of duct
(Anaes. 17706 = 5B + 1T) $43.15
30265 Salivary gland, removal of calculus from duct or
meatotomy or marsupialisation, 1 or more such
procedures (G) (Anaes. 17707 = 5B + 2T) $86.30
30266 Salivary gland, removal of calculus from duct or
meatotomy or marsupialisation, 1 or more such
procedures (S) (Anaes. 17707 = 5B + 2T) $109.95
30269 Salivary gland, repair of cutaneous fistula of
(Anaes. 17707 = 5B + 2T) $109.95
30272 Tongue, partial excision of (Anaes. 17707 = 5B + 2T) $217.10
30275 Radical excision of intra-oral tumour involving
resection of mandible and lymph glands of neck
(commando-type operation) (Anaes. 17718 = 7B + 11T) $1,294.40
30278 Tongue tie, repair of, not being a service to which
another item in this Group applies
(Anaes. 17707 = 5B + 2T) $34.10
30281 Tongue tie, mandibular frenulum or maxillary
frenulum, repair of, in a person aged not less than
2 years, under general anaesthesia
(Anaes. 17707 = 5B + 2T) $87.70
30282 Ranula or mucous cyst of mouth, removal of(G)
(Anaes. 17709 = 5B + 4T) $114.10
30283 Ranula or mucous cyst of mouth, removal of (S)
(Anaes. 17709 = 5B + 4T) $150.30
30286 Branchial cyst, removal of (Anaes. 17709 = 5B + 4T) $292.25
30289 Branchial fistula, removal of
(Anaes. 17709 = 5B + 4T) $368.80
30293 Cervical oesophagostomy; or closure of cervical
oesophagostomy with or without plastic repair
(Anaes. 17715 = 6B + 9T) $327.10
30294 Cervical oesophagectomy with tracheostomy and
oesophagostomy, with or without plastic
reconstruction; or laryngopharyngectomy with
tracheostomy and plastic reconstruction
(Anaes. 17723 = 6B + 17T) $1,294.40
30296 Thyroidectomy, total (Anaes. 17716 = 6B + 10T) $751.70
30297 Thyroidectomy following previous thyroid surgery
(Anaes. 17716 = 6B + 10T) $751.70
30306 Total hemithyroidectomy (Anaes. 17714 = 6B + 8T) $586.40
30308 Bilateral subtotal thyroidectomy
(Anaes. 17714 = 6B + 8T) $586.40
30309 Thyroidectomy, subtotal for thyrotoxicosis
(Anaes. 17716 = 6B + 10T) $751.70
30310 Thyroid, unilateral sub-total thyroidectomy or
equivalent partial thyroidectomy
(Anaes. 17711 = 6B + 5T) $335.90
30313 Thyroglossal cyst, removal of
(Anaes. 17711 = 6B + 5T) $200.45
30314 Thyroglossal cyst or fistula or both, radical removal
of, including thyroglossal duct and portion of hyoid
bone (Anaes. 17711 = 6B + 5T) $335.90
30315 Parathyroid operation for hyperparathyroidism
(Anaes. 17716 = 6B + 10T) $837.00
30317 Cervical re-exploration for recurrent or persistent
hyperparathyroidism(Anaes. 17720 = 6B + 14T) $1,002.25
30318 Mediastinum, exploration of, via the cervical route,
for hyperparathyroidism (including thymectomy)
(Anaes. 17715 = 6B + 9T) $666.40
30320 Mediastinum, exploration of, via mediastinotomy, for
hyperparathyroidism (including thymectomy)
(Anaes. 17717 = 6B + 11T) $1,002.25
30321 Retroperitoneal neuroendocrine tumour, removal of
(Anaes. 17722 = 10B + 12T) $666.40
30323 Retroperitoneal neuroendocrine tumour, removal of,
requiring complex and extensive dissection
(Anaes. 17730 = 10B + 20T) $1,002.25
30324 Adrenal gland tumour, excision of
(Anaes. 17725 = 10B + 15T) $1,002.25
30325 Lymph glands of neck, limited excision of
(Anaes. 17708 = 6B + 2T) $272.75
30328 Lymph glands of neck, radical excision of
(Anaes. 17720 = 6B + 14T) $723.75
30329 Lymph glands of groin, limited excision of
(Anaes. 17709 = 3B + 6T) $181.25
30330 Lymph glands of groin, radical excision of
(Anaes. 17713 = 3B + 10T) $527.80
30332 Lymph glands of axilla, limited excision of
(Anaes. 17709 = 5B + 4T) $181.25
30333 Lymph glands of axilla, radical excision of
(Anaes. 17713 = 5B + 8T) $527.80
30337 Simple mastectomy with or without frozen section
biopsy(G) (Anaes. 17708 = 5B + 3T) $239.40
30338 Simple mastectomy with or without frozen section
biopsy(S) (Anaes. 17708 = 5B + 3T) $327.10
30341 Breast, excision of cyst, fibro adenoma or other
local lesion or segmental resection for any other
reason (G) (Anaes. 17705 = 3B + 2T) $144.75
30342 Breast, excision of cyst, fibro adenoma or other
local lesion or segmental resection for any other
reason (S) (Anaes. 17705 = 3B + 2T) $188.25
30345 Breast, excision of cyst, fibro adenoma or other
local lesion or segmental resection for any other
reason, if frozen section biopsy is performed or
where specimen radiography is used (G)
(Anaes. 17708 = 3B + 5T) $192.05
30346 Breast, excision of cyst, fibro adenoma or other
local lesion or segmental resection for any other
reason, if frozen section biopsy is performed or
specimen radiography is used (S)
(Anaes. 17708 = 3B + 5T) $239.40
30349 Partial mastectomy involving more than 25% of the
breast tissue, with or without frozen section biopsy
(G) (Anaes. 17706 = 3B + 3T) $192.05
30350 Partial mastectomy involving more than 25% of the
breast tissue, with or without frozen section biopsy
(S) (Anaes. 17706 = 3B + 3T) $239.40
30353 Breast, extended simple mastectomy with or without
frozen section biopsy (Anaes. 17709 = 3B + 6T) $431.45
30356 Subcutaneous mastectomy with or without frozen section
biopsy (Anaes. 17709 = 3B + 6T) $403.60
30359 Breast, radical or modified radical mastectomy with
or without frozen section biopsy
(Anaes. 17713 = 5B + 8T) $633.30
30360 Fine needle breast biopsy, imaging guided-but not
including imaging (Anaes. 17705 = 3B + 2T) $139.10
30361 Breast, preoperative localisation of lesion of, by
hookwire or similar device, using interventional
techniques-but not including imaging
(Anaes. 17705 = 3B + 2T) $139.10
30363 Breast, core biopsy of solid tumour or tissue of,
using mechanical biopsy device, for histological
examination (Anaes. 17705 = 3B + 2T) $101.30
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
(Anaes. 17707 = 3B + 4T) $119.40
30366 Breast, microdochotomy of, for benign or malignant
condition (Anaes. 17710 = 3B + 7T) $245.25
30367 Breast central ducts, excision of, for benign
condition (Anaes. 17710 = 3B + 7T) $196.15
30369 Accessory breast tissue, excision of
(Anaes. 17707 = 3B + 4T) $196.15
30370 Inverted nipple, surgical eversion of
(Anaes. 17707 = 3B + 4T) $110.85
30372 Accessory nipple, excision of
(Anaes. 17707 = 3B + 4T) $92.80
30373 Laparotomy (exploratory), including associated
biopsies, where no other intra-abdominal procedure is
performed (Anaes. 17711 = 7B + 4T) $354.85
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 (Anaes. 17713 = 7B + 6T) $382.70
30376 Laparotomy involving division of peritoneal adhesions
(where no other intra-abdominal procedure is
performed) (Anaes. 17714 = 7B + 7T) $382.70
30378 Laparotomy involving division of adhesions in
association with another intra-abdominal procedure
where the time taken to divide the adhesions exceeds
45 minutes (Anaes. 17714 = 7B + 7T) $384.50
30379 Laparotomy with division of extensive adhesions
(duration greater than 2 hours) with or without
insertion of long intestinal tube
(Anaes. 17720 = 7B + 13T) $681.55
30382 Enterocutaneous fistula, radical repair of, involving
extensive dissection and resection of bowel
(Anaes. 17716 = 7B + 9T) $959.60
30384 Laparotomy for grading of lymphoma, including
splenectomy, liver biopsies, lymph node biopsies and
oophoropexy (Anaes. 17714 = 7B + 7T) $807.25
30385 Laparotomy for control of post-operative haemorrhage,
where no other procedure is performed
(Anaes. 17712 = 7B + 5T) $413.60
30387 Laparotomy involving operation on abdominal viscera
(including pelvic viscera), not being a service to
which another item in this Group applies
(Anaes. 17712 = 7B + 5T) $466.25
30388 Laparotomy for trauma involving 3 or more organs
(Anaes. 17721 = 7B + 14T) $1,172.90
30390 Laparoscopy, diagnostic (Anaes. 17709 = 6B + 3T) $161.45
30391 Laparoscopy, with biopsy (Anaes. 17709 = 6B + 3T) $208.75
30394 Laparotomy for drainage of subphrenic abscess, pelvic
abscess, appendiceal abscess, ruptured appendix or for
peritonitis from any cause, with or without
appendicectomy (Anaes. 17711 = 7B + 4T) $361.85
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) $746.40
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) $170.60
30399 Laparostomy, final closure of wound made at previous
operation, after removal of dressings or packs and
removal of mesh or zipper if previously inserted
(Anaes. 17714 = 7B + 7T) $234.60
30400 Laparotomy with insertion of portacath for
administration of cytotoxic therapy including
placement of reservoir (Anaes. 17712 = 7B + 5T) $464.35
30402 Retroperitoneal abscess, drainage of, not involving
laparotomy (Anaes. 17709 = 6B + 3T) $341.10
30403 Ventral, incisional, or recurrent hernia or burst
abdomen, repair of (Anaes. 17711 = 6B + 5T) $382.70
30405 Ventral, or incisional hernia, repair of requiring
muscle transposition, mesh hernioplasty or resection
of strangulated bowel (Anaes. 17716 = 6B + 10T) $671.80
30406 Paracentesis abdominis $38.30
30408 Peritoneo-venous (Le Veen) shunt, insertion of
(Anaes. 17711 = 7B + 4T) $287.90
30409 Liver biopsy, percutaneous (Anaes. 17706 = 4B + 2T) $128.15
30411 Liver biopsy by wedge excision when performed in
association with another intra-abdominal procedure
(Anaes. 17711 = 7B + 4T) $65.25
30412 Liver biopsy by core needle, when performed in
conjunction with another intra-abdominal procedure
(Anaes. 17711 = 7B + 4T) $38.40
30414 Liver, subsegmental resection of, (local excision),
other than for trauma (Anaes. 17716 = 7B + 9T) $506.45
30415 Liver, segmental resection of, other than for trauma
(Anaes. 17722 = 13B + 9T) $1,012.95
30418 Liver, lobectomy of, other than for trauma
(Anaes. 17724 = 13B + 11T) $1,172.90
30421 Liver, tri-segmental resection (extended lobectomy)
of, other than for trauma
(Anaes. 17726 = 13B + 13T) $1,466.05
30422 Liver, repair of superficial laceration of, for
trauma (Anaes. 17712 = 7B + 5T) $495.80
30425 Liver, repair of deep multiple lacerations of, or
debridement of, for trauma (Anaes. 17718 = 7B + 11T) $959.60
30427 Liver, segmental resection of, for trauma
(Anaes. 17724 = 13B + 11T) $1,146.15
30428 Liver, lobectomy of, for trauma
(Anaes. 17726 = 13B + 13T) $1,226.20
30430 Liver, extended lobectomy (tri-segmental resection)
of, for trauma (Anaes. 17728 = 13B + 15T) $1,705.95
30431 Liver abscess, open abdominal drainage of
(Anaes. 17713 = 7B + 6T) $382.70
30433 Liver abscess (multiple), open abdominal drainage of
(Anaes. 17716 = 7B + 9T) $533.15
30434 Hydatid cyst of liver, peritoneum or viscus, complete
removal of contents of, with or without suture of
biliary radicles (Anaes. 17714 = 7B + 7T) $431.80
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) $479.80
30437 Hydatid cyst of liver, total excision of, by
cysto-pericystectomy (membrane plus fibrous wall)
(Anaes. 17718 = 7B + 11T) $597.10
30439 Operative cholangiography or operative pancreatography
or intra operative ultrasound (including 1 or more
examinations performed during the 1 operation)
(Anaes. 17711 = 7B + 4T) $136.40
30440 Cholangiogram, percutaneous transhepatic, and biliary
drainage, using interventional techniques-but not
including imaging (Anaes. 17712 = 7B + 5T) $386.50
30442 Choledochoscopy in conjunction with another procedure
(Anaes. 17709 = 7B + 2T) $136.40
30443 Cholecystectomy (Anaes. 17713 = 7B + 6T) $542.80
30445 Laparoscopic cholecystectomy (Anaes. 17715 = 7B + 8T) $597.10
30446 Laparoscopic cholecystectomy when procedure is
completed by laparotomy (Anaes. 17717 = 7B + 10T) $597.10
30448 Laparoscopic cholecystectomy, involving removal of
common duct calculi via the cystic duct
(Anaes. 17718 = 7B + 11T) $714.40
30449 Laparoscopic cholecystectomy with removal of common
duct calculi via laparoscopic choledochotomy
(Anaes. 17720 = 7B + 13T) $794.35
30451 Biliary drainage tube, exchange of, using
interventional techniques-but not including imaging
(Anaes. 17710 = 7B + 3T) $196.50
30452 Choledochoscopy with balloon dilatation of a stricture
or passage of stent or extraction of calculi
(Anaes. 17716 = 7B + 9T) $277.20
30454 Choledochotomy (with or without cholecystectomy),
with or without removal of calculi
(Anaes. 17716 = 7B + 9T) $633.30
30455 Choledochotomy (with or without cholecystectomy),
with removal of calculi including biliary intestinal
anastomosis (Anaes. 17718 = 7B + 11T) $744.60
30457 Choledochotomy, intrahepatic, involving removal of
intrahepatic bile duct calculi
(Anaes. 17716 = 7B + 9T) $1,012.95
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
(Anaes. 17715 = 7B + 8T) $744.60
30460 Cholecystoduodenostomy, cholecystoenterostomy,
choledochojejunostomy or Roux-en-Y as a bypass
procedure, if no prior biliary surgery performed
(Anaes. 17715 = 7B + 8T) $633.30
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 (Anaes. 17719 = 7B + 12T) $1,085.60
30463 Radical resection of common hepatic duct and right
and left hepatic ducts for carcinoma, with 2 duct
anastomoses (Anaes. 17724 = 7B + 17T) $1,332.75
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) $1,599.40
30466 Intrahepatic biliary bypass of left hepatic ductal
system by Roux-en-Y loop to peripheral ductal system
(Anaes. 17722 = 7B + 15T) $922.30
30467 Intraheptic bypass of right hepatic ductal system
by Roux-en-Y loop to peripheral ductal system
(Anaes. 17722 = 7B + 15T) $1,140.85
30469 Biliary stricture, repair of, after 1 or more
operations on the biliary tree
(Anaes. 17724 = 7B + 17T) $1,263.50
30470 Bile duct fistula, repair of, following previous
bile duct surgery (Anaes. 17722 = 7B + 15T) $799.70
30472 Hepatic or common bile duct, repair of, as the
primary procedure subsequent to transection of bile
duct or ducts (Anaes. 17722 = 7B + 15T) $682.35
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
(Anaes. 17706 = 5B + 1T) $144.50
30475 Endoscopy with balloon dilatation of gastric or
gastroduodenal stricture (Anaes. 17708 = 5B + 3T) $261.20
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 or banding of
oesophageal or gastric varices, not being a service
associated with a service to which item 30473 or 30478
applies (Anaes. 17708 = 6B + 2T) $200.40
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
gastrointestinal lesions, not being a service
associated with a service to which item 30473 or
30476 applies (Anaes. 17708 = 6B + 2T) $200.40
30479 Endoscopic laser therapy for neoplasia and benign
vascular lesions or strictures of the gastrointestinal
tract (Anaes. 17711 = 5B + 6T) $349.55
30481 Percutaneous endoscopic gastrostomy (initial procedure)
(Anaes. 17711 = 5B + 6T) $262.15
30482 Percutaneous endoscopic gastrostomy (repeat procedure)
(Anaes. 17711 = 5B + 6T) $186.40
30484 Endoscopic retrograde cholangio-pancreatography
(Anaes. 17708 = 5B + 3T) $267.95
30485 Endoscopic sphincterotomy with or without extraction
of stones from common bile duct
(Anaes. 17708 = 5B + 3T) $413.60
30487 Small bowel intubation with biopsy
(Anaes. 17707 = 5B + 2T) $132.85
30488 Small bowel intubation-as an independent procedure
(Anaes. 17707 = 5B + 2T) $66.10
30490 Oesophageal prosthesis, insertion of, including
endoscopy and dilatation (Anaes. 17710 = 6B + 4T) $386.50
30491 Bile duct, endoscopic stenting of (including
endoscopy and dilatation) (Anaes. 17711 = 5B + 6T) $407.75
30493 Biliary manometry (Anaes. 17709 = 5B + 4T) $244.65
30494 Endoscopic biliary dilatation
(Anaes. 17711 = 5B + 6T) $308.70
30496 Vagotomy, truncal or selective, with or without
pyloroplasty or gastroenterostomy
(Anaes. 17713 = 7B + 6T) $431.80
30497 Vagotomy and antrectomy (Anaes. 17714 = 7B + 7T) $514.95
30499 Vagotomy, highly selective (Anaes. 17715 = 7B + 8T) $612.45
30500 Vagotomy, highly selective with duodenoplasty for
peptic stricture (Anaes. 17717 = 7B + 10T) $655.75
30502 Vagotomy, highly selective, with dilatation of
pylorus (Anaes. 17715 = 7B + 8T) $723.75
30503 Vagotomy or antrectomy, or both, for peptic ulcer
following previous operation for peptic ulcer
(Anaes. 17713 = 7B + 6T) $810.40
30505 Bleeding peptic ulcer, control of, involving suture
of bleeding point or wedge excision
(Anaes. 17713 = 7B + 6T) $405.15
30506 Bleeding peptic ulcer, control of, involving suture
of bleeding point or wedge excision, and vagotomy
and pyloroplasty or gastroenterostomy
(Anaes. 17715 = 7B + 8T) $709.10
30508 Bleeding peptic ulcer, control of, involving suture
of bleeding point or wedge excision, and highly
selective vagotomy (Anaes. 17715 = 7B + 8T) $746.40
30509 Bleeding peptic ulcer, control of, involving gastric
resection (other than wedge resection)
(Anaes. 17715 = 7B + 8T) $746.40
30511 Morbid obesity, gastric reduction or gastroplasty for,
by any method (Anaes. 17715 = 7B + 8T) $623.80
30512 Morbid obesity, gastric bypass for, by any method
including anastomosis (Anaes. 17723 = 7B + 16T) $767.65
30514 Morbid obesity, surgical reversal of procedure to
which item 30511 or 30512 applies
(Anaes. 17724 = 7B + 17T) $1,130.20
30515 Gastroenterostomy (including gastroduodenostomy) or
enterocolostomy or enteroenterostomy
(Anaes. 17714 = 7B + 7T) $517.10
30517 Gastroenterostomy, pyloroplasty or gastroduodenostomy,
reconstruction of (Anaes. 17716 = 7B + 9T) $677.05
30518 Partial gastrectomy (Anaes. 17717 = 7B + 10T) $725.05
30520 Gastric tumour, removal of, by local excision, not
being a service to which item 30518 applies
(Anaes. 17717 = 7B + 10T) $495.80
30521 Gastrectomy, total, for benign disease
(Anaes. 17721 = 7B + 14T) $1,060.90
30523 Gastrectomy, sub-total radical, for carcinoma,
(including splenectomy when performed)
(Anaes. 17721 = 7B + 14T) $1,108.85
30524 Gastrectomy, total radical, for carcinoma (including
extended node dissection and distal pancreatectomy
and splenectomy when performed)
(Anaes. 17723 = 7B + 16T) $1,220.85
30526 Gastrectomy, total, and including lower oesophagus,
performed by left thoraco-abdominal incision or
opening of diaphragmatic hiatus, (including
splenectomy when performed)
(Anaes. 17735 = 15B + 20T) $1,583.35
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 (Anaes. 17722 = 9B + 13T) $639.75
30529 Antireflux operation by fundoplasty, with
oesophagoplasty for stricture or short oesophagus
(Anaes. 17730 = 15B + 15T) $959.60
30530 Antireflux operation by cardiopexy, with or without
fundoplasty (Anaes. 17730 = 15B + 15T) $575.80
30532 Oesophagogastric myotomy (Heller's operation) via
abdominal or thoracic approach, with or without
closure of the diaphragmatic hiatus
(Anaes. 17727 = 15B + 12T) $661.15
30533 Oesophagogastric myotomy (Heller's operation) via
abdominal or thoracic approach, with fundoplasty,
with or without closure of the diaphragmatic hiatus
(Anaes. 17728 = 15B + 13T) $786.40
30535 Oesophagectomy with gastric reconstruction by
abdominal mobilisation and thoracotomy
(Anaes. 17735 = 15B + 20T) $1,245.70
30536 Oesophagectomy involving gastric reconstruction by
abdominal mobilisation, thoracotomy and anastomosis
in the neck-1 surgeon (Anaes. 17739 = 15B + 24T) $1,263.50
30538 Oesophagectomy involving gastric reconstruction by
abdominal mobilisation, thoracotomy and anastomosis
in the neck-conjoint surgery, principal surgeon
(including aftercare) (Anaes. 17739 = 15B + 24T) $874.30
30539 Oesophagectomy involving gastric reconstruction by
abdominal mobilisation, thoracotomy and anastomosis in
the neck-conjoint surgery, co-surgeon $639.75
30541 Oesophagectomy, by trans-hiatal oesophagectomy
(cervical and abdominal mobilisation, anastomosis)
with posterior or anterior mediastinal placement-1
surgeon (Anaes. 17739 = 15B + 24T) $1,114.25
30542 Oesophagectomy, by trans-hiatal oesophagectomy
(cervical and abdominal mobilisation, anastomosis)
with posterior or anterior mediastinal
placement-conjoint surgery, principal surgeon
(including aftercare) (Anaes. 17739 = 15B + 24T) $757.05
30544 Oesophagectomy, by trans-hiatal oesophagectomy
(cervical and abdominal mobilisation, anastomosis)
with posterior or anterior mediastinal
placement-conjoint surgery, co-surgeon $554.45
30545 Oesophagectomy with colon or jejunal anastomosis,
(abdominal and thoracic mobilisation with thoracic
anastomosis)-1 surgeon (Anaes. 17739 = 15B + 24T) $1,348.80
30547 Oesophagectomy with colon or jejunal anastomosis,
(abdominal and thoracic mobilisation with thoracic
anastomosis)-conjoint surgery, principal surgeon
(including aftercare) (Anaes. 17739 = 15B + 24T) $927.65
30548 Oesophagectomy with colon or jejunal anastomosis,
(abdominal and thoracic mobilisation with thoracic
anastomosis)-conjoint surgery, co-surgeon $693.05
30550 Oesophagectomy with colon or jejunal replacement
(abdominal and thoracic mobilisation with anastomosis
of pedicle in the neck)-1 surgeon
(Anaes. 17739 = 15B + 24T) $1,514.05
30551 Oesophagectomy with colon or jejunal replacement
(abdominal and thoracic mobilisation with anastomosis
of pedicle in the neck)-conjoint surgery, principal
surgeon (including aftercare)
(Anaes. 17739 = 15B + 24T) $1,044.90
30553 Oesophagectomy with colon or jejunal replacement
(abdominal and thoracic mobilisation with anastomosis
of pedicle in the neck)-conjoint surgery, co-surgeon
$773.00
30554 Oesophagectomy with reconstruction by free jejunal
graft-1 surgeon (Anaes. 17739 = 15B + 24T) $1,684.65
30556 Oesophagectomy with reconstruction by free jejunal
graft-conjoint surgery, principal surgeon (including
aftercare) (Anaes. 17739 = 15B + 24T) $1,162.20
30557 Oesophagectomy with reconstruction by free jejunal
graft-conjoint surgery, co-surgeon $858.30
30559 Oesophagus, local excision for tumour of
(Anaes. 17730 = 15B + 15T) $623.80
30560 Oesophageal perforation, repair of, by thoracotomy
(Anaes. 17735 = 15B + 20T) $693.05
30562 Enterostomy or colostomy, closure of-not involving
resection of bowel (Anaes. 17713 = 7B + 6T) $436.95
30563 Colostomy or ileostomy, refashioning of
(Anaes. 17712 = 7B + 5T) $436.95
30564 Small bowel strictureplasty for chronic inflammatory
bowel disease (Anaes. 17714 = 7B + 7T) $567.05
30565 Small intestine, resection of, without anastomosis
(including formation of stoma)
(Anaes. 17719 = 7B + 12T) $639.75
30566 Small intestine, resection of, with anastomosis
(Anaes. 17720 = 7B + 13T) $710.65
30568 Intraoperative enterotomy for visualisation of the
small intestine by endoscopy (Anaes. 17710 = 7B + 3T) $533.15
30569 Endoscopic examination of small bowel with flexible
endoscope passed at laparotomy, with or without
biopsies (Anaes. 17710 = 7B + 3T) $271.90
30571 Appendicectomy, not being a service to which item
30574 applies (Anaes. 17710 = 6B + 4T) $327.10
30572 Laparoscopic appendicectomy (Anaes. 17711 = 7B + 4T) $351.85
30574 Appendicectomy, when performed in conjunction with
any other intra-abdominal procedure through the same
incision (Anaes. 17707 = 6B + 1T) $90.45
30575 Pancreatic abscess, laparotomy and external drainage
of, not requiring retro-pancreatic dissection
(Anaes. 17713 = 7B + 6T) $376.45
30577 Pancreatic necrosectomy for pancreatic necrosis or
abscess formation requiring major pancreatic or
retro-pancreatic dissection, excluding aftercare
(Anaes. 17726 = 7B + 19T) $799.70
30578 Endocrine tumour, exploration of pancreas or duodenum,
followed by local excision of pancreatic tumour
(Anaes. 17725 = 8B + 17T) $842.35
30580 Endocrine tumour, exploration of pancreas or duodenum,
followed by local excision of duodenal tumour
(Anaes. 17724 = 7B + 17T) $767.65
30581 Endocrine tumour, exploration of pancreas or duodenum
for, but no tumour found (Anaes. 17722 = 7B + 15T) $559.80
30583 Distal pancreatectomy (Anaes. 17720 = 10B + 10T) $876.85
30584 Pancreatico-duodenectomy, Whipple's operation, with
or without preservation of pylorus
(Anaes. 17730 = 10B + 20T) $1,294.40
30586 Pancreatic cyst-anastomosis to stomach or duodenum
(Anaes. 17715 = 7B + 8T) $514.95
30587 Pancreatic cyst, anastomosis to Roux loop of jejunum
(Anaes. 17716 = 7B + 9T) $533.15
30589 Pancreatico-jejunostomy for pancreatitis or trauma
(Anaes. 17720 = 7B + 13T) $918.60
30590 Pancreatico-jejunostomy following previous pancreatic
surgery (Anaes. 17722 = 7B + 15T) $1,012.95
30593 Pancreatectomy, near total or total (including
duodenum), with or without splenectomy
(Anaes. 17730 = 10B + 20T) $1,386.15
30594 Pancreatectomy for pancreatitis following previously
attempted drainage procedure or partial resection
(Anaes. 17725 = 10B + 15T) $1,599.40
30596 Splenorrhaphy or partial splenectomy for trauma
(Anaes. 17715 = 7B + 8T) $658.80
30597 Splenectomy (Anaes. 17714 = 7B + 7T) $528.85
30599 Splenectomy, for massive spleen (weighing more
than 1500gms) or involving thoraco-abdominal incision
(Anaes. 17721 = 7B + 14T) $959.60
30600 Diaphragmatic hernia, traumatic, repair of
(Anaes. 17720 = 9B + 11T) $570.65
30601 Diaphragmatic hernia, congenital, repair of, by
thoracic or abdominal approach)
(Anaes. 17717 = 9B + 8T) $702.90
30602 Portal hypertension, porto-caval shunt for
(Anaes. 17734 = 15B + 19T) $1,140.85
30603 Portal hypertension, meso-caval shunt for
(Anaes. 17726 = 7B + 19T) $1,204.85
30605 Portal hypertension, selective spleno-renal shunt for
(Anaes. 17734 = 15B + 19T) $1,370.15
30606 Portal hypertension, oesophageal transection via
stapler or oversew of gastric varices with or without
devascularisation (Anaes. 17720 = 7B + 13T) $815.65
30609 Femoral or inguinal hernia, laparoscopic repair of,
not being a service associated with a service to
which item 30612 or 30614 applies
(Anaes. 17711 = 7B + 4T) $341.00
30612 Femoral or inguinal hernia or infantile hydrocele,
repair of, not being a service to which item 30403 or
30615 applies (G) (Anaes. 17708 = 4B + 4T) $261.65
30614 Femoral or inguinal hernia or infantile hydrocele,
repair of, not being a service to which item 30403 or
30615 applies (S) (Anaes. 17708 = 4B + 4T) $341.00
30615 Strangulated, incarcerated or obstructed hernia,
repair of, without bowel resection
(Anaes. 17710 = 4B + 6T) $382.70
30616 Umbilical, epigastric or linea alba hernia, repair
of, in a person under 10 years of age(G)
(Anaes. 17707 = 4B + 3T) $194.85
30617 Umbilical, epigastric or linea alba hernia, repair of,
in a person under 10 years of age (S)
(Anaes. 17707 = 4B + 3T) $261.65
30620 Umbilical, epigastric or linea alba hernia, repair
of, in a person 10 years of age or over(G)
(Anaes. 17707 = 4B + 3T) $219.90
30621 Umbilical, epigastric or linea alba hernia, repair
of, in a person 10 years of age or over (S)
(Anaes. 17707 = 4B + 3T) $299.25
30628 Hydrocele, tapping of $26.15
30631 Hydrocele, removal of, not being a service associated
with a service to which items 30638, 30641 and 30644
apply (Anaes. 17705 = 3B + 2T) $173.70
30634 Varicocele, surgical correction of, not being a
service associated with a service to which items
30638, 30641 and 30644 apply, 1 procedure (G)
(Anaes. 17707 = 4B + 3T) $172.60
30635 Varicocele, surgical correction of, not being a
service associated with a service to which items
30638, 30641 and 30644 apply, 1 procedure(S)
(Anaes. 17707 = 4B + 3T) $214.35
30638 Orchidectomy, simple or subcapsular, unilateral
with or without insertion of testicular prosthesis(G)
(Anaes. 17706 = 3B + 3T) $219.90
30641 Orchidectomy, simple or subcapsular, unilateral with
or without insertion of testicular prosthesis (S)
(Anaes. 17706 = 3B + 3T) $299.25
30644 Exploration of spermatic cord, inguinal approach,
with or without testicular biopsy and with or without
excision of spermatic cord and testis
(Anaes. 17707 = 4B + 3T) $382.70
30653 Circumcision of a male under 6 months of age
(Anaes. 17705 = 3B + 2T) $34.10
30656 Circumcision of a male under 10 years of age but not
less than 6 months of age (Anaes. 17706 = 3B + 3T) $79.35
30659 Circumcision of a male 10 years of age or over (G)
(Anaes. 17706 = 3B + 3T) $109.95
30660 Circumcision of a male 10 years of age or over (S)
(Anaes. 17706 = 3B + 3T) $136.40
30663 Haemorrhage, arrest of, following circumcision
requiring general anaesthesia
(Anaes. 17705 = 3B + 2T) $106.00
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 (Anaes. 17705 = 3B + 2T) $34.80
30672 Coccyx, excision of (Anaes. 17710 = 6B + 4T) $327.10
30675 Pilonidal sinus or cyst, or sacral sinus or cyst,
excision of (G) (Anaes. 17709 = 5B + 4T) $219.90
30676 Pilonidal sinus or cyst, or sacral sinus or cyst,
excision of (S) (Anaes. 17709 = 5B + 4T) $278.35
30679 Pilonidal sinus, injection of sclerosant fluid under
anaesthesia (Anaes. 17707 = 5B + 2T) $70.65
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 $426.50
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) $533.15
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 $639.75
Subgroup 2-Colorectal
32000 Large intestine, resection of, without anastomosis,
including right hemicolectomy (including formation
of stoma) (Anaes. 17717 = 7B + 10T) $757.30
32003 Large intestine, resection of, with anastomosis,
including right hemicolectomy
(Anaes. 17719 = 7B + 12T) $792.20
32004 Large intestine, subtotal colectomy (resection of
right colon, transverse colon and splenic flexure)
with a service to which item 32000, 32003, 32005 or
32006 applies (Anaes. 17719 = 7B + 12T) $844.65
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 (Anaes. 17721 = 7B + 14T) $954.25
32006 Left hemicolectomy, including the descending and
sigmoid colon (including formation of stoma)
(Anaes. 17719 = 7B + 12T) $844.65
32009 Total colectomy and ileostomy
(Anaes. 17720 = 8B + 12T) $1,001.95
32012 Total colectomy and ileo-rectal anastomosis
(Anaes. 17722 = 8B + 14T) $1,106.80
32015 Total colectomy with excision of rectum and
ileostomy-1 surgeon (Anaes. 17726 = 10B + 16T) $1,360.20
32018 Total colectomy with excision of rectum and
ileostomy, combined synchronous operation; abdominal
resection (including after-care)
(Anaes. 17724 = 10B + 14T) $1,153.40
32021 Total colectomy with excision of rectum and
ileostomy, combined synchronous operation, perineal
resection $413.60
32024 Rectum, high restorative anterior resection with
intraperitoneal anastomosis (of the rectum) greater
than 10cm from the anal verge-excluding resection of
sigmoid colon alone(Anaes. 17722 = 10B + 12T) $1,001.95
32025 Rectum, low restorative anterior resection with
extraperitoneal anastomosis (of the rectum) less than
10 cm from the anal verge, with or without covering
stoma (Anaes. 17724 = 10B + 14T) $1,340.20
32026 Rectum, ultra low restorative resection, with or
without covering stoma, where the anastomosis is
sited in the anorectal region and is 6cm or less from
the anal verge (Anaes. 17728 = 10B + 18T) $1,443.30
32028 Rectum, low or ultra low restorative resection,
with peranal sutured coloanal anastomosis, with or
without covering stoma (Anaes. 17730 = 10B + 20T) $1,546.40
32029 Colonic reservoir, construction of, being a service
associated with a service to which any other item
in this Subgroup applies (Anaes. 17721 = 7B + 14T) $309.25
32030 Rectosigmoidectomy-(Hartmann's operation)
(Anaes. 17718 = 8B + 10T) $757.30
32033 Restoration of bowel following Hartmann's or similar
operation, including dismantling of the stoma
(Anaes. 17723 = 8B + 15T) $1,106.80
32036 Sacrococcygeal and presacral tumour-excision of
(Anaes. 17720 = 8B + 12T) $1,403.85
32039 Rectum and anus, abdomino-perineal resection of-1
surgeon (Anaes. 17726 = 10B + 16T) $1,127.20
32042 Rectum and anus, abdomino-perineal resection of,
combined synchronous operation, abdominal resection
(Anaes. 17724 = 10B + 14T) $949.50
32045 Rectum and anus, abdomino-perineal resection of,
combined synchronous operation-perineal resection $355.40
32046 Rectum and anus, abdomino-perineal resection of,
combined synchronous operation-perineal resection,
if the perineal surgeon also provides assistance to
the abdominal surgeon $549.10
32047 Perineal proctectomy (Anaes. 17717 = 7B + 10T) $639.75
32051 Total colectomy with excision of rectum and ileoanal
anastomosis with formation of ileal reservoir,
with or without creation of temporary ileostomy-1
surgeon (Anaes. 17737 = 10B + 27T) $1,701.00
32054 Total colectomy with excision of rectum and ileoanal
anastomosis with formation of ileal reservoir, with
or without creation of temporary ileostomy-conjoint
surgery, abdominal surgeon (including aftercare)
(Anaes. 17730 = 10B + 20T) $1,561.15
32057 Total colectomy with excision of rectum and
ileoanal anastomosis with formation of ileal
reservoir-conjoint surgery, perineal surgeon $413.60
32060 Ileostomy closure with rectal resection and
mucosectomy and ileoanal anastomosis with formation
of ileal reservoir, with or without temporary loop
ileostomy-1 surgeon (Anaes. 17730 = 10B + 20T) $1,701.00
32063 Ileostomy closure with rectal resection and
mucosectomy and ileoanal anastomosis with formation
of ileal reservoir, with or without temporary loop
ileostomy-conjoint surgery, abdominal surgeon
(including aftercare) (Anaes. 17726 = 10B + 16T) $1,561.15
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 $413.60
32069 Ileostomy reservoir, continent type, creation of,
including conversion of existing ileostomy where
appropriate (Anaes. 17727 = 7B + 20T) $1,258.25
32072 Sigmoidoscopic examination (with rigid
sigmoidoscope), with or without biopsy $39.05
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
(Anaes. 17705 = 4B + 1T) $61.25
32078 Sigmoidoscopic examination with diathermy or resection
of 1 or more polyps where the time taken is less than
or equal to 45 minutes (Anaes. 17707 = 4B + 3T) $137.50
32081 Sigmoidoscopic examination with diathermy or
resection of 1 or more polyps where the time taken is
greater than 45 minutes (Anaes. 17708 = 4B + 4T) $188.70
32084 Flexible fibreoptic sigmoidoscopy or fibreoptic
colonoscopy up to the hepatic flexure, with or without
biopsy (Anaes. 17706 = 4B + 2T) $90.85
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 (Anaes. 17707 = 4B + 3T) $167.00
32090 Fibreoptic colonoscopy-examination of colon beyond
the hepatic flexure with or without biopsy
(Anaes. 17707 = 4B + 3T) $272.75
32093 Fibreoptic colonoscopy-examination of colon beyond
the hepatic flexure with removal of 1 or more polyps
(Anaes. 17708 = 4B + 4T) $382.70
32094 Endoscopic dilatation of colorectal strictures
including colonoscopy (Anaes. 17708 = 4B + 4T) $405.15
32095 Endoscopic examination of small bowel with flexible
endoscope passed by stoma, with or without biopsies
(Anaes. 17707 = 4B + 3T) $93.80
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
(Anaes. 17706 = 4B + 2T) $188.70
32099 Rectal tumour of 5cm or less in diameter, per anal
submucosal excision of (Anaes. 17711 = 5B + 6T) $244.65
32102 Rectal tumour of greater than 5cm in diameter,
indicated by pathological examination, per anal
submucosal excision of (Anaes. 17715 = 5B + 10T) $466.05
32105 Anorectal carcinoma-per anal full thickness excision
of (Anaes. 17714 = 5B + 9T) $355.40
32108 Rectal tumour, trans-sphincteric excision of (Kraske
or similar operation) (Anaes. 17714 = 5B + 9T) $734.00
32111 Rectal prolapse, Delorme procedure for
(Anaes. 17712 = 6B + 6T) $466.05
32112 Rectal prolapse, perineal recto-sigmoidectomy for
(Anaes. 17714 = 6B + 8T) $567.05
32114 Rectal stricture, per anal release of
(Anaes. 17708 = 4B + 4T) $128.15
32117 Rectal prolapse, abdominal rectopexy of
(Anaes. 17715 = 6B + 9T) $734.00
32120 Rectal prolapse, perineal repair of
(Anaes. 17708 = 4B + 4T) $188.70
32123 Anal stricture, anoplasty for
(Anaes. 17708 = 4B + 4T) $244.65
32126 Anal incontinence, Parks' intersphincteric procedure
for (Anaes. 17712 = 4B + 8T) $355.40
32129 Anal sphincter, direct repair of
(Anaes. 17712 = 4B + 8T) $466.05
32131 Rectocele, perineal repair of
(Anaes. 17710 = 4B + 6T) $391.80
32132 Haemorrhoids or rectal prolapse-sclerotherapy for
(Anaes. 17706 = 4B + 2T) $33.20
32135 Haemorrhoids or rectal prolapse-rubber band ligation
of, with or without sclerotherapy, cryosurgery or
infrared therapy for (Anaes. 17706 = 4B + 2T) $49.55
32138 Haemorrhoidectomy including excision of anal skin
tags when performed (Anaes. 17707 = 4B + 3T) $270.00
32142 Anal skin tags or anal polyps, excision of 1 or
more of (Anaes. 17706 = 4B + 2T) $49.55
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
(Anaes. 17706 = 4B + 2T) $99.15
32147 Perianal thrombosis, incision of
(Anaes. 17705 = 3B + 2T) $33.20
32150 Operation for fissure-in-ano, including excision or
sphincterotomy but excluding dilatation only
(Anaes. 17706 = 4B + 2T) $188.70
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 (Anaes. 17706 = 4B + 2T) $51.50
32156 Fistula-in-ano, subcutaneous, excision of
(Anaes. 17707 = 4B + 3T) $96.70
32159 Anal fistula, excision of, involving lower half of the
anal sphincter mechanism (Anaes. 17707 = 4B + 3T) $244.65
32162 Anal fistula, excision of, involving the upper half
of the anal sphincter mechanism
(Anaes. 17710 = 4B + 6T) $355.40
32165 Anal fistula, repair of by mucosal flap advancement
(Anaes. 17715 = 4B + 11T) $466.05
32166 Anal fistula-readjustment of Seton
(Anaes. 17707 = 4B + 3T) $151.40
32168 Fistula wound, review of, under general or regional
anaesthetic, as an independent procedure
(Anaes. 17707 = 4B + 3T) $96.70
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 (Anaes. 17706 = 4B + 2T) $65.25
32174 Intra-anal, perianal or ischio-rectal abscess,
drainage of (excluding aftercare)
(Anaes. 17708 = 4B + 4T) $65.25
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) (Anaes. 17708 = 4B + 4T) $119.40
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 (Anaes. 17707 = 4B + 3T) $127.95
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
(Anaes. 17708 = 4B + 4T) $188.70
32183 Intestinal sling procedure prior to radiotherapy
(Anaes. 17715 = 6B + 9T) $412.40
32186 Colonic lavage, total, intra-operative
(Anaes. 17715 = 7B + 8T) $412.40
Subgroup 3-Vascular
32500 Varicose veins where varicosity measures 2.5mm or
greater in diameter, multiple injections using
continuous compression techniques, including
associated consultation-1 or both legs-not being a
service associated with any other varicose vein
operation on the same leg (excluding aftercare)-to
a maximum of 6 treatments in a 12 month period $80.65
32504 Varicose veins, multiple excision of tributaries,
with or without division of 1 or more perforating
veins-1 leg-not being a service associated with a
service to which item 32505, 32508, 32511, 32514 or
32517 applies (Anaes. 17707 = 3B + 4T) $196.50
32505 Varicose veins, sub-fascial ligation of 1 or more
incompetent perforating veins-1 leg-not being a service
associated with a service to which item 32508, 32511,
32514 or 32517 applies (Anaes. 17708 = 3B + 5T) $391.80
32508 Varicose veins, complete dissection at the
sapheno-femoral or sapheno-popliteal junction, with
or without either ligation or stripping, or both,
of the long or short saphenous veins, for the first
time, including excision or injection of either
tributaries or incompetent perforating veins, or both
(Anaes. 17710 = 3B + 7T) $391.80
32511 Varicose veins, complete dissection at the
sapheno-femoral and sapheno-popliteal junction,
with or without either ligation or stripping, or both,
of the long or short saphenous veins, for the first
time, including excision or injection of either
tributaries or incompetent perforating veins, or both
(Anaes. 17711 = 3B + 8T) $582.50
32514 Varicose veins, ligation of the long or short
saphenous vein, with or without stripping, by
re-operation for recurrent veins in the same
territory-1 leg-including excision or injection of
either tributaries or incompetent perforating veins,
or both (Anaes. 17712 = 3B + 9T) $680.45
32517 Varicose veins, ligation of the long and short
saphenous vein, with or without stripping, by
re-operation for recurrent veins in either
territory-1 leg-including excision or injection of
either tributaries or incompetent perforating veins,
or both (Anaes. 17713 = 3B + 10T) $876.30
32700 Artery of neck, bypass using vein or synthetic
material (Anaes. 17725 = 10B + 15T) $1,054.60
32703 Internal carotid artery, transection and reanastomosis
of, or resection of small length and reanastomosis
of-with or without endarterectomy
(Anaes. 17724 = 10B + 14T) $872.45
32706 Internal carotid artery, re-operation for recurrent
stenosis with by-pass by graft of vein or synthetic
material (Anaes. 17725 = 10B + 15T) $1,247.85
32709 Aorto-iliac or aorto-femoral grafting, straight or
bifurcated (Anaes. 17731 = 15B + 16T) $1,027.00
32712 Ilio-femoral bypass grafting
(Anaes. 17728 = 15B + 13T) $922.10
32715 Axillary or subclavian to femoral bypass grafting
to 1 or both femoral arteries
(Anaes. 17728 = 15B + 13T) $922.10
32718 Femoro-femoral or ilio-femoral cross-over bypass
grafting (Anaes. 17729 = 15B + 14T) $872.45
32721 Renal artery, bypass grafting to
(Anaes. 17732 = 15B + 17T) $1,385.85
32724 Renal arteries (both), bypass grafting to
(Anaes. 17736 = 15B + 21T) $1,573.60
32730 Mesenteric vessel (single), bypass grafting to
(Anaes. 17728 = 15B + 13T) $1,192.65
32733 Mesenteric vessels (multiple), bypass grafting to
(Anaes. 17731 = 15B + 16T) $1,385.85
32736 Inferior mesenteric artery, operation on, when
performed in conjunction with another
intra-abdominal vascular operation
(Anaes. 17727 = 15B + 12T) $303.65
32739 Femoral artery bypass grafting using vein, including
harvesting of vein (when it is the ipsilateral long
saphenous vein) with above knee anastomosis
(Anaes. 17721 = 8B + 13T) $949.70
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 (Anaes. 17721 = 8B + 13T) $1,087.75
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
(Anaes. 17723 = 8B + 15T) $1,242.30
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 (Anaes. 17724 = 8B + 16T) $1,347.25
32751 Femoral artery bypass grafting using synthetic
graft, with lower anastomosis above or below the
knee (Anaes. 17720 = 8B + 12T) $872.45
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
(Anaes. 17722 = 8B + 14T) $1,087.75
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 (Anaes. 17718 = 8B + 10T) $303.65
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
(Anaes. 17708 = 3B + 5T) $298.10
32763 Arterial bypass grafting, using vein or synthetic
material, not being a service to which another item
in this Subgroup applies (Anaes. 17724 = 12B + 12T) $872.45
32766 Arterial or venous anastomosis, not being a service
to which another item in this Sub-group applies, as an
independent procedure (Anaes. 17722 = 12B + 10T) $579.75
32769 Arterial or venous anastomosis not being a service to
which another item in this Sub-group applies, when
performed in combination with another vascular
operation (including graft to graft anastomosis)
(Anaes. 17722 = 12B + 10T) $201.00
33100 Aneurysm of common or internal carotid artery, or
both, replacement by graft of vein or synthetic
material (Anaes. 17723 = 10B + 13T) $1,054.60
33103 Thoracic aneurysm, replacement by graft
(Anaes. 17745 = 15B + 30T) $1,479.75
33106 Artery or vein bypass graft, patch grafting to
using vein or synthetic material, not being a
service associated with any other vascular
operation (Anaes. 17720 = 12B + 8T) $519.05
33109 Thoraco-abdominal aneurysm, replacement by graft
including re-implantation of arteries
(Anaes. 17748 = 15B + 33T) $1,789.00
33112 Suprarenal abdominal aortic aneurysm, replacement
by graft including re-implantation of arteries
(Anaes. 17745 = 15B + 30T) $1,551.55
33115 Infrarenal abdominal aortic aneurysm, replacement
by tube graft (Anaes. 17734 = 15B + 19T) $1,087.75
33118 Infrarenal abdominal aortic aneurysm, replacement
by bifurcation graft to iliac arteries (with or
without excision of common iliac aneurysms)
(Anaes. 17737 = 15B + 22T) $1,242.30
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) (Anaes. 17737 = 15B + 22T) $1,242.30
33124 Aneurysm of iliac artery (common, external or
internal), replacement by graft-unilateral
(Anaes. 17726 = 15B + 11T) $888.95
33127 Aneurysms of iliac arteries (common, external or
internal), replacement by graft-bilateral
(Anaes. 17728 = 15B + 13T) $1,165.05
33130 Aneurysm of visceral artery, excision and repair
by direct anastomosis or replacement by graft
(Anaes. 17726 = 15B + 11T) $1,015.95
33133 Aneurysm of visceral artery, dissection and
ligation of arteries without restoration of
continuity (Anaes. 17724 = 15B + 9T) $761.95
33136 False aneurysm, repair of, at aortic anastomosis
following previous aortic surgery
(Anaes. 17733 = 15B + 18T) $1,921.45
33139 False aneurysm, repair of, in iliac artery and
restoration of arterial continuity
(Anaes. 17727 = 15B + 12T) $1,165.05
33142 False aneurysm, repair of, in femoral artery and
restoration of arterial continuity
(Anaes. 17726 = 15B + 11T) $1,087.75
33145 Ruptured thoracic aortic aneurysm, replacement by
graft (Anaes. 17749 = 15B + 34T) $1,871.80
33148 Ruptured thoraco-abdominal aortic aneurysm,
replacement by graft (Anaes. 17752 = 15B + 37T) $2,324.55
33151 Ruptured suprarenal abdominal aortic aneurysm,
replacement by graft (Anaes. 17749 = 15B + 34T) $2,208.60
33154 Ruptured infrarenal abdominal aortic aneurysm,
replacement by tube graft
(Anaes. 17736 = 15B + 21T) $1,634.40
33157 Ruptured infrarenal abdominal aortic aneurysm,
replacement by bifurcation graft to iliac arteries
(with or without excision or bypass of common iliac
aneurysms) (Anaes. 17738 = 15B + 23T) $1,822.10
33160 Ruptured infrarenal abdominal aortic aneurysm,
replacement by bifurcation graft to 1 or both femoral
arteries (Anaes. 17738 = 15B + 23T) $1,822.10
33163 Ruptured iliac artery aneurysm, replacement by graft
(Anaes. 17730 = 15B + 15T) $1,546.05
33166 Ruptured aneurysm of visceral artery, replacement
by anastomosis or graft (Anaes. 17730 = 15B + 15T) $1,546.05
33169 Ruptured aneurysm of visceral artery, simple
ligation of (Anaes. 17726 = 15B + 11T) $1,203.75
33172 Aneurysm of major artery, replacement by graft, not
being a service to which another item in this
Subgroup applies (Anaes. 17726 = 12B + 14T) $938.65
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) (Anaes. 17720 = 10B + 10T) $833.75
33503 Internal carotid artery, re-operation for recurrent
stenosis with endarterectomy and closure by suture
(Anaes. 17725 = 10B + 15T) $1,054.60
33506 Innominate or subclavian artery, endarterectomy of,
including closure by suture
(Anaes. 17720 = 10B + 10T) $933.15
33509 Aortic endarterectomy, including closure by suture,
not being a service associated with another procedure
on the aorta (Anaes. 17728 = 15B + 13T) $966.30
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
(Anaes. 17729 = 15B + 14T) $1,043.55
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
(Anaes. 17730 = 15B + 15T) $1,120.85
33518 Iliac endarterectomy, including closure by suture,
not being a service associated with another procedure
on the iliac artery (Anaes. 17728 = 15B + 13T) $933.15
33521 Ilio-femoral endarterectomy (1 side), including
closure by suture (Anaes. 17727 = 15B + 12T) $1,010.40
33524 Renal artery, endarterectomy of
(Anaes. 17729 = 15B + 14T) $1,192.65
33527 Renal arteries (both), endarterectomy of
(Anaes. 17731 = 15B + 16T) $1,385.85
33530 Coeliac or superior mesenteric artery,
endarterectomy of (Anaes. 17729 = 15B + 14T) $1,192.65
33533 Coeliac and superior mesenteric artery,
endarterectomy of (Anaes. 17733 = 15B + 18T) $1,385.85
33536 Inferior mesenteric artery, endarterectomy of, not
being a service associated with a service to which
another item in this Sub-group applies
(Anaes. 17730 = 15B + 15T) $988.40
33539 Artery of extremities, endarterectomy of, including
closure by suture (Anaes. 17714 = 8B + 6T) $712.25
33542 Extended deep femoral endarterectomy where the
endarterectomy is at least 7cms long
(Anaes. 17716 = 8B + 8T) $1,015.95
33545 Artery or vein, patch grafting to by vein or
synthetic material in association with another
arterial or venous operation where patch is less
than 3cm long (Anaes. 17714 = 8B + 6T) $201.00
33548 Artery or vein, patch grafting to by vein or
synthetic material in conjunction with another
arterial or venous operation where patch is 3cm long
or greater (Anaes. 17715 = 8B + 7T) $408.65
33551 Vein, harvesting of from leg or arm for patch when
not performed through same incision as operation
(Anaes. 17708 = 3B + 5T) $201.00
33554 Endarterectomy, in conjunction with an arterial
bypass operation to prepare the site for
anastomosis-each site (Anaes. 17715 = 12B + 3T) $103.85
33800 Embolus, removal of, from artery of neck
(Anaes. 17715 = 10B + 5T) $866.90
33803 Embolectomy or thrombectomy, by abdominal approach,
of an artery or bypass graft of trunk
(Anaes. 17723 = 15B + 8T) $828.25
33806 Embolectomy or thrombectomy, from an artery or
bypass graft of extremities, or embolectomy of
abdominal artery via the femoral artery
(Anaes. 17711 = 7B + 4T) $596.35
33809 Inferior vena cava or iliac vein, thrombectomy of
(Anaes. 17723 = 15B + 8T) $734.40
33812 Thrombus, removal of, from femoral or other similar
large vein (Anaes. 17709 = 3B + 6T) $684.70
33815 Major artery or vein of extremity, repair of wound
of, with restoration of continuity, by lateral suture
(Anaes. 17713 = 6B + 7T) $629.45
33818 Major artery or vein of extremity, repair of wound
of, with restoration of continuity, by direct
anastomosis (Anaes. 17715 = 7B + 8T) $734.40
33821 Major artery or vein of extremity, repair of wound
of, with restoration of continuity, by interposition
graft of synthetic material or vein
(Anaes. 17717 = 7B + 10T) $839.30
33824 Major artery or vein of neck, repair of wound of,
with restoration of continuity, by lateral suture
(Anaes. 17718 = 10B + 8T) $800.60
33827 Major artery or vein of neck, repair of wound of,
with restoration of continuity, by direct anastomosis
(Anaes. 17718 = 10B + 8T) $938.65
33830 Major artery or vein of neck, repair of wound of,
with restoration of continuity, by interposition
graft of synthetic material or vein
(Anaes. 17720 = 10B + 10T) $1,076.70
33833 Major artery or vein of abdomen, repair of wound
of, with restoration of continuity by lateral
suture (Anaes. 17727 = 15B + 12T) $977.35
33836 Major artery or vein of abdomen, repair of wound
of, with restoration of continuity by direct
anastomosis (Anaes. 17728 = 15B + 13T) $1,165.05
33839 Major artery or vein of abdomen, repair of wound
of, with restoration of continuity by means of
interposition graft (Anaes. 17729 = 15B + 14T) $1,363.80
33842 Artery of neck, re-operation for bleeding or
thrombosis after carotid or vertebral artery
surgery (Anaes. 17716 = 10B + 6T) $673.60
33845 Laparotomy for control of post operative bleeding or
thrombosis after intra-abdominal vascular procedure,
where no other procedure is performed
(Anaes. 17723 = 15B + 8T) $469.35
33848 Extremity, re-operation on, for control of bleeding
or thrombosis after vascular procedure, where no
other procedure is performed (Anaes. 17712 = 6B + 6T) $469.35
34100 Major artery of neck, elective ligation or exploration
of, not being a service associated with any other
vascular procedure (Anaes. 17712 = 5B + 7T) $519.05
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
(Anaes. 17715 = 6B + 9T) $303.65
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
(Anaes. 17711 = 6B + 5T) $214.25
34109 Temporal artery, biopsy of (Anaes. 17708 = 5B + 3T) $248.45
34112 Arterio-venous fistula of an extremity, dissection
and ligation (Anaes. 17714 = 6B + 8T) $629.45
34115 Arterio-venous fistula of the neck, dissection and
ligation (Anaes. 17718 = 10B + 8T) $712.25
34118 Arterio-venous fistula of the abdomen, dissection and
ligation (Anaes. 17727 = 15B + 12T) $1,015.95
34121 Arterio-venous fistula of an extremity, dissection
and repair of, with restoration of continuity
(Anaes. 17714 = 6B + 8T) $811.65
34124 Arterio-venous fistula of the neck, dissection and
repair of, with restoration of continuity
(Anaes. 17718 = 10B + 8T) $888.95
34127 Arterio-venous fistula of the abdomen, dissection
and repair of, with restoration of continuity
(Anaes. 17729 = 15B + 14T) $1,165.05
34130 Surgically created arterio-venous fistula of an
extremity, closure of (Anaes. 17712 = 8B + 4T) $364.45
34133 Scalenotomy (Anaes. 17711 = 5B + 6T) $408.65
34136 First rib, resection of portion of
(Anaes. 17714 = 6B + 8T) $657.05
34139 Cervical rib, removal of, or other operation for
removal of thoracic outlet compression, not being
a service to which another item in this Sub-group
applies (Anaes. 17714 = 6B + 8T) $657.05
34142 Coeliac artery, decompression of, for coeliac artery
compression syndrome, as an independent procedure
(Anaes. 17727 = 15B + 12T) $811.65
34145 Popliteal artery, exploration of, for popliteal
entrapment, with or without division of fibrous
tissue and muscle (Anaes. 17714 = 8B + 6T) $590.85
34148 Carotid body tumour, resection of, with or without
repair or reconstruction of internal or common carotid
arteries, when tumour is less than 4cm in maximum
diameter (Anaes. 17725 = 10B + 15T) $1,054.60
34151 Carotid body tumour, resection of, with or without
repair or reconstruction of internal or common
carotid arteries, when tumour is greater than 4cm
in maximum diameter (Anaes. 17725 = 10B + 15T) $1,441.15
34154 Recurrent carotid body tumour, resection of, with
or without repair or replacement of portion of
common or internal carotid arteries
(Anaes. 17725 = 10B + 15T) $1,717.20
34157 Neck, excision of infected bypass graft, including
closure of vessel or vessels
(Anaes. 17722 = 10B + 12T) $872.45
34160 Aorto-duodenal fistula, repair of, by suture of
aorta and repair of duodenum
(Anaes. 17732 = 15B + 17T) $1,634.40
34163 Aorto-duodenal fistula, repair of, by insertion of
aortic graft and repair of duodenum
(Anaes. 17735 = 15B + 20T) $2,098.20
34166 Aorto-duodenal fistula, repair of, by oversewing
of abdominal aorta, repair of duodenum and axillo
bifemoral grafting (Anaes. 17737 = 15B + 22T) $2,098.20
34169 Infected bypass graft from trunk, excision of,
including closure of arteries
(Anaes. 17728 = 15B + 13T) $1,165.05
34172 Infected axillo-femoral or femoro-femoral graft,
excision of, including closure of arteries
(Anaes. 17722 = 10B + 12T) $949.70
34175 Infected bypass graft from extremities, excision
of including closure of arteries
(Anaes. 17718 = 8B + 10T) $872.45
34500 Arteriovenous shunt, external, insertion of
(Anaes. 17714 = 8B + 6T) $226.40
34503 Arteriovenous anastomosis of upper or lower limb,
in conjunctionwith another venous or arterial
operation (Anaes. 17717 = 8B + 9T) $303.65
34506 Arteriovenous shunt, external, removal of
(Anaes. 17710 = 8B + 2T) $154.60
34509 Arteriovenous anastomosis of upper or lower limb,
not in conjunction with another venous or arterial
operation (Anaes. 17717 = 8B + 9T) $717.80
34512 Arteriovenous access device, insertion of
(Anaes. 17716 = 8B + 8T) $789.60
34515 Arteriovenous access device, thrombectomy of
(Anaes. 17714 = 8B + 6T) $563.20
34518 Stenosis of arteriovenous fistula or prosthetic
arteriovenous access device, correction of
(Anaes. 17718 = 8B + 10T) $944.20
34521 Intra-abdominal artery or vein, cannulation of for
infusion chemotherapy, by open operation (excluding
aftercare) (Anaes. 17715 = 7B + 8T) $386.50
34524 Arterial cannulation for infusion chemotherapy by
open operation, not being a service to which item
34521 applies (excluding after-care)
(Anaes. 17714 = 8B + 6T) $303.65
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 (Anaes. 17709 = 5B + 4T) $303.65
34530 Hickman or Broviac catheter, or other chemotherapy
device, removal of by open surgical procedure
(Anaes. 17709 = 5B + 4T) $303.65
34533 Isolated limb perfusion, including:
(a) cannulation of artery and vein at commencement
of procedure; and
(b) regional perfusion for chemotherapy or other
therapy; and
(c) repair of arteriotomy and venotomy at conclusion
of procedure (excluding aftercare)
(Anaes. 17720 = 10B + 10T) $911.00
34800 Inferior vena cava, plication, ligation, or
application of caval clip (Anaes. 17718 = 10B + 8T) $596.35
34803 Inferior vena cava, reconstruction of or bypass by
vein or synthetic material
(Anaes. 17729 = 10B + 19T) $1,314.15
34806 Cross leg bypass grafting, saphenous to iliac or
femoral vein (Anaes. 17714 = 3B + 11T) $712.25
34809 Saphenous vein anastomosis to femoral or popliteal
vein for femoral vein bypass
(Anaes. 17714 = 3B + 11T) $712.25
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 (Anaes. 17714 = 4B + 10T) $861.35
34815 Vein stenosis, patch angioplasty for, (excluding
vein graft stenosis)-using vein or synthetic material
(Anaes. 17714 = 4B + 10T) $712.25
34818 Venous valve, plication or repair to restore valve
competency (Anaes. 17711 = 3B + 8T) $784.05
34821 Vein transplant to restore valvular function
(Anaes. 17713 = 3B + 10T) $1,065.70
34824 External stent, application of, to restore venous
valve competency to superficial vein-1 stent
(Anaes. 17709 = 3B + 6T) $364.45
34827 External stents, application of, to restore venous
valve competency to superficial vein or veins-more
than 1 stent (Anaes. 17711 = 3B + 8T) $441.70
34830 External stent, application of, to restore venous
valve competency to deep vein (1 stent)
(Anaes. 17711 = 3B + 8T) $519.05
34833 External stents, application of, to restore venous
valve competency to deep vein or veins (more than
1 stent) (Anaes. 17712 = 3B + 9T) $673.60
35000 Lumbar sympathectomy (Anaes. 17713 = 7B + 6T) $519.05
35003 Cervical or upper thoracic sympathectomy by any
surgical approach (Anaes. 17718 = 10B + 8T) $673.60
35006 Cervical or upper thoracic sympathectomy, where
operation is a reoperation for previous incomplete
sympathectomy by any surgical approach
(Anaes. 17720 = 10B + 10T) $844.80
35009 Lumbar sympathectomy, where operation is following
chemical sympathectomy or for previous incomplete
surgical sympathectomy (Anaes. 17713 = 7B + 6T) $657.05
35012 Sacral or pre-sacral sympathectomy
(Anaes. 17712 = 6B + 6T) $519.05
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 (Anaes. 17713 = 5B + 8T) $270.60
35103 Ischaemic limb, debridement of necrotic material,
gangrenous tissue, or slough in, in the operating
theatre of a hospital, superficial tissue only
(Anaes. 17711 = 4B + 7T) $172.25
35200 Operative arteriography or venography, 1 or more of,
performed during the course of an operative procedure
on an artery or vein, 1 site
(Anaes. 17708 = 5B + 3T) $125.90
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 aftercare
(Anaes. 17712 = 8B + 4T) $378.50
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 aftercare
(Anaes. 17714 = 10B + 4T) $485.20
35304 Transluminal balloon angioplasty of 1 coronary
artery, percutaneous or by open exposure, excluding
associated radiological services and preparation or
aftercare (Anaes. 17721 = 15B + 6T) $378.50
35305 Transluminal balloon angioplasty of more than 1
coronary artery, percutaneous or by open exposure,
excluding associated radiological services and
preparation and aftercare
(Anaes. 17723 = 15B + 8T) $485.20
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 aftercare
(Anaes. 17712 = 6B + 6T) $447.80
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
aftercare (Anaes. 17714 = 6B + 8T) $559.80
35310 Transluminal stent insertion including associated
balloon dilatation for coronary artery, percutaneous
or by open exposure, excluding associated radiological
services or preparation and aftercare
(Anaes. 17723 = 15B + 8T) $559.80
35312 Peripheral arterial atherectomy including associated
balloon dilatation of 1 limb, percutaneous or by open
exposure, excluding associated radiological services
or preparation and aftercare
(Anaes. 17714 = 8B + 6T) $634.40
35315 Peripheral laser angioplasty including associated
balloon dilatation of 1 limb, percutaneous or by open
exposure, excluding associated radiological services or
preparation and aftercare
(Anaes. 17714 = 8B + 6T) $634.40
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 13915 applies)
(Anaes. 17708 = 6B + 2T) $261.20
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 aftercare
(Anaes. 17712 = 8B + 4T) $597.10
35324 Angioscopy not combined with any other procedure,
excluding associated radiological services or
preparation, and excluding aftercare
(Anaes. 17712 = 8B + 4T) $223.90
35327 Angioscopy combined with any other procedure,
excluding associated radiological services or
preparation and aftercare
(Anaes. 17712 = 8B + 4T) $112.00
35330 Insertion of inferior vena caval filter,
percutaneous or by open exposure, excluding associated
radiological services or preparation and aftercare
(Anaes. 17722 = 15B + 7T) $378.50
Subgroup 4-Gynaecological
35500 Gynaecological examination under anaesthesia, not
being a service associated with a service to which
another item in this Group applies
(Anaes. 17704 = 3B + 1T) $59.70
35503 Intra-uterine contraceptive device, introduction of,
not being a service associated with a service to which
another item in this Group applies
(Anaes. 17704 = 3B + 1T) $39.35
35506 Intra-uterine contraceptive device, removal of under
general anaesthesia, not being a service associated
with a service to which another item in this Group
applies (Anaes. 17704 = 3B + 1T) $39.45
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, if 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
(Anaes. 17706 = 3B + 3T) $128.15
35508 Vulval or vaginal warts, removal of under general
anaesthesia or regional or field nerve block
(excluding pudendal block) requiring admission to a
hospital or approved day hospital facility, if the
time taken is greater than 45 minutes-not being a
service associated with a service to which item
32177 or 32180 applies (Anaes. 17708 = 3B + 5T) $188.70
35509 Hymenectomy (Anaes. 17705 = 3B + 2T) $65.80
35512 Bartholin's cyst, excision of(G)
(Anaes. 17705 = 3B + 2T) $131.65
35513 Bartholin's cyst, excision of (S)
(Anaes. 17705 = 3B + 2T) $162.85
35516 Bartholin's cyst or gland, marsupialisation of (G)
(Anaes. 17705 = 3B + 2T) $85.50
35517 Bartholin's cyst or gland, marsupialisation of (S)
(Anaes. 17705 = 3B + 2T) $107.20
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 $152.55
35520 Bartholin's abscess, incision of
(Anaes. 17704 = 3B + 1T) $42.75
35523 Urethra or urethral caruncle, cauterisation of
(Anaes. 17705 = 3B + 2T) $42.75
35526 Urethral caruncle, excision of (G)
(Anaes. 17705 = 3B + 2T) $85.50
35527 Urethral caruncle, excision of (S)
(Anaes. 17705 = 3B + 2T) $107.20
35530 Clitoris, amputation of, if medically indicated
(Anaes. 17707 = 3B + 4T) $198.15
35533 Vulvoplasty or labioplasty, if medically indicated,
not being a service associated with a service to
which item 35536 applies (Anaes. 17709 = 3B + 6T) $256.90
35536 Vulva, wide local excision of suspected malignancy or
hemivulvectomy, 1 or both procedures
(Anaes. 17710 = 4B + 6T) $255.85
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 (Anaes. 17705 = 3B + 2T) $200.45
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 (Anaes. 17705 = 3B + 2T) $234.60
35545 Colposcopically directed CO2 laser therapy for
condylomata, unsuccessfully treated by other methods
(Anaes. 17705 = 3B + 2T) $134.85
35548 Vulvectomy, radical, for malignancy
(Anaes. 17720 = 7B + 13T) $612.45
35551 Pelvic lymph glands, radical excision of
(Anaes. 17718 = 8B + 10T) $502.15
35554 Vagina, dilatation of, as an independent procedure
including any associated consultation
(Anaes. 17704 = 3B + 1T) $31.90
35557 Vagina, removal of simple tumour-(including Gartner
duct cyst) (Anaes. 17705 = 3B + 2T) $157.45
35560 Vagina, partial or complete removal of
(Anaes. 17712 = 4B + 8T) $502.15
35561 Vaginectomy, radical, for proven invasive malignancy-1
surgeon (Anaes. 17724 = 4B + 20T) $1,012.95
35562 Vaginectomy, radical, for proven invasive malignancy,
conjoint surgery-abdominal surgeon (including
aftercare) (Anaes. 17724 = 4B + 20T) $831.65
35564 Vaginectomy, radical, for proven invasive malignancy,
conjoint surgery-perineal surgeon $383.90
35565 Vaginal reconstruction for congenital absence,
gynatresia or urogenital sinus
(Anaes. 17718 = 4B + 14T) $502.15
35566 Vaginal septum, excision of, for correction of double
vagina (Anaes. 17711 = 3B + 8T) $291.75
35567 Vaginal repair including 1 or more of anterior,
posterior or enterocele repair, with sacrospinous
colpopexy (Anaes. 17714 = 4B + 10T) $515.45
35569 Plastic repair to enlarge vaginal orifice
(Anaes. 17705 = 3B + 2T) $118.05
35572 Colpotomy, not being a service to which another item
in this Group applies (Anaes. 17706 = 4B + 2T) $90.90
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) (Anaes. 17708 = 4B + 4T) $255.10
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) (Anaes. 17708 = 4B + 4T) $312.10
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) (Anaes. 17709 = 4B + 5T) $312.10
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) (Anaes. 17709 = 4B + 5T) $393.55
35583 Donald-Fothergill or Manchester operation for genital
prolapse (G) (Anaes. 17709 = 4B + 5T) $373.20
35584 Donald-Fothergill or Manchester operation for genital
prolapse (S) (Anaes. 17709 = 4B + 5T) $495.30
35587 Urethrocele, operation for (Anaes. 17709 = 4B + 5T) $128.95
35590 Operation involving abdominal approach for repair of
enterocele or suspension of vaginal vault or
enterocele and suspension of vaginal vault
(Anaes. 17712 = 6B + 6T) $393.55
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 if 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 (Anaes. 17709 = 4B + 5T) $393.55
35596 Fistula between genital and urinary or alimentary
tracts, repair of, not being a service to which item
37029, 37333 or 37336 applies
(Anaes. 17715 = 6B + 9T) $502.15
35599 Stress incontinence, sling operation for
(Anaes. 17714 = 6B + 8T) $495.30
35602 Stress incontinence, combined synchronous
abdomino-vaginal operation for; abdominal procedure
(including after-care) (Anaes. 17714 = 6B + 8T) $495.30
35605 Stress incontinence, combined synchronous
abdomino-vaginal operation for, vaginal procedure
(including after-care) $268.70
35608 Cervix, cauterisation (other than by chemical means),
ionisation, diathermy or biopsy of, with or without
dilatation of cervix (Anaes. 17705 = 3B + 2T) $46.95
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
(Anaes. 17705 = 3B + 2T) $46.95
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 if a patient, because of
suspicious signs of cancer, has been referred by
another medical practitioner (Anaes. 17705 = 3B + 2T) $46.85
35615 Vulva, biopsy of, if performed in conjunction with a
service to which item 35614 applies $39.45
35617 Cervix, cone biopsy, amputation or repair of, not
being a service to which item 35583 or 35584 applies
(G) (Anaes. 17705 = 3B + 2T) $127.55
35618 Cervix, cone biopsy, amputation or repair of, not
being a service to which item 35583 or 35584 applies
(S) (Anaes. 17705 = 3B + 2T) $160.10
35620 Endometrial biopsy where malignancy is suspected in
patients with abnormal uterine bleeding or post
menopausal bleeding (Anaes. 17705 = 3B + 2T) $39.15
35622 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
(Anaes. 17710 = 4B + 6T) $442.45
35623 Hysteroscopic resection of myoma or uterine septum
followed by endometrial ablation by laser or diathermy
(Anaes. 17714 = 4B + 10T) $601.50
35626 Hysteroscopy, including biopsy, performed by a
specialist in the practice of his or her specialty,
if 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 $60.75
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
(Anaes. 17707 = 4B + 3T) $78.70
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
(Anaes. 17707 = 4B + 3T) $134.35
35633 Hysteroscopy with uterine adhesiolysis or polypectomy
or tubal catheterisation or removal of IUD which
cannot be removed by other means, 1 or more of
(Anaes. 17707 = 4B + 3T) $160.10
35636 Hysteroscopy, and laparoscopy performed under general
anaesthesia involving either myomectomy or resection
of uterine septum or both (Anaes. 17712 = 6B + 6T) $318.00
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
(Anaes. 17709 = 6B + 3T) $298.60
35638 Complicated operative laparoscopy, including use of
laser if required, for 1 or more of the following
procedures, namely, oophorectomy, ovarian cystectomy,
myomectomy, salpingectomy or salpingostomy, ablation
of moderate or severe endometriosis requiring more
than 1 hour operating time, division of adhesions
requiring more than 1 hour operating time or division
of utero-sacral ligaments for significant
dysmenorrhoea-not being a service associated with any
other intraperitoneal procedure
(Anaes. 17714 = 6B + 8T) $522.50
35639 Uterus, curettage of, with or without dilatation
(including curettage for incomplete miscarriage)
under general anaesthesia or under epidural or spinal
(intrathecal) nerve block, if undertaken in a hospital
or approved day-hospital facility, including procedures
to which item 35626, 35627 or 35630 applies, where
performed (G) (Anaes. 17705 = 3B + 2T) $99.05
35640 Uterus, curettage of, with or without dilatation
(including curettage for incomplete miscarriage)
under general anaesthesia or under epidural or spinal
(intrathecal) nerve block, if undertaken in a hospital
or approved day-hospital facility, including procedures
to which item 35626, 35627 or 35630 applies, if
performed (S) (Anaes. 17705 = 3B + 2T) $134.35
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, including
procedures to which item 35626, 35627 or 35630 applies,
if performed (Anaes. 17705 = 3B + 2T) $160.10
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
(Anaes. 17707 = 5B + 2T) $149.45
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 (Anaes. 17707 = 5B + 2T) $234.10
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
(Anaes. 17707 = 5B + 2T) $149.45
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 (Anaes. 17707 = 5B + 2T) $149.45
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
(Anaes. 17707 = 5B + 2T) $234.10
35649 Hysterotomy or uterine myomectomy, abdominal
(Anaes. 17712 = 6B + 6T) $393.55
35653 Hysterectomy, abdominal, sub total or total, with or
without removal of uterine adnexae
(Anaes. 17712 = 6B + 6T) $495.40
35657 Hysterectomy, vaginal, with or without uterine
curettage, not being a service to which item 35673
applies (Anaes. 17712 = 6B + 6T) $495.40
35658 Uterus (at least equivalent in size to a 10 week gravid
uterus), debulking of, prior to vaginal removal at
hysterectomy $305.40
35661 Hysterectomy, abdominal, requiring extensive
retroperitoneal dissection with or without exposure
of 1 or both ureters, for the management of severe
endometriosis, pelvic inflammatory disease or benign
pelvic tumours, with or without conservation of
ovaries (Anaes. 17714 = 6B + 8T) $639.75
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 if performed (Anaes. 17721 = 9B + 12T) $1,066.25
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 if
performed (Anaes. 17720 = 9B + 11T) $906.25
35670 Hysterectomy, abdominal, with radical excision of
pelvic lymph glands, with or without removal of
uterine adnexae (Anaes. 17718 = 8B + 10T) $746.20
35673 Hysterectomy, vaginal, (with or without uterine
curettage) with salpingectomy, oophorectomy or
excision of ovarian cyst, 1 or more, 1 or both sides
(Anaes. 17712 = 6B + 6T) $556.40
35674 Ultrasound guided needling and injection of ectopic
pregnancy $152.55
35676 Ectopic pregnancy, removal of (G)
(Anaes. 17711 = 6B + 5T) $312.10
35677 Ectopic pregnancy, removal of (S)
(Anaes. 17711 = 6B + 5T) $393.55
35678 Ectopic pregnancy, laparoscopic removal of
(Anaes. 17712 = 6B + 6T) $474.50
35680 Bicornuate uterus, plastic reconstruction for
(Anaes. 17714 = 6B + 8T) $427.45
35683 Uterus, suspension or fixation of, as an independent
procedure (G) (Anaes. 17710 = 6B + 4T) $257.85
35684 Uterus, suspension or fixation of, as an independent
procedure (S) (Anaes. 17710 = 6B + 4T) $346.00
35687 Sterilisation by transection or resection of fallopian
tubes, via abdominal or vaginal routes or via
laparoscopy using diathermy or any other method (G)
(Anaes. 17708 = 6B + 2T) $238.80
35688 Sterilisation by transection or resection of fallopian
tubes, via abdominal or vaginal routes or via
laparoscopy using diathermy or any other method (S)
(Anaes. 17708 = 6B + 2T) $291.75
35691 Sterilisation by interruption of fallopian tubes when
performed in conjunction with Caesarean section
(Anaes. 17707 = 6B + 1T) $116.50
35694 Tuboplasty (salpingostomy, salpingolysis or tubal
implantation into uterus), unilateral or bilateral, 1
or more procedures (Anaes. 17712 = 6B + 6T) $468.20
35697 Microsurgical tuboplasty (salpingostomy,
salpingolysis or tubal implantation into uterus),
unilateral or bilateral, 1 or more procedures
(Anaes. 17716 = 6B + 10T) $694.75
35700 Fallopian tubes, unilateral microsurgical anastomosis
of, using operating microscope
(Anaes. 17717 = 6B + 11T) $536.05
35703 Hydrotubation of fallopian tubes as a non-repetitive
procedure, not being a service associated with a
service to which another item in this Subgroup
applies (Anaes. 17707 = 3B + 4T) $49.55
35706 Rubin test for patency of fallopian tubes
(Anaes. 17705 = 3B + 2T) $49.55
35709 Fallopian tubes, hydrotubation of, as a repetitive
post-operative procedure (Anaes. 17705 = 3B + 2T) $31.90
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)
(Anaes. 17711 = 6B + 5T) $266.00
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)
(Anaes. 17711 = 6B + 5T) $332.50
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)
(Anaes. 17712 = 6B + 6T) $318.95
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)
(Anaes. 17712 = 6B + 6T) $400.35
35720 Radical or debulking operation for advanced
gynaecological malignancy, with or without
omentectomy (Anaes. 17721 = 10B + 11T) $495.30
35723 Retro-peritoneal lymph node biopsies from above the
level of the aortic bifurcation, for staging or
restaging of gynaecological malignancy
(Anaes. 17719 = 6B + 13T) $354.70
35726 Infra-colic omentectomy with multiple peritoneal
biopsies for staging or restaging of gynaecological
malignancy (Anaes. 17716 = 6B + 10T) $354.70
35729 Ovarian transposition out of the pelvis, in
conjunction with radical hysterectomy for invasive
malignancy (Anaes. 17718 = 6B + 12T) $159.95
Subgroup 5-Urological
36500 Adrenal gland, excision of-partial or total
(Anaes. 17720 = 10B + 10T) $678.90
36503 Renal transplant, not being a service to which item
36506 or 36509 applies (Anaes. 17727 = 10B + 17T) $1,021.45
36506 Renal transplant, performed by vascular surgeon and
urologist operating together-vascular anastomosis,
including after-care (Anaes. 17727 = 10B + 17T) $678.90
36509 Renal transplant, performed by vascular surgeon and
urologist operating together-ureterovesical anastomosis,
including after-care $574.95
36516 Nephrectomy, complete (Anaes. 17713 = 7B + 6T) $678.90
36519 Nephrectomy, complete, complicated by previous surgery
on the same kidney (Anaes. 17715 = 7B + 8T) $948.05
36522 Nephrectomy, partial (Anaes. 17715 = 7B + 8T) $813.50
36525 Nephrectomy, partial, complicated by previous surgery
on the same kidney (Anaes. 17717 = 7B + 10T) $1,156.05
36528 Nephrectomy, radical, with enbloc dissection of lymph
nodes, with or without adrenalectomy
(Anaes. 17720 = 10B + 10T) $948.05
36531 Nephro-ureterectomy, complete, including associated
bladder repair and any associated endoscopic procedure
(Anaes. 17719 = 7B + 12T) $850.20
36534 Kidney, fused, renal symphysiotomy for
(Anaes. 17715 = 7B + 8T) $678.90
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 Subgroup applies
(Anaes. 17713 = 7B + 6T) $507.70
36540 Nephrolithotomy or pyelolithotomy, or both, through
the same skin incision, for 1 or 2 stones
(Anaes. 17713 = 7B + 6T) $813.50
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 (Anaes. 17715 = 7B + 8T) $948.05
36546 Extracorporeal shock wave lithotripsy (ESWL) to urinary
tract and post-treatment care for 3 days, including
pre-treatment consultations, unilateral
(Anaes. 17712 = 7B + 5T) $507.70
36549 Ureterolithotomy (Anaes. 17713 = 7B + 6T) $611.65
36552 Nephrostomy or pyelostomy, open, as an independent
procedure (Anaes. 17713 = 7B + 6T) $544.40
36555 Nephropexy, as an independent procedure
(Anaes. 17711 = 7B + 4T) $373.10
36558 Renal cyst or cysts, excision or unroofing of
(Anaes. 17713 = 7B + 6T) $477.10
36561 Renal biopsy (closed) (Anaes. 17708 = 7B + 1T) $126.65
36564 Pyeloplasty, by open exposure
(Anaes. 17716 = 7B + 9T) $678.90
36567 Pyeloplasty in congenitally abnormal kidney or
solitary kidney, by open exposure
(Anaes. 17717 = 7B + 10T) $746.20
36570 Pyeloplasty, complicated by previous surgery on the
same kidney, by open exposure
(Anaes. 17718 = 7B + 11T) $948.05
36573 Divided ureter, repair of (Anaes. 17715 = 7B + 8T) $678.90
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
(Anaes. 17715 = 7B + 8T) $850.20
36579 Ureterectomy, complete or partial, with or without
associated bladder repair, not being a service
associated with a service to which item 37000 applies
(Anaes. 17714 = 6B + 8T) $544.40
36582 Ureter, replacement of, by bowel
(Anaes. 17719 = 7B + 12T) $948.05
36585 Ureter, transplantation of, into skin
(Anaes. 17714 = 6B + 8T) $544.40
36588 Ureter, reimplantation into bladder
(Anaes. 17712 = 6B + 6T) $678.90
36591 Ureter, reimplantation into bladder with psoas hitch
or Boari flap or both (Anaes. 17713 = 6B + 7T) $813.50
36594 Ureter, transplantation of, into intestine
(Anaes. 17712 = 6B + 6T) $678.90
36597 Ureter, transplantation of, into another ureter
(Anaes. 17712 = 6B + 6T) $678.90
36600 Ureter, transplantation of, into isolated intestinal
segment, unilateral (Anaes. 17714 = 6B + 8T) $813.50
36603 Ureters, transplantation of, into isolated intestinal
segment, bilateral (Anaes. 17716 = 6B + 10T) $948.05
36606 Intestinal urinary reservoir, continent, formation of,
including formation of non-return valves and
implantation of ureters (1 or both) into reservoir
(Anaes. 17729 = 6B + 23T) $1,700.35
36609 Intestinal urinary conduit or ureterostomy, revision
of (Anaes. 17715 = 6B + 9T) $544.40
36612 Ureter, exploration of, with or without drainage of,
as an independent procedure (Anaes. 17713 = 6B + 7T) $477.10
36615 Ureterolysis, with or without repositioning of ureter,
for retroperitoneal fibrosis, ovarian vein syndrome or
similar condition (Anaes. 17713 = 6B + 7T) $544.40
36618 Reduction ureteroplasty (Anaes. 17716 = 6B + 10T) $477.10
36621 Closure of cutaneous ureterostomy
(Anaes. 17711 = 6B + 5T) $341.00
36624 Nephrostomy, percutaneous, using interventional
imaging techniques (Anaes. 17711 = 7B + 4T) $409.80
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 (Anaes. 17713 = 7B + 6T) $507.70
36630 Nephroscopy, being a service to which item 36627
applies, if, after a substantial portion of the
procedure has been performed, it is necessary to
discontinue the operation due to bleeding
(Anaes. 17712 = 7B + 5T) $250.80
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
(Anaes. 17713 = 7B + 6T) $544.40
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
(Anaes. 17715 = 7B + 8T) $293.60
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
(Anaes. 17715 = 7B + 8T) $611.65
36642 Nephroscopy, being a service to which item 36639
applies, if, after a substantial portion of the
procedure has been performed, it is necessary to
discontinue the operation due to bleeding
(Anaes. 17714 = 7B + 7T) $305.80
36645 Nephroscopy, percutaneous, with removal or destruction
of a stone greater than 3cm in any dimension, or for
3 or more stones (Anaes. 17719 = 7B + 12T) $782.90
36648 Nephroscopy, being a service to which item 36645
applies, if, after a substantial portion of the
procedure has been performed, it is necessary to
discontinue the operation (Anaes. 17718 = 7B + 11T) $697.30
36649 Nephrostomy drainage tube, exchange of-but not
including imaging (Anaes. 17709 = 7B + 2T) $196.50
36800 Bladder, catheterisation of, if no other procedure is
performed (Anaes. 17704 = 3B + 1T) $20.30
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 (Anaes. 17706 = 3B + 3T) $342.50
36806 Ureteroscopy being a service to which item 36803
applies, plus 1 or more of extraction of stone,
biopsy or diathermy (Anaes. 17706 = 3B + 3T) $477.10
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 (Anaes. 17707 = 3B + 4T) $611.65
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 (Anaes. 17705 = 3B + 2T) $122.30
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 (Anaes. 17705 = 3B + 2T) $174.75
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
(Anaes. 17705 = 3B + 2T) $203.05
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 (Anaes. 17705 = 3B + 2T) $237.30
36824 Cystoscopy with ureteric catheterisation, unilateral
or bilateral, not being a service associated with a
service to which item 36818 or 36821 applies
(Anaes. 17705 = 3B + 2T) $156.60
36827 Cystoscopy, with controlled hydro-dilatation of the
bladder (Anaes. 17705 = 3B + 2T) $168.85
36830 Cystoscopy, with ureteric meatotomy
(Anaes. 17705 = 3B + 2T) $149.25
36833 Cystoscopy with removal of foreign body
(Anaes. 17705 = 3B + 2T) $203.05
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 (Anaes. 17705 = 3B + 2T) $168.85
36839 Cystoscopy, with resection, diathermy or visual laser
destruction of bladder tumour or other lesion of the
bladder or prostate, not being a service associated
with a service to which item 36845 applies
(Anaes. 17707 = 5B + 2T) $237.30
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
(Anaes. 17706 = 3B + 3T) $238.80
36845 Cystoscopy, with diathermy, resection or visual laser
destruction of multiple tumours in more than 2
quadrants of the bladder or solitary tumour greater
than 2cm in diameter (Anaes. 17707 = 5B + 2T) $507.70
36848 Cystoscopy with resection of ureterocele
(Anaes. 17705 = 3B + 2T) $168.85
36851 Cystoscopy with injection into bladder wall
(Anaes. 17705 = 3B + 2T) $168.85
36854 Cystoscopy with endoscopic incision or resection of
external sphincter, bladder neck or both
(Anaes. 17705 = 3B + 2T) $342.50
36857 Endoscopic manipulation or extraction of ureteric
calculus (Anaes. 17705 = 3B + 2T) $269.10
36860 Endoscopic examination of intestinal conduit or
reservoir (Anaes. 17705 = 3B + 2T) $122.30
36863 Litholapaxy, with or without cystoscopy
(Anaes. 17706 = 3B + 3T) $342.50
37000 Bladder, partial excision of (Anaes. 17715 = 6B + 9T) $544.40
37004 Bladder, repair of rupture (Anaes. 17715 = 6B + 9T) $477.10
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
(Anaes. 17709 = 6B + 3T) $305.80
37011 Suprapubic stab cystotomy, not being a service
associated with a service to which items 37200 to
37221 apply (Anaes. 17705 = 3B + 2T) $68.50
37014 Bladder, total excision of (Anaes. 17732 = 10B + 22T) $782.90
37017 Bladder tumours, suprapubic diathermy of
(Anaes. 17712 = 6B + 6T) $508.00
37020 Bladder diverticulum, excision or obliteration of
(Anaes. 17712 = 6B + 6T) $544.40
37023 Vesical fistula, cutaneous, operation for
(Anaes. 17714 = 6B + 8T) $305.80
37026 Cutaneous vesicostomy, establishment of
(Anaes. 17715 = 6B + 9T) $305.80
37029 Vesico-vaginal fistula, closure of by abdominal
approach (Anaes. 17714 = 6B + 8T) $678.90
37032 Vesico-vaginal fistula, closure of, synchronous
combined approach, abdominal component, including
aftercare (Anaes. 17714 = 6B + 8T) $611.65
37035 Vesico-vaginal fistula, closure of, synchronous
combined approach, vaginal component, including
aftercare $440.35
37038 Vesico-intestinal fistula, closure of, excluding
bowel resection (Anaes. 17713 = 6B + 7T) $508.00
37041 Bladder aspiration, by needle $34.20
37044 Bladder stress incontinence, suprapubic procedure for,
not being a service to which item 35599 applies
(Anaes. 17711 = 6B + 5T) $508.00
37047 Bladder enlargement using intestine
(Anaes. 17725 = 6B + 19T) $1,223.30
37050 Bladder exstrophy closure, not involving sphincter
reconstruction (Anaes. 17716 = 6B + 10T) $544.40
37053 Bladder transection and re-anastomosis to trigone
(Anaes. 17718 = 6B + 12T) $629.10
37200 Prostatectomy, open (Anaes. 17714 = 6B + 8T) $746.20
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) $850.20
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) $409.80
37207 Prostate, endoscopic non-contact (side firing) visual
laser ablation, with or without cystoscopy and with or
without urethroscopy, and including services to which
items 36854, 37203, 37206, 37321 or 37324 applies
(Anaes. 17710 = 6B + 4T) $636.25
37208 Prostate, endoscopic non-contact (side firing) visual
laser ablation, with or without cystoscopy and with or
without urethroscopy, and including services to which
items 36854, 37203, 37321 or 37324 applies,
continuation of, within 10 days of the procedure
described by item 37203 or 37207, which had to be
discontinued for medical reasons
(Anaes. 17709 = 6B + 3T) $305.40
37209 Prostate, total excision of (Anaes. 17723 = 7B + 16T) $948.05
37212 Prostate, open perineal biopsy or open drainage of
abscess (Anaes. 17706 = 3B + 3T) $203.05
37215 Prostate, biopsy of, endoscopic, with or without
cystoscopy (Anaes. 17705 = 3B + 2T) $305.80
37218 Prostate, needle biopsy of, or injection into
(Anaes. 17704 = 3B + 1T) $101.55
37219 Prostate, transrectal needle biopsy of, using
transrectal prostatic ultrasound techniques and
obtaining 1 or more prostatic specimens, being a
service associated with a service to which item 55300
or 55303 applies (Anaes. 17706 = 3B + 3T) $206.20
37221 Prostatic abscess, endoscopic drainage of
(Anaes. 17706 = 3B + 3T) $342.50
37300 Urethral sounds, passage of, as an independent
procedure (Anaes. 17704 = 3B + 1T) $34.20
37303 Urethral stricture, dilatation of
(Anaes. 17705 = 3B + 2T) $54.40
37306 Urethra, repair of rupture of distal section
(Anaes. 17709 = 3B + 6T) $477.10
37309 Urethra, repair of rupture of prostatic or membranous
segment (Anaes. 17711 = 3B + 8T) $678.90
37315 Urethroscopy, as an independent procedure
(Anaes. 17704 = 3B + 1T) $101.55
37318 Urethroscopy, with any 1 or more of-biopsy, diathermy,
visual laser destruction of stone or removal of
foreign body or stone (Anaes. 17705 = 3B + 2T) $203.05
37321 Urethral meatotomy, external (Anaes. 17704 = 3B + 1T) $68.50
37324 Urethrotomy or urethrostomy, internal or external
(Anaes. 17705 = 3B + 2T) $168.85
37327 Urethrotomy, optical, for urethral stricture
(Anaes. 17705 = 3B + 2T) $237.30
37330 Urethrectomy, partial or complete, for removal of
tumour (Anaes. 17712 = 7B + 5T) $477.10
37333 Urethro-vaginal fistula, closure of
(Anaes. 17711 = 5B + 6T) $409.80
37336 Urethro-rectal fistula, closure of
(Anaes. 17713 = 6B + 7T) $544.40
37339 Periurethral or transurethral injection of materials
for the treatment of urinary incontinence, including
cystoscopy and urethroscopy (Anaes. 17705 = 3B + 2T) $176.10
37342 Urethroplasty-single stage operation
(Anaes. 17710 = 3B + 7T) $611.65
37345 Urethroplasty-2 stage operation-first stage
(Anaes. 17709 = 3B + 6T) $507.70
37348 Urethroplasty-2 stage operation-second stage
(Anaes. 17709 = 3B + 6T) $507.70
37351 Urethroplasty, not being a service to which another
item in this Group applies (Anaes. 17709 = 3B + 6T) $203.05
37354 Hypospadias, meatotomy and hemi-circumcision
(Anaes. 17707 = 3B + 4T) $237.30
37369 Urethra, excision of prolapse of
(Anaes. 17707 = 3B + 4T) $137.00
37372 Urethral diverticulum, excision of
(Anaes. 17708 = 3B + 5T) $342.50
37375 Urethral sphincter, reconstruction by bladder
tubularisation technique or similar procedure
(Anaes. 17718 = 6B + 12T) $850.20
37381 Artificial urinary sphincter, insertion of cuff,
perineal approach (Anaes. 17711 = 3B + 8T) $544.40
37384 Artificial urinary sphincter, insertion of cuff,
abdominal approach (Anaes. 17716 = 6B + 10T) $850.20
37387 Artificial urinary sphincter, insertion of pressure
regulating balloon and pump (Anaes. 17709 = 3B + 6T) $237.30
37390 Artificial urinary sphincter, revision or removal of,
with or without replacement (Anaes. 17714 = 6B + 8T) $678.90
37393 Priapism, decompression by glanular stab
caverno-sospongiosum shunt or penile aspiration with
or without lavage (Anaes. 17707 = 3B + 4T) $168.85
37396 Priapism, shunt operation for, not being a service to
which item 37393 applies (Anaes. 17711 = 3B + 8T) $544.40
37402 Penis, partial amputation of (Anaes. 17708 = 3B + 5T) $342.50
37405 Penis, complete or radical amputation of
(Anaes. 17714 = 6B + 8T) $678.90
37408 Penis, repair of laceration of cavernous tissue, or
fracture involving cavernous tissue
(Anaes. 17708 = 3B + 5T) $342.50
37411 Penis, repair of avulsion (Anaes. 17712 = 3B + 9T) $678.90
37414 Penis, injection of, for investigation or treatment
of impotence, priapism or Peyronie's plaque $34.20
37417 Penis, correction of chordee, with or without excision
of fibrous plaque or plaques and with or without
grafting (Anaes. 17707 = 3B + 4T) $409.80
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
(Anaes. 17707 = 3B + 4T) $269.10
37423 Penis, lengthening by translocation of corpora
(Anaes. 17714 = 3B + 11T) $678.90
37426 Penis, artificial erection device, insertion of,
into 1 or both corpora (Anaes. 17709 = 4B + 5T) $715.60
37429 Penis, artificial erection device, insertion of pump
and pressure regulating reservoir
(Anaes. 17714 = 4B + 10T) $237.30
37432 Penis, artificial erection device, complete or partial
revision or removal of components, with or without
replacement (Anaes. 17716 = 4B + 12T) $678.90
37435 Penis, frenuloplasty as an independent procedure
(Anaes. 17705 = 3B + 2T) $68.50
37438 Scrotum, partial excision of (Anaes. 17707 = 3B + 4T) $203.05
37444 Ureterolithotomy complicated by previous surgery at
the same site of the same ureter
(Anaes. 17715 = 7B + 8T) $734.00
37601 Spermatocele or epididymal cyst, excision of, 1 or
more of, on 1 side (Anaes. 17706 = 3B + 3T) $203.05
37604 Exploration of scrotal contents, with or without
fixation and with or without biopsy, unilateral
(Anaes. 17706 = 3B + 3T) $203.05
37607 Retroperitoneal lymph node dissection, unilateral,
not being a service associated with a service to
which item 36528 applies (Anaes. 17716 = 6B + 10T) $678.90
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
(Anaes. 17720 = 6B + 14T) $1,021.45
37613 Epididymectomy (Anaes. 17706 = 3B + 3T) $203.05
37616 Vaso-vasostomy or vaso-epididymostomy, unilateral,
using the operating microscope
(Anaes. 17712 = 3B + 9T) $507.70
37619 Vaso-vasostomy or vaso-epididymostomy, unilateral
(Anaes. 17709 = 3B + 6T) $203.05
37622 Vasotomy or vasectomy, unilateral or bilateral(G)
(Anaes. 17705 = 3B + 2T) $141.95
37623 Vasotomy or vasectomy, unilateral or bilateral(S)
(Anaes. 17705 = 3B + 2T) $168.85
37800 Patent urachus, excision of (Anaes. 17710 = 6B + 4T) $382.70
37803 Undescended testis, orchidopexy for, not being a
service to which item 37806 applies
(Anaes. 17708 = 4B + 4T) $382.70
37806 Undescended testis in inguinal canal close to deep
inguinal ring or within abdominal cavity, orchidopexy
for (Anaes. 17711 = 6B + 5T) $442.25
37809 Undescended testis, revision orchidopexy for
(Anaes. 17709 = 4B + 5T) $442.25
37812 Impalpable testis, exploration of groin for, not
being a service associated with a service to which
items 37803 to 37809 apply (Anaes. 17709 = 4B + 5T) $408.25
37815 Hypospadias, examination under anaesthesia with
erection test (Anaes. 17705 = 3B + 2T) $68.05
37818 Hypospadias, glanuloplasty incorporating meatal
advancement (Anaes. 17709 = 3B + 6T) $360.85
37821 Hypospadias, distal, 1 stage repair
(Anaes. 17709 = 3B + 6T) $611.65
37824 Hypospadias, proximal, 1 stage repair
(Anaes. 17711 = 3B + 8T) $850.55
37827 Hypospadias, staged repair, first stage
(Anaes. 17709 = 3B + 6T) $391.80
37830 Hypospadias, staged repair, second stage
(Anaes. 17709 = 3B + 6T) $507.70
37833 Hypospadias, repair of post operative urethral
fistula (Anaes. 17708 = 3B + 5T) $242.30
37836 Epispadias, staged repair, first stage
(Anaes. 17711 = 3B + 8T) $510.30
37839 Epispadias, staged repair, second stage
(Anaes. 17711 = 3B + 8T) $578.35
37842 Exstrophy of bladder or epispadias, secondary repair
with bladder neck tightening, with or without ureteric
reimplantation (Anaes. 17718 = 6B + 12T) $1,122.70
37845 Ambiguous genitalia with urogenital sinus, reduction
clitoroplasty, with or without endoscopy
(Anaes. 17713 = 3B + 10T) $510.30
37848 Ambiguous genitalia with urogenital sinus, reduction
clitoroplasty, with endoscopy and vaginoplasty
(Anaes. 17715 = 3B + 12T) $918.55
37851 Congenital adrenal hyperplasia, mixed gonadal
dysgenesis or similar condition, vaginoplasty for,
with or without endoscopy (Anaes. 17715 = 3B + 12T) $680.45
37854 Urethral valve, destruction of, including cystoscopy
and urethroscopy (Anaes. 17707 = 3B + 4T) $269.10
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 (Anaes. 17712 = 7B + 5T) $327.10
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
(Anaes. 17712 = 7B + 5T) $390.30
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
(Anaes. 17714 = 7B + 7T) $471.85
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 (Anaes. 17719 = 7B + 12T) $605.80
38212 Cardiac electrophysiological study:
(a) 4 or more catheter supraventricular tachycardia
investigations; or
(b) complex ventricular tachycardia investigation
involving multiple ventricular tachycardia inductions; or
(c) multiple catheter mapping; or
(d) acute intravenous anti-arrhythmic drug testing with
pre- and post- drug inductions; or
(e) catheter ablation to intentionally induce
complete AV block; or
(f) intra-operative mapping; or
(g) electrophysiological services during defibrillator
implantation or testing;
not being a service associated with a service to which
item 38209 applies (Anaes. 17727 = 7B + 20T) $1,007.75
38215 Selective coronary arteriography-placement of
catheters and injection of opaque material
(Anaes. 17714 = 7B + 7T) $332.05
38218 Selective coronary arteriography-placement of
catheters and injection of opaque material with right
or left heart catheterisation, or both
(Anaes. 17716 = 7B + 9T) $547.60
38250 Single chamber permanent transvenous electrode,
insertion of (Anaes. 17711 = 6B + 5T) $469.00
38253 Permanent pacemaker, insertion or replacement of
(Anaes. 17710 = 6B + 4T) $187.55
38256 Temporary transvenous pacemaking electrode, insertion
of (Anaes. 17710 = 6B + 4T) $196.15
38259 Permanent dual chamber transvenous electrodes,
insertion of (Anaes. 17713 = 6B + 7T) $614.85
38400 Thoracic cavity, aspiration of, for diagnostic
purposes, not being a service associated with a
service to which item 38403 applies $28.25
38403 Thoracic cavity, aspiration of, with therapeutic
drainage (paracentesis), with or without diagnostic
sample $56.50
38406 Pericardium, paracentesis of (excluding after-care)
(Anaes. 17708 = 6B + 2T) $98.10
38409 Intercostal drain, insertion of, not involving
resection of rib (excluding after-care)
(Anaes. 17706 = 4B + 2T) $98.10
38410 Intercostal drain, insertion of, with pleurodesis and
not involving resection of rib (excluding aftercare)
(Anaes. 17707 = 4B + 3T) $120.90
38412 Percutaneous needle biopsy of lung
(Anaes. 17706 = 4B + 2T) $153.55
38415 Empyema, radical operation for, involving resection
of rib (Anaes. 17721 = 13B + 8T) $293.20
38418 Thoracotomy, exploratory, with or without biopsy
(Anaes. 17719 = 13B + 6T) $703.70
38421 Thoracotomy, with pulmonary decortication
(Anaes. 17726 = 15B + 11T) $1,124.90
38424 Thoracotomy, with pleurectomy or pleurodesis, or
enucleation of hydatid cysts
(Anaes. 17721 = 13B + 8T) $703.70
38427 Thoracoplasty (complete)-3 or more ribs
(Anaes. 17730 = 15B + 15T) $868.95
38430 Thoracoplasty (in stages)-each stage
(Anaes. 17723 = 15B + 8T) $447.80
38436 Thoracoscopy, with or without division of pleural
adhesions, including insertion of intercostal catheter,
with or without biopsy (Anaes. 17716 = 10B + 6T) $183.40
38438 Pneumonectomy or lobectomy or segmentectomy
(Anaes. 17724 = 13B + 11T) $1,124.90
38440 Lung, wedge resection of (Anaes. 17722 = 13B + 9T) $842.35
38441 Radical lobectomy or pneumonectomy including resection
of chest wall, diaphragm, pericardium, or formal
mediastinal node dissection
(Anaes. 17728 = 13B + 15T) $1,332.75
38446 Thoracotomy or sternotomy, for removal of thymus or
mediastinal tumour (Anaes. 17723 = 13B + 10T) $868.95
38447 Pericardiectomy via sternotomy or anterolateral
thoracotomy without cardiopulmonary bypass
(Anaes. 17727 = 15B + 12T) $1,124.90
38448 Mediastinum, cervical exploration of, with or
without biopsy (Anaes. 17712 = 8B + 4T) $266.55
38449 Pericardiectomy via sternotomy or anterolateral
thoracotomy with cardiopulmonary bypass
(Anaes. 17732 = 20B + 12T) $1,573.70
38450 Pericardium, transthoracic drainage of
(Anaes. 17719 = 13B + 6T) $629.05
38452 Pericardium, sub-xyphoid drainage of
(Anaes. 17717 = 13B + 4T) $421.20
38453 Tracheal excision and repair without cardiopulmonary
bypass (Anaes. 17731 = 15B + 16T) $1,263.50
38455 Tracheal excision and repair of, with cardiopulmonary
bypass (Anaes. 17738 = 20B + 18T) $1,709.15
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
(Anaes. 17731 = 15B + 16T) $1,124.90
38457 Pectus excavatum or pectus carinatum, repair or
radical correction of (Anaes. 17724 = 13B + 11T) $1,050.25
38458 Pectus excavatum, repair of, with implantation of
subcutaneous prosthesis (Anaes. 17724 = 13B + 11T) $559.80
38460 Sternal wires or wires, removal of
(Anaes. 17709 = 5B + 4T) $202.15
38462 Sternotomy wound, debridement of, not involving
reopening of the mediastinum (Anaes. 17710 = 5B + 5T) $239.70
38464 Sternotomy wound, debridement of, involving curettage
of infected bone with or without removal of wires but
not involving reopening of the mediastinum
(Anaes. 17711 = 5B + 6T) $260.50
38466 Sternum, reoperation on for dehiscence or infection
involving reopening of the mediastinum, with or without
rewiring (Anaes. 17721 = 13B + 8T) $703.45
38468 Sternum and mediastinum, reoperation for infection of,
involving muscle advancement flaps or greater omentum
(Anaes. 17729 = 13B + 16T) $1,083.85
38469 Sternum and mediastinum, reoperation for infection of,
involving muscle advancement flaps and greater omentum
(Anaes. 17733 = 13B + 20T) $1,263.50
38470 Permanent myocardial electrode, insertion of, by
thoracotomy (Anaes. 17721 = 15B + 6T) $703.70
38473 Permanent pacemaker electrode, insertion by sub-xyphoid
approach (Anaes. 17720 = 15B + 5T) $421.20
38475 Valve annuloplasty without insertion of ring, not
being a service associated with a service to which
item 38480 or 38481 applies
(Anaes. 17734 = 20B + 14T) $610.80
38477 Valve annuloplasty with insertion of ring not being a
service to which item 38478 applies
(Anaes. 17734 = 20B + 14T) $1,471.00
38478 Valve annuloplasty with insertion of ring performed
in conjunction with item 38480 or 38481
(Anaes. 17734 = 20B + 14T) $712.60
38480 Valve repair, 1 leaflet (Anaes. 17734 = 20B + 14T) $1,471.00
38481 Valve repair, 2 or more leaflets
(Anaes. 17736 = 20B + 16T) $1,674.60
38483 Aortic valve leaflet or leaflets, decalcification of,
not being a service to which item 38475, 38477,
38480, 38481, 38488 or 38489 applies
(Anaes. 17734 = 20B + 14T) $1,263.50
38485 Mitral annulus, reconstruction of, after
decalcification, when performed in association with
valve surgery (Anaes. 17734 = 20B + 14T) $600.00
38487 Mitral valve, open valvotomy of
(Anaes. 17734 = 20B + 14T) $1,263.50
38488 Valve replacement with bioprosthesis or mechanical
prosthesis (Anaes. 17734 = 20B + 14T) $1,402.10
38489 Valve replacement with allograft (subcoronary or
cylindrical implant), or unstented xenograft
(Anaes. 17736 = 20B + 16T) $1,667.50
38490 Sub-valvular structures, reconstruction and
re-implantation of, associated with mitral and
tricuspid valve replacement
(Anaes. 17723 = 20B + 3T) $407.20
38496 Artery harvesting (other than internal mammary), for
coronary artery bypass (Anaes. 17711 = 8B + 3T) $458.10
38497 Coronary artery bypass using saphenous vein graft or
grafts only, including harvesting of vein graft
material where performed (Anaes. 17736 = 20B + 16T) $1,503.40
38500 Coronary artery bypass using single arterial graft,
with or without vein graft or grafts, including
harvesting of internal mammary artery or vein graft
material where performed (Anaes. 17736 = 20B + 16T) $1,615.35
38503 Coronary artery bypass using 2 or more arterial
grafts, with or without vein graft or grafts, including
harvesting of internal mammary artery or vein graft
material where performed (Anaes. 17738 = 20B + 18T) $1,753.95
38505 Coronary endarterectomy, by open operation, including
repair with 1 or more patch grafts, each vessel
(Anaes. 17723 = 20B + 3T) $203.60
38506 Left ventricular aneurysm, plication of
(Anaes. 17734 = 20B + 14T) $1,194.15
38507 Left ventricular aneurysm resection with primary
repair (Anaes. 17736 = 20B + 16T) $1,401.80
38508 Left ventricular aneurysm resection with patch
reconstruction of the left ventricle
(Anaes. 17740 = 20B + 20T) $1,753.95
38509 Ischaemic ventricular septal rupture, repair of
(Anaes. 17738 = 20B + 18T) $1,753.95
38512 Division of accessory pathway, isolation procedure,
procedure on atrioventricular node or perinodal tissues
involving 1 atrial chamber only
(Anaes. 17734 = 20B + 14T) $1,540.75
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
(Anaes. 17738 = 20B + 18T) $1,961.85
38518 Ventricular arrhythmia with mapping and muscle ablation,
with or without aneurysmeotomy
(Anaes. 17744 = 20B + 24T) $2,105.85
38521 Automatic defibrillator, insertion of patches for
(Anaes. 17721 = 15B + 6T) $773.00
38524 Automatic defibrillator generator, insertion or
replacement of (Anaes. 17712 = 6B + 6T) $211.35
38530 Ablation of arrhythmia circuit or focus or isolation
procedure involving 1 atrial chamber
(Anaes. 17734 = 20B + 14T) $1,540.75
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) $1,961.85
38536 Ventricular arrhythmia with mapping and ablation,
including all associated electrophysiological studies
performed on the same day
(Anaes. 17744 = 20B + 24T) $2,105.85
38550 Ascending thoracic aorta, repair or replacement of,
not involving valve replacement or repair or
coronary artery implantation
(Anaes. 17742 = 20B + 22T) $1,402.10
38553 Ascending thoracic aorta, repair or replacement of,
with aortic valve replacement or repair, without
implantation of coronary arteries
(Anaes. 17747 = 20B + 27T) $1,823.25
38556 Ascending thoracic aorta, repair or replacement of,
with aortic valve replacement or repair, and
implantation of coronary arteries
(Anaes. 17753 = 20B + 33T) $2,105.85
38559 Aortic arch and ascending thoracic aorta, repair or
replacement of, not involving valve replacement or
repair or coronary artery implantation
(Anaes. 17747 = 20B + 27T) $1,684.65
38562 Aortic arch and ascending thoracic aorta, repair or
replacement of, with aortic valve replacement or
repair, without implantation of coronary arteries
(Anaes. 17753 = 20B + 33T) $2,105.85
38565 Aortic arch and ascending thoracic aorta, repair or
replacement of, with aortic valve replacement or
repair, and implantation of coronary arteries
(Anaes. 17756 = 20B + 36T) $2,383.05
38568 Descending thoracic aorta, repair or replacement of,
without shunt or cardiopulmonary bypass
(Anaes. 17733 = 15B + 18T) $1,194.15
38571 Descending thoracic aorta, repair or replacement of,
using shunt or cardiopulmonary bypass
(Anaes. 17738 = 20B + 18T) $1,332.75
38572 Operative management of acute rupture or dissection,
in conjunction with procedures on the thoracic aorta
(Anaes. 17725 = 15B + 10T) $1,459.00
38574 Deep hypothermia with cardiac arrest, in conjunction
with open heart surgery $559.80
38577 Cannulation for, and supervision and monitoring of,
the administration of retrograde cerebral perfusion
during deep hypothermic arrest $407.20
38588 Cannulation of the coronary sinus for, and supervision
of, the retrograde administration of blood or
crystalloid for cardioplegia, including pressure
monitoring $305.40
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
(Anaes. 17721 = 15B + 6T) $1,124.90
38603 Peripheral cannulation for cardiopulmonary bypass
excluding post-operative management
(Anaes. 17713 = 8B + 5T) $703.70
38606 Intra-aortic balloon pump, percutaneous insertion of
(Anaes. 17711 = 8B + 3T) $282.60
38609 Intra-aortic balloon pump, insertion of, by
arteriotomy (Anaes. 17713 = 8B + 5T) $351.85
38612 Intra-aortic balloon pump, removal of, with closure of
artery by direct suture (Anaes. 17713 = 8B + 5T) $394.45
38613 Intra-aortic balloon pump, removal of, with closure
of artery by patch graft (Anaes. 17715 = 8B + 7T) $495.05
38615 Left or right ventricular assist device, insertion of
(Anaes. 17730 = 15B + 15T) $1,124.90
38618 Left and right ventricular assist device, insertion of
(Anaes. 17732 = 15B + 17T) $1,402.10
38621 Left or right ventricular assist device, removal of,
as an independent procedure
(Anaes. 17721 = 15B + 6T) $559.80
38624 Left and right ventricular assist device, removal of,
as an independent procedure
(Anaes. 17722 = 15B + 7T) $629.05
38637 Patent diseased coronary artery bypass vein graft or
grafts, dissection, disconnection and oversewing of
(Anaes. 17723 = 20B + 3T) $407.20
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
(Anaes. 17723 = 13B + 10T) $703.70
38643 Thoracotomy or sternotomy involving division of
adhesions where the time taken to divide the adhesions
exceeds 45 minutes (Anaes. 17726 = 13B + 13T) $783.70
38647 Thoracotomy or sternotomy involving division of
extensive adhesions where the time taken to divide
the adhesions exceeds 2 hours
(Anaes. 17729 = 13B + 16T) $1,567.35
38650 Myomectomy or myotomy for hypertrophic obstructive
cardiomyopathy (Anaes. 17732 = 20B + 12T) $1,402.10
38653 Open heart surgery, not being a service to which
another item in this Group applies
(Anaes. 17736 = 20B + 16T) $1,402.10
38656 Thoracotomy or median sternotomy for post-operative
bleeding (Anaes. 17721 = 15B + 6T) $703.70
38670 Cardiac tumour, excision of, involving the wall of
the artrium or inter-atrial septum, without patch or
conduit reconstruction (Anaes. 17736 = 20B + 16T) $1,401.80
38673 Cardiac tumour, excision of, involving the wall of
the atrium or inter-atrial septum, requiring
reconstruction with patch or conduit
(Anaes. 17738 = 20B + 18T) $1,577.90
38677 Cardiac tumour arising from ventricular myocardium,
partial thickness excision of
(Anaes. 17736 = 20B + 16T) $1,476.10
38680 Cardiac tumour arising from ventricular myocardium,
full thickness excision of including repair or
reconstruction (Anaes. 17740 = 20B + 20T) $1,750.95
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) $783.70
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) $1,412.80
38706 Aorta, anastomosis or repair of, without
cardiopulmonary bypass, for congenital heart disease
(Anaes. 17729 = 15B + 14T) $1,338.15
38709 Aorta, anastomosis or repair of, with cardiopulmonary
bypass, for congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,567.35
38712 Aortic interruption, repair of, for congenital heart
disease (Anaes. 17729 = 15B + 14T) $1,881.95
38715 Main pulmonary artery, banding, debanding or repair
of, without cardiopulmonary bypass, for congenital
heart disease (Anaes. 17727 = 15B + 12T) $1,252.85
38718 Main pulmonary artery, banding, debanding or repair
of, with cardiopulmonary bypass, for congenital heart
disease (Anaes. 17734 = 20B + 14T) $1,567.35
38721 Vena cava, anastomosis or repair of, without
cardiopulmonary bypass, for congenital heart disease
(Anaes. 17731 = 15B + 16T) $1,098.25
38724 Vena cava, anastomosis or repair of, with
cardiopulmonary bypass, for congenital heart disease
(Anaes. 17738 = 20B + 18T) $1,567.35
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) $1,098.25
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) $1,567.35
38733 Systemic pulmonary or cavo-pulmonary shunt, creation
of, without cardiopulmonary bypass, for congenital
heart disease (Anaes. 17733 = 15B + 18T) $1,098.25
38736 Systemic pulmonary or cavo-pulmonary shunt, creation
of, with cardiopulmonary bypass, for congenital heart
disease (Anaes. 17740 = 20B + 20T) $1,567.35
38739 Atrial septectomy, with or without cardiopulmonary
bypass, for congenital heart disease
(Anaes. 17733 = 15B + 18T) $1,412.80
38742 Atrial septal defect, closure by direct suture or
patch, for congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,412.80
38745 Intra-atrial baffle, insertion of, for congenital
heart disease (Anaes. 17734 = 20B + 14T) $1,567.35
38748 Ventricular septectomy, for congenital heart disease
(Anaes. 17734 = 20B + 14T) $1,567.35
38751 Ventricular septal defect, closure by direct suture
or patch, for congenital heart disease
(Anaes. 17736 = 20B + 16T) $1,567.35
38754 Intraventricular baffle or conduit, insertion of, for
congenital heart disease(Anaes. 17738 = 20B + 18T) $1,961.85
38757 Extracardiac conduit, insertion of, for congenital
heart disease (Anaes. 17734 = 20B + 14T) $1,567.35
38760 Extracardiac conduit, replacement of, for congenital
heart disease (Anaes. 17736 = 20B + 16T) $1,567.35
38763 Ventricular myectomy, for relief of ventricular
obstruction, right or left, for congenital heart
disease (Anaes. 17734 = 20B + 14T) $1,567.35
38766 Ventricular augmentation, right or left, for
congenital heart disease (Anaes. 17736 = 20B + 16T) $1,567.35
Subgroup 7-Neurosurgical
39000 Lumbar puncture (Anaes. 17706 = 5B + 1T) $55.25
39003 Cisternal puncture $62.95
39006 Ventricular puncture (not including burr-hole) $117.05
39009 Subdural haemorrhage, tap for, each tap
(Anaes. 17707 = 5B + 2T) $43.60
39012 Burr-hole, single, preparatory to ventricular puncture
or for inspection purpose-not being a service to which
another item applies (Anaes. 17713 = 9B + 4T) $174.50
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 (Anaes. 17708 = 5B + 3T) $80.25
39015 Ventricular reservoir, external ventricular drain or
intracranial pressure monitoring device, insertion
of-including burr-hole (excluding after-care)
(Anaes. 17713 = 9B + 4T) $276.10
39018 Cerebrospinal fluid reservoir, insertion of
(Anaes. 17714 = 9B + 5T) $276.10
39100 Injection of primary branch of trigeminal nerve with
alcohol, cortisone, phenol, or similar substance
(Anaes. 17709 = 5B + 4T) $174.50
39106 Neurectomy, intracranial, for trigeminal neuralgia
(Anaes. 17724 = 12B + 12T) $872.45
39109 Trigeminal gangliotomy by radiofrequency, balloon or
glycerol (Anaes. 17711 = 6B + 5T) $325.75
39112 Cranial nerve, intracranial decompression of, using
microsurgical techniques (Anaes. 17729 = 12B + 17T) $1,131.90
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) (Anaes. 17707 = 5B + 2T) $55.25
39118 Percutaneous neurotomy for facet joint denervation by
radio-frequency probe or cryoprobe using radiological
imaging control (Anaes. 17707 = 5B + 2T) $218.65
39121 Percutaneous cordotomy (Anaes. 17710 = 5B + 5T) $463.80
39124 Cordotomy or myelotomy, laminectomy for, or operation
for dorsal root entry zone (Drez) lesion
(Anaes. 17718 = 10B + 8T) $1,187.10
39125 Spinal catheter, insertion of-for an automated infusion
device (Anaes. 17709 = 5B + 4T) $218.85
39126 Automated subcutaneous infusion device, insertion of
(Anaes. 17709 = 5B + 4T) $265.75
39127 Subcutaneous reservoir and spinal catheter for pain,
insertion of (Anaes. 17709 = 5B + 4T) $347.85
39128 Automated subcutaneous infusion device and spinal
catheter, insertion of (Anaes. 17712 = 5B + 7T) $484.55
39130 Percutaneous epidural electrode, insertion of 1 or more
of-for spinal stimulation (Anaes. 17711 = 5B + 6T) $448.10
39131 Percutaneous epidural electrodes, management,
adjustment, electronic programming and trial of
stimulation of, by a medical practitioner-each day $93.80
39133 Epidural stimulator or intrathecal infusion device,
revision of (Anaes. 17709 = 5B + 4T) $117.05
39134 Spinal neurostimulator receiver or pulse generator,
subcutaneous placement of (Anaes. 17709 = 5B + 4T) $250.10
39136 Percutaneous epidural implant for management of pain,
removal of (Anaes. 17709 = 5B + 4T) $117.05
39139 Epidural electrode for management of pain, insertion
of 1 or more of by laminectomy, including implantation
of pulse generator (1 or 2 stages)
(Anaes. 17718 = 10B + 8T) $789.60
39300 Cutaneous nerve (including digital nerve), primary
repair of, using microsurgical techniques
(Anaes. 17710 = 4B + 6T) $259.55
39303 Cutaneous nerve (including digital nerve), secondary
repair of, using microsurgical techniques
(Anaes. 17711 = 4B + 7T) $342.30
39306 Nerve trunk, primary repair of, using microsurgical
techniques (Anaes. 17712 = 4B + 8T) $496.95
39309 Nerve trunk, secondary repair of, using microsurgical
techniques (Anaes. 17713 = 4B + 9T) $524.50
39312 Nerve trunk, internal (interfascicular), neurolysis of,
using microsurgical techniques
(Anaes. 17712 = 4B + 8T) $292.60
39315 Nerve trunk, nerve graft to, (cable graft) including
harvesting of nerve graft using microsurgical
techniques (Anaes. 17717 = 4B + 13T) $756.40
39318 Cutaneous nerve (including digital nerve), nerve
graft to, using microsurgical techniques
(Anaes. 17713 = 4B + 9T) $469.35
39321 Nerve, transposition of (Anaes. 17708 = 4B + 4T) $347.85
39323 Percutaneous neurotomy by cryoneurotomy or
radiofrequency lesion generator, not being a service
to which another item applies
(Anaes. 17710 = 5B + 5T) $203.20
39324 Neurectomy, neurotomy or removal of tumour from
superficial peripheral nerve, by open operation
(Anaes. 17707 = 4B + 3T) $203.20
39327 Neurectomy, neurotomy or removal of tumour from deep
peripheral nerve, by open operation
(Anaes. 17708 = 4B + 4T) $347.85
39330 Neurolysis by open operation without transposition,
not being a service associated with a service to
which item 39312 applies (Anaes. 17706 = 4B + 2T) $203.20
39331 Carpal tunnel release (division of transverse carpal
ligament), by any method (Anaes. 17705 = 3B + 2T) $203.20
39333 Brachial plexus, exploration of, not being a service
to which another item in this Group applies
(Anaes. 17713 = 5B + 8T) $292.60
39500 Vestibular nerve, section of, via posterior fossa
(Anaes. 17729 = 12B + 17T) $933.15
39503 Facio-hypoglossal nerve or facio-accessory nerve,
anastomosis of (Anaes. 17733 = 12B + 21T) $701.25
39600 Intracranial haemorrhage, burr-hole craniotomy
for-including burr holes (Anaes. 17715 = 9B + 6T) $347.85
39603 Intracranial haemorrhage, osteoplastic craniotomy or
extensive craniectomy and removal of haematoma
(Anaes. 17723 = 12B + 11T) $877.90
39606 Fractured skull, depressed or comminuted, operation
for (Anaes. 17719 = 12B + 7T) $585.25
39609 Fractured skull, compound, without dural penetration,
operation for (Anaes. 17719 = 12B + 7T) $701.25
39612 Fractured skull, compound, depressed or complicated,
with dural penetration and brain laceration,
operation for (Anaes. 17721 = 12B + 9T) $822.75
39615 Fractured skull with rhinorrhoea or otorrhoea,
cranioplasty and repair of (Anaes. 17723 = 12B + 11T) $877.90
39640 Tumour involving anterior cranial fossa, removal of,
involving craniotomy, radical excision of the skull
base, and dural repair (Anaes. 17748 = 12B + 36T) $2,226.05
39642 Tumour involving anterior cranial fossa, removal of,
involving frontal craniotomy with lateral rhinotomy for
clearance of paranasal sinus extension, (intracranial
procedure) (Anaes. 17751 = 12B + 39T) $2,340.25
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)
(Anaes. 17754 = 12B + 42T) $2,682.70
39650 Tumour involving middle cranial fossa and
infra-temporal fossa, removal of, craniotomy and
radical or sub-total radical excision, with division
and reconstruction of zygomatic arch, (intracranial
procedure) (Anaes. 17763 = 12B + 51T) $1,940.65
39653 Petro-clival and clival tumour, removal of, by supra
and infratentorial approaches for radical or sub-total
radical excision (intracranial procedure), not being a
service to which item 39654 or 39656 applies
(Anaes. 17763 = 12B + 51T) $3,453.25
39654 Petro-clival and clival tumour, removal of, by supra
and infratentorial approaches for radical or sub-total
radical excision, (intracranial procedure), conjoint
surgery, principal surgeon
(Anaes. 17763 = 12B + 51T) $2,511.45
39656 Petro-clival and clival tumour, removal of, by supra
and infratentorial approaches for radical or sub-total
radical excision, (intracranial procedure), conjoint
surgery, co-surgeon $1,883.60
39658 Tumour involving the clivus, radical or sub-total
radical excision of, involving transoral or
transmaxillary approach (Anaes. 17763 = 12B + 51T) $2,226.05
39660 Tumour or vascular lesion of cavernous sinus, radical
excision of, involving craniotomy with or without
intracranial carotid artery exposure
(Anaes. 17762 = 20B + 42T) $2,226.05
39662 Tumour or vascular lesion of foramen magnum, radical
excision of, via transcondylar or far lateral
suboccipital approach (Anaes. 17762 = 20B + 42T) $2,226.05
39700 Skull tumour, benign or malignant, excision of,
excluding cranioplasty (Anaes. 17727 = 12B + 15T) $408.65
39703 Intracranial tumour, cyst or other brain tissue,
burr-hole and biopsy of, or drainage of, or both
(Anaes. 17714 = 9B + 5T) $381.00
39706 Intracranial tumour, biopsy or decompression of via
osteoplastic flap or biopsy and decompression of via
osteoplastic flap (Anaes. 17720 = 12B + 8T) $817.15
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
Sub-group applies (Anaes. 17730 = 12B + 18T) $1,165.05
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 Sub-group applies
(Anaes. 17730 = 12B + 18T) $2,103.70
39715 Pituitary tumour, removal of, by transcranial or
transphenoidal approach (Anaes. 17730 = 12B + 18T) $1,457.65
39718 Arachnoidal cyst, craniotomy for
(Anaes. 17720 = 12B + 8T) $640.55
39721 Craniotomy, involving osteoplastic flap, for
re-opening post-operatively for haemorrhage, swelling,
etc (Anaes. 17720 = 12B + 8T) $585.25
39800 Aneurysm, clipping or reinforcement of sac
(Anaes. 17740 = 20B + 20T) $2,098.20
39803 Intracranial arteriovenous malformation, excision of
(Anaes. 17744 = 20B + 24T) $2,098.20
39806 Aneurysm, or arteriovenous malformation, intracranial
proximal artery clipping of
(Anaes. 17736 = 20B + 16T) $944.20
39812 Intracranial aneurysm or arteriovenous fistula,
ligation of cervical vessel or vessels
(Anaes. 17715 = 10B + 5T) $463.80
39815 Carotid-cavernous fistula, obliteration of-combined
cervical and intracranial procedure
(Anaes. 17756 = 20B + 36T) $1,341.75
39818 Extracranial to intracranial bypass using superficial
temporal artery (Anaes. 17744 = 20B + 24T) $1,341.75
39821 Extracranial to intracranial bypass using saphenous
vein graft (Anaes. 17750 = 20B + 30T) $1,593.15
39900 Intracranial infection, drainage of, via
burr-hole-including burr-hole
(Anaes. 17714 = 9B + 5T) $381.00
39903 Intracranial abscess, excision of
(Anaes. 17722 = 12B + 10T) $1,165.05
39906 Osteomyelitis of skull or removal of infected bone
flap, craniectomy for (Anaes. 17717 = 12B + 5T) $585.25
40000 Ventriculo-cisternostomy (Torkildsen's operation)
(Anaes. 17720 = 10B + 10T) $673.60
40003 Cranial or cisternal shunt diversion, insertion of
(Anaes. 17719 = 10B + 9T) $673.60
40006 Lumbar shunt diversion, insertion of
(Anaes. 17719 = 10B + 9T) $530.05
40009 Cranial, cisternal or lumbar shunt, revision or
removal of (Anaes. 17718 = 10B + 8T) $386.50
40012 Third ventriculostomy (open or endoscopic) with or
without endoscopic septum pellucidotomy
(Anaes. 17720 = 10B + 10T) $756.40
40015 Subtemporal decompression (Anaes. 17724 = 12B + 12T) $469.00
40018 Lumbar cerebrospinal fluid drain, insertion of
(Anaes. 17710 = 8B + 2T) $117.05
40100 Meningocele, excision and closure of
(Anaes. 17717 = 8B + 9T) $508.00
40103 Myelomeningocele, excision and closure of, including
skin flaps or Z plasty where performed
(Anaes. 17719 = 8B + 11T) $745.45
40106 Arnold-Chiari malformation, decompression of
(Anaes. 17735 = 12B + 23T) $756.40
40109 Encephalocoele, excision and closure of
(Anaes. 17734 = 12B + 22T) $817.15
40112 Tethered cord, release of, including lipomeningocele
or diastematomyelia (Anaes. 17736 = 8B + 28T) $1,049.05
40115 Craniostenosis, operation for-single suture
(Anaes. 17723 = 12B + 11T) $530.05
40118 Craniostenosis, operation for-more than 1 suture
(Anaes. 17725 = 12B + 13T) $701.25
40300 Intervertebral disc or discs, laminectomy for removal
of (Anaes. 17715 = 9B + 6T) $701.25
40301 Intervertebral disc or discs, microsurgical discectomy
of (Anaes. 17717 = 9B + 8T) $703.45
40303 Recurrent disc lesion or spinal stenosis, or both,
laminectomy for-1 level (Anaes. 17715 = 9B + 6T) $800.60
40306 Spinal stenosis, laminectomy for, involving more than
1 vertebral interspace (disc level)
(Anaes. 17717 = 9B + 8T) $1,054.60
40309 Extradural tumour or abscess, laminectomy for
(Anaes. 17715 = 9B + 6T) $800.60
40312 Intradural lesion, laminectomy for, not being a service
to which another item in this Group applies
(Anaes. 17715 = 9B + 6T) $1,076.70
40315 Craniocervical junction lesion, transoral approach
for (Anaes. 17733 = 13B + 20T) $1,165.05
40316 Odontoid screw fixation (Anaes. 17728 = 10B + 18T) $1,527.00
40318 Intramedullary tumour or arteriovenous malformation,
laminectomy and radical excision of
(Anaes. 17725 = 13B + 12T) $1,457.65
40321 Posterior spinal fusion, not being a service to
which items 40324 and 40327 apply
(Anaes. 17722 = 9B + 13T) $800.60
40324 Laminectomy followed by posterior fusion, performed
by neurosurgeon and orthopaedic surgeon operating
together-laminectomy, including aftercare
(Anaes. 17722 = 9B + 13T) $469.35
40327 Laminectomy followed by posterior fusion, performed
by neurosurgeon and orthopaedic surgeon operating
together-posterior fusion, including aftercare $469.35
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) $701.25
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) $701.25
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) $1,144.25
40333 Cervical discectomy (anterior), without fusion
(Anaes. 17724 = 10B + 14T) $585.25
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) $773.70
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) $1,421.15
40336 Intradiscal injection of chymopapain (discase)-1 disc
(Anaes. 17709 = 5B + 4T) $231.95
40339 Hydromyelia, plugging of obex for, with or without
duroplasty (Anaes. 17728 = 8B + 20T) $1,165.05
40342 Hydromyelia, craniotomy and laminectomy for, with
cavity packing and CSF shunt
(Anaes. 17730 = 12B + 18T) $1,076.70
40345 Thoracic decompression of spinal cord with or without
involvement of nerve roots, via pedicle or
costotransversectomy (Anaes. 17726 = 10B + 16T) $1,002.35
40348 Thoracic decompression of spinal cord via
thoracotomy with vertebrectomy, not including
stabilisation procedure (Anaes. 17735 = 13B + 22T) $1,272.50
40351 Thoraco-lumbar or high lumbar anterior decompression
of spinal cord, not including stabilisation procedure
(Anaes. 17732 = 10B + 22T) $1,272.50
40600 Cranioplasty, reconstructive
(Anaes. 17722 = 12B + 10T) $701.25
40700 Corpus callosum, anterior section of, for epilepsy
(Anaes. 17730 = 12B + 18T) $1,281.00
40703 Corticectomy, topectomy or partial lobectomy for
epilepsy (Anaes. 17728 = 12B + 16T) $1,076.70
40706 Hemispherectomy for intractable epilepsy
(Anaes. 17742 = 12B + 30T) $1,573.60
40709 Burr-hole placement of intracranial depth or surface
electrodes (Anaes. 17720 = 12B + 8T) $381.00
40712 Intracranial electrode placement via craniotomy
(Anaes. 17724 = 12B + 12T) $767.45
40800 Stereotactic anatomical localisation, as an
independent procedure (Anaes. 17720 = 12B + 8T) $469.00
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
(Anaes. 17725 = 12B + 13T) $1,281.85
40803 Intracranial stereotactic procedure by any method,
not being a service to which item 40800 or 40801
applies (Anaes. 17721 = 12B + 9T) $877.90
40903 Neuroendoscopy, for inspection of an intraventricular
lesion, with or without biopsy including burr hole
(Anaes. 17722 = 12B + 10T) $407.20
Subgroup 8-Ear, Nose And Throat
41500 Ear, removal of foreign body in, otherwise than by
simple syringing (Anaes. 17706 = 5B + 1T) $60.55
41503 Ear, removal of foreign body in, involving incision of
external auditory canal (Anaes. 17708 = 5B + 3T) $175.35
41506 Aural polyp, removal of (Anaes. 17707 = 5B + 2T) $105.75
41509 External auditory meatus, surgical removal of keratosis
obturans from, not being a service to which another
item in this Group applies (Anaes. 17709 = 5B + 4T) $119.65
41512 Meatoplasty involving removal of cartilage or bone or
both cartilage and bone, not being a service to which
item 41515 applies (Anaes. 17710 = 5B + 5T) $430.25
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 or
41563 applies (Anaes. 17709 = 5B + 4T) $282.35
41518 External auditory meatus, removal of exostoses in
(Anaes. 17711 = 5B + 6T) $682.00
41521 Correction of auditory canal stenosis, including
meatoplasty, with or without grafting
(Anaes. 17713 = 5B + 8T) $726.05
41524 Reconstruction of external auditory canal, being a
service associated with a service to which items 41557,
41560 and 41563 apply (Anaes. 17710 = 5B + 5T) $209.75
41527 Myringoplasty, trans-canal approach (Rosen incision)
(Anaes. 17711 = 5B + 6T) $431.45
41530 Myringoplasty, post-aural or endaural approach with or
without mastoid inspection (Anaes. 17711 = 5B + 6T) $702.90
41533 Atticotomy without reconstruction of the bony defect,
with or without myringoplasty
(Anaes. 17712 = 5B + 7T) $840.30
41536 Atticotomy with reconstruction of the bony defect
with or without myringoplasty
(Anaes. 17713 = 5B + 8T) $941.15
41539 Ossicular chain reconstruction
(Anaes. 17710 = 5B + 5T) $800.30
41542 Ossicular chain reconstruction and myringoplasty
(Anaes. 17711 = 5B + 6T) $876.85
41545 Mastoidectomy (cortical) (Anaes. 17711 = 5B + 6T) $382.70
41548 Obliteration of the mastoid cavity
(Anaes. 17711 = 5B + 6T) $508.00
41551 Mastoidectomy, intact wall technique, with
myringoplasty (Anaes. 17717 = 5B + 12T) $1,169.70
41554 Mastoidectomy, intact wall technique, with
myringoplasty and ossicular chain reconstruction
(Anaes. 17719 = 5B + 14T) $1,378.10
41557 Mastoidectomy (radical or modified radical)
(Anaes. 17711 = 5B + 6T) $800.30
41560 Mastoidectomy (radical or modified radical) and
myringoplasty (Anaes. 17714 = 5B + 9T) $876.85
41563 Mastoidectomy (radical or modified radical),
myringoplasty and ossicular chain reconstruction
(Anaes. 17715 = 5B + 10T) $1,085.60
41566 Revision of mastoidectomy (radical, modified radical
or intact wall), including myringoplasty
(Anaes. 17713 = 5B + 8T) $800.30
41569 Decompression of facial nerve in its mastoid portion
(Anaes. 17713 = 5B + 8T) $876.85
41572 Labyrinthotomy or destruction of labyrinth
(Anaes. 17712 = 5B + 7T) $758.55
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) (Anaes. 17748 = 12B + 36T) $1,788.45
41576 Cerebello-pontine angle tumour, removal of, by
transmastoid, translabyrinthine or retromastoid
approach-intracranial procedure (including aftercare)
not being a service to which item 41578 or 41579
applies (Anaes. 17748 = 12B + 36T) $2,682.70
41578 Cerebello-pontine angle tumour, removal of, by
transmastoid, translabyrinthine or retromastoid
approach, (intracranial procedure)-conjoint surgery,
principal surgeon (Anaes. 17748 = 12B + 36T) $1,788.45
41579 Cerebello-pontine angle tumour, removal of, by
transmastoid, translabyrinthine or retromastoid approach,
(intracranial procedure)-conjoint surgery,
co-surgeon $1,341.35
41581 Tumour involving infra-temporal fossa, removal of,
involving craniotomy and radical excision of
(Anaes. 17749 = 12B + 37T) $2,057.05
41584 Partial temporal bone resection for removal of tumour
involving mastoidectomy with or without decompression
of facial nerve (Anaes. 17733 = 12B + 21T) $1,411.70
41587 Total temporal bone resection for removal of tumour
(Anaes. 17737 = 12B + 25T) $1,922.65
41590 Endolymphatic sac, transmastoid decompression with
or without drainage of (Anaes. 17713 = 5B + 8T) $876.85
41593 Translabyrinthine vestibular nerve section
(Anaes. 17722 = 5B + 17T) $1,142.85
41596 Retrolabyrinthine vestibular nerve section or cochlear
nerve section, or both (Anaes. 17733 = 12B + 21T) $1,277.30
41599 Internal auditory meatus, exploration by middle
cranial fossa approach with cranial nerve
decompression (Anaes. 17729 = 12B + 17T) $1,277.30
41602 Fenestration operation-each ear (
Anaes. 17711 = 5B + 6T) $876.85
41605 Venous graft to fenestration cavity
(Anaes. 17712 = 5B + 7T) $431.45
41608 Stapedectomy (Anaes. 17711 = 5B + 6T) $800.30
41611 Stapes mobilisation(Anaes. 17710 = 5B + 5T) $514.95
41614 Round window surgery including repair of cochleotomy
(Anaes. 17711 = 5B + 6T) $800.30
41615 Oval window surgery, including repair of fistula, not
being a service associated with a service to which
any other item in this Group applies
(Anaes. 17711 = 5B + 6T) $800.30
41617 Cochlear implant, insertion of, including mastoidectomy
(Anaes. 17722 = 5B + 17T) $1,391.55
41620 Glomus tumour, transtympanic removal of
(Anaes. 17712 = 5B + 7T) $605.45
41623 Glomus tumour, transmastoid removal of, including
mastoidectomy (Anaes. 17713 = 5B + 8T) $876.85
41626 Abscess or inflammation of middle ear, operation for
(excluding after-care) (Anaes. 17707 = 5B + 2T) $105.75
41629 Middle ear, exploration of (Anaes. 17710 = 5B + 5T) $382.70
41632 Middle ear, insertion of tube for drainage of
(including myringotomy) (Anaes. 17707 = 5B + 2T) $175.35
41635 Clearance of middle ear for granuloma, cholesteatoma
and polyp, 1 or more, with or without myringoplasty
(Anaes. 17713 = 5B + 8T) $840.30
41638 Clearance of middle ear for granuloma, cholesteatoma
and polyp, 1 or more, with or without myringoplasty
with ossicular chain reconstruction
(Anaes. 17715 = 5B + 10T) $1,048.70
41641 Perforation of tympanum, cauterisation or diathermy
of (Anaes. 17707 = 5B + 2T) $34.80
41644 Excision of rim of eardrum perforation, not being a
service associated with myringoplasty
(Anaes. 17707 = 5B + 2T) $104.85
41647 Ear toilet requiring use of operating microscope and
microinspection of tympanic membrane with or without
general anaesthesia (Anaes. 17706 = 4B + 2T) $80.75
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 (Anaes. 17706 = 4B + 2T) $80.75
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
(Anaes. 17707 = 5B + 2T) $52.90
41656 Nasal haemorrhage, posterior, arrest of, with posterior
nasal packing with or without cauterisation and with or
without anterior pack (excluding after-care)
(Anaes. 17709 = 5B + 4T) $90.10
41659 Nose, removal of foreign body in, other than by simple
probing (Anaes. 17707 = 5B + 2T) $57.05
41662 Nasal polyp or polypi (simple), removal of $60.55
41665 Nasal polyp or polypi (requiring admission to hospital),
removal of (G) (Anaes. 17707 = 5B + 2T) $126.65
41668 Nasal polyp or polypi (requiring admission to
hospital), removal of (S) (Anaes. 17707 = 5B + 2T) $161.45
41671 Nasal septum, septoplasty, submucous resection or
closure of septal perforation
(Anaes. 17708 = 5B + 3T) $354.85
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 (Anaes. 17707 = 5B + 2T) $73.75
41677 Nasal haemorrhage, arrest of during an episode of
epistaxis by cauterisation or nasal cavity packing
or both (Anaes. 17709 = 5B + 4T) $66.10
41680 Cryotherapy to nose in the treatment of nasal
haemorrhage (Anaes. 17708 = 5B + 3T) $119.65
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 (Anaes. 17708 = 5B + 3T) $86.00
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
(Anaes. 17707 = 5B + 2T) $52.90
41689 Turbinectomy or turbinectomies, partial or total,
unilateral (Anaes. 17707 = 5B + 2T) $100.20
41692 Turbinates, submucous resection of, unilateral
(Anaes. 17707 = 5B + 2T) $130.80
41695 Nasal turbinates, cryotherapy to
(Anaes. 17707 = 5B + 2T) $73.40
41698 Maxillary antrum, proof puncture and lavage of
(Anaes. 17707 = 5B + 2T) $23.90
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
(Anaes. 17707 = 5B + 2T) $67.55
41704 Maxillary antrum, lavage of-each attendance at which
the procedure is performed, including any associated
consultation (Anaes. 17707 = 5B + 2T) $20.05
41707 Maxillary artery, transantral ligation of
(Anaes. 17712 = 7B + 5T) $329.35
41710 Antrostomy (radical) (Anaes. 17710 = 5B + 5T) $382.70
41713 Antrostomy (radical) with transantral ethmoidectomy or
transantral vidian neurectomy(Anaes. 17711 = 5B + 6T) $445.35
41716 Antrum, intranasal operation on or removal of foreign
body from (Anaes. 17709 = 5B + 4T) $217.10
41719 Antrum, drainage of, through tooth socket
(Anaes. 17708 = 5B + 3T) $86.30
41722 Oro-antral fistula, plastic closure of
(Anaes. 17712 = 5B + 7T) $431.45
41725 Ethmoidal artery or arteries, transorbital ligation of
(unilateral) (Anaes. 17711 = 5B + 6T) $329.35
41728 Lateral rhinotomy with removal of tumour
(Anaes. 17713 = 5B + 8T) $658.80
41729 Dermoid of nose, excision of, with intranasal extension
(Anaes. 17709 = 5B + 4T) $417.55
41731 Fronto-nasal ethmoidectomy by external approach with
or without sphenoidectomy (Anaes. 17710 = 5B + 5T) $570.65
41734 Radical fronto-ethmoidectomy with osteoplastic flap
(Anaes. 17718 = 10B + 8T) $744.60
41737 Frontal sinus or ethmoidal sinuses, intranasal
operation on (Anaes. 17709 = 5B + 4T) $354.85
41740 Frontal sinus, catheterisation of
(Anaes. 17707 = 5B + 2T) $43.15
41743 Frontal sinus, trephine of (Anaes. 17707 = 5B + 2T) $247.75
41746 Frontal sinus, radical obliteration of
(Anaes. 17716 = 10B + 6T) $570.65
41749 Ethmoidal sinuses, external operation on
(Anaes. 17711 = 5B + 6T) $445.35
41752 Sphenoidal sinus, intranasal operation on
(Anaes. 17709 = 5B + 4T) $217.10
41755 Eustachian tube, catheterisation of
(Anaes. 17708 = 5B + 3T) $34.10
41758 Division of pharyngeal adhesions
(Anaes. 17708 = 5B + 3T) $86.30
41761 Post nasal space, direct examination of, with or
without biopsy (Anaes. 17707 = 5B + 2T) $90.10
41764 Nasendoscopy or sinoscopy or fibreoptic examination of
nasopharynx and larynx, 1 or more of these procedures
(Anaes. 17707 = 5B + 2T) $90.10
41767 Nasopharyngeal angiofibroma, transpalatal removal
(Anaes. 17717 = 10B + 7T) $541.10
41770 Pharyngeal pouch, removal of, with or without
cricopharyngeal myotomy (Anaes. 17717 = 6B + 11T) $514.95
41773 Pharyngeal pouch, endoscopic resection of (Dohlman's
operation) (Anaes. 17714 = 5B + 9T) $431.45
41776 Cricopharyngeal myotomy with or without inversion of
pharyngeal pouch (Anaes. 17711 = 6B + 5T) $430.25
41779 Pharyngotomy (lateral), with or without total
excision of tongue (Anaes. 17719 = 10B + 9T) $514.95
41782 Partial pharyngectomy via pharyngotomy
(Anaes. 17717 = 10B + 7T) $699.10
41785 Partial pharyngectomy via pharyngotomy with partial
or total glossectomy (Anaes. 17719 = 10B + 9T) $867.25
41786 Uvulopalatopharyngoplasty, with or without
tonsillectomy, by any means (Anaes. 17712 = 6B + 6T) $541.10
41787 Uvulectomy and partial palatectomy with laser incision
of the palate, with or without tonsillectomy, 1 or more
stages, including any revision procedures within 12
months (Anaes. 17713 = 5B + 8T) $417.55
41788 Tonsils or tonsils and adenoids, removal of, in a
person aged less than 12 years(G)
(Anaes. 17708 = 5B + 3T) $161.45
41789 Tonsils or tonsils and adenoids, removal of, in a
person aged less than 12 years (S)
(Anaes. 17708 = 5B + 3T) $217.10
41792 Tonsils or tonsils and adenoids, removal of, in a
person 12 years of age or over (G)
(Anaes. 17708 = 5B + 3T) $203.20
41793 Tonsils or tonsils and adenoids, removal of, in a
person 12 years of age or over (S)
(Anaes. 17708 = 5B + 3T) $272.75
41796 Tonsils or tonsils and adenoids, arrest of haemorrhage
requiring general anaesthesia, following removal of (G)
(Anaes. 17709 = 5B + 4T) $83.55
41797 Tonsils or tonsils and adenoids, arrest of haemorrhage
requiring general anaesthesia, following removal of (S)
(Anaes. 17709 = 5B + 4T) $105.75
41800 Adenoids, removal of (G) (Anaes. 17707 = 5B + 2T) $86.30
41801 Adenoids, removal of (S) (Anaes. 17707 = 5B + 2T) $119.65
41804 Lingual tonsil or lateral pharyngeal bands, removal of
(Anaes. 17708 = 5B + 3T) $66.10
41807 Peritonsillar abscess (quinsy), incision of
(Anaes. 17708 = 5B + 3T) $51.50
41810 Uvulotomy or uvulectomy (Anaes. 17708 = 5B + 3T) $26.15
41813 Vallecular or pharyngeal cysts, removal of
(Anaes. 17709 = 5B + 4T) $261.65
41816 Oesophagoscopy (with rigid oesophagoscope)
(Anaes. 17708 = 6B + 2T) $136.40
41819 Oesophageal and anastomic stricture, endoscopic
dilatation of (Anaes. 17708 = 6B + 2T) $256.30
41822 Oesophagoscopy (with rigid oesophagoscope) with biopsy
(Anaes. 17708 = 6B + 2T) $175.35
41825 Oesophagoscopy (with rigid oesophagoscope) with
removal of foreign body (Anaes. 17709 = 6B + 3T) $261.65
41828 Oesophageal stricture, dilatation of, without
oesophagoscopy (Anaes. 17708 = 6B + 2T) $38.30
41831 Oesophagus, endoscopic pneumatic dilatation of
(Anaes. 17709 = 6B + 3T) $262.15
41834 Laryngectomy (total) (Anaes. 17725 = 10B + 15T) $946.45
41837 Vertical hemi-laryngectomy including tracheostomy
(Anaes. 17722 = 10B + 12T) $907.55
41840 Supraglottic laryngectomy including tracheostomy
(Anaes. 17726 = 10B + 16T) $1,115.95
41843 Laryngopharyngectomy or primary restoration of
alimentary continuity after laryngopharyngectomy using
stomach or bowel (Anaes. 17725 = 10B + 15T) $981.25
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
(Anaes. 17708 = 6B + 2T) $136.40
41849 Larynx, direct examination of, with biopsy
(Anaes. 17708 = 6B + 2T) $200.40
41852 Larynx, direct examination of, with removal of tumour
(Anaes. 17709 = 6B + 3T) $217.10
41855 Microlaryngoscopy (Anaes. 17708 = 6B + 2T) $211.55
41858 Microlaryngoscopy with removal of juvenile papillomata
(Anaes. 17709 = 6B + 3T) $362.95
41861 Microlaryngoscopy with removal of papillomata by laser
surgery (Anaes. 17711 = 6B + 5T) $443.65
41864 Microlaryngoscopy with removal of tumour
(Anaes. 17708 = 6B + 2T) $299.25
41867 Microlaryngoscopy with arytenoidectomy
(Anaes. 17714 = 6B + 8T) $450.40
41870 Teflon injection into vocal cord
(Anaes. 17709 = 6B + 3T) $334.00
41873 Larynx, fractured, operation for
(Anaes. 17716 = 6B + 10T) $431.45
41876 Larynx, external operation on, or laryngofissure,
with or without cordectomy (Anaes. 17714 = 6B + 8T) $431.45
41879 Laryngoplasty or tracheoplasty, including tracheostomy
(Anaes. 17718 = 6B + 12T) $699.10
41883 Tracheostomy (Anaes. 17710 = 6B + 4T) $186.60
41884 Cricothyrostomy, by direct stab or Seldinger technique,
using Minitrach or similar device, for tracheobronchial
toilet (Anaes. 17708 = 6B + 2T) $66.80
41886 Trachea, removal of foreign body in
(Anaes. 17708 = 6B + 2T) $130.80
41889 Bronchoscopy, as an independent procedure
(Anaes. 17708 = 6B + 2T) $130.80
41892 Bronchoscopy with 1 or more endobronchial biopsies or
other diagnostic or therapeutic procedures
(Anaes. 17708 = 6B + 2T) $172.60
41895 Bronchus, removal of foreign body in
(Anaes. 17709 = 6B + 3T) $270.00
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 (Anaes. 17709 = 6B + 3T) $188.70
41901 Endoscopic laser resection of endobronchial tumours for
relief of obstruction including any associated
endoscopic procedures (Anaes. 17716 = 6B + 10T) $443.65
41904 Bronchoscopy with dilatation of tracheal stricture
(Anaes. 17708 = 6B + 2T) $180.95
41905 Trachea or bronchus, dilatation of stricture and
endoscopic insertion of stent
(Anaes. 17709 = 6B + 3T) $332.90
41907 Nasal septum button, insertion of
(Anaes. 17707 = 5B + 2T) $90.10
41910 Duct of major salivary gland, transposition of
(Anaes. 17713 = 5B + 8T) $286.60
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
(Anaes. 17706 = 4B + 2T) $75.15
42506 Eye, enucleation of, with or without sphere implant
(Anaes. 17709 = 5B + 4T) $353.40
42509 Eye, enucleation of, with insertion of integrated
implant (Anaes. 17710 = 5B + 5T) $447.25
42510 Eye, enucleation of, with insertion of hydroxy apatite
implant (coral implant), by 1 or more stages
(Anaes. 17711 = 5B + 6T) $515.45
42512 Globe, evisceration of (Anaes. 17709 = 5B + 4T) $353.40
42515 Globe, evisceration of, and insertion of intrascleral
ball or cartilage (Anaes. 17710 = 5B + 5T) $447.25
42518 Anophthalmic orbit, insertion of cartilage or
artificial implant as a delayed procedure, or removal
of implant from socket (Anaes. 17710 = 5B + 5T) $259.55
42521 Anophthalmic socket, treatment of, by insertion of a
wired-in conformer, integrated implant or dermofat
graft, as a secondary procedure
(Anaes. 17717 = 5B + 12T) $883.45
42524 Orbit, skin graft to, as a delayed procedure
(Anaes. 17708 = 5B + 3T) $150.20
42527 Contracted socket, reconstruction including mucous
membrane grafting and stent mould
(Anaes. 17712 = 5B + 7T) $298.10
42530 Orbit, exploration with or without biopsy,
requiring removal of bone (Anaes. 17710 = 5B + 5T) $463.80
42533 Orbit, exploration of, with drainage or biopsy not
requiring removal of bone (Anaes. 17709 = 5B + 4T) $298.10
42536 Orbit, exenteration of, with or without skin graft and
with or without temporalis muscle transplant
(Anaes. 17712 = 5B + 7T) $612.90
42539 Orbit, exploration of, with removal of tumour or
foreign body, requiring removal of bone
(Anaes. 17713 = 5B + 8T) $872.45
42542 Orbit, exploration of, with removal of tumour or of
foreign body (Anaes. 17711 = 5B + 6T) $369.95
42545 Orbit, decompression of, for dysthyroid eye disease,
2 or more walls, 1 eye (Anaes. 17717 = 5B + 12T) $938.65
42548 Optic nerve meninges, incision of
(Anaes. 17717 = 5B + 12T) $557.65
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 (Anaes. 17711 = 5B + 6T) $463.80
42554 Eyeball, perforating wound of, with incarceration or
prolapse of uveal tissue-repair
(Anaes. 17713 = 5B + 8T) $541.10
42557 Eyeball, perforating wound of, with incarceration of
lens or vitreous-repair (Anaes. 17713 = 5B + 8T) $756.40
42560 Intraocular foreign body, magnetic removal from
anterior segment(Anaes. 17710 = 5B + 5T) $298.10
42563 Intraocular foreign body, nonmagnetic removal from
anterior segment(Anaes. 17712 = 5B + 7T) $381.00
42566 Intraocular foreign body, magnetic removal from
posterior segment (Anaes. 17711 = 5B + 6T) $541.10
42569 Intraocular foreign body, nonmagnetic removal from
posterior segment (Anaes. 17713 = 5B + 8T) $756.40
42572 Orbital abscess or cyst, drainage of
(Anaes. 17707 = 5B + 2T) $86.10
42573 Dermoid, periorbital, excision of
(Anaes. 17709 = 5B + 4T) $167.00
42574 Dermoid, orbital, excision of
(Anaes. 17709 = 5B + 4T) $354.85
42575 Tarsal cyst, extirpation of
(Anaes. 17706 = 5B + 1T) $60.70
42578 Tarsal cartilage, excision of(Anaes. 17709 = 5B + 4T) $342.30
42581 Ectropion or entropion, tarsal cauterisation of $86.10
42584 Tarsorrhaphy(Anaes. 17709 = 5B + 4T) $203.20
42587 Trichiasis, treatment of by cryotherapy, laser or
electrolysis-each eyelid (Anaes. 17707 = 5B + 2T) $38.05
42590 Canthoplasty, medial or lateral
(Anaes. 17710 = 5B + 5T) $248.45
42593 Lacrimal gland, excision of palpebral lobe
(Anaes. 17709 = 5B + 4T) $150.20
42596 Lacrimal sac, excision of, or operation on
(Anaes. 17709 = 5B + 4T) $369.95
42599 Lacrimal canalicular system, establishment of patency
by closed operation using silicone tubes or similar,
1 eye (Anaes. 17711 = 5B + 6T) $463.80
42602 Lacrimal canalicular system, establishment of patency
by open operation, 1 eye (Anaes. 17709 = 5B + 4T) $463.80
42605 Lacrimal canaliculus, immediate repair of
(Anaes. 17709 = 5B + 4T) $342.30
42608 Lacrimal drainage by insertion of glass tube, as an
independent procedure (Anaes. 17711 = 5B + 6T) $220.85
42610 Nasolacrimal tube (unilateral) replacement of, or
lacrimal passages, probing for obstruction, unilateral,
with or without lavage-under general anaesthesia
(Anaes. 17706 = 5B + 1T) $70.60
42611 Nasolacrimal tube (bilateral) replacement of, or
lacrimal passages, probing for obstruction, bilateral,
with or without lavage-under general anaesthesia
(Anaes. 17707 = 5B + 2T) $106.00
42614 Nasolacrimal tube (unilateral) replacement of, or
lacrimal passages, probing for obstruction, unilateral,
with or without lavage, not being a service associated
with a service to which item 42610 applies (excluding
after-care) $35.40
42615 Nasolacrimal tube (bilateral) replacement of, or
lacrimal passages, probing for obstruction, bilateral,
with or without lavage, not being a service associated
with a service to which item 42611 applies (excluding
after-care) $53.05
42617 Punctum snip operation (Anaes. 17706 = 5B + 1T) $100.55
42620 Punctum, occlusion of, by use of a plug
(Anaes. 17706 = 5B + 1T) $38.70
42623 Dacryocystorhinostomy (Anaes. 17715 = 5B + 10T) $513.55
42626 Dacryocystorhinostomy where a previous
dacryocystorhinostomy has been performed
(Anaes. 17717 = 5B + 12T) $828.25
42629 Conjunctivorhinostomy including dacryocystorhinostomy
and fashioning of conjunctival flaps
(Anaes. 17716 = 5B + 11T) $623.95
42632 Conjunctival peritomy or repair of corneal laceration
by conjunctival flap (Anaes. 17707 = 5B + 2T) $86.10
42635 Corneal perforations, sealing of, with tissue adhesive
(Anaes. 17709 = 5B + 4T) $220.85
42638 Conjunctival graft over cornea
(Anaes. 17709 = 5B + 4T) $276.10
42641 Autoconjunctival transplant, or mucous membrane graft
(Anaes. 17712 = 5B + 7T) $358.90
42644 Cornea or sclera, removal of imbedded foreign body from
(excluding after-care) (Anaes. 17710 = 5B + 5T) $53.00
42647 Corneal scars, removal of, by partial keratectomy, not
being a service associated with a service to which item
42686 applies (Anaes. 17709 = 5B + 4T) $150.20
42650 Cornea, epithelial debridement for corneal ulcer or
corneal erosion (excluding after-care)
(Anaes. 17709 = 5B + 4T) $53.00
42653 Cornea, transplantation of, full thickness
(Anaes. 17713 = 8B + 5T) $982.85
42656 Cornea, transplantation of, where there have been 2
previous graft operations (Anaes. 17714 = 8B + 6T) $1,225.75
42659 Cornea, transplantation of, superficial or lamellar
(Anaes. 17712 = 8B + 4T) $662.55
42662 Sclera, transplantation of, full thickness, including
collection of donor material
(Anaes. 17715 = 5B + 10T) $662.55
42665 Sclera, transplantation of, superficial or lamellar,
including collection of donor material
(Anaes. 17714 = 5B + 9T) $441.70
42668 Corneal sutures, removal of, not earlier than 6 weeks
after operation requiring use of slit lamp or
operating microscope (Anaes. 17707 = 5B + 2T) $55.25
42671 Refractive keratoplasty with penetrating incisions
(excluding radial keratotomy) following corneal
grafting or intraocular operation including any
measurements and calculations associated with the
procedure (Anaes. 17710 = 5B + 5T) $662.55
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 (Anaes. 17710 = 5B + 5T) $331.30
42677 Conjunctiva, cautery of, including treatment of
pannus-each attendance at which treatment is given
including any associated consultation
(Anaes. 17706 = 5B + 1T) $44.75
42680 Conjunctiva, cryotherapy to, for melanotic lesions
or similar using CO2 or N20
(Anaes. 17707 = 5B + 2T) $220.85
42683 Conjunctival cysts, removal of, requiring admission
to hospital or approved day hospital facility
(Anaes. 17707 = 5B + 2T) $88.35
42686 Pterygium, removal of (Anaes. 17707 = 5B + 2T) $201.00
42689 Pinguecula, removal of, not being a service associated
with the fitting of contact lenses
(Anaes. 17707 = 5B + 2T) $86.10
42692 Limbic tumour, removal of (Anaes. 17708 = 5B + 3T) $203.20
42695 Limbic tumour, excision of, requiring keratectomy or
sclerectomy (Anaes. 17712 = 4B + 8T) $331.30
42698 Lens extraction (Anaes. 17710 = 6B + 4T) $574.20
42701 Artificial lens, insertion of
(Anaes. 17710 = 6B + 4T) $320.25
42704 Artificial lens, removal or repositioning of by open
operation-not being a service associated with a
service to which item 42701 applies
(Anaes. 17709 = 6B + 3T) $342.30
42707 Artificial lens, removal of and replacement with a
different lens (Anaes. 17710 = 6B + 4T) $585.25
42710 Artificial lens, removal of, and replacement with a
lens inserted into the posterior chamber and sutured
to the iris or sclera (Anaes. 17712 = 6B + 6T) $662.55
42713 Intraocular lenses, repositioning of, by the use of
a McCannell suture or similar
(Anaes. 17710 = 6B + 4T) $276.10
42716 Cataract, juvenile, removal of, including subsequent
needlings (Anaes. 17710 = 6B + 4T) $877.90
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
(Anaes. 17712 = 8B + 4T) $381.00
42722 Capsulectomy by posterior chamber sclerotomy or
removal of vitreous or vitreous bands from the
anterior chamber by posterior chamber sclerotomy, by
cutting and suction and replacement by saline,
Hartmann's or similar solution, not being a service
associated with any other intraocular operation on
that eye-1 or both procedures
(Anaes. 17714 = 8B + 6T) $416.80
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
(Anaes. 17718 = 10B + 8T) $982.85
42728 Cryotherapy of retina or other intraocular structures
with an internal probe, being a service associated
with a service to which item 42725 applies
(Anaes. 17709 = 5B + 4T) $165.70
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
(Anaes. 17718 = 10B + 8T) $1,115.35
42734 Capsulotomy, other than by laser
(Anaes. 17709 = 5B + 4T) $220.85
42737 Needling of posterior capsule
(Anaes. 17709 = 5B + 4T) $220.85
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 (Anaes. 17709 = 5B + 4T) $220.85
42743 Anterior chamber, irrigation of blood from, as an
independent procedure (Anaes. 17708 = 5B + 3T) $463.80
42746 Glaucoma, filtering operation for
(Anaes. 17709 = 5B + 4T) $701.25
42749 Glaucoma, filtering operation for, where previous
filtering operation has been performed
(Anaes. 17710 = 5B + 5T) $877.90
42752 Glaucoma, insertion of Molteno valve for, 1 or
more stages (Anaes. 17715 = 5B + 10T) $982.85
42755 Glaucoma, removal of Molteno valve
(Anaes. 17709 = 5B + 4T) $121.50
42758 Goniotomy (Anaes. 17711 = 5B + 6T) $513.55
42761 Division of anterior or posterior synechiae, as an
independent procedure, other than by laser
(Anaes. 17709 = 5B + 4T) $381.00
42764 Iridectomy (including excision of tumour of iris) or
iridotomy, as an independent procedure, other than
by laser (Anaes. 17710 = 5B + 5T) $381.00
42767 Tumour, involving ciliary body or ciliary body and
iris, excision of (Anaes. 17711 = 5B + 6T) $800.60
42770 Cyclodiathermy or cyclocryotherapy
(Anaes. 17709 = 5B + 4T) $216.50
42773 Detached retina, diathermy or cryotherapy for, not
being a service associated with a service to which
item 42776 applies (Anaes. 17710 = 6B + 4T) $662.55
42776 Detached retina, buckling or resection operation for
(Anaes. 17713 = 6B + 7T) $982.85
42779 Detached retina, revision operation for
(Anaes. 17714 = 6B + 8T) $1,225.75
42782 Laser trabeculoplasty-each treatment to 1 eye,
to a maximum of 4 treatments to that eye in a 2 year
period (Anaes. 17707 = 5B + 2T) $331.30
42785 Laser iridotomy-each treatment to 1 eye, to a
maximum of 2 treatments to that eye in a 2 year period
(Anaes. 17707 = 5B + 2T) $259.55
42788 Laser capsulotomy-each treatment to 1 eye, to a
maximum of 2 treatments to that eye in a 2 year period
(Anaes. 17707 = 5B + 2T) $259.55
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
(Anaes. 17707 = 5B + 2T) $259.55
42794 Division of suture by laser following trabeculoplasty,
each treatment to 1 eye, to a maximum of 2 treatments
to that eye in a 2 year period
(Anaes. 17707 = 5B + 2T) $49.70
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
(Anaes. 17707 = 5B + 2T) $49.70
42800 Pterygium, removal by laser in 1 or more stages
(Anaes. 17707 = 5B + 2T) $201.00
42803 Pinguecula, removal of by laser in 1 or more stages
(not for contact lenses) (Anaes. 17707 = 5B + 2T) $86.10
42806 Iris tumour, laser photocoagulation of
(Anaes. 17709 = 5B + 4T) $259.55
42809 Retina, photocoagulation of (Anaes. 17710 = 6B + 4T) $331.30
42812 Detached retina, removal of encircling silicone band
from (Anaes. 17710 = 6B + 4T) $121.50
42815 Posterior chamber, removal of silicone oil from
(Anaes. 17710 = 5B + 5T) $463.80
42818 Retina, cryotherapy to, as an independent procedure,
with external probe (Anaes. 17709 = 6B + 3T) $430.65
42821 Retrobulbar transillumination, as an independent
procedure (Anaes. 17705 = 4B + 1T) $66.20
42824 Retrobulbar injection of alcohol or other drug, as an
independent procedure $51.35
42827 Botulinus toxin, injection of, for blepharospasm,
including all such injections on any 1 day
(Anaes. 17706 = 5B + 1T) $33.15
42830 Botulinus toxin, injection of, for strabismus
including all such injections on any 1 day and
associated electromyography (Anaes. 17707 = 5B + 2T) $114.85
42833 Squint, operation for, on 1 or both eyes, the
operation involving a total of 1 or 2 muscles
(Anaes. 17709 = 5B + 4T) $430.65
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 (Anaes. 17710 = 5B + 5T) $535.55
42839 Squint, operation for, on 1 or both eyes, the
operation involving a total of 3 or more muscles
(Anaes. 17709 = 5B + 4T) $513.55
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
(Anaes. 17711 = 5B + 6T) $640.55
42845 Readjustment of adjustable sutures, 1 or both eyes,
as an independent procedure following an operation for
correction of squint (Anaes. 17707 = 5B + 2T) $139.10
42848 Squint, muscle transplant for (Hummelsheim type, or
similar operation) (Anaes. 17710 = 5B + 5T) $513.55
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
(Anaes. 17711 = 5B + 6T) $640.55
42854 Ruptured medial palpebral ligament or ruptured
extra-ocular muscle, repair of
(Anaes. 17710 = 5B + 5T) $298.10
42857 Resuturing of wound following intraocular procedures
with or without excision of prolapsed iris
(Anaes. 17709 = 5B + 4T) $298.10
42860 Lid, upper or lower, scleral graft to, with recession
of the lid retractors (Anaes. 17714 = 5B + 9T) $662.55
42863 Eyelid upper, recession of (Anaes. 17713 = 5B + 8T) $568.70
42866 Entropion, repair of, by tightening, shortening or
repair of inferior retractors by open operation
(Anaes. 17713 = 5B + 8T) $552.15
42869 Eyelid closure in facial nerve paralysis, insertion of
foreign implant for (Anaes. 17712 = 5B + 7T) $403.10
42872 Eyebrow, elevation of, for paretic states
(Anaes. 17710 = 5B + 5T) $176.70
Subgroup 10-Operations For Osteomyelitis
43500 Operation on phalanx (for acute osteomyelitis)
(Anaes. 17706 = 3B + 3T) $90.55
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
(Anaes. 17710 = 5B + 5T) $150.30
43506 Operation on humerus or femur (for acute
osteomyelitis)-1 bone
(Anaes. 17711 = 5B + 6T) $261.65
43509 Operation on spine or pelvic bones (for acute
osteomyelitis)-1 bone
(Anaes. 17715 = 8B + 7T) $261.65
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
(Anaes. 17707 = 4B + 3T) $261.65
43515 Operation on humerus or femur (for chronic
osteomyelitis)-1 bone
(Anaes. 17710 = 4B + 6T) $261.65
43518 Operation on spine or pelvic bones (for chronic
osteomyelitis)-1 bone
(Anaes. 17715 = 8B + 7T) $431.45
43521 Operation on skull (for chronic osteomyelitis)
(Anaes. 17719 = 12B + 7T) $341.00
43524 Operation on any combination of adjoining bones,
being bones referred to in item 43515, 43518 or
43521 (for chronic osteomyelitis)
(Anaes. 17715 = 8B + 7T) $431.45
Subgroup 11-Paediatric
43801 Intestinal malrotation with or without volvulus,
laparotomy for, not involving bowel resection
(Anaes. 17715 = 7B + 8T) $702.90
43804 Intestinal malrotation with or without volvulus,
laparotomy for, with bowel resection and anastomosis,
with or without formation of stoma
(Anaes. 17717 = 7B + 10T) $748.45
43807 Duodenal atresia or stenosis, duodenoduodenostomy or
duodenojejunostomy for
(Anaes. 17719 = 7B + 12T) $816.50
43810 Jejunal atresia, bowel resection and anastomosis for,
with or without tapering
(Anaes. 17719 = 7B + 12T) $952.60
43813 Meconium ileus, laparotomy for, complicated by 1 or
more of associated volvulus, atresia, intestinal
perforation with or without meconium peritonitis
(Anaes. 17720 = 8B + 12T) $952.60
43816 Ileal atresia, colonic atresia or meconium ileus not
being a service associated with a service to which
item 43813 applies, laparotomy for
(Anaes. 17719 = 8B + 11T) $884.55
43819 Hirschsprung's disease, laparotomy for, with or without
frozen section biopsies and formation of stoma
(Anaes. 17716 = 7B + 9T) $714.45
43822 Anorectal malformation, laparotomy and colostomy for
(Anaes. 17714 = 6B + 8T) $714.45
43825 Neonatal alimentary obstruction, laparotomy for, not
being a service to which any other item in this
Subgroup applies
(Anaes. 17718 = 8B + 10T) $816.50
43828 Acute neonatal necrotising enterocolitis, laparotomy
for, with resection, including any anastomoses or
stoma formation
(Anaes. 17720 = 8B + 12T) $902.05
43831 Acute neonatal necrotising enterocolitis where no
definitive procedure is possible, laparotomy for
(Anaes. 17714 = 8B + 6T) $702.90
43834 Bowel resection for necrotising enterocolitis stricture
or strictures, including any anastomoses or stoma
formation
(Anaes. 17719 = 7B + 12T) $816.50
43837 Congenital diaphragmatic hernia, repair by thoracic or
abdominal approach, with diagnosis confirmed in the
first 24 hours of life
(Anaes. 17720 = 10B + 10T) $1,020.60
43840 Congenital diaphragmatic hernia, repair by thoracic
or abdominal approach, diagnosed after the first day
of life and before 20 days of age
(Anaes. 17720 = 10B + 10T) $884.55
43843 Oesophageal atresia (with or without repair of
tracheo-oesophageal fistula), complete correction of,
not being a service to which item 43846 applies
(Anaes. 17728 = 16B + 12T) $1,360.80
43846 Oesophageal atresia (with or without repair of
tracheo-oesophageal fistula), complete correction of,
in infant of birth weight less than 1500 grams
(Anaes. 17728 = 16B + 12T) $1,462.85
43849 Oesophageal atresia, gastrostomy for
(Anaes. 17714 = 8B + 6T) $374.20
43852 Oesophageal atresia, thoracotomy for, and division of
tracheo-oesophageal fistula without anastomosis
(Anaes. 17726 = 16B + 10T) $1,190.70
43855 Oesophageal atresia, delayed primary anastomosis for
(Anaes. 17728 = 16B + 12T) $1,258.75
43858 Oesophageal atresia, cervical oesophagostomy for
(Anaes. 17722 = 16B + 6T) $442.25
43861 Congenital cystadenomatoid malformation or congenital
lobar emphysema, thoracotomy and lung resection for
(Anaes. 17724 = 14B + 10T) $1,224.75
43864 Gastroschisis, operation for
(Anaes. 17718 = 8B + 10T) $918.55
43867 Gastroschisis, secondary operation for, with removal
of silo and closure of abdominal wall
(Anaes. 17716 = 8B + 8T) $510.30
43870 Exomphalos containing small bowel only, operation for
(Anaes. 17716 = 8B + 8T) $714.45
43873 Exomphalos containing small bowel and other viscera,
operation for (Anaes. 17720 = 8B + 12T) $952.60
43876 Sacrococcygeal teratoma, excision of, by posterior
approach (Anaes. 17721 = 11B + 10T) $816.50
43879 Sacrococcygeal teratoma, excision of, by combined
posterior and abdominal approach
(Anaes. 17723 = 11B + 12T) $952.60
43882 Cloacal exstrophy, operation for
(Anaes. 17726 = 10B + 16T) $1,224.75
43900 Tracheo-oesophageal fistula without atresia,
division and repair of
(Anaes. 17726 = 16B + 10T) $816.50
43903 Oesophageal atresia or corrosive oesophageal stricture,
oesophageal replacement for, utilizing gastric tube,
jejunum or colon
(Anaes. 17732 = 16B + 16T) $1,360.80
43906 Oesophagus, resection of congenital, anastomic or
corrosive stricture and anastomosis, not being a
service to which item 43903 applies
(Anaes. 17728 = 16B + 12T) $1,190.70
43909 Tracheomalacia, aortopexy for
(Anaes. 17726 = 16B + 10T) $1,190.70
43912 Thoracotomy and excision of 1 or more of bronchogenic
or enterogenous cyst or mediastinal teratoma
(Anaes. 17725 = 13B + 12T) $1,124.90
43915 Eventration, plication of diaphragm for
(Anaes. 17723 = 13B + 10T) $850.55
43930 Hypertrophic pyloric stenosis, pyloromyotomy for
(Anaes. 17712 = 8B + 4T) $327.10
43933 Idiopathic intussusception, laparotomy and manipulative
reduction of
(Anaes. 17714 = 7B + 7T) $382.80
43936 Intussusception, laparotomy and resection with anastomosis
(Anaes. 17717 = 7B + 10T) $714.45
43939 Ventral hernia following neonatal closure of
exomphalos or gastroschisis, repair of
(Anaes. 17714 = 6B + 8T) $544.30
43942 Abdominal wall vitello intestinal remnant, excision of
(Anaes. 17706 = 4B + 2T) $170.10
43945 Patent vitello intestinal duct, excision of
(Anaes. 17715 = 7B + 8T) $714.45
43948 Umbilical granuloma, excision of, under general
anaesthesia
(Anaes. 17705 = 3B + 2T) $102.05
43951 Gastro-oesophageal reflux with or without hiatus hernia,
laparotomy and fundoplication for, without gastrostomy
(Anaes. 17720 = 7B + 13T) $639.75
43954 Gastro-oesophageal reflux with or without hiatus hernia,
laparotomy and fundoplication for, with gastrostomy
(Anaes. 17720 = 7B + 13T) $782.50
43957 Gastro-oesophageal reflux, laparotomy and
fundoplication for, with or without hiatus hernia,
in child with neurological disease, with gastrostomy
(Anaes. 17721 = 7B + 14T) $850.55
43960 Anorectal malformation, perineal anoplasty of
(Anaes. 17709 = 5B + 4T) $299.25
43963 Anorectal malformation, posterior sagittal
anorectoplasty of
(Anaes. 17724 = 8B + 16T) $1,190.70
43966 Anorectal malformation, posterior sagittal
anorectoplasty of, with laparotomy
(Anaes. 17726 = 8B + 18T) $1,360.80
43969 Persistent cloaca, total correction of, with genital
repair using posterior sagittal approach, with
or without laparotomy
(Anaes. 17734 = 10B + 24T) $1,871.15
43972 Choledochal cyst, resection of, with 1 duct anastomosis
(Anaes. 17720 = 8B + 12T) $1,360.80
43975 Choledochal cyst, resection of, with 2 duct anastomoses
(Anaes. 17722 = 8B + 14T) $1,598.95
43978 Biliary atresia, portoenterostomy for
(Anaes. 17724 = 8B + 16T) $1,360.80
43981 Nephroblastoma, neuroblastoma or other malignant
tumour, laparotomy (exploratory), including
associated biopsies, where no other intra-abdominal
procedure is performed
(Anaes. 17713 = 7B + 6T) $374.20
43984 Nephroblastoma, radical nephrectomy for
(Anaes. 17719 = 7B + 12T) $952.60
43987 Neuroblastoma, radical excision of
(Anaes. 17721 = 7B + 14T) $1,054.65
43990 Hirschsprung's disease, definitive resection with
pull-through anastomosis, with or without frozen
section biopsies, when aganglionic segment extends
to sigmoid colon
(Anaes. 17728 = 10B + 18T) $1,292.80
43993 Hirschsprung's disease, definitive resection with
pull-through anastomosis, with or without frozen
section biopsies, when aganglionic segment extends
into descending or transverse colon with or without
resiting of stoma
(Anaes. 17730 = 10B + 20T) $1,394.85
43996 Hirschsprung's disease, total colectomy for total
colonic aganglionosis with ileoanal pull-through,
with or without side to side ileocolonic anastomosis
(Anaes. 17730 = 10B + 20T) $1,564.95
43999 Hirschsprung's disease, anal sphincterotomy as an
independent procedure for
(Anaes. 17706 = 4B + 2T) $195.70
44102 Rectum, examination of, under general anaesthesia
with full thickness biopsy or removal of polyp or
similar lesion
(Anaes. 17707 = 4B + 3T) $188.70
44105 Rectal prolapse, submucosal or perirectal injection
for, under general anaesthesia
(Anaes. 17706 = 4B + 2T) $33.20
44108 Inguinal hernia repair at age less than 3 months
(Anaes. 17710 = 5B + 5T) $360.85
44111 Obstructed or strangulated inguinal hernia, repair
of, at age less than 3 months, including orchidopexy
when performed
(Anaes. 17711 = 5B + 6T) $422.65
44114 Inguinal hernia repair at age less than 3 months when
orchidopexy also required
(Anaes. 17711 = 5B + 6T) $422.65
44130 Lymphadenectomy, for atypical mycobacterial infection
or other granulomatous disease
(Anaes. 17711 = 6B + 5T) $340.20
44133 Torticollis, open division of sternomastoid muscle for
(Anaes. 17708 = 5B + 3T) $270.00
44136 Ingrown toe nail, operation for, under general
anaesthesia
(Anaes. 17706 = 3B + 3T) $124.45
Subgroup 12-Amputations
44324 Hand, midcarpal or transmetacarpal (G)
(Anaes. 17707 = 3B + 4T) $167.00
44325 Hand, midcarpal or transmetacarpal (S)
(Anaes. 17707 = 3B + 4T) $217.10
44328 Hand, forearm or through arm
(Anaes. 17709 = 4B + 5T) $261.65
44331 At shoulder
(Anaes. 17717 = 9B + 8T) $431.45
44334 Interscapulothoracic
(Anaes. 17725 = 15B + 10T) $876.85
44337 1 digit of foot(G)
(Anaes. 17705 = 3B + 2T) $86.30
44338 1 digit of foot(S)
(Anaes. 17705 = 3B + 2T) $105.75
44341 2 digits of 1 foot(G)
(Anaes. 17706 = 3B + 3T) $130.80
44342 2 digits of 1 foot(S)
(Anaes. 17706 = 3B + 3T) $161.45
44345 3 digits of 1 foot(G)
(Anaes. 17707 = 3B + 4T) $150.30
44346 3 digits of 1 foot(S)
(Anaes. 17707 = 3B + 4T) $186.50
44349 4 digits of 1 foot(G)
(Anaes. 17708 = 3B + 5T) $172.60
44350 4 digits of 1 foot(S)
(Anaes. 17708 = 3B + 5T) $211.55
44353 5 digits of 1 foot (G)
(Anaes. 17709 = 3B + 6T) $194.85
44354 5 digits of 1 foot(S)
(Anaes. 17709 = 3B + 6T) $242.20
44357 Toe, including metatarsal or part of metatarsal-each
toe(G)
(Anaes. 17707 = 3B + 4T) $105.75
44358 Toe, including metatarsal or part of metatarsal-each
toe (S)
(Anaes. 17707 = 3B + 4T) $135.00
44361 Foot at ankle (Syme, Pirogoff types)
(Anaes. 17708 = 3B + 5T) $261.65
44364 Foot, midtarsal or transmetatarsal
(Anaes. 17708 = 3B + 5T) $217.10
44367 Through thigh, at knee or below knee
(Anaes. 17711 = 5B + 6T) $383.20
44370 At hip
(Anaes. 17720 = 10B + 10T) $528.85
44373 Hindquarter
(Anaes. 17727 = 15B + 12T) $1,085.60
44376 Amputation stump, reamputation of, to provide
adequate skin and muscle cover Amount under rule 19
Subgroup 13-Plastic and Reconstructive Surgery
45000 Single stage local muscle flap repair, on eyelid,
nose, lip, neck, hand, thumb, finger or genitals
(Anaes. 17708 = 5B + 3T) $397.55
45003 Single stage local myocutaneous flap repair to 1
defect, simple and small
(Anaes. 17710 = 3B + 7T) $441.70
45006 Single stage large myocutaneous flap repair to 1
defect, (pectoralis major, latissimus dorsi, or
similar large muscle)
(Anaes. 17717 = 5B + 12T) $761.95
45009 Single stage local muscle flap repair to 1 defect,
simple and small
(Anaes. 17710 = 3B + 7T) $278.35
45012 Single stage large muscle flap repair to 1 defect,
(pectoralis major, gastrocnemius, gracilis or
similar large muscle)
(Anaes. 17716 = 3B + 13T) $466.25
45015 Muscle or myocutaneous flap, delay of
(Anaes. 17708 = 3B + 5T) $220.85
45018 Dermis, dermofat or fascia graft (excluding transfer
of fat by injection)
(Anaes. 17709 = 3B + 6T) $347.85
45021 Abrasive therapy, limited to 1 aesthetic area
(Anaes. 17705 = 3B + 2T) $130.30
45024 Abrasive therapy to more than 1 aesthetic area
(Anaes. 17706 = 3B + 3T) $292.60
45025 CO2 laser resurfacing of the face or neck for severely
disfiguring scarring resulting from trauma, burns
or cystic acne-limited to 1 aesthetic area
(Anaes. 17705 = 3B + 2T) $130.30
45026 CO2 laser resurfacing of the face or neck for severely
disfiguring scarring resulting from trauma, burns or
cystic acne-more than 1 aesthetic area
(Anaes. 17705 = 3B + 2T) $292.60
45027 Angioma, cauterisation of or injection into, if
undertaken in the operating theatre of a hospital or
approved day-hospital facility
(Anaes. 17706 = 3B + 3T) $88.35
45030 Angioma (haemangioma or lymphangioma or both) of skin
and subcutaneous tissue (excluding facial muscle or
breast) or mucous surface, small, excision and suture of
(Anaes. 17706 = 3B + 3T) $94.95
45033 Angioma (haemangioma or lymphangioma or both), large
or involving deeper tissue including facial muscle
or breast, excision and suture of
(Anaes. 17710 = 5B + 5T) $176.70
45035 Angioma (haemangioma or lymphangioma or both) large
and deep, involving muscles or nerves, excision of
(Anaes. 17710 = 5B + 5T) $515.45
45036 Angioma (haemangioma or lymphangioma or both) of neck,
deep, excision of
(Anaes. 17710 = 5B + 5T) $828.25
45039 Arteriovenous malformation (3 cms or less) of
superficial tissue, excision of
(Anaes. 17707 = 3B + 4T) $176.70
45042 Arteriovenous malformation, (greater than 3 cms),
excision of
(Anaes. 17709 = 3B + 6T) $226.40
45045 Arteriovenous malformation on eyelid, nose, lip, ear,
neck, hand, thumb, finger or genitals, excision of
(Anaes. 17711 = 5B + 6T) $226.40
45048 Lymphoedematous tissue or lymphangiectasis, of lower
leg and foot, or thigh, or upper arm, or forearm and
hand, major excision of
(Anaes. 17709 = 3B + 6T) $568.70
45051 Contour reconstruction for pathological deformity,
insertion of foreign implant (non biological but
excluding injection of liquid or semisolid material)
by open operation
(Anaes. 17711 = 5B + 6T) $347.95
45200 Single stage local flap, where indicated to repair 1
defect, simple and small, excluding flap for male
pattern baldness
(Anaes. 17706 = 3B + 3T) $208.75
45203 Single stage local flap, where indicated to repair 1
defect, complicated or large, excluding flap for male
pattern baldness
(Anaes. 17709 = 3B + 6T) $298.10
45206 Single stage local flap where indicated to repair 1
defect, on eyelid, nose, lip, ear, neck, hand, thumb,
finger or genitals
(Anaes. 17711 = 5B + 6T) $281.60
45209 Direct flap repair (cross arm, abdominal or similar),
first stage
(Anaes. 17710 = 3B + 7T) $347.95
45212 Direct flap repair (cross arm, abdominal or similar),
second stage
(Anaes. 17708 = 3B + 5T) $172.60
45215 Direct flap repair, cross leg, first stage
(Anaes. 17712 = 3B + 9T) $744.60
45218 Direct flap repair, cross leg, second stage
(Anaes. 17709 = 3B + 6T) $334.00
45221 Direct flap repair, small (cross finger or similar),
first stage
(Anaes. 17706 = 3B + 3T) $192.05
45224 Direct flap repair, small (cross finger or similar),
second stage
(Anaes. 17706 = 3B + 3T) $86.30
45227 Indirect flap or tubed pedicle, formation of
(Anaes. 17709 = 3B + 6T) $327.10
45230 Direct or indirect flap or tubed pedicle, delay of
(Anaes. 17707 = 3B + 4T) $163.45
45233 Indirect flap or tubed pedicle, preparation of
intermediate or final site and attachment to the site
(Anaes. 17709 = 3B + 6T) $347.95
45236 Indirect flap or tubed pedicle, spreading of pedicle,
as a separate procedure
(Anaes. 17708 = 3B + 5T) $272.75
45239 Direct, indirect or local flap, revision of
(Anaes. 17707 = 3B + 4T) $192.05
45400 Free grafting (split skin) of a granulating area, small
(Anaes. 17706 = 3B + 3T) $150.30
45403 Free grafting (split skin) of a granulating area,
extensive
(Anaes. 17707 = 3B + 4T) $299.25
45406 Free grafting (split skin) to burns, including
excision of burnt tissue-involving not more than
3% of total body surface
(Anaes. 17707 = 3B + 4T) $331.30
45409 Free grafting (split skin) to burns, including
excision of burnt tissue-involving 3% or more but
less than 6% of total body surface
(Anaes. 17709 = 3B + 6T) $441.70
45412 Free grafting (split skin) to burns, including
excision of burnt tissue-involving 6% or more but
less than 9% of total body surface
(Anaes. 17711 = 3B + 8T) $607.40
45415 Free grafting (split skin) to burns, including
excision of burnt tissue-involving 9% or more but
less than 12% of total body surface
(Anaes. 17713 = 3B + 10T) $662.55
45418 Free grafting (split skin) to burns, including
excision of burnt tissue-involving 12% or more of
total body surface
(Anaes. 17715 = 3B + 12T) $717.80
45421 Free grafting (split skin) to burns, including
excision of burnt tissue, on eyelid, nose, lip, neck,
hand, thumb, finger or genitals
(Anaes. 17719 = 5B + 14T) $298.10
45424 Free grafting (xenograft or homograft split skin) to
burns including excision of burnt tissue-involving
not more than 3% of total body surface
(Anaes. 17712 = 3B + 9T) $242.95
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
(Anaes. 17714 = 3B + 11T) $353.40
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
(Anaes. 17716 = 3B + 13T) $519.05
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
(Anaes. 17718 = 3B + 15T) $574.20
45436 Free grafting (xenograft or homograft split skin) to
burns including excision of burnt tissue-involving 12%
or more of total body surface
(Anaes. 17720 = 3B + 17T) $640.55
45439 Free grafting (split skin) to 1 defect, including
elective dissection, small
(Anaes. 17706 = 3B + 3T) $208.75
45442 Free grafting (split skin) to 1 defect, including
elective dissection, extensive
(Anaes. 17707 = 3B + 4T) $430.65
45445 Free grafting (split skin) as inlay graft to 1
defect including elective dissection using a mould
(including insertion of and removal of mould)
(Anaes. 17710 = 3B + 7T) $408.65
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
(Anaes. 17709 = 5B + 4T) $276.10
45451 Free grafting (full thickness) to 1 defect, excludin
grafts for male pattern baldness
(Anaes. 17706 = 3B + 3T) $347.95
45500 Microvascular repair using microsurgical techniques,
with restoration of continuity of artery or vein of
distal extremity or digit
(Anaes. 17715 = 5B + 10T) $800.60
45502 Microvascular anastomosis of artery or vein using
microsurgical techniques, for reimplantation of limb
or digit or free transfer of tissue
(Anaes. 17743 = 10B + 33T) $1,303.10
45503 Micro-arterial or micro-venous graft using
microsurgical techniques
(Anaes. 17726 = 8B + 18T) $1,490.80
45506 Scar, of face or neck, not more than 3 cm in length,
revision of, if undertaken in the operating theatre
of a hospital or approved day-hospital facility or
performed by a specialist in the practice of his or
her specialty
(Anaes. 17708 = 5B + 3T) $161.45
45512 Scar, of face or neck, more than 3 cm in length,
revision of, if undertaken in the operating theatre
of a hospital or approved day-hospital facility or
performed by a specialist in the practice of his or
her specialty
(Anaes. 17709 = 5B + 4T) $217.10
45515 Scar, other than on face or neck, not more than 7 cms
in length, revision of, as an independent procedure,
if undertaken in the operating theatre of a hospital
or approved day-hospital facility or performed by a
specialist in the practice of his or her specialty
(Anaes. 17708 = 3B + 5T) $136.95
45518 Scar, other than on face or neck, more than 7 cms in
length, revision of, as an independent procedure, if
undertaken in the operating theatre of a hospital or
approved day-hospital facility or performed by a
specialist in the practice of his or her speciality
(Anaes. 17708 = 3B + 5T) $165.70
45521 Mammaplasty, reduction (unilateral), with or without
repositioning of nipple
(Anaes. 17711 = 5B + 6T) $661.15
45524 Mammaplasty, augmentation, for significant breast
asymmetry, where the augmentation is limited to 1 breast
(Anaes. 17711 = 5B + 6T) $544.55
45527 Mammaplasty, augmentation, (unilateral), following
mastectomy
(Anaes. 17711 = 5B + 6T) $544.55
45530 Breast reconstruction (unilateral), using a latissimus
dorsi or other large muscle or myocutaneous flap,
including repair of secondary skin defect, if required,
excluding repair of muscular aponeurotic layer
(Anaes. 17721 = 5B + 16T) $807.25
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
(Anaes. 17716 = 5B + 11T) $914.20
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
(Anaes. 17713 = 5B + 8T) $336.15
45539 Breast reconstruction (unilateral), following
mastectomy, using tissue expansion-insertion of tissue
expansion unit and all attendances for subsequent
expansion injections
(Anaes. 17710 = 5B + 5T) $786.55
45542 Breast reconstruction (unilateral), following
mastectomy, using tissue expansion-removal of tissue
expansion unit and insertion of permanent prosthesis
(Anaes. 17710 = 5B + 5T) $450.40
45545 Nipple or areola or both, reconstruction of by any
technique
(Anaes. 17710 = 5B + 5T) $457.15
45548 Breast prosthesis, removal of, as an independent
procedure
(Anaes. 17708 = 5B + 3T) $203.20
45551 Breast prosthesis, removal of, with complete excision
of fibrous capsule
(Anaes. 17709 = 5B + 4T) $325.75
45552 Breast prosthesis, removal of, with complete excision
of fibrous capsule and replacement of prosthesis
(Anaes. 17712 = 5B + 7T) $469.00
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
(Anaes. 17714 = 5B + 9T) $513.55
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
(Anaes. 17712 = 5B + 7T) $347.85
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
(Anaes. 17714 = 4B + 10T) $807.25
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
(Anaes. 17709 = 3B + 6T) $786.55
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
(Anaes. 17709 = 3B + 6T) $214.25
45575 Facial nerve paralysis, free fascia graft for
(Anaes. 17713 = 5B + 8T) $528.85
45578 Facial nerve paralysis, muscle transfer for
(Anaes. 17714 = 5B + 9T) $612.45
45581 Facial nerve palsy, excision of tissue for
(Anaes. 17709 = 5B + 4T) $203.20
45584 Liposuction (suction assisted lipolysis) to 1 regional
area (thigh, buttock, or similar), for treatment of
post-traumatic pseudolipoma
(Anaes. 17713 = 5B + 8T) $463.80
45587 Meloplasty for correction of facial asymmetry due to
soft tissue abnormality where the meloplasty is
limited to 1 side of the face
(Anaes. 17714 = 5B + 9T) $654.15
45590 Orbital cavity, reconstruction of a wall or floor,
with or without foreign implant
(Anaes. 17713 = 5B + 8T) $354.85
45593 Orbital cavity, bone or cartilage graft to orbital
wall or floor including reduction of prolapsed or
entrapped orbital contents
(Anaes. 17715 = 5B + 10T) $416.80
45596 Maxilla, total resection of
(Anaes. 17726 = 10B + 16T) $661.15
45597 Maxilla, total resection of both maxillae
(Anaes. 17735 = 10B + 25T) $885.00
45599 Mandible, total resection of both sides, including
condylectomies where performed
(Anaes. 17735 = 10B + 25T) $687.70
45602 Mandible, including lower border, or maxilla, sub-total
resection of
(Anaes. 17720 = 10B + 10T) $513.55
45605 Mandible or maxilla, segmental resection of, for
tumours or cysts
(Anaes. 17713 = 5B + 8T) $431.45
45608 Mandible, hemi-mandibular reconstruction with bone
graft, not being a service associated with a service
to which item 45599 applies
(Anaes. 17722 = 10B + 12T) $607.40
45611 Mandible, condylectomy
(Anaes. 17712 = 5B + 7T) $347.95
45614 Eyelid, whole thickness reconstruction of, other than
by direct suture only
(Anaes. 17711 = 5B + 6T) $431.45
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
(Anaes. 17708 = 5B + 3T) $172.60
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
(Anaes. 17709 = 5B + 4T) $239.40
45623 Ptosis of eyelid (unilateral), correction of
(Anaes. 17709 = 5B + 4T) $570.65
45626 Ectropion or entropion, correction of (unilateral)
(Anaes. 17709 = 5B + 4T) $239.40
45629 Symblepharon, grafting for
(Anaes. 17709 = 5B + 4T) $347.95
45632 Rhinoplasty, correction of lateral or alar cartilages
(Anaes. 17710 = 5B + 5T) $375.80
45635 Rhinoplasty, correction of bony vault only
(Anaes. 17710 = 5B + 5T) $431.45
45638 Rhinoplasty, total, including correction of all bony
and cartilaginous elements of the external nose
(Anaes. 17712 = 5B + 7T) $744.60
45641 Rhinoplasty involving nasal or septal cartilage graft
(Anaes. 17711 = 5B + 6T) $795.10
45644 Rhinoplasty involving autogenous bone or cartilage
graft obtained from distant donor site, including
obtaining of graft
(Anaes. 17713 = 5B + 8T) $939.45
45645 Choanal atresia, repair of by puncture and dilatation
(Anaes. 17711 = 5B + 6T) $164.20
45646 Choanal atresia, correction by open operation with
bone removal
(Anaes. 17716 = 5B + 11T) $661.15
45647 Face, contour restoration of 1 region, using
autogenous bone or cartilage graft (not being a
service to which item 45644 applies)
(Anaes. 17713 = 5B + 8T) $939.45
45650 Rhinoplasty, secondary revision of
(Anaes. 17710 = 5B + 5T) $108.55
45652 Rhinophyma, CO2 laser excision-ablation of
(Anaes. 17710 = 5B + 5T) $261.65
45653 Rhinophyma, shaving of
(Anaes. 17710 = 5B + 5T) $261.65
45656 Composite graft (chondro-cutaneous or chondro-mucosal)
to nose, ear or eyelid
(Anaes. 17712 = 5B + 7T) $368.80
45659 Lop ear, bat ear or similar deformity, correction of
(Anaes. 17709 = 5B + 4T) $382.70
45662 Congenital atresia, reconstruction of external
auditory canal
(Anaes. 17712 = 5B + 7T) $514.95
45665 Lip, eyelid or ear, full thickness wedge excision of,
with repair by direct sutures
(Anaes. 17707 = 5B + 2T) $239.40
45668 Vermilionectomy, by surgical excision
(Anaes. 17709 = 5B + 4T) $239.40
45669 Vermilionectomy, using CO2 laser excision-ablation
(Anaes. 17709 = 5B + 4T) $239.40
45671 Lip or eyelid reconstruction using full thickness flap
(Abbe or similar), first stage
(Anaes. 17712 = 5B + 7T) $612.45
45674 Lip or eyelid reconstruction using full thickness
flap (Abbe or similar), second stage
(Anaes. 17707 = 5B + 2T) $178.15
45675 Macrocheilia or macroglossia, operation for
(Anaes. 17716 = 5B + 11T) $354.85
45676 Macrostomia, operation for
(Anaes. 17713 = 5B + 8T) $422.40
45677 Cleft lip, unilateral-primary repair, 1 stage, without
anterior palate repair
(Anaes. 17712 = 6B + 6T) $397.55
45680 Cleft lip, unilateral-primary repair, 1 stage, with
anterior palate repair
(Anaes. 17716 = 7B + 9T) $496.95
45683 Cleft lip, bilateral-primary repair, 1 stage, without
anterior palate repair
(Anaes. 17714 = 6B + 8T) $552.15
45686 Cleft lip, bilateral-primary repair, 1 stage, with
anterior palate repair
(Anaes. 17718 = 7B + 11T) $651.55
45689 Cleft lip, lip adhesion procedure, unilateral or
bilateral
(Anaes. 17711 = 6B + 5T) $192.15
45692 Cleft lip, partial revision, including minor flap
revision alignment and adjustment, including revision
of minor whistle deformity if performed
(Anaes. 17711 = 6B + 5T) $220.85
45695 Cleft lip, total revision, including major flap
revision, muscle reconstruction and revision of major
whistle deformity
(Anaes. 17713 = 6B + 7T) $358.90
45698 Cleft lip, primary columella lengthening procedure,
bilateral
(Anaes. 17711 = 6B + 5T) $336.80
45701 Cleft lip reconstruction using full thickness flap
(Abbe or similar), first stage
(Anaes. 17712 = 6B + 6T) $607.40
45704 Cleft lip reconstruction using full thickness flap
(Abbe or similar), second stage
(Anaes. 17708 = 6B + 2T) $220.85
45707 Cleft palate, primary repair
(Anaes. 17715 = 7B + 8T) $574.20
45710 Cleft palate, secondary repair, closure of fistula
using local flaps
(Anaes. 17714 = 7B + 7T) $358.90
45713 Cleft palate, secondary repair, lengthening procedure
(Anaes. 17713 = 7B + 6T) $408.65
45714 Oro-nasal fistula, plastic closure of, including
services to which item 45200, 45203 or 45239 applies
(Anaes. 17713 = 5B + 8T) $574.20
45716 Velo-pharyngeal incompetence, pharyngeal flap for,
or pharyngoplasty for
(Anaes. 17711 = 5B + 6T) $574.20
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
(Anaes. 17720 = 10B + 10T) $800.60
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
(Anaes. 17729 = 10B + 19T) $1,015.95
45725 Mandible or maxilla, unilateral osteotomy or
osteectomy of, including transposition of nerves and
vessels and bone grafts taken from the same site
(Anaes. 17718 = 10B + 8T) $709.85
45728 Mandible or maxilla, bilateral osteotomy or osteectomy
of, including transposition of nerves and vessels and
bone grafts taken from the same site
(Anaes. 17725 = 10B + 15T) $904.70
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
(Anaes. 17729 = 10B + 19T) $1,029.95
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
(Anaes. 17726 = 10B + 16T) $1,183.00
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
(Anaes. 17753 = 10B + 43T) $1,301.35
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
(Anaes. 17758 = 10B + 48T) $1,419.65
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
(Anaes. 17732 = 10B + 22T) $1,159.55
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
(Anaes. 17732 = 10B + 22T) $1,330.70
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 (if performed) and
transposition of nerves and vessels and bone grafts
taken from the same site and rigid fixation by bone
plates, screws or both
(Anaes. 17758 = 10B + 48T) $1,463.20
45752 Mandible or maxilla, complex bilateral osteotomies
or osteectomies of, involving 3 or more such
procedures of each jaw, including genioplasty
(if performed) and transposition of nerves and
vessels and bone grafts taken from the same site
and rigid fixation by bone plates, screws or both
(Anaes. 17771 = 10B + 61T) $1,590.20
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
(Anaes. 17758 = 10B + 48T) $1,599.75
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
(Anaes. 17764 = 10B + 54T) $1,917.55
45755 Temporo-mandibular meniscectomy
(Anaes. 17710 = 5B + 5T) $270.00
45758 Temporo-mandibular joint, arthroplasty
(Anaes. 17710 = 5B + 5T) $483.20
45761 Genioplasty, including transposition of nerves and
bone grafts taken from the site
(Anaes. 17713 = 5B + 8T) $549.70
45764 Genioplasty being a service associated with a service
to which item 45719, 45722, 45725, 45728, 45731,
45734, 45743 or 45746 applies
(Anaes. 17709 = 5B + 4T) $320.10
45767 Hypertelorism, correction of, intra-cranial
(Anaes. 17760 = 12B + 48T) $1,844.15
45770 Hypertelorism, correction of, sub-cranial
(Anaes. 17730 = 10B + 20T) $1,412.70
45773 Treacher Collins Syndrome, periorbital correction
of, with rib and iliac bone grafts
(Anaes. 17735 = 10B + 25T) $1,287.40
45776 Orbital dystopia (unilateral), correction of, with
total repositioning of 1 orbit, intra-cranial
(Anaes. 17745 = 12B + 33T) $1,287.40
45779 Orbital dystopia (unilateral), correction of, with
total repositioning of 1 orbit, extra-cranial
(Anaes. 17725 = 12B + 13T) $946.45
45782 Fronto-orbital advancement, unilateral
(Anaes. 17726 = 12B + 14T) $723.75
45785 Cranial vault reconstruction for oxycephaly,
brachycephaly, turricephaly or similar
condition-(bilateral fronto-orbital advancement)
(Anaes. 17751 = 12B + 39T) $1,224.80
45788 Glenoid fossa, zygomatic arch and temporal bone,
reconstruction of, (Obwegeser technique)
(Anaes. 17724 = 10B + 14T) $1,210.85
45791 Absent condyle and ascending ramus in hemifacial
microsomia, construction of, not including
harvesting of graft material
(Anaes. 17720 = 10B + 10T) $654.15
45794 Osseo-integration procedure-extra-oral, implantation
of titanium fixture
(Anaes. 17713 = 5B + 8T) $369.95
45797 Osseo-integration procedure, fixation of transcutaneous
abutment
(Anaes. 17709 = 5B + 4T) $136.95
Subgroup 14-Hand Surgery
46300 Inter-phalangeal joint or metacarpophalangeal joint,
arthrodesis of
(Anaes. 17706 = 3B + 3T) $248.50
46303 Carpometacarpal joint, arthrodesis of
(Anaes. 17707 = 3B + 4T) $276.15
46306 Inter-phalangeal joint or metacarpophalangeal
joint-interposition arthroplasty of and including
tendon transfers or realignment on the 1 ray
(Anaes. 17709 = 3B + 6T) $386.60
46307 Interphalangeal joint or metacarpophalangeal
joint-volar plate arthroplasty for traumatic deformity
including tendon transfers or realignment on the 1 ray
(Anaes. 17709 = 3B + 6T) $386.60
46309 Inter-phalangeal joint or metacarpophalangeal joint,
total replacement arthroplasty of, including associated
synovectomy, tendon transfer or realignment-1 joint
(Anaes. 17709 = 3B + 6T) $386.60
46312 Inter-phalangeal joint or metacarpophalangeal joint,
total replacement arthroplasty of, including associated
synovectomy, tendon transfer or realignment-2 joints
(Anaes. 17710 = 3B + 7T) $497.05
46315 Inter-phalangeal joint or metacarpophalangeal joint,
total replacement arthroplasty of, including associated
synovectomy, tendon transfer or realignment-3 joints
(Anaes. 17712 = 3B + 9T) $662.70
46318 Inter-phalangeal joint or metacarpophalangeal joint,
total replacement arthroplasty of, including associated
synovectomy, tendon transfer or realignment-4 joints
(Anaes. 17713 = 3B + 10T) $828.40
46321 Inter-phalangeal joint or metacarpophalangeal joint,
total replacement arthroplasty of, including associated
synovectomy, tendon transfer or realignment-5 or
more joints
(Anaes. 17715 = 3B + 12T) $994.15
46324 Carpal bone replacement arthroplasty including
associated tendon transfer or realignment when performed
(Anaes. 17711 = 3B + 8T) $592.80
46325 Carpal bone replacement arthroplasty using adjacent
tendon or other soft tissue including associated tendon
transfer or realignment when performed
(Anaes. 17713 = 3B + 10T) $618.55
46327 Inter-phalangeal joint or metacarpophalangeal joint,
arthrotomy of
(Anaes. 17706 = 3B + 3T) $149.15
46330 Inter-phalangeal joint or metacarpophalangeal joint,
arthrotomy of, with ligamentous or capsular repair
(Anaes. 17709 = 3B + 6T) $254.10
46333 Inter-phalangeal joint or metacarpophalangeal joint,
ligamentous repair of, using free tissue graft or
implant (Anaes. 17707 = 3B + 4T) $414.20
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
(Anaes. 17707 = 3B + 4T) $193.30
46339 Extensor tendons or flexor tendons of hand or wrist,
synovectomy of
(Anaes. 17706 = 3B + 3T) $342.40
46342 Distal radioulnar joint or carpometacarpal joint or
joints, synovectomy of
(Anaes. 17708 = 3B + 5T) $342.40
46345 Reconstruction of distal radioulnar joint
(Anaes. 17709 = 3B + 6T) $414.20
46348 Digit, synovectomy of flexor tendon or tendons-1 digit
(Anaes. 17706 = 3B + 3T) $179.45
46351 Digit, synovectomy of flexor tendon or tendons-2 digits
(Anaes. 17707 = 3B + 4T) $267.85
46354 Digit, synovectomy of flexor tendon or tendons-3 digits
(Anaes. 17708 = 3B + 5T) $358.95
46357 Digit, synovectomy of flexor tendon or tendons-4 digits
(Anaes. 17709 = 3B + 6T) $447.35
46360 Digit, synovectomy of flexor tendon or tendons-5 digits
(Anaes. 17710 = 3B + 7T) $538.45
46363 Tendon sheath of hand or wrist, open operation on, for
stenosing tenovaginitis
(Anaes. 17705 = 3B + 2T) $154.65
46366 Dupuytren's contracture, subcutaneous fasciotomy
for-each band
(Anaes. 17706 = 3B + 3T) $93.85
46369 Dupuytren's contracture, palmar fasciectomy for-1hand
(Anaes. 17707 = 3B + 4T) $154.65
46372 Dupuytren's contracture, fasciectomy for, from 1 ray,
including dissection of nerves-1 hand
(Anaes. 17710 = 3B + 7T) $314.20
46375 Dupuytren's contracture, fasciectomy for, from 2 rays,
including dissection of nerves-1 hand
(Anaes. 17711 = 3B + 8T) $372.80
46378 Dupuytren's contracture, fasciectomy for, from 3 or
more rays, including dissection of nerves-1 hand
(Anaes. 17713 = 3B + 10T) $497.05
46381 Inter-phalangeal joint, joint capsule release when
performed in conjunction with operation for Dupuytren's
contracture-each procedure
(Anaes. 17706 = 3B + 3T) $220.90
46384 Z plasty (or similar local flap procedure) when
performed in conjunction with operation for Dupuytren's
contracture-1 such procedure
(Anaes. 17706 = 3B + 3T) $220.90
46387 Dupuytren's contracture, fasciectomy for, from 1 ray,
including dissection of nerves-operation for recurrence
in that ray
(Anaes. 17710 = 3B + 7T) $455.60
46390 Dupuytren's contracture, fasciectomy for, from 2 rays,
including dissection of nerves-operation for recurrence
in those rays
(Anaes. 17712 = 3B + 9T) $607.55
46393 Dupuytren's contracture, fasciectomy for, from 3 or
more rays, including dissection of nerves-operation
for recurrence in those rays
(Anaes. 17714 = 3B + 11T) $704.15
46396 Phalanx or metacarpal of the hand, osteotomy or
osteectomy of
(Anaes. 17706 = 3B + 3T) $242.00
46399 Phalanx or metacarpal of the hand, osteotomy of, with
internal fixation
(Anaes. 17707 = 3B + 4T) $380.20
46402 Phalanx or metacarpal, bone grafting of, for
pseudarthrosis (non-union), including obtaining of
graft material
(Anaes. 17708 = 3B + 5T) $380.20
46405 Phalanx or metacarpal, bone grafting of, for
pseudarthrosis (non-union), involving internal
fixation and including obtaining of graft material
(Anaes. 17709 = 3B + 6T) $463.90
46408 Tendon, reconstruction of, by tendon graft
(Anaes. 17710 = 3B + 7T) $508.10
46411 Flexor tendon pulley, reconstruction of, by graft
(Anaes. 17708 = 3B + 5T) $298.20
46414 Artificial tendon prosthesis, insertion of in
preparation for tendon grafting
(Anaes. 17709 = 3B + 6T) $386.50
46417 Tendon transfer for restoration of hand function, each
transfer
(Anaes. 17708 = 3B + 5T) $358.95
46420 Extensor tendon of hand or wrist, primary repair of,
each tendon
(Anaes. 17707 = 3B + 4T) $150.20
46423 Extensor tendon of hand or wrist, secondary repair of,
each tendon
(Anaes. 17708 = 3B + 5T) $240.25
46426 Flexor tendon of hand or wrist, primary repair of,
proximal to A1 pulley, each tendon
(Anaes. 17707 = 3B + 4T) $248.50
46429 Flexor tendon of hand or wrist, secondary repair of,
proximal to A1 pulley, each tendon
(Anaes. 17708 = 3B + 5T) $303.75
46432 Flexor tendon of hand, primary repair of, distal to A1
pulley, each tendon
(Anaes. 17708 = 3B + 5T) $331.40
46435 Flexor tendon of hand, secondary repair of, distal to
A1 pulley, each tendon
(Anaes. 17709 = 3B + 6T) $386.60
46438 Mallet finger, closed pin fixation of
(Anaes. 17706 = 3B + 3T) $99.40
46441 Mallet finger, open repair of, including pin fixation
when performed
(Anaes. 17707 = 3B + 4T) $240.25
46442 Mallet finger with intra-articular fracture involving
more than one-third of base of terminal phalanx-open
reduction
(Anaes. 17707 = 3B + 4T) $206.20
46444 Boutonniere deformity without joint contracture,
reconstruction of
(Anaes. 17708 = 3B + 5T) $358.95
46447 Boutonniere deformity with joint contracture,
reconstruction of
(Anaes. 17709 = 3B + 6T) $447.35
46450 Extensor tendon, tenolysis of, following tendon injury,
repair or graft
(Anaes. 17708 = 3B + 5T) $165.70
46453 Flexor tendon, tenolysis of, following tendon injury,
repair or graft
(Anaes. 17709 = 3B + 6T) $276.15
46456 Finger, percutaneous tenotomy of
(Anaes. 17704 = 3B + 1T) $71.80
46459 Operation for osteomyelitis on distal phalanx
(Anaes. 17706 = 3B + 3T) $138.10
46462 Operation for osteomyelitis on middle or proximal
phalanx, metacarpal or carpus
(Anaes. 17707 = 3B + 4T) $220.90
46464 Amputation of a supernumerary complete digit
(Anaes. 17706 = 3B + 3T) $165.70
46465 Amputation of single digit, proximal to nail bed,
involving section of bone or joint and requiring
soft tissue cover
(Anaes. 17705 = 3B + 2T) $165.70
46468 Amputation of 2 digits, proximal to nail bed,
involving section of bone or joint and requiring
soft tissue cover
(Anaes. 17706 = 3B + 3T) $289.95
46471 Amputation of 3 digits, proximal to nail bed,
involving section of bone or joint and requiring
soft tissue cover
(Anaes. 17707 = 3B + 4T) $414.20
46474 Amputation of 4 digits, proximal to nail bed,
involving section of bone or joint and requiring
soft tissue cover
(Anaes. 17708 = 3B + 5T) $538.45
46477 Amputation of 5 digits, proximal to nail bed,
involving section of bone or joint and requiring
soft tissue cover
(Anaes. 17709 = 3B + 6T) $662.70
46480 Amputation of single digit, proximal to nail bed,
involving section of bone or joint and requiring soft
tissue cover, including metacarpal
(Anaes. 17707 = 3B + 4T) $276.15
46483 Revision of amputation stump to provide adequate soft
tissue cover
(Anaes. 17705 = 3B + 2T) $220.90
46486 Nail bed, accurate reconstruction of nail bed
laceration using magnification, undertaken in the
operating theatre of a hospital or approved
day-hospital facility
(Anaes. 17708 = 3B + 5T) $165.70
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
(Anaes. 17709 = 3B + 6T) $193.30
46492 Flexion contracture of hand or digit, correction of,
involving tissues deeper than skin and subcutaneous
tissue
(Anaes. 17708 = 3B + 5T) $265.10
46494 Ganglion of hand, excision of, not being a service
associated with a service to which an item in this
Group applies
(Anaes. 17706 = 4B + 2T) $161.45
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
(Anaes. 17705 = 3B + 2T) $149.15
46498 Ganglion of flexor tendon sheath, excision of, not
being a service associated with a service to which
item 30106 or 30107 applies
(Anaes. 17705 = 3B + 2T) $161.45
46500 Ganglion of dorsal wrist joint, excision of, not
being a service associated with a service to which
item 30106 or 30107 applies
(Anaes. 17706 = 3B + 3T) $193.30
46501 Ganglion of volar wrist joint, excision of, not being
a service associated with a service to which item 30106
or 30107 applies
(Anaes. 17707 = 3B + 4T) $241.65
46502 Recurrent ganglion of dorsal wrist joint, excision of,
not being a service associated with a service to which
item 30106 or 30107 applies
(Anaes. 17707 = 3B + 4T) $222.35
46503 Recurrent ganglion of volar wrist joint, excision of,
not being a service associated with a service to which
item 30106 or 30107 applies
(Anaes. 17708 = 3B + 5T) $277.85
46504 Neurovascular island flap, for pulp innervation
(Anaes. 17719 = 8B + 11T) $811.85
46507 Digit or ray, transposition or transfer of, on vascular
pedicle, complete procedure
(Anaes. 17722 = 8B + 14T) $944.40
46510 Macrodactyly, surgical reduction of enlarged
elements-each digit
(Anaes. 17707 = 3B + 4T) $257.70
46513 Digital nail of finger or thumb, removal of, not being
a service to which item 46516 applies
(Anaes. 17704 = 3B + 1T) $41.50
46516 Digital nail of finger or thumb, removal of, in the
operating theatre of a hospital or approved
day-hospital facility
(Anaes. 17704 = 3B + 1T) $82.90
46519 Middle palmar, thenar or hypothenar spaces of hand,
drainage of (excluding aftercare)
(Anaes. 17705 = 3B + 2T) $103.75
46522 Flexor tendon sheath of finger or thumb-open operation
and drainage for infection
(Anaes. 17706 = 3B + 3T) $309.25
46525 Pulp space infection, paronychia of hand, incision for,
not being a service to which another item in this Group
applies (excluding after-care)
(Anaes. 17704 = 3B + 1T) $41.50
46528 Ingrowing nail of finger or thumb, wedge resection for,
including removal of segment of nail, ungual fold and
portion of the nail bed
(Anaes. 17705 = 3B + 2T) $124.45
46531 Ingrowing nail of finger or thumb, partial resection
of nail, including phenolisation but not including
excision of nail bed
(Anaes. 17705 = 3B + 2T) $62.50
46534 Nail plate injury or deformity, radical excision of
nail germinal matrix
(Anaes. 17706 = 3B + 3T) $172.85
Subgroup 15-Orthopaedic
47000 Mandible, treatment of dislocation of, by closed
reduction
(Anaes. 17706 = 5B + 1T) $51.85
47003 Clavicle, treatment of dislocation of, by closed
reduction
(Anaes. 17706 = 4B + 2T) $62.20
47006 Clavicle, treatment of dislocation of, by open
reduction
(Anaes. 17709 = 5B + 4T) $125.05
47009 Shoulder, treatment of dislocation of, requiring
general anaesthesia, not being a service to which
item 47012 applies
(Anaes. 17706 = 4B + 2T) $124.45
47012 Shoulder, treatment of dislocation of, requiring
general anaesthesia, open reduction
(Anaes. 17710 = 5B + 5T) $248.85
47015 Shoulder, treatment of dislocation of, not requiring
general anaesthesia $62.20
47018 Elbow, treatment of dislocation of, by closed
reduction
(Anaes. 17705 = 3B + 2T) $145.15
47021 Elbow, treatment of dislocation of, by open reduction
(Anaes. 17709 = 4B + 5T) $193.55
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
(Anaes. 17705 = 3B + 2T) $145.15
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
(Anaes. 17708 = 3B + 5T) $193.55
47030 Carpus, or carpus on radius and ulna, or carpometacarpal
joint, treatment of dislocation of, by closed reduction
(Anaes. 17705 = 3B + 2T) $145.15
47033 Carpus, or carpus on radius and ulna, or carpometacarpal
joint, treatment of dislocation of, by open reduction
(Anaes. 17708 = 3B + 5T) $193.55
47036 Interphalangeal joint, treatment of dislocation of,
by closed reduction
(Anaes. 17704 = 3B + 1T) $62.20
47039 Interphalangeal joint, treatment of dislocation of, by
open reduction
(Anaes. 17706 = 3B + 3T) $82.90
47042 Metacarpophalangeal joint, treatment of dislocation
of, by closed reduction
(Anaes. 17704 = 3B + 1T) $82.90
47045 Metacarpophalangeal joint, treatment of dislocation
of, by open reduction
(Anaes. 17706 = 3B + 3T) $110.60
47048 Hip, treatment of dislocation of, by closed reduction
(Anaes. 17706 = 4B + 2T) $238.50
47051 Hip, treatment of dislocation of, by open reduction
(Anaes. 17711 = 6B + 5T) $317.95
47054 Knee, treatment of dislocation of, by closed reduction
(Anaes. 17705 = 3B + 2T) $238.50
47057 Patella, treatment of dislocation of, by closed reduction
(Anaes. 17704 = 3B + 1T) $93.30
47060 Patella, treatment of dislocation of, by open reduction
(Anaes. 17708 = 4B + 4T) $124.45
47063 Ankle or tarsus, treatment of dislocation of, by closed
reduction
(Anaes. 17705 = 3B + 2T) $186.65
47066 Ankle or tarsus, treatment of dislocation of, by open
reduction
(Anaes. 17710 = 3B + 7T) $248.85
47069 Toe, treatment of dislocation of, by closed reduction
(Anaes. 17704 = 3B + 1T) $51.85
47072 Toe, treatment of dislocation of, by open reduction
(Anaes. 17706 = 3B + 3T) $69.10
47300 Distal phalanx of finger or thumb, treatment of
fracture of, by closed reduction, including percutaneous
fixation where used
(Anaes. 17705 = 3B + 2T) $62.20
47303 Distal phalanx of finger or thumb, treatment of
intra-articular fracture of, by closed reduction
(Anaes. 17705 = 3B + 2T) $72.60
47306 Distal phalanx of finger or thumb, treatment of
fracture of, by open reduction
(Anaes. 17707 = 3B + 4T) $82.90
47309 Distal phalanx of finger or thumb, treatment of
intra-articular fracture of, by open reduction
(Anaes. 17707 = 3B + 4T) $103.75
47312 Middle phalanx of finger, treatment of fracture of,
by closed reduction
(Anaes. 17705 = 3B + 2T) $93.30
47315 Middle phalanx of finger, treatment of intra-articular
fracture of, by closed reduction
(Anaes. 17705 = 3B + 2T) $107.15
47318 Middle phalanx of finger, treatment of fracture of,
by open reduction
(Anaes. 17707 = 3B + 4T) $124.45
47321 Middle phalanx of finger, treatment of intra-articular
fracture of, by open reduction
(Anaes. 17707 = 3B + 4T) $155.50
47324 Proximal phalanx of finger or thumb, treatment of
fracture of, by closed reduction
(Anaes. 17705 = 3B + 2T) $124.45
47327 Proximal phalanx of finger or thumb, treatment of
intra-articular fracture of, by closed reduction
(Anaes. 17705 = 3B + 2T) $145.15
47330 Proximal phalanx of finger or thumb, treatment of
fracture of, by open reduction
(Anaes. 17707 = 3B + 4T) $165.95
47333 Proximal phalanx of finger or thumb, treatment of
intra-articular fracture of, by open reduction
(Anaes. 17707 = 3B + 4T) $207.35
47336 Metacarpal, treatment of fracture of, by closed
reduction
(Anaes. 17705 = 3B + 2T) $124.45
47339 Metacarpal, treatment of intra-articular fracture of,
by closed reduction
(Anaes. 17705 = 3B + 2T) $145.15
47342 Metacarpal, treatment of fracture of, by open
reduction
(Anaes. 17707 = 3B + 4T) $165.95
47345 Metacarpal, treatment of intra-articular fracture of,
by open reduction
(Anaes. 17708 = 3B + 5T) $207.35
47348 Carpus (excluding scaphoid), treatment of fracture of,
not being a service to which item 47351 applies
(Anaes. 17705 = 3B + 2T) $69.10
47351 Carpus (excluding scaphoid), treatment of fracture of,
by open reduction
(Anaes. 17709 = 3B + 6T) $172.85
47354 Carpal scaphoid, treatment of fracture of, not being a
service to which item 47357 applies
(Anaes. 17705 = 3B + 2T) $124.45
47357 Carpal scaphoid, treatment of fracture of, by open
reduction
(Anaes. 17710 = 3B + 7T) $276.50
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
(Anaes. 17705 = 3B + 2T) $96.80
47363 Radius or ulna, distal end of, treatment of fracture
of, by closed reduction
(Anaes. 17705 = 3B + 2T) $145.15
47366 Radius or ulna, distal end of, treatment of fracture
of, by open reduction
(Anaes. 17708 = 3B + 5T) $193.55
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
(Anaes. 17705 = 3B + 2T) $124.45
47372 Radius, distal end of, treatment of Colles', Smith's
or Barton's fracture, by closed reduction
(Anaes. 17705 = 3B + 2T) $207.35
47375 Radius, distal end of, treatment of Colles', Smith's
or Barton's fracture, by open reduction
(Anaes. 17708 = 3B + 5T) $276.50
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
(Anaes. 17705 = 3B + 2T) $124.45
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
(Anaes. 17705 = 3B + 2T) $186.65
47384 Radius or ulna, shaft of, treatment of fracture of,
by open reduction
(Anaes. 17708 = 3B + 5T) $248.85
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
(Anaes. 17707 = 3B + 4T) $214.30
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
(Anaes. 17711 = 3B + 8T) $345.60
47387 Radius and ulna, shafts of, treatment of fracture of,
by cast immobilisation, not being a service to which
item 47390 or 47393 applies
(Anaes. 17706 = 3B + 3T) $200.45
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
(Anaes. 17706 = 3B + 3T) $300.70
47393 Radius and ulna, shafts of, treatment of fracture of,
by open reduction
(Anaes. 17709 = 3B + 6T) $400.95
47396 Olecranon, treatment of fracture of, not being a
service to which item 47399 applies
(Anaes. 17706 = 3B + 3T) $138.25
47399 Olecranon, treatment of fracture of, by open reduction
(Anaes. 17709 = 3B + 6T) $276.50
47402 Olecranon, treatment of fracture of, involving excision
of olecranon fragment and reimplantation of tendon
(Anaes. 17709 = 3B + 6T) $207.35
47405 Radius, treatment of fracture of head or neck of,
closed management of
(Anaes. 17706 = 3B + 3T) $138.25
47408 Radius, treatment of fracture of head or neck of, open
management of, including internal fixation and
excision where performed
(Anaes. 17710 = 3B + 7T) $276.50
47411 Humerus, treatment of fracture of tuberosity of, not
being a service to which item 47417 applies
(Anaes. 17705 = 3B + 2T) $82.90
47414 Humerus, treatment of fracture of tuberosity of, by
open reduction
(Anaes. 17710 = 4B + 6T) $165.95
47417 Humerus, treatment of fracture of tuberosity of, and
associated dislocation of shoulder, by closed reduction
(Anaes. 17707 = 4B + 3T) $193.55
47420 Humerus, treatment of fracture of tuberosity of, and
associated dislocation of shoulder, by open reduction
(Anaes. 17713 = 5B + 8T) $380.20
47423 Humerus, proximal, treatment of fracture of, not being
a service to which item 47426, 47429 or 47432 applies
(Anaes. 17706 = 3B + 3T) $158.95
47426 Humerus, proximal, treatment of fracture of, by closed
reduction, undertaken in the operating theatre of a
hospital or approved day hospital facility
(Anaes. 17706 = 3B + 3T) $238.50
47429 Humerus, proximal, treatment of fracture of, by open
reduction
(Anaes. 17712 = 4B + 8T) $317.95
47432 Humerus, proximal, treatment of intra-articular
fracture of, by open reduction
(Anaes. 17714 = 4B + 10T) $397.50
47435 Humerus, proximal, treatment of fracture of, and
associated dislocation of shoulder, by closed reduction
(Anaes. 17707 = 4B + 3T) $304.20
47438 Humerus, proximal, treatment of fracture of, and
associated dislocation of shoulder, by open reduction
(Anaes. 17715 = 5B + 10T) $483.90
47441 Humerus, proximal, treatment of intra-articular fracture
of, and associated dislocation of shoulder, by open
reduction
(Anaes. 17715 = 5B + 10T) $604.85
47444 Humerus, shaft of, treatment of fracture of, not
being a service to which item 47447 or 47450 applies
(Anaes. 17706 = 3B + 3T) $165.95
47447 Humerus, shaft of, treatment of fracture of, by closed
reduction, undertaken in the operating theatre of a
hospital or approved day hospital facility
(Anaes. 17706 = 3B + 3T) $248.85
47450 Humerus, shaft of, treatment of fracture of, by open
reduction
(Anaes. 17712 = 4B + 8T) $331.80
47453 Humerus, distal, (supracondylar or condylar),
treatment of fracture of, not being a service to
which item 47456 or 47459 applies
(Anaes. 17706 = 3B + 3T) $193.55
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
(Anaes. 17706 = 3B + 3T) $290.40
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
(Anaes. 17710 = 4B + 6T) $387.10
47462 Clavicle, treatment of fracture of, not being a
service to which item 47465 applies
(Anaes. 17706 = 4B + 2T) $82.90
47465 Clavicle, treatment of fracture of, by open reduction
(Anaes. 17710 = 5B + 5T) $165.95
47466 Sternum, treatment of fracture of, not being a service
to which item 47467 applies
(Anaes. 17707 = 5B + 2T) $82.90
47467 Sternum, treatment of fracture of, by open reduction
(Anaes. 17711 = 5B + 6T) $165.95
47468 Scapula, neck or glenoid region of, treatment of
fracture of, by open reduction
(Anaes. 17713 = 5B + 8T) $317.95
47471 Ribs (1 or more), treatment of fracture of-each
attendance $31.50
47474 Pelvic ring, treatment of fracture of, not involving
disruption of pelvic ring or acetabulum $138.25
47477 Pelvic ring, treatment of fracture of, with disruption
of pelvic ring or acetabulum $172.85
47480 Pelvic ring, treatment of fracture of, requiring traction
(Anaes. 17708 = 6B + 2T) $345.60
47483 Pelvic ring, treatment of fracture of, requiring
control by external fixation
(Anaes. 17712 = 6B + 6T) $414.75
47486 Pelvic ring, treatment of fracture of, by open
reduction and involving internal fixation of anterior
segment, including diastasis of pubic symphysis
(Anaes. 17722 = 8B + 14T) $691.25
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
(Anaes. 17726 = 8B + 18T) $1,036.90
47492 Acetabulum, treatment of fracture of, and associated
dislocation of hip
(Anaes. 17708 = 6B + 2T) $172.85
47495 Acetabulum, treatment of fracture of, and associated
dislocation of hip, requiring traction
(Anaes. 17709 = 6B + 3T) $345.60
47498 Acetabulum, treatment of fracture of, and associated
dislocation of hip, requiring internal fixation, with
or without traction
(Anaes. 17716 = 6B + 10T) $518.45
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
(Anaes. 17720 = 6B + 14T) $691.25
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
(Anaes. 17724 = 6B + 18T) $1,036.90
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
(Anaes. 17724 = 6B + 18T) $1,036.90
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
(Anaes. 17724 = 6B + 18T) $1,036.90
47513 Sacro-iliac joint disruption, treatment of, requiring
internal fixation, being a service associated with
a service to which items 47501 to 47510 apply
(Anaes. 17718 = 8B + 10T) $276.50
47516 Femur, treatment of fracture of, by closed reduction
or traction
(Anaes. 17708 = 4B + 4T) $317.95
47519 Femur, treatment of trochanteric or subcapital
fracture of, by internal fixation
(Anaes. 17712 = 6B + 6T) $636.00
47522 Femur, treatment of subcapital fracture of, by
hemi-arthroplasty
(Anaes. 17712 = 6B + 6T) $553.05
47525 Femur, treatment of fracture of, for slipped capital
femoral epiphysis
(Anaes. 17712 = 6B + 6T) $636.00
47528 Femur, treatment of fracture of, by internal fixation
or external fixation
(Anaes. 17712 = 6B + 6T) $553.05
47531 Femur, treatment of fracture of shaft, by
intramedullary fixation and cross fixation
(Anaes. 17714 = 6B + 8T) $705.10
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
(Anaes. 17717 = 5B + 12T) $794.95
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
(Anaes. 17714 = 5B + 9T) $317.95
47540 Hip spica or shoulder spica, application of, as an
independent procedure
(Anaes. 17708 = 4B + 4T) $158.95
47543 Tibia, plateau of, treatment of medial or lateral
fracture of, not being a service to which item 47546
or 47549 applies
(Anaes. 17706 = 3B + 3T) $165.95
47546 Tibia, plateau of, treatment of medial or lateral
fracture of, by closed reduction
(Anaes. 17706 = 3B + 3T) $248.85
47549 Tibia, plateau of, treatment of medial or lateral
fracture of, by open reduction
(Anaes. 17710 = 4B + 6T) $331.80
47552 Tibia, plateau of, treatment of both medial and
lateral fractures of, not being a service to which
item 47555 or 47558 applies
(Anaes. 17706 = 3B + 3T) $276.50
47555 Tibia, plateau of, treatment of both medial and
lateral fractures of, by closed reduction
(Anaes. 17707 = 3B + 4T) $414.75
47558 Tibia, plateau of, treatment of both medial and
lateral fractures of, by open reduction
(Anaes. 17712 = 4B + 8T) $553.05
47561 Tibia, shaft of, treatment of fracture of, by cast
immobilisation, not being a service to which item
47564, 47567, 47570 or 47573 applies
(Anaes. 17706 = 3B + 3T) $200.45
47564 Tibia, shaft of, treatment of fracture of, by closed
reduction, with or without treatment of fibular fracture
(Anaes. 17705 = 3B + 2T) $300.70
47565 Tibia, shaft of, treatment of fracture of, by internal
fixation or external fixation
(Anaes. 17710 = 3B + 7T) $523.00
47566 Tibia, shaft of, treatment of fracture of, by
intramedullary fixation and cross fixation
(Anaes. 17711 = 3B + 8T) $666.80
47567 Tibia, shaft of, treatment of intra-articular fracture
of, by closed reduction, with or without treatment of
fibular fracture
(Anaes. 17706 = 3B + 3T) $349.05
47570 Tibia, shaft of, treatment of fracture of, by open
reduction, with or without treatment of fibular fracture
(Anaes. 17709 = 3B + 6T) $400.95
47573 Tibia, shaft of, treatment of intra-articular fracture
of, by open reduction, with or without treatment of
fibular fracture
(Anaes. 17710 = 3B + 7T) $501.15
47576 Fibula, treatment of fracture of
(Anaes. 17705 = 3B + 2T) $82.90
47579 Patella, treatment of fracture of, not being a service
to which item 47582 or 47585 applies
(Anaes. 17705 = 3B + 2T) $117.55
47582 Patella, treatment of fracture of, by excision of
patella or pole with reattachment of tendon
(Anaes. 17709 = 4B + 5T) $242.00
47585 Patella, treatment of fracture of, by internal fixation
(Anaes. 17710 = 4B + 6T) $311.10
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
(Anaes. 17717 = 5B + 12T) $967.75
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
(Anaes. 17720 = 5B + 15T) $1,175.20
47594 Ankle joint, treatment of fracture of, not being a
service to which item 47597 applies
(Anaes. 17705 = 3B + 2T) $158.95
47597 Ankle joint, treatment of fracture of, by closed
reduction
(Anaes. 17705 = 3B + 2T) $238.50
47600 Ankle joint, treatment of fracture of, by internal
fixation of 1 of malleolus, fibula or diastasis
(Anaes. 17707 = 3B + 4T) $317.95
47603 Ankle joint, treatment of fracture of, by internal
fixation of more than 1 of malleolus, fibula or diastasis
(Anaes. 17709 = 3B + 6T) $414.75
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
(Anaes. 17706 = 3B + 3T) $172.85
47609 Calcaneum or talus, treatment of fracture of, by closed
reduction, with or without dislocation
(Anaes. 17706 = 3B + 3T) $259.25
47612 Calcaneum or talus, treatment of intra-articular
fracture of, by closed reduction, with or without
dislocation
(Anaes. 17706 = 3B + 3T) $300.70
47615 Calcaneum or talus, treatment of fracture of, by open
reduction, with or without dislocation
(Anaes. 17709 = 3B + 6T) $345.60
47618 Calcaneum or talus, treatment of intra-articular
fracture of, by open reduction, with or without
dislocation
(Anaes. 17709 = 3B + 6T) $432.05
47621 Tarso-metatarsal, treatment of intra-articular
fracture of, by closed reduction, with or without
dislocation
(Anaes. 17705 = 3B + 2T) $300.70
47624 Tarso-metatarsal, treatment of fracture of, by open
reduction, with or without dislocation
(Anaes. 17708 = 3B + 5T) $414.75
47627 Tarsus (excluding calcaneum or talus), treatment of
fracture of
(Anaes. 17705 = 3B + 2T) $117.55
47630 Tarsus (excluding calcaneum or talus), treatment of
fracture of, by open reduction, with or without
dislocation
(Anaes. 17708 = 3B + 5T) $248.85
47633 Metatarsal, 1 of, treatment of fracture of
(Anaes. 17705 = 3B + 2T) $82.90
47636 Metatarsal, 1 of, treatment of fracture of, by closed
reduction
(Anaes. 17705 = 3B + 2T) $124.45
47639 Metatarsal, 1 of, treatment of fracture of, by open
reduction
(Anaes. 17707 = 3B + 4T) $165.95
47642 Metatarsals, 2 of, treatment of fracture of
(Anaes. 17705 = 3B + 2T) $110.60
47645 Metatarsals, 2 of, treatment of fracture of, by
closed reduction
(Anaes. 17705 = 3B + 2T) $165.95
47648 Metatarsals, 2 of, treatment of fracture of, by open
reduction
(Anaes. 17708 = 3B + 5T) $221.15
47651 Metatarsals, 3 or more of, treatment of fracture of
(Anaes. 17705 = 3B + 2T) $172.85
47654 Metatarsals, 3 or more of, treatment of fracture of,
by closed reduction
(Anaes. 17705 = 3B + 2T) $259.25
47657 Metatarsals, 3 or more of, treatment of fracture of,
by open reduction
(Anaes. 17709 = 3B + 6T) $345.60
47663 Phalanx of great toe, treatment of fracture of, by
closed reduction
(Anaes. 17705 = 3B + 2T) $103.75
47666 Phalanx of great toe, treatment of fracture of, by
open reduction
(Anaes. 17707 = 3B + 4T) $172.85
47672 Phalanx of toe (other than great toe), 1 of, treatment
of fracture of, by open reduction
(Anaes. 17706 = 3B + 3T) $82.90
47678 Phalanx of toe (other than great toe), more than 1 of,
treatment of fracture of, by open reduction
(Anaes. 17709 = 3B + 6T) $124.45
47681 Spine (excluding sacrum), treatment of fracture of
transverse process, vertebral body, or posterior
elements-each attendance $31.50
47684 Spine, treatment of fracture, dislocation or
fracture-dislocation, without spinal cord involvement,
including immobilisation by calipers
(Anaes. 17714 = 10B + 4T) $553.05
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 $967.75
47690 Spine, treatment of fracture, dislocation or
fracture-dislocation, without cord involvement,
including immobilisation by calipers, requiring
reduction by closed manipulation
(Anaes. 17714 = 10B + 4T) $760.40
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 $967.75
47696 Spine, reduction of fracture or dislocation of,
without cord involvement, undertaken in the operating
theatre of a hospital or approved day- hospital
facility
(Anaes. 17714 = 10B + 4T) $276.50
47699 Spine, treatment of fracture, dislocation or
fracture-dislocation without cord involvement
requiring open reduction with or without internal
fixation
(Anaes. 17722 = 10B + 12T) $1,106.05
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
(Anaes. 17722 = 10B + 12T) $1,382.60
47703 Skull, treatment of fracture of, each attendance $31.50
47705 Skull calipers, insertion of, as an independent
procedure
(Anaes. 17708 = 5B + 3T) $207.35
47708 Plaster jacket, application of, as an independent
procedure
(Anaes. 17707 = 3B + 4T) $158.95
47711 Halo, application of, as an independent procedure
(Anaes. 17709 = 5B + 4T) $235.05
47714 Halo, application of, in addition to spinal fusion for
scoliosis, or other conditions
(Anaes. 17709 = 5B + 4T) $176.25
47717 Halo-thoracic traction-application of both halo and
thoracic jacket
(Anaes. 17711 = 5B + 6T) $311.10
47720 Halo-femoral traction, as an independent procedure
(Anaes. 17711 = 6B + 5T) $311.10
47723 Halo-femoral traction in conjunction with a major
spine operation
(Anaes. 17711 = 6B + 5T) $311.10
47726 Bone graft, harvesting of, via separate incision, in
conjunction with another service-autogenous-small
quantity
(Anaes. 17707 = 5B + 2T) $103.75
47729 Bone graft, harvesting of, via separate incision, in
conjunction with another service-autogenous-large
quantity
(Anaes. 17708 = 5B + 3T) $172.85
47732 Vascularised pedicle bone graft, harvesting of, in
conjunction with another service
(Anaes. 17710 = 6B + 4T) $276.50
47735 Nasal bones, treatment of fracture of, not being a
service to which item 47738 or 47741 applies-each
attendance $31.50
47738 Nasal bones, treatment of fracture of, by reduction
(Anaes. 17707 = 5B + 2T) $172.85
47741 Nasal bones, treatment of fracture of, by open
reduction involving osteotomies
(Anaes. 17710 = 5B + 5T) $352.60
47753 Maxilla, treatment of fracture of, requiring splinting,
wiring of teeth, circumosseous fixation or external
fixation
(Anaes. 17714 = 5B + 9T) $298.60
47756 Mandible, treatment of fracture of, requiring splinting,
wiring of teeth, circumosseous fixation or external
fixation
(Anaes. 17714 = 5B + 9T) $298.60
47762 Zygomatic bone, treatment of fracture of, requiring
surgical reduction by a temporal, intra-oral or other
approach
(Anaes. 17707 = 5B + 2T) $175.35
47765 Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external
fixation at 1 site
(Anaes. 17709 = 5B + 4T) $287.90
47768 Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external
fixation or both at 2 sites
(Anaes. 17710 = 5B + 5T) $352.60
47771 Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external
fixation or both at 3 sites
(Anaes. 17711 = 5B + 6T) $405.15
47774 Maxilla, treatment of fracture of, requiring open
operation
(Anaes. 17709 = 5B + 4T) $319.90
47777 Mandible, treatment of fracture of, requiring open
reduction
(Anaes. 17709 = 5B + 4T) $319.90
47780 Maxilla, treatment of fracture of, requiring open
reduction and internal fixation not involving plate(s)
(Anaes. 17711 = 5B + 6T) $415.80
47783 Mandible, treatment of fracture of, requiring open
reduction and internal fixation not involving plate(s)
(Anaes. 17711 = 5B + 6T) $415.80
47786 Maxilla, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s)
(Anaes. 17712 = 5B + 7T) $527.80
47789 Mandible, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s)
(Anaes. 17712 = 5B + 7T) $527.80
47900 Bone cyst, injection into or aspiration of
(Anaes. 17706 = 4B + 2T) $124.45
47903 Epicondylitis, open operation for
(Anaes. 17706 = 4B + 2T) $172.85
47904 Digital nail of toe, removal of, not being a service
to which item 47906 applies
(Anaes. 17704 = 3B + 1T) $41.50
47906 Digital nail of toe, removal of, in the operating
theatre of a hospital or approved day hospital facility
(Anaes. 17704 = 3B + 1T) $82.90
47912 Pulp space infection, paronychia of foot, incision for,
not being a service to which another item in this Group
applies (excluding after-care)
(Anaes. 17705 = 3B + 2T) $41.50
47915 Ingrowing nail of toe, wedge resection for, including
removal of segment of nail, ungual fold and portion
of the nail bed
(Anaes. 17705 = 3B + 2T) $124.45
47916 Ingrowing nail of toe, partial resection of nail,
including phenolisation but not including excision
of nail bed
(Anaes. 17705 = 3B + 2T) $62.50
47918 Ingrowing toenail, radical excision of nailbed
(Anaes. 17705 = 3B + 2T) $172.85
47921 Orthopaedic pin or wire, insertion of, as an
independent procedure
(Anaes. 17706 = 4B + 2T) $82.90
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
(Anaes. 17706 = 4B + 2T) $27.65
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
(Anaes. 17706 = 4B + 2T) $103.75
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
(Anaes. 17707 = 4B + 3T) $193.55
47933 Exostosis of small bone, excision of, including simple
removal of bunion and any associated bursa
(Anaes. 17706 = 4B + 2T) $152.05
47936 Exostosis of large bone, excision of
(Anaes. 17706 = 4B + 2T) $186.65
47948 External fixation, removal of, in the operating
theatre of a hospital or approved day hospital
facility
(Anaes. 17706 = 4B + 2T) $117.55
47951 External fixation, removal of, in conjunction with
operations involving internal fixation or bone
grafting or both
(Anaes. 17706 = 4B + 2T) $138.25
47954 Tendon, large rupture, repair of, not being a service
to which another item in this Group applies
(Anaes. 17709 = 3B + 6T) $276.50
47957 Tendon, large, lengthening of, not being a service
to which another item in this Group applies
(Anaes. 17709 = 3B + 6T) $207.35
47960 Tenotomy, subcutaneous, not being a service to
which another item in this Group applies
(Anaes. 17704 = 3B + 1T) $96.80
47963 Tenotomy, open, with or without tenoplasty, not being a
service to which another item in this Group applies
(Anaes. 17706 = 4B + 2T) $158.95
47966 Tendon or ligament transfer, not being a service to
which another item in this Group applies
(Anaes. 17709 = 4B + 5T) $317.95
47969 Tenosynovectomy, not being a service to which another
item in this Group applies
(Anaes. 17708 = 4B + 4T) $193.55
47972 Tendon sheath, open operation for teno-vaginitis,
not being a service to which another item in this
Group applies
(Anaes. 17707 = 4B + 3T) $154.65
47975 Forearm or calf, decompression fasciotomy of, for
acute compartment syndrome, requiring excision of
muscle and deep tissue
(Anaes. 17708 = 3B + 5T) $271.00
47978 Forearm or calf, decompression fasciotomy of, for
chronic compartment syndrome, requiring excision of
muscle and deep tissue
(Anaes. 17708 = 3B + 5T) $164.65
47981 Forearm, calf or interosseous muscle space of hand,
decompression fasciotomy of, not being a service to
which another item applies
(Anaes. 17706 = 3B + 3T) $110.45
48200 Femur, bone graft to
(Anaes. 17714 = 6B + 8T) $553.05
48203 Femur, bone graft to, with internal fixation
(Anaes. 17716 = 6B + 10T) $670.50
48206 Tibia, bone graft to
(Anaes. 17709 = 3B + 6T) $415.15
48209 Tibia, bone graft to, with internal fixation
(Anaes. 17711 = 3B + 8T) $532.25
48212 Humerus, bone graft to
(Anaes. 17710 = 4B + 6T) $415.15
48215 Humerus, bone graft to, with internal fixation
(Anaes. 17712 = 4B + 8T) $532.25
48218 Radius or ulna, bone graft to
(Anaes. 17710 = 3B + 7T) $415.15
48221 Radius and ulna, bone graft to, with internal
fixation of 1 or both bones
(Anaes. 17712 = 3B + 9T) $553.05
48224 Radius or ulna, bone graft to
(Anaes. 17709 = 3B + 6T) $276.50
48227 Radius or ulna, bone graft to, with internal
fixation of 1 or both bones
(Anaes. 17711 = 3B + 8T) $359.50
48230 Scaphoid, bone graft to, for non-union
(Anaes. 17708 = 3B + 5T) $311.10
48233 Scaphoid, bone graft to, for non-union, with internal
fixation
(Anaes. 17710 = 3B + 7T) $449.35
48236 Scaphoid, bone graft to, for mal-union, including
osteotomy, bone graft and internal fixation
(Anaes. 17711 = 3B + 8T) $587.60
48239 Bone graft, not being a service to which another item
in this Group applies
(Anaes. 17710 = 5B + 5T) $324.90
48242 Bone graft, with internal fixation, not being a
service to which another item in this Group applies
(Anaes. 17711 = 5B + 6T) $449.35
48400 Phalanx, metatarsal, accessory bone or sesamoid bone,
osteotomy or osteectomy of, excluding services to
which item 49848 or 49851 applies
(Anaes. 17706 = 3B + 3T) $242.00
48403 Phalanx or metatarsal, osteotomy or osteectomy of,
with internal fixation
(Anaes. 17707 = 3B + 4T) $380.20
48406 Fibula, radius, ulna, clavicle, scapula (other than
acromion), rib, tarsus or carpus, osteotomy or
osteectomy of
(Anaes. 17708 = 4B + 4T) $242.00
48409 Fibula, radius, ulna, clavicle, scapula (other than
acromion), rib, tarsus or carpus, osteotomy or
osteectomy, with internal fixation
(Anaes. 17709 = 4B + 5T) $380.20
48412 Humerus, osteotomy or osteectomy of
(Anaes. 17709 = 4B + 5T) $463.15
48415 Humerus, osteotomy or osteectomy of, with internal
fixation
(Anaes. 17712 = 4B + 8T) $587.60
48418 Tibia, osteotomy or osteectomy of
(Anaes. 17708 = 4B + 4T) $463.15
48421 Tibia, osteotomy or osteectomy of, with internal
fixation
(Anaes. 17709 = 4B + 5T) $587.60
48424 Femur or pelvis, osteotomy or osteectomy of
(Anaes. 17715 = 6B + 9T) $553.05
48427 Femur or pelvis, osteotomy or osteectomy of, with
internal fixation
(Anaes. 17717 = 6B + 11T) $670.50
48500 Femur, epiphysiodesis of
(Anaes. 17712 = 6B + 6T) $242.00
48503 Tibia and fibula, epiphysiodesis of
(Anaes. 17710 = 4B + 6T) $242.00
48506 Femur, tibia and fibula, epiphysiodesis of
(Anaes. 17715 = 5B + 10T) $359.50
48509 Epiphysiodesis, staple arrest of hemi-epiphysis
(Anaes. 17709 = 4B + 5T) $172.85
48512 Epiphysiolysis, operation to prevent closure of plate
(Anaes. 17716 = 4B + 12T) $656.70
48600 Spine, manipulation of, performed in the operating
theatre of a hospital or approved day hospital facility
(Anaes. 17704 = 3B + 1T) $69.10
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
(Anaes. 17707 = 5B + 2T) $103.75
48606 Scoliosis or Kyphosis, spinal fusion for (without
instrumentation)
(Anaes. 17732 = 13B + 19T) $967.75
48609 Scoliosis or Kyphosis, spinal fusion for, using
Harrington or other nonsegmental fixation
(Anaes. 17732 = 13B + 19T) $1,209.75
48612 Scoliosis, spinal fusion for, using segmental
instrumentation (CD, Zielke, Luque, or similar)
(Anaes. 17738 = 13B + 25T) $1,797.35
48615 Scoliosis, re-exploration for, involving adjustment
or removal of instrumentation or simple bone grafting
procedure
(Anaes. 17723 = 13B + 10T) $324.90
48618 Scoliosis, revision of failed scoliosis surgery,
involving more than 1 of multiple osteotomy, fusion
or instrumentation
(Anaes. 17734 = 13B + 21T) $1,797.35
48621 Scoliosis, anterior correction of, with fusion and
segmental fixation (Dwyer, Zielke, or similar)-not
more than 4 levels
(Anaes. 17734 = 13B + 21T) $1,175.20
48624 Scoliosis, anterior correction of, with fusion and
segmental fixation (Dwyer, Zielke or similar)-more
than 4 levels
(Anaes. 17738 = 13B + 25T) $1,451.70
48627 Scoliosis, spinal fusion for, combined with segmental
instrumentation (CD, Zielke or similar) down to and
including pelvis
(Anaes. 17738 = 13B + 25T) $1,866.45
48630 Scoliosis, requiring anterior decompression of
spinal cord with resection of vertebrae including
bone graft and instrumentation in the presence of
spinal cord involvement
(Anaes. 17738 = 13B + 25T) $2,073.80
48632 Scoliosis, congenital, vertebral resection and fusion
for
(Anaes. 17738 = 13B + 25T) $1,146.35
48636 Percutaneous lumbar discectomy, 1 or more levels
(Anaes. 17711 = 5B + 6T) $594.45
48639 Vertebral body, total or sub-total excision of,
including bone grafting or other form of fixation
(Anaes. 17733 = 10B + 23T) $1,002.35
48642 Spine, posterior, bone graft to, not being a service
to which item 48648 or 48651 applies-1 or 2 levels
(Anaes. 17721 = 10B + 11T) $587.60
48645 Spine, posterior, bone graft to, not being a service
to which item 48648 or 48651 applies-more than 2 levels
(Anaes. 17723 = 10B + 13T) $794.95
48648 Spine, bone graft to, (postero-lateral fusion)-1 or
2 levels
(Anaes. 17720 = 10B + 10T) $794.95
48651 Spine, bone graft to, (postero-lateral fusion)-more
than 2 levels
(Anaes. 17722 = 10B + 12T) $1,106.05
48654 Spinal fusion (posterior interbody), with
laminectomy, 1 level
(Anaes. 17722 = 10B + 12T) $794.95
48657 Spinal fusion (posterior interbody), with laminectomy,
more than 1 level
(Anaes. 17725 = 10B + 15T) $1,106.05
48660 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-1 level
(Anaes. 17724 = 12B + 12T) $794.95
48663 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-1 level (where an assisting
surgeon performs the approach)-principal surgeon
(Anaes. 17724 = 12B + 12T) $594.45
48666 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-1 level (where an assisting
surgeon performs the approach)-assisting surgeon $359.50
48669 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-more than 1 level
(Anaes. 17726 = 12B + 14T) $1,071.50
48672 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-more than 1 level (where
an assisting surgeon performs the approach)-principal
surgeon
(Anaes. 17726 = 12B + 14T) $801.95
48675 Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions-more than 1 level (if an
assisting surgeon performs the approach)-assisting
surgeon $483.90
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
(Anaes. 17721 = 10B + 11T) $415.15
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
(Anaes. 17721 = 10B + 11T) $691.25
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
(Anaes. 17721 = 10B + 11T) $691.25
48687 Spine, segmental internal fixation of, other than for
scoliosis, being a service associated with a service
to which items 48642 to 48675 apply-3 or 4 levels
(Anaes. 17725 = 10B + 15T) $967.75
48690 Spine, segmental internal fixation of, other than for
scoliosis, being a service associated with a service
to which items 48642 to 48675 apply-more than 4 levels
(Anaes. 17727 = 10B + 17T) $1,106.05
48900 Shoulder, excision of coraco-acromial ligament or
removal of calcium deposit from cuff or both
(Anaes. 17710 = 5B + 5T) $207.35
48903 Shoulder, decompression of subacromial space by
acromionectomy, excision of coraco-acromial ligament
and distal clavicle, or any combination
(Anaes. 17712 = 5B + 7T) $414.75
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
(Anaes. 17712 = 5B + 7T) $414.75
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
(Anaes. 17713 = 5B + 8T) $553.05
48912 Shoulder, arthrotomy of
(Anaes. 17708 = 5B + 3T) $242.00
48915 Shoulder, hemi-arthroplasty of
(Anaes. 17713 = 5B + 8T) $553.05
48918 Shoulder, total replacement arthroplasty of, including
any associated rotator cuff repair
(Anaes. 17720 = 10B + 10T) $1,106.05
48921 Shoulder, total replacement arthroplasty, revision of
(Anaes. 17722 = 10B + 12T) $1,140.60
48924 Shoulder, total replacement arthroplasty, revision of,
requiring bone graft to scapula or humerus, or both
(Anaes. 17724 = 10B + 14T) $1,313.45
48927 Shoulder prosthesis, removal of
(Anaes. 17715 = 9B + 6T) $269.55
48930 Shoulder, anterior stabilisation procedure for
recurrent dislocation
(Anaes. 17712 = 5B + 7T) $553.05
48933 Shoulder, stabilisation procedure for multi-directional
instability
(Anaes. 17713 = 5B + 8T) $725.85
48936 Shoulder, synovectomy of, as an independent procedure
(Anaes. 17712 = 5B + 7T) $553.05
48939 Shoulder, arthrodesis of
(Anaes. 17715 = 5B + 10T) $794.95
48942 Shoulder, arthrodesis of, including removal of
prosthesis, requiring bone grafting or internal
fixation
(Anaes. 17725 = 9B + 16T) $1,036.90
48945 Shoulder, diagnostic arthroscopy of (including
biopsy)-not being a service associated with any other
arthroscopic procedure of the shoulder region
(Anaes. 17708 = 5B + 3T) $200.45
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
(Anaes. 17710 = 5B + 5T) $449.35
48951 Shoulder, arthroscopic division of coraco-acromial
ligament including acromionplasty-not being a service
associated with any other arthroscopic procedure of the
shoulder region
(Anaes. 17711 = 5B + 6T) $656.70
48954 Shoulder, arthroscopic total synovectomy of-not being
a service associated with any other arthroscopic
procedure of the shoulder region
(Anaes. 17713 = 5B + 8T) $691.25
48957 Shoulder, arthroscopic stabilisation of, for recurrent
instability-not being a service associated with any
other arthroscopic procedure of the shoulder region
(Anaes. 17715 = 5B + 10T) $794.95
48960 Shoulder, arthroscopic reconstruction of, including
repair of rotator cuff-not being a service associated
with any other arthroscopic procedure of the shoulder
region
(Anaes. 17715 = 5B + 10T) $691.25
49100 Elbow, arthrotomy of, involving 1 or more of lavage,
removal of loose body or division of contracture
(Anaes. 17708 = 4B + 4T) $242.00
49103 Elbow, ligamentous stabilisation of
(Anaes. 17709 = 4B + 5T) $518.45
49106 Elbow, arthrodesis of
(Anaes. 17710 = 4B + 6T) $691.25
49109 Elbow, total synovectomy of
(Anaes. 17711 = 4B + 7T) $518.45
49112 Elbow, silastic or other replacement of radial head
(Anaes. 17713 = 4B + 9T) $518.45
49115 Elbow, total joint replacement of
(Anaes. 17721 = 7B + 14T) $829.50
49118 Elbow, diagnostic arthroscopy of, including biopsy
(Anaes. 17708 = 4B + 4T) $200.45
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
(Anaes. 17709 = 4B + 5T) $449.35
49200 Wrist, arthrodesis of, including bone graft, with or
without internal fixation of the radiocarpal joint
(Anaes. 17709 = 3B + 6T) $601.40
49203 Wrist, limited arthrodesis of the intercarpal joint,
including bone graft
(Anaes. 17709 = 3B + 6T) $449.35
49206 Wrist, excision arthroplasty of, with radial
styloidectomy and proximal carpectomy
(Anaes. 17709 = 3B + 6T) $414.75
49209 Wrist, total replacement arthroplasty of
(Anaes. 17721 = 7B + 14T) $553.05
49212 Wrist, arthrotomy of
(Anaes. 17707 = 3B + 4T) $172.85
49215 Wrist, reconstruction of, including repair of single
or multiple ligaments or capsules, including
associated arthrotomy
(Anaes. 17712 = 3B + 9T) $477.00
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
(Anaes. 17707 = 3B + 4T) $200.45
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
(Anaes. 17708 = 3B + 5T) $449.35
49224 Wrist, arthroscopic debridement of or total synovectomy
of-not being a service associated with any other
arthroscopic procedure of the wrist joint
(Anaes. 17709 = 3B + 6T) $518.45
49227 Wrist, arthroscopic pinning of osteochondral fragment-not
being a service associated with any other arthroscopic
procedure of the wrist joint
(Anaes. 17709 = 3B + 6T) $518.45
49300 Sacro-iliac joint-arthrodesis of
(Anaes. 17718 = 8B + 10T) $382.70
49303 Hip, arthrotomy of, including lavage, drainage or
biopsy when performed
(Anaes. 17710 = 6B + 4T) $400.95
49306 Hip-arthrodesis of
(Anaes. 17716 = 6B + 10T) $794.95
49309 Hip, arthrectomy or excision arthroplasty of, including
removal of prosthesis (Austin Moore or similar
(non cement))
(Anaes. 17714 = 6B + 8T) $553.05
49312 Hip, arthrectomy or excision arthroplasty of,
including removal of prosthesis (cemented, porous
coated or similar)
(Anaes. 17716 = 6B + 10T) $691.25
49315 Hip, arthroplasty of, unipolar or bipolar
(Anaes. 17712 = 6B + 6T) $622.15
49318 Hip, total replacement arthroplasty of, including
minor bone grafting
(Anaes. 17720 = 10B + 10T) $967.75
49321 Hip, total replacement arthroplasty of, including
major bone grafting, including obtaining of graft
(Anaes. 17721 = 10B + 11T) $1,175.20
49324 Hip, total replacement arthroplasty of, revision
procedure including removal of prosthesis
(Anaes. 17724 = 10B + 14T) $1,382.60
49327 Hip, total replacement arthroplasty of, revision
procedure requiring bone grafting to acetabulum,
including obtaining of graft
(Anaes. 17725 = 10B + 15T) $1,589.95
49330 Hip, total replacement arthroplasty of, revision
procedure requiring bone grafting to femur, including
obtaining of graft
(Anaes. 17725 = 10B + 15T) $1,589.95
49333 Hip, total replacement arthroplasty of, revision
procedure requiring bone grafting to both acetabulum
and femur, including obtaining of graft
(Anaes. 17727 = 10B + 17T) $1,797.35
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
(Anaes. 17725 = 10B + 15T) $262.70
49339 Hip, revision total replacement of, requiring anatomic
specific allograft of proximal femur greater than 5 cm
in length
(Anaes. 17728 = 10B + 18T) $2,039.25
49342 Hip, revision total replacement of, requiring
anatomic specific allograft of acetabulum
(Anaes. 17728 = 10B + 18T) $2,039.25
49345 Hip, revision total replacement of, requiring
anatomic specific allograft of both femur and
acetabulum
(Anaes. 17732 = 10B + 22T) $2,419.50
49346 Hip, revision arthroplasty with replacement of
acetabular liner or ceramic head, not requiring
removal of femoral component or acetabular shell
(Anaes. 17718 = 10B + 8T) $622.15
49348 Hip, congenital dislocation of, treatment of, by
closed reduction
(Anaes. 17707 = 4B + 3T) $117.55
49351 Hip, congenital dislocation of, treatment of, involving
supervision of splint, harness or cast-each attendance
(Anaes. 17707 = 4B + 3T) $41.50
49354 Hip, congenital dislocation of, open reduction of
(Anaes. 17710 = 5B + 5T) $622.15
49357 Hip spica, initial application of, for congenital
dislocation of hip (excluding aftercare)
(Anaes. 17707 = 4B + 3T) $260.50
49360 Hip, diagnostic arthroscopy of
(Anaes. 17708 = 4B + 4T) $252.55
49363 Hip, diagnostic arthroscopy of, with synovial biopsy
(Anaes. 17709 = 4B + 5T) $304.15
49366 Hip, arthroscopic surgery of
(Anaes. 17710 = 4B + 6T) $449.35
49500 Knee, arthrotomy of, involving 1 or more of; capsular
release, biopsy or lavage, or removal of loose body
or foreign body
(Anaes. 17707 = 4B + 3T) $276.50
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
(Anaes. 17710 = 4B + 6T) $359.50
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
(Anaes. 17712 = 4B + 8T) $539.20
49509 Knee, total synovectomy or arthrodesis of
(Anaes. 17712 = 4B + 8T) $553.05
49512 Knee, arthrodesis of, with removal of prosthesis
(Anaes. 17716 = 4B + 12T) $794.95
49515 Knee, removal of prosthesis, cemented or uncemented,
including associated cement, as the first stage of
a 2 stage procedure
(Anaes. 17714 = 4B + 10T) $622.15
49517 Knee, hemiarthroplasty of
(Anaes. 17715 = 7B + 8T) $885.80
49518 Knee, total replacement arthroplasty of
(Anaes. 17717 = 7B + 10T) $967.75
49521 Knee, total replacement arthroplasty of, requiring
major bone grafting to femur or tibia, including
obtaining of graft
(Anaes. 17718 = 7B + 11T) $1,175.20
49524 Knee, total replacement arthroplasty of, requiring
major bone grafting to femur and tibia, including
obtaining of graft
(Anaes. 17719 = 7B + 12T) $1,382.60
49527 Knee, total replacement arthroplasty of, revision
procedure, including removal of prosthesis
(Anaes. 17721 = 7B + 14T) $1,175.20
49530 Knee, total replacement arthroplasty of, revision
procedure, requiring bone grafting to femur or tibia,
including obtaining of graft and including removal of
prosthesis
(Anaes. 17723 = 7B + 16T) $1,451.70
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
(Anaes. 17725 = 7B + 18T) $1,659.10
49536 Knee, repair or reconstruction of, for chronic
instability involving either cruciate or collateral
ligaments
(Anaes. 17712 = 4B + 8T) $691.25
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
(Anaes. 17713 = 4B + 9T) $691.25
49542 Knee, reconstructive surgery of cruciate ligaments
(open or arthroscopic, or both), including meniscus
repair, extracapsular procedure and debridement when
performed
(Anaes. 17714 = 4B + 10T) $967.75
49545 Knee, revision arthrodesis of
(Anaes. 17714 = 4B + 10T) $553.05
49548 Knee, revision of patello-femoral stabilisation
(Anaes. 17711 = 4B + 7T) $691.25
49551 Knee, revision of procedures to which item 49536,
49539 or 49542 applies
(Anaes. 17716 = 4B + 12T) $967.75
49554 Knee, revision of total replacement of, by anatomic
specific allograft of tibia or femur
(Anaes. 17721 = 7B + 14T) $1,382.60
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
(Anaes. 17707 = 4B + 3T) $200.45
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
(Anaes. 17709 = 4B + 5T) $449.35
49563 Knee, arthroscopic surgery of, involving meniscus
repair or osteoplasty, or both
(Anaes. 17709 = 4B + 5T) $656.70
49566 Knee, arthroscopic total synovectomy of
(Anaes. 17712 = 4B + 8T) $553.05
49569 Knee, mobilisation for post-traumatic stiffness, by
multiple muscle or tendon release (quadricepsplasty)
(Anaes. 17712 = 4B + 8T) $553.05
49700 Ankle, diagnostic arthroscopy of, including biopsy
(Anaes. 17707 = 4B + 3T) $200.45
49703 Ankle, arthroscopic surgery of
(Anaes. 17708 = 4B + 4T) $449.35
49706 Ankle, arthrotomy of, involving 1 or more of: lavage,
removal of loose body or division of contracture
(Anaes. 17706 = 3B + 3T) $242.00
49709 Ankle, ligamentous stabilisation of
(Anaes. 17708 = 3B + 5T) $518.45
49712 Ankle, arthrodesis of
(Anaes. 17710 = 3B + 7T) $553.05
49715 Ankle, total joint replacement of
(Anaes. 17721 = 7B + 14T) $829.50
49718 Ankle, Achilles' tendon or other major tendon, repair of
(Anaes. 17711 = 5B + 6T) $276.50
49721 Ankle, Achilles' tendon rupture managed by
non-operative treatment $172.85
49724 Ankle, Achilles' tendon, secondary repair or
reconstruction of
(Anaes. 17713 = 5B + 8T) $483.90
49727 Ankle, Achilles' tendon, operation for lengthening
(Anaes. 17711 = 5B + 6T) $207.35
49800 Foot, flexor or extensor tendon, primary repair of
(Anaes. 17707 = 3B + 4T) $96.80
49803 Foot, flexor or extensor tendon, secondary repair of
(Anaes. 17708 = 3B + 5T) $124.45
49806 Foot, subcutaneous tenotomy of, 1 or more tendons
(Anaes. 17704 = 3B + 1T) $96.80
49809 Foot, open tenotomy of, with or without tenoplasty
(Anaes. 17706 = 3B + 3T) $158.95
49812 Foot, tendon or ligament transplantation of, not
being a service to which another item in this
Group applies
(Anaes. 17709 = 3B + 6T) $317.95
49815 Foot, triple arthrodesis of
(Anaes. 17712 = 3B + 9T) $553.05
49818 Foot, excision of calcaneal spur
(Anaes. 17706 = 3B + 3T) $200.45
49821 Foot, correction of hallux valgus or hallux rigidus
by excision arthroplasty (Kelle's or similar
procedure)-unilateral
(Anaes. 17707 = 3B + 4T) $317.95
49824 Foot, correction of hallux valgus or hallux rigidus by
excision arthroplasty (Kelle's or similar
procedure)-bilateral
(Anaes. 11709 = 3B + 6T) $556.50
49827 Foot, correction of hallux valgus and transfer of
adductor hallucis tendon-unilateral
(Anaes. 17708 = 3B + 5T) $345.60
49830 Foot, correction of hallux valgus and transfer of
adductor hallucis tendon-bilateral
(Anaes. 17710 = 3B + 7T) $604.85
49833 Foot, correction of hallux valgus by osteotomy of first
metatarsal including internal fixation where
performed-unilateral
(Anaes. 17707 = 3B + 4T) $380.20
49836 Foot, correction of hallux valgus by osteotomy of
first metatarsal including internal fixation where
performed-bilateral
(Anaes. 17710 = 3B + 7T) $656.70
49839 Foot, correction of hallux rigidus or hallux valgus
by prosthetic arthroplasty-unilateral
(Anaes. 17709 = 3B + 6T) $380.20
49842 Foot, correction of hallux rigidus or hallux valgus
by prosthetic arthroplasty-bilateral
(Anaes. 17711 = 3B + 8T) $656.70
49845 Foot, arthrodesis of, first metatarso-phalangeal joint
(Anaes. 17707 = 3B + 4T) $345.60
49848 Foot, correction of claw or hammer toe
(Anaes. 17706 = 3B + 3T) $117.55
49851 Foot, correction of claw or hammer toe with internal
fixation
(Anaes. 17706 = 3B + 3T) $152.05
49854 Foot, radical plantar fasciotomy or fasciectomy of
(Anaes. 17708 = 3B + 5T) $276.50
49857 Foot, metatarso-phalangeal joint replacement
(Anaes. 17709 = 3B + 6T) $255.75
49860 Foot, synovectomy of metatarso-phalangeal joint,
single joint
(Anaes. 17707 = 3B + 4T) $207.35
49863 Foot, synovectomy of metatarso-phalangeal joint, 2
or more joints
(Anaes. 17708 = 3B + 5T) $311.10
49866 Foot, neurectomy for plantar or digital neuritis
(Morton's or Bett's syndrome)
(Anaes. 17707 = 3B + 4T) $221.15
49878 Talipes equinovarus, calcaneo valgus or metatarsus
varus, treatment by cast, splint or manipulation-each
attendance
(Anaes. 17705 = 3B + 2T) $41.50
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
(Anaes. 17708 = 4B + 4T) $200.45
50103 Joint, arthrotomy of, not being a service to which
another item in this Group applies
(Anaes. 17709 = 4B + 5T) $242.00
50104 Joint, synovectomy of, not being a service to which
another item in this Group applies
(Anaes. 17709 = 4B + 5T) $229.25
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
(Anaes. 17707 = 4B + 3T) $345.60
50109 Joint, arthrodesis of, not being a service to which
another item in this Group applies
(Anaes. 17710 = 4B + 6T) $345.60
50112 Cicatricial flexion contracture of joint, correction
of, involving tissues deeper than skin and subcutaneous
tissue
(Anaes. 17710 = 4B + 6T) $265.10
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
(Anaes. 17706 = 4B + 2T) $103.75
50118 Subtalar joint, arthrodesis of
(Anaes. 17711 = 3B + 8T) $317.95
50121 Greater Trochanter, transplantation of ileopsoas
tendon to
(Anaes. 17713 = 4B + 9T) $622.15
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
(Anaes. 17705 = 4B + 1T) $21.75
50127 Joint or joints, arthroplasty of, by any technique not
being a service to which another item applies
(Anaes. 17715 = 4B + 11T) $515.85
50130 Joint or joints, application of external fixator to,
other than for treatment of fractures
(Anaes. 17709 = 4B + 5T) $229.25
50200 Aggressive or potentially malignant bone or deep soft
tissue tumour, biopsy of (not including aftercare)
(Anaes. 17706 = 4B + 2T) $138.25
50203 Bone or malignant deep soft tissue tumour, lesional
or marginal excision of
(Anaes. 17709 = 4B + 5T) $304.20
50206 Bone tumour, lesional or marginal excision of, combined
with any 1 of: liquid nitrogen freezing, autograft,
allograft or cementation
(Anaes. 17710 = 4B + 6T) $449.35
50209 Bone tumour, lesional or marginal excision of,
combined with any 2 or more of: liquid nitrogen
freezing, autograft, allograft or cementation
(Anaes. 17711 = 4B + 7T) $553.05
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
(Anaes. 17719 = 8B + 11T) $1,209.75
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)
(Anaes. 17722 = 8B + 14T) $1,520.85
50218 Malignant tumour of long bone, enbloc resection of,
with replacement or arthrodesis of adjacent joint
(Anaes. 17724 = 8B + 16T) $2,004.70
50221 Malignant or aggressive soft tissue tumour of pelvis,
sacrum or spine; or scapula and shoulder, enbloc
resection of
(Anaes. 17724 = 8B + 16T) $1,866.45
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
(Anaes. 17727 = 8B + 19T) $2,073.80
50227 Malignant bone tumour, enbloc resection of, with
massive anatomic specific allograft or autograft,
with or without prosthetic replacement
(Anaes. 17732 = 8B + 24T) $2,419.50
50230 Benign tumour, resection of, requiring anatomic
specific allograft, with or without internal fixation
(Anaes. 17719 = 7B + 12T) $1,244.30
50233 Malignant tumour, amputation for, hemipelvectomy or
interscapulo-thoracic
(Anaes. 17739 = 15B + 24T) $1,589.95
50236 Malignant tumour, amputation for, hip disarticulation,
shoulder disarticulation or proximal third femur
(Anaes. 17729 = 9B + 20T) $1,244.30
50239 Malignant tumour, amputation for, not being a service
to which another item in this Group applies
(Anaes. 17714 = 4B + 10T) $829.50
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) $850.05
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) $1,160.50
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) $1,812.05
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) $223.95
50312 Ankle, synovectomy of
(Anaes. 17711 = 3B + 8T) $514.10
50315 Talipes equinovarus, posterior release of
(Anaes. 17707 = 3B + 4T) $509.00
50318 Talipes equinovarus, medial release of
(Anaes. 17707 = 3B + 4T) $509.00
50321 Talipes equinovarus, combined postero-medial release of
(Anaes. 17709 = 3B + 6T) $682.05
50324 Talipes equinovarus, combined postero-medial release
of, revision procedure
(Anaes. 17715 = 3B + 12T) $972.20
50327 Talipes equinovarus, bilateral procedures
(Anaes. 17718 = 3B + 15T) $1,185.95
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) $167.95
50333 Tarsal coalition, excision of, with interposition of
muscle, fat graft or similar graft
(Anaes. 17711 = 3B + 8T) $453.00
50336 Talus, vertical, congenital, combined anterior and
posterior reconstruction
(Anaes. 17716 = 3B + 13T) $676.95
50339 Foot and ankle, tibialis anterior tendon (split or
whole) transfer to lateral column
(Anaes. 17710 = 3B + 7T) $412.30
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) $478.45
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) $254.50
50348 Knee, deformity of, 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) $167.95
50351 Hip, congenital or developmental dislocation of, open
reduction of
(Anaes. 17720 = 6B + 14T) $732.95
50354 Tibia, pseudarthrosis of, congenital, resection and
internal fixation
(Anaes. 17715 = 3B + 12T) $962.00
50357 Knee, leg or thigh, rectus femoris tendon transfer
or medial or lateral hamstring tendon transfer
(Anaes. 17712 = 4B + 8T) $412.30
50360 Knee, leg or thigh, combined medial and lateral
hamstring tendon transfer
(Anaes. 17712 = 4B + 8T) $478.45
50363 Knee, contracture of, posterior release involving
multiple tendon lengthening or tenotomies, unilateral
(Anaes. 17712 = 4B + 8T) $366.50
50366 Knee, contracture of, posterior releaseinvolving
multiple tendon lengthening or tenotomies, bilateral
(Anaes. 17718 = 4B + 14T) $641.35
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) $478.45
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) $839.85
50375 Hip, contracture of, medial release, involving
lengthening of, or division of the adductors and psoas
with or without division of the obturator nerve,
unilateral
(Anaes. 17714 = 4B + 10T) $366.50
50378 Hip, contracture of, medial release, involving
lengthening of, or division of the adductors and psoas
with or without division of the obturator nerve,
bilateral
(Anaes. 17718 = 4B + 14T) $641.35
50381 Hip, contracture of, anterior release, involving
lengthening of, or division of the hip flexors and
psoas with or without division of the joint capsule,
unilateral
(Anaes. 17714 = 4B + 10T) $478.45
50384 Hip, contracture of, anterior release, involving
lengthening of, or division of the hip flexors and
psoas with or without division of the joint capsule,
bilateral
(Anaes. 17722 = 4B + 18T) $839.85
50387 Hip, iliopsoas tendon transfer to greater trochanter,
or transfer of abdominal musculature to greater
trochanter, or transfer or adductors to ischium
(Anaes. 17716 = 4B + 12T) $478.45
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) $167.95
50393 Pelvis, bone graft or shelf procedures for acetabular
dysplasia
(Anaes. 17720 = 6B + 14T) $621.00
50396 Hand, congenital abnormalities or duplication of
digits, amputation or splitting of phalanx or
phalanges, with ligament or joint reconstruction
(Anaes. 17711 = 3B + 8T) $341.05
50399 Forearm, radial aplasia or dysplasia (radial club
hand), centralisation or radialisation of
(Anaes. 17727 = 3B + 24T) $676.95
50402 Torticollis, bipolar release of sternocleidomastoid
muscle and associated soft tissue
(Anaes. 17712 = 5B + 7T) $310.50
50405 Elbow, flexorplasty, or tendon transfer to restore
elbow function
(Anaes. 17713 = 3B + 10T) $422.45
50408 Shoulder, congenital or developmental dislocation,
open reduction of
(Anaes. 17721 = 5B + 16T) $732.95
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) $962.00
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) $1,297.95
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) $962.00
50420 Patella, congenital dislocation of, reconstruction
of the quadriceps
(Anaes. 17720 = 4B + 16T) $794.05
50423 Tibia, fibula or both, congenital deficiency of,
transfer of the fibula to tibia, with internal fixation
(Anaes. 17720 = 4B + 16T) $732.95
50426 Diaphyseal aclasia, removal of lesion or lesions from
bone-1 approach
(Anaes. 17714 = 6B + 8T) $341.05
GROUP T9-ASSISTANCE AT OPERATIONS
51300 Assistance at any operation for which the fee exceeds
$186.50 but does not exceed $331.30 or at a series or
a combination of operations for which the fee for at
least 1 of the operations exceeds $186.50 but for
which the fee for the series or combination of
operations does not exceed $331.30-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 $63.35
51303 Assistance at any operation for which the fee exceeds
$331.30 or at a combination of operations for which
the aggregate fee exceeds $331.30, if the fee for at
least 1 of the operations exceeds $186.50-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
Amount under rule 34
51306 Assistance at a delivery involving Caesarean
section $91.60
51309 Assistance at a series or combination of operations,
1 of which is a delivery involving Caesarean section
Amount under rule 35
51312 Assistance at any interventional obstetric procedure
covered by items 16606, 16609, 16612, 16615, 16627
and 16633 Amount under rule 39
GROUP O1-CONSULTATIONS
51700 Professional attendance (other than a second or
subsequent attendance in a single course of
treatment) by an approved dental practitioner,
if the patient is referred to the approved dental
practitioner-being an attendance that is related
to a subsequent operative procedure described in
an item in Groups O3 to O9 where that attendance
is at consulting rooms or a hospital or nursing
home $62.85
51703 Professional attendance by an approved dental
practitioner, if 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, being an
attendance at consulting rooms or a hospital or
nursing home $31.45
GROUP O2-ASSISTANCE AT OPERATION
51800 Assistance by an approved dental practitioner at
any operation for which the fee exceeds $186.50
but does not exceed $331.30 or at a series or a
combination of operations for which the fee for
1 of the operations exceeds $186.50 but for which
the fee for the series or combination of operations
does not exceed $331.30 $63.35
51803 Assistance by an approved dental practitioner at
any operation for which the fee exceeds $331.30
or at a combination of operations for which the
aggregate fee exceeds $331.30, if the fee for at
least 1 of the operations exceeds $186.50
Amount under rule 34
GROUP O3-GENERAL SURGERY
52000 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, small
(not more than 7 cm long), superficial
(Anaes. 17709 = 4B + 5T) $60.55
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 $5.20
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
(Anaes. 17709 = 4B + 5T) $86.30
52006 Skin and subcutaneous tissue or mucous membrane,
repair of recent wound of, on face or neck, large
(more than 7 cm long), superficial
(Anaes. 17709 = 4B + 5T) $86.30
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
(Anaes. 17709 = 4B + 5T) $136.40
52012 Superficial foreign body, removal of, as an independent
procedure
(Anaes. 17706 = 4B + 2T) $17.25
52015 Subcutaneous foreign body, removal of, requiring
incision and suture, as an independent procedure
(Anaes. 17707 = 4B + 3T) $80.75
52018 Foreign body in muscle, tendon or other deep tissue,
removal of, as an independent procedure
(Anaes. 17706 = 4B + 2T) $203.20
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
(Anaes. 17707 = 5B + 2T) $21.65
52024 Biopsy of skin or mucous membrane, as an independent
procedure
(Anaes. 17706 = 4B + 2T) $38.30
52027 Biopsy of lymph gland, muscle or other deep tissue or
organ, as an independent procedure
(Anaes. 17706 = 4B + 2T) $109.95
52030 Sinus, excision of, involving superficial tissue only
(Anaes. 17706 = 4B + 2T) $66.10
52033 Sinus, excision of, involving muscle and deep tissue
(Anaes. 17706 = 4B + 2T) $135.00
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, if
the removal is by surgical excision and suture, not
being a service to which item 52039 applies
(Anaes. 17706 = 4B + 2T) $93.25
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, if the
removal is by surgical excision and suture, and the
procedure is performed on more than 3, but not more
than 10, lesions
(Anaes. 17707 = 4B + 3T) $239.40
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
(Anaes. 17706 = 4B + 2T) $126.65
52045 Tumour, cyst (other than a cyst associated with a
tooth or tooth fragment unless it has been established
by radiological examination that there is a minimum
of 5mm separation between the cyst lining and tooth
structure or where a tumour or cyst has been proven
by positive histopathology), ulcer or scar (other
than a scar removed during the surgical approach at
an operation), removal of, not being a service to
which another item in Groups O3 to O9 applies,
involving muscle, bone, or other deep tissue
(Anaes. 17707 = 4B + 3T) $180.95
52048 Tumour or deep cyst (other than a cyst associated
with a tooth or tooth fragment unless it has been
established by radiological examination that there
is a minimum of 5mm separation between the cyst
lining and tooth structure or where a tumour or cyst
has been proven by positive histopathology),
removal of, requiring wide excision, not being a
service to which another item in Groups O3 to O9 applies
(Anaes. 17709 = 4B + 5T) $272.75
52051 Tumour, removal of, from soft tissue (including muscle,
fascia and connective tissue), extensive excision of,
without skin or mucosal graft
(Anaes. 17708 = 4B + 4T) $368.80
52054 Tumour, removal of, from soft tissue (including muscle,
fascia and connective tissue), extensive excision of,
with skin or mucosal graft
(Anaes. 17709 = 4B + 5T) $431.45
52055 Haematoma, abscess or cellulitis not requiring a
general anaesthesia, incision with drainage of
(excluding aftercare) $20.05
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
(Anaes. 17706 = 4B + 2T) $119.65
52060 Muscle, excision of
(Anaes. 17708 = 5B + 3T) $139.10
52063 Bone tumour, innocent, excision of, not being a
service to which another item in Groups O3 to O9 applies
(Anaes. 17708 = 5B + 3T) $261.65
52066 Submandibular gland, extirpation of
(Anaes. 17713 = 5B + 8T) $327.10
52069 Sublingual gland, extirpation of
(Anaes. 17707 = 5B + 2T) $145.80
52072 Salivary gland, dilatation or diathermy of duct
(Anaes. 17706 = 5B + 1T) $43.15
52075 Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures
(Anaes. 17707 = 5B + 2T) $109.95
52078 Tongue, partial excision of
(Anaes. 17707 = 5B + 2T) $217.10
52081 Tongue tie, division or excision of frenulum
(Anaes. 17707 = 5B + 2T) $34.10
52084 Tongue tie, mandibular frenulum or maxillary frenulum,
division or excision of frenulum, in a person aged
not less than 2 years
(Anaes. 17707 = 5B + 2T) $87.70
52087 Ranula or mucous cyst of mouth, removal of
(Anaes. 17709 = 5B + 4T) $150.30
52090 Operation on mandible or maxilla (other than alveolar
margins) for osteomyelitis-1 bone
(Anaes. 17711 = 5B + 6T) $261.65
52092 Operation on skull for osteomyelitis
(Anaes. 17719 = 12B + 7T) $341.00
52096 Orthopaedic pin or wire, insertion of, into maxilla or
mandible or zygoma, as an independent procedure
(Anaes. 17707 = 5B + 2T) $82.90
52099 Buried wire, pin or screw, 1 or more, 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
(Anaes. 17708 = 5B + 3T) $103.75
52102 Buried wire, pin or screw, 1 or more, 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
(Anaes. 17708 = 5B + 3T) $103.75
52105 Plate, 1 or more of, and associated screw and wire
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
(Anaes. 17708 = 5B + 3T) $193.55
52108 Lip, full thickness wedge excision of, with repair by
direct sutures
(Anaes. 17707 = 5B + 2T) $239.40
52111 Vermilionectomy
(Anaes. 17709 = 5B + 4T) $239.40
52114 Mandible or maxilla, segmental resection of, for
tumours or cysts
(Anaes. 17713 = 5B + 8T) $431.45
52117 Mandible, including lower border, or maxilla,
sub-total resection of
(Anaes. 17720 = 10B + 10T) $513.55
52120 Mandible, hemimandiblectomy of, including condylectomy,
if performed
(Anaes. 17729 = 10B + 19T) $605.45
52122 Mandible, hemi-mandibular reconstruction with bone
graft, not being a service associated with a service
to which item 52123 applies
(Anaes. 17722 = 10B + 12T) $605.45
52123 Mandible, total resection of both sides, including
condylectomies, if performed
(Anaes. 17735 = 10B + 25T) $687.70
52126 Maxilla, total resection of
(Anaes. 17726 = 10B + 16T) $661.15
52129 Maxilla, total resection of both maxillae
(Anaes. 17735 = 10B + 25T) $885.00
52132 Tracheostomy
(Anaes. 17710 = 6B + 4T) $175.35
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
(Anaes. 17707 = 5B + 2T) $106.00
52138 Maxillary artery, ligation of
(Anaes. 17712 = 7B + 5T) $327.10
52141 Facial, mandibular or lingual artery or vein or
artery and vein, ligation of, not being a service to
which item 52138 applies
(Anaes. 17712 = 7B + 5T) $325.75
52144 Foreign body, deep, removal of using interventional
imaging techniques
(Anaes. 17707 = 5B + 2T) $303.65
52147 Duct of major salivary gland, transposition of
(Anaes. 17713 = 5B + 8T) $286.60
52148 Parotid duct, repair of, using micro-surgical
techniques
(Anaes. 17714 = 5B + 9T) $506.45
GROUP O4-PLASTIC & RECONSTRUCTIVE
52300 Single-stage local flap, where indicated, repair
to 1 defect, with skin or mucosa
(Anaes. 17708 = 5B + 3T) $208.75
52303 Single-stage local flap, where indicated, repair to
1 defect, with buccal pad of fat
(Anaes. 17711 = 5B + 6T) $298.10
52306 Single-stage local flap, where indicated, repair to
1 defect, using temporalis muscle
(Anaes. 17711 = 5B + 6T) $442.45
52309 Free grafting (mucosa or split skin) of a granulating
area
(Anaes. 17707 = 5B + 2T) $150.30
52312 Free grafting (mucosa, split skin or connective tissue)
to 1 defect, including elective dissection
(Anaes. 17708 = 5B + 3T) $208.75
52315 Free grafting, full thickness, to 1 defect (mucosa or
skin)
(Anaes. 17708 = 5B + 3T) $347.95
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
(Anaes. 17707 = 5B + 2T) $103.75
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
(Anaes. 17708 = 5B + 3T) $172.60
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
(Anaes. 17711 = 5B + 6T) $347.95
52324 Direct flap repair, using tongue, first stage
(Anaes. 17711 = 5B + 6T) $347.95
52327 Direct flap repair, using tongue, second stage
(Anaes. 17711 = 5B + 6T) $172.60
52330 Palatal defect (oro-nasal fistula), plastic closure of,
including services to which item 52300, 52303, 52306
or 52324 applies
(Anaes. 17716 = 7B + 9T) $574.20
52333 Cleft palate, primary repair
(Anaes. 17715 = 7B + 8T) $574.20
52336 Cleft palate, secondary repair, closure of fistula
using local flaps
(Anaes. 17714 = 7B + 7T) $358.90
52339 Cleft palate, secondary repair, lengthening procedure
(Anaes. 17713 = 7B + 6T) $408.65
52342 Mandible or maxilla, unilateral osteotomy or
osteectomy of, including transposition of nerves and
vessels and bone grafts taken from the same site
(Anaes. 17718 = 10B + 8T) $709.85
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
(Anaes. 17720 = 10B + 10T) $800.60
52348 Mandible or maxilla, bilateral osteotomy or osteectomy
of, including transposition of nerves and vessels and
bone grafts taken from the same site
(Anaes. 17725 = 10B + 15T) $904.70
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
(Anaes. 17729 = 10B + 19T) $1,015.95
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
(Anaes. 17729 = 10B + 19T) $1,029.95
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
(Anaes. 17732 = 10B + 22T) $1,159.55
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
(Anaes. 17726 = 10B + 16T) $1,183.00
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
(Anaes. 17732 = 10B + 22T) $1,330.70
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
(Anaes. 17753 = 10B + 43T) $1,301.35
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
(Anaes. 17758 = 10B + 48T) $1,463.20
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
(Anaes. 17758 = 10B + 48T) $1,419.65
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
(Anaes. 17771 = 10B + 61T) $1,590.20
52378 Genioplasty including transposition of nerves and
vessels and bone grafts taken from the same site
(Anaes. 17713 = 5B + 8T) $549.70
52379 Face, contour reconstruction of 1 region, using
autogenous bone or cartilage graft
(Anaes. 17713 = 5B + 8T) $938.65
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
(Anaes. 17758 = 10B + 48T) $1,599.75
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
(Anaes. 17764 = 10B + 54T) $1,917.55
52420 Mandible, fixation by intermaxillary wiring,
excluding wiring for obesity $177.05
GROUP O5-PREPROSTHETIC
52600 Mandibular or palatal exostosis, excision of
(Anaes. 17710 = 5B + 5T) $248.45
52603 Mylohyoid ridge, reduction of
(Anaes. 17711 = 5B + 6T) $237.40
52606 Maxillary tuberosity, reduction of
(Anaes. 17711 = 5B + 6T) $181.10
52609 Papillary hyperplasia of the palate, removal of-less
than 5 lesions
(Anaes. 17709 = 5B + 4T) $237.40
52612 Papillary hyperplasia of the palate, removal of-5
to 20 lesions
(Anaes. 17711 = 5B + 6T) $298.10
52615 Papillary hyperplasia of the palate, removal of-more
than 20 lesions
(Anaes. 17712 = 5B + 7T) $369.95
52618 Vestibuloplasty, submucosal or open, including
excision of muscle and skin or mucosal graft when
performed-unilateral or bilateral
(Anaes. 17713 = 5B + 8T) $430.65
52621 Floor of mouth lowering (Obwegeser or similar
procedure), including excision of muscle and skin
or mucosal graft when performed-unilateral
(Anaes. 17719 = 5B + 14T) $430.65
52624 Alveolar ridge augmentation with bone or alloplast or
both-unilateral
(Anaes. 17713 = 5B + 8T) $347.85
52626 Alveolar ridge augmentation-unilateral, insertion of
tissue expanding device into maxillary or mandibular
alveolar ridge region for
(Anaes. 17713 = 5B + 8T) $213.25
52627 Osseo-integration procedure-extra oral implantation
of titanium fixture
(Anaes. 17711 = 5B + 6T) $369.95
52630 Osseo-integration procedure-fixation of transcutaneous
abutment
(Anaes. 17707 = 5B + 2T) $136.95
GROUP O6-NEUROSURGICAL
52800 Neurolysis by open operation, without transposition,
not being a service associated with a service to
which item 52803 applies
(Anaes. 17707 = 5B + 2T) $203.20
52803 Nerve trunk, internal (interfascicular), neurolysis
of, using microsurgical techniques
(Anaes. 17713 = 5B + 8T) $292.60
52806 Neurectomy, neurotomy or removal of tumour from
superficial peripheral nerve
(Anaes. 17708 = 5B + 3T) $203.20
52809 Neurectomy, neurotomy or removal of tumour from deep
peripheral nerve
(Anaes. 17709 = 5B + 4T) $347.95
52812 Nerve trunk, primary repair of, using microsurgical
techniques
(Anaes. 17713 = 5B + 8T) $496.95
52815 Nerve trunk, secondary repair of, using microsurgical
techniques
(Anaes. 17713 = 4B + 9T) $524.50
52818 Nerve, transposition of
(Anaes. 17709 = 5B + 4T) $347.95
52821 Nerve graft to nerve trunk (cable graft) including
harvesting of nerve graft using microsurgical techniques
(Anaes. 17718 = 5B + 13T) $756.40
52824 Peripheral branches of the trigeminal nerve,
cryosurgery of, for pain relief
(Anaes. 17709 = 5B + 4T) $325.75
GROUP O7-EAR, NOSE AND THROAT
53000 Maxillary antrum, proof puncture and lavage of
(Anaes. 17707 = 5B + 2T) $23.90
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
(Anaes. 17707 = 5B + 2T) $67.55
53006 Antrostomy (radical)
(Anaes. 17710 = 5B + 5T) $382.70
53009 Antrum, intranasal operation on or removal of foreign
body from
(Anaes. 17709 = 5B + 4T) $217.10
53012 Antrum, drainage of, through tooth socket
(Anaes. 17708 = 5B + 3T) $86.30
53015 Oro-antral fistula, plastic closure of
(Anaes. 17712 = 5B + 7T) $431.45
53018 Turbinectomy or turbinectomies, partial or total,
unilateral
(Anaes. 17707 = 5B + 2T) $100.20
53019 Maxillary sinus, bone graft to floor of maxillary
sinus following elevation of mucosal lining (sinus
lift procedure), (unilateral)
(Anaes. 17717 = 5B + 12T) $426.50
GROUP O8-TEMPOROMANDIBULAR JOINT
53200 Mandible, treatment of a dislocation of, not
requiring open reduction
(Anaes. 17706 = 5B + 1T) $34.80
53203 Mandible, treatment of a dislocation of, requiring
open reduction
(Anaes. 17707 = 5B + 2T) $87.20
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
(Anaes. 17706 = 5B + 1T) $104.90
53209 Glenoid fossa, zygomatic arch and temporal bone,
reconstruction of (Obwegeser technique)
(Anaes. 17719 = 5B + 14T) $1,210.85
53212 Absent condyle and ascending ramus in hemifacial
microsomia, construction of, not including
harvesting of graft material
(Anaes. 17716 = 5B + 11T) $654.15
53215 Temporomandibular joint, arthroscopy of, with or
without biopsy, not being a service associated with
any other arthroscopic procedure of that joint
(Anaes. 17709 = 5B + 4T) $237.40
53218 Temporomandibular joint, arthroscopy of, removal of
loose bodies, debridement, or treatment of adhesions-1
or more of such procedures
(Anaes. 17713 = 5B + 8T) $483.20
53221 Temporomandibular joint, open surgical exploration of,
with or without microsurgical techniques
(Anaes. 17713 = 5B + 8T) $640.55
53224 Temporomandibular joint, open surgical exploration of,
with condylectomy or condylotomy, with or without
microsurgical techniques
(Anaes. 17715 = 5B + 10T) $712.25
53225 Arthrocentesis, irrigation of temporomandibular joint
after insertion of 2 cannuli into the appropriate
joint space(s)
(Anaes. 17709 = 5B + 4T) $213.25
53227 Temporomandibular joint, open surgical exploration of,
with or without meniscus or capsular surgery,
including meniscectomy when performed, with or
without microsurgical techniques
(Anaes. 17717 = 5B + 12T) $872.45
53230 Temporomandibular joint, open surgical exploration of,
with meniscus, capsular and condylar head surgery,
with or without microsurgical techniques
(Anaes. 17721 = 5B + 16T) $982.85
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
(Anaes. 17725 = 5B + 20T) $1,104.30
GROUP O9-TREATMENT OF FRACTURES
53400 Maxilla, unilateral or bilateral, treatment of
fracture of, not requiring splinting $94.90
53403 Mandible, treatment of fracture of, not requiring
splinting $115.95
53406 Maxilla, treatment of fracture of, requiring splinting,
wiring of teeth, circumosseous fixation or
external fixation
(Anaes. 17714 = 5B + 9T) $298.60
53409 Mandible, treatment of fracture of, requiring
splinting, wiring of teeth, circumosseous fixation
or external fixation
(Anaes. 17714 = 5B + 9T) $298.60
53410 Zygomatic bone, treatment of fracture of, not
requiring surgical reduction $62.95
53411 Zygomatic bone, treatment of fracture of, requiring
surgical reduction, by temporal, intra-oral or other
approach
(Anaes. 17707 = 5B + 2T) $175.35
53412 Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external
fixation at 1 site
(Anaes. 17709 = 5B + 4T) $287.90
53413 Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external
fixation or both at 2 sites
(Anaes. 17710 = 5B + 5T) $351.85
53414 Zygomatic bone, treatment of, requiring surgical
reduction and involving internal or external fixation
or both at 3 sites
(Anaes. 17711 = 5B + 6T) $405.15
53415 Maxilla, treatment of fracture of, requiring open
reduction
(Anaes. 17709 = 5B + 4T) $319.90
53416 Mandible, treatment of fracture of, requiring open
reduction
(Anaes. 17709 = 5B + 4T) $319.90
53418 Maxilla, treatment of fracture of, requiring open
reduction and internal fixation not involving plate(s)
(Anaes. 17711 = 5B + 6T) $415.80
53419 Mandible, treatment of fracture of, requiring open
reduction and internal fixation not involving plate(s)
(Anaes. 17711 = 5B + 6T) $415.80
53422 Maxilla, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s)
(Anaes. 17712 = 5B + 7T) $527.80
53423 Mandible, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s)
(Anaes. 17712 = 5B + 7T) $527.80
53424 Maxilla, treatment of a complicated fracture of,
involving viscera, blood vessels or nerves, requiring
open reduction not involving plate(s)
(Anaes. 17712 = 5B + 7T) $452.80
53425 Mandible, treatment of a complicated fracture of,
involving viscera, blood vessels or nerves, requiring
open reduction not involving plate(s)
(Anaes. 17712 = 5B + 7T) $452.80
53427 Maxilla, treatment of a complicated fracture of,
involving viscera, blood vessels or nerves, requiring
open reduction involving the use of plate(s)
(Anaes. 17714 = 5B + 9T) $618.40
53429 Mandible, treatment of a complicated fracture of,
involving viscera, blood vessels or nerves, requiring
open reduction involving the use of plate(s)
(Anaes. 17714 = 5B + 9T) $618.40
53439 Mandible, treatment of a closed fracture of, involving
a joint surface
(Anaes. 17707 = 5B + 2T) $175.35
53453 Orbital cavity, reconstruction of a wall or floor
with or without foreign implant
(Anaes. 17713 = 5B + 8T) $354.85
53455 Orbital cavity, bone or cartilage graft to orbital
wall or floor including reduction of prolapsed or
entrapped orbital contents
(Anaes. 17715 = 5B + 10T) $416.80
GROUP C1-ORTHODONTIC SERVICES
75001 Initial professional attendance in a single course of
treatment by an accredited orthodontist (AO) $62.85
75004 Professional attendance by an accredited orthodontist
subsequent to the first professional attendance by
the orthodontist in a single course of treatment (AO)
$31.45
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 03 to 09 applies;
in a single course of treatment (AO) $56.00
75009 Orthodontic radiography-orthopantomography (panoramic
radiography), including any consultation on the same
occasion (AO) (AOS) $50.05
75012 Orthodontic radiography-anteroposterior cephalometric
radiography with cephalometric tracings or lateral
cephalometric radiography with cephalometric tracings,
including any consultation on the same occasion
(AO) (AOS) $79.25
75015 Orthodontic radiography-anteroposterior and lateral
cephalometric radiography, with cephalometric tracings
including any consultation on the same occasion
(AO) (AOS) $109.10
75018 Orthodontic radiography-anteroposterior and lateral
cephalometric radiography, with cephalometric tracings
and orthopantomography including any consultation on
the same occasion (AO) (AOS) $138.95
75021 Orthodontic radiography-hand-wrist studies (including
growth prediction) including any consultation on the
same occasion (AO) $170.35
75023 Intraoral radiography-single area, periapical or
bitewing film (AO) $34.05
75024 Pre-surgical infant maxillary arch repositioning,
including supply of appliances and all adjustments of
appliances and supervision-if 1 appliance is used
(AO) $440.70
75027 Pre-surgical infant maxillary arch repositioning,
including supply of appliances and all adjustments
of appliances and supervision-if 2 appliances are used
(AO) $604.25
75030 Maxillary ach expansion not being a service 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) $538.00
75033 Mixed dentition treatment-incisor alignment using
fixed applicances in maxillary arch, including
supply of appliances, all adjustments of appliances,
removal of the appliances and retention (AO) $881.75
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) $448.80
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) $1,218.00
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) $1,534.00
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) $407.65
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) $152.45
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) $816.15
75048 Permanent dentition treatment-2 arch (mandibular and
maxillary) treatment (correction and alignment) using
fixed appliances, including supply of appliances-each
subsequent 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) $209.25
75049 Retention, fixed or removable, single arch (mandibular
or maxillary)-supply of retainer and supervision of
retention (AO) $244.95
75050 Retention, fixed or removable, 2-arch (mandibular or
maxillary)-supply of retainers and supervision of
retention (AO) $472.90
75051 Jaw growth guidance using removable or functional
appliances, including supply of appliances and all
adjustments to appliances (AO) $725.95
GROUP C2-ORAL SURGICAL SERVICES
75150 Initial professional attendance in a single course of
treatment by an accredited oral and maxillofacial
surgeon, if the patient is referred to the surgeon
by an accredited orthodontist (AD) $62.85
75153 Professional attendance by an accredited oral and
maxillofacial surgeon subsequent to the first in a
single course of treatment, if the patient is referred
to him or her by an accredited orthodontist (AD) $31.45
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 52330 to 52382,
52600 to 52630, 53400 to 53409 or 53415 to 53429
applies;
in a single course of treatment (AD) $56.00
75200 Removal of tooth or tooth fragment (not being treatment
to which item 75400, 75403, 75406, 75409, 75412 or
75415 applies), if the patient is referred by an
accredited orthodontist (AD) $40.35
75203 Removal of tooth or tooth fragment under general
anaesthesia, if the patient is referred by an accredited
orthodontist(AD) $60.50
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) $20.05
75400 Surgical removal of erupted tooth, if the patient is
referred by an accredited orthodontist (AOS) $121.05
75403 Surgical removal of tooth with soft tissue impaction,
if the patient is referred by an accredited
orthodontist (AOS) $138.95
75406 Surgical removal of tooth with partial bone impaction,
if the patient is referred by an accredited orthodontist
(AOS) $158.40
75409 Surgical removal of tooth with complete bone impaction,
if the patient is referred by an accredited orthodontist
(AOS) $179.30
75412 Surgical removal of tooth fragment requiring incision
of soft tissue only, if the patient is referred by an
accredited orthodontist (AOS) $100.15
75415 Surgical removal of tooth fragment requiring removal
of bone, if the patient is referred by an accredited
orthodontist (AOS) $121.05
75600 Surgical exposure, stimulation and packing of unerupted
tooth, if the patient is referred by an accredited
orthodontist (AOS) $170.35
75603 Surgical exposure of unerupted tooth for the purpose
of fitting a traction device, if the patient is
referred by an accredited orthodontist (AOS) $200.25
75606 Surgical repositioning of unerupted tooth, if the
patient is referred by an accredited orthodontist
(AOS) $200.25
75609 Transplantation of tooth bud, if the patient is
referred by an accredited orthodontist (AOS) $298.95
75612 Surgical procedure for intra oral implantation of
osseointegrated fixture (first stage) (AOS) $369.95
75615 Surgical procedure for fixation of trans-mucosal
abutment (second stage of osseointegrated implant)
(AOS) $136.95
75618 Provision and fitting of a bite rising appliance or
dental splint for the management of temporomandibular
joint dysfunction syndrome (AOS) $170.00
75621 Provision and fitting of surgical template in
conjuction with orthognathic surgical procedures in
association with:
(a) an item in the series 52342 to 52375; or
(b) item 52380 or 52382 (AOS) $170.00
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) $60.50
75803 Provision and fitting of acrylic base partial denture,
including retainers-1 tooth(AD) $242.15
75806 Provision and fitting of acrylic base partial denture,
including retainers-2 teeth (AD) $283.95
75809 Provision and fitting of acrylic base partial denture,
including retainers-3 teeth (AD) $336.25
75812 Provision and fitting of acrylic base partial denture,
including retainers-4 teeth(AD) $373.60
75815 Provision and fitting of acrylic base partial denture,
including retainers-5 to 9 teeth(AD) $455.80
75818 Provision and fitting of acrylic base partial denture,
including retainers-10 to 12 teeth (AD) $538.00
75821 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-1 tooth(AD) $433.40
75824 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-2 teeth (AD) $500.65
75827 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-3 teeth (AD) $575.35
75830 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-4 teeth (AD) $635.15
75833 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-5 to 9 teeth(AD) $777.10
75836 Provision and fitting of cast metal base (cobalt
chromium alloy) partial denture including casting and
retainers-10 to 12 teeth (AD) $889.20
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) $20.05
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) $29.90
75845 Relining of partial denture by laboratory process and
associated fitting (AD) $149.45
75848 Remodelling and fitting of partial denture of more
than 4 teeth (AD) $179.30
75851 Repair to cast metal base of partial denture-1 or
more points (AD) $89.70
75854 Addition of a tooth or teeth to a partial denture to
replace extracted tooth or teeth, including taking of
any necessary impression (AD) $89.70
AustLII: Copyright Policy
| Disclaimers
| Privacy Policy
| Feedback