(regulation 4)
Part 1 Rules of interpretation
1 General
"attendance of a minor nature" or minor attendance , for an attendance on a patient by a consultant physician, means an attendance that:
"neo-natal intensive care unit" means a separate hospital area that:
"referring practitioner", for a referral, means:
where:
n1 is:
where:
the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n .
"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.
Note
An exotic disease is medically accepted as a disease that is of foreign
origin.
Example
For paragraph (c), other kinds of services and care may include
home and community care service providers.
Example
Examples of persons who, for paragraph (b), may be included in a team
are allied health professionals such as:
* Aboriginal health care workers
* audiologists
* dental therapists
* dentists
* dieticians
* occupational therapists
* optometrists
* orthoptists
* orthotists or prosthetists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* registered nurses
* social workers
* speech pathologists.
A team may also include home and community service
providers, or care organisers, such as:
* education providers
* `meals on wheels' providers
* personal care workers
* probation officers.
Example
Examples of persons who, for paragraph (b), may be included in a
team are allied health professionals such as:
* Aboriginal health care workers
* audiologists
* dental therapists
* dentists
* dieticians
* occupational therapists
* optometrists
* orthoptists
* orthotists or prosthetists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* registered nurses
* social workers
* speech pathologists.
A team may also include home and community service
providers, or care organisers, such as:
* education providers
* `meals on wheels' providers
* personal care workers
* probation officers.
Part 2 Services and fees
Item | Service | Fee ($) |
---|---|---|
Attendances Group A1 General practitioner attendances to which no other item applies | ||
1 | Professional attendance being an attendance at other than consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment | 56.95 |
2 | Professional attendance being an attendance at consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 56.95 |
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 |
12.30 |
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 an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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 | 25.85 |
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 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 to 47 applies an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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 persons' accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 43 or 51 applies an attendance on 1 or more patients at 1 nursing home on 1 occasion each patient | Amount under rule 7 |
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 | 46.70 |
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 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, or a professional attendance of less than 40 minutes duration involving components of a service to which item 47 applies an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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 detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 51 applies an attendance on 1 or more patients at 1 nursing home on 1 occasion each patient |
Amount under rule 7 |
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 | 68.80 |
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 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 on 1 occasion each patient | Amount under rule 7 |
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) an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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) an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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) an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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) an attendance on 1 or more patients on 1 occasion each patient | Amount under rule 7 |
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 |
97 |
Professional attendance being an attendance at other than consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment | 50.95 |
98 | Professional attendance being an attendance at consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 50.95 |
Group A3 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 | 65.80 |
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 | 33.00 |
106 |
Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (not being a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10816 applies), where the attendance is at consulting rooms, hospital or nursing home | 54.20 |
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 | 96.50 |
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 | 61.05 |
Group A4 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 |
116.05 |
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 |
58.10 |
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 | 33.00 |
122 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner initial attendance in a single course of treatment |
140.90 |
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 | 85.15 |
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 | 61.30 |
Group A5 Prolonged attendances to which no other item applies | ||
160 | Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | 157.15 |
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 attendance on the patient to the exclusion of all other patients | 261.90 |
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 attendance on the patient to the exclusion of all other patients | 366.70 |
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 attendance on the patient to the exclusion of all other patients |
471.45 |
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 attendance on the patient to the exclusion of all other patients | 523.90 |
Group A6 Group therapy | ||
170 | Professional attendance for the purpose of group therapy of not less than 1 hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family each group of 2 patients | 93.45 |
171 | Professional attendance for the purpose of group therapy of not less than 1 hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family each group of 3 patients | 98.50 |
172 | Professional attendance for the purpose of group therapy of not less than 1 hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family each group of 4 or more patients | 119.80 |
Group A7 Acupuncture | ||
173 | Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | 21.65 |
193 | Professional attendance by a general practitioner at a place other than a hospital, on one occasion, involving either: (a) taking a selective history,
examination of the patient with implementation of a management plan in
relation to 1 or more problems; or | 25.85 |
195 | Professional attendance by a general practitioner on 1 or more patients at a hospital, on one occasion, involving either: (a) taking a selective history, examination
of the patient with implementation of a management plan in relation to 1 or
more problems; or | Amount under rule 7 |
Group A8 Consultant psychiatrist attendances to which no other item applies | ||
300 |
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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | 33.30 |
302 |
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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | 66.55 |
304 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | 97.55 |
306 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | 134.65 |
308 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | 164.05 |
310 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | 16.65 |
312 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | 33.30 |
314 |
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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year |
48.75 |
316 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | 67.35 |
318 | 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 at consulting rooms, where that attendance and any other attendance to which item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | 82.05 |
319 |
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 at consulting rooms, where the patient has: (a) been diagnosed as
suffering severe personality disorder, anorexia nervosa, bulimia nervosa,
dysthymic disorder, substance-related disorder, somatoform disorder or a
pervasive development disorder; and | 134.65 |
320 | 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 at a hospital or nursing home | 33.30 |
322 | 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 at a hospital or nursing home | 66.55 |
324 | 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 at a hospital or nursing home |
97.55 |
326 | 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 at a hospital or nursing home | 134.65 |
328 | 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 at a hospital or nursing home |
164.05 |
330 | 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 | 61.15 |
332 | 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 | 95.95 |
334 | 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 | 133.10 |
336 | 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 | 161.00 |
338 | 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 | 191.95 |
342 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner each patient | 37.95 |
344 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner each patient | 50.40 |
346 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner each patient | 74.50 |
348 | 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 | 40.25 |
350 | 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 | 90.50 |
352 | 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 | 40.25 |
Group A12 Consultant occupational physician attendances to which no other item applies | ||
385 |
Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner initial attendance in a single course of treatment |
65.80 |
386 | Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner each attendance subsequent to the first in a single course of treatment | 33.00 |
387 | Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner initial attendance in a single course of treatment | 96.50 |
388 |
Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner each attendance subsequent to the first in a single course of treatment | 61.05 |
Group A13 Public health physician attendances to which no other item applies | ||
410 | Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance 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 |
12.30 |
411 | Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking a selective patient history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 412 applies | 25.85 |
412 | Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking a detailed patient 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 an attendance of less than 40 minutes duration involving components of a service to which item 413 applies | 46.70 |
413 | Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking an exhaustive patient 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 an attendance of at least 40 minutes duration for implementation of a management plan | 68.80 |
414 | Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance 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 | Amount under rule 7 |
415 | Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking a selective patient history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 416 applies | Amount under rule 7 |
416 | Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking a detailed patient 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 an attendance of less than 40 minutes duration involving components of a service to which item 417 applies | Amount under rule 7 |
417 | Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking an exhaustive patient 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 an attendance of at least 40 minutes duration for implementation of a management plan | Amount under rule 7 |
Group A11 Unsociable hours | ||
601 |
Professional attendance, being an attendance at other than consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion each attendance on any day of the week between 11 pm and 7 am, 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 | 68.10 |
602 | Professional attendance, being an attendance at consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion each attendance on any day of the week between 11 pm and 7 am, 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 and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 68.10 |
697 | Professional attendance, being an attendance at other than consulting rooms, by a medical practitioner, (not being a general practitioner) on not more than 1 patient on the 1 occasion each attendance on any day of the week between 11 pm and 7 am, 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 | 61.55 |
698 | Professional attendance, being an attendance at consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion each attendance on any day of the week between 11 pm and 7 am, 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 and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 61.55 |
Group A14 Health assessments | ||
700 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) at consulting rooms for a health assessment of a patient who is at least 75 years old not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 702, 704 or 706 | 143.25 |
702 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), not being an attendance at consulting rooms, a hospital or a nursing home, for a health assessment of a patient who is at least 75 years old not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 704 or 706 | 202.60 |
704 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) at consulting rooms for a health assessment of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 706 | 143.25 |
706 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), not being an attendance at consulting rooms, a hospital or a nursing home, for a health assessment of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 704 | 202.60 |
Group A15 Multidisciplinary care plans and multidisciplinary case conferences | ||
Subgroup 1 Multidisciplinary care plans | ||
720 | Preparation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary care plan for a patient (not being a service associated with a service to which an item in Subgroup 2 applies) payable not more than once in any 6 month period |
184.20 |
722 | Preparation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary discharge care plan for a patient (not being a service associated with a service to which an item in Subgroup 2 applies) payable not more than once for each hospital admission | 184.20 |
724 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to review a multidisciplinary care plan prepared by that medical practitioner for a patient (not being a payment in respect of a service to which an item in Subgroup 2 applies) payable not more than once in any 3 month period, and not being an attendance in relation to a patient: (a) in respect of whom, in the preceding
3 months, a payment has been made under item 720; or |
92.10 |
726 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a contribution to a multidisciplinary care plan (not being a payment in respect of a service to which an item in Subgroup 2 applies) not being an attendance in relation to a patient in respect of whom, in the preceding 6 months, a payment has been made under item 720 | 25.85 |
728 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a contribution to a multidisciplinary discharge care plan (not being a service associated with a service to which item 722, or an item in Subgroup 2, applies) | 25.85 |
Subgroup 2 Multidisciplinary case conferences | ||
740 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) | 71.65 |
742 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) | 107.45 |
744 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) | 143.25 |
746 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission |
71.65 |
749 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission |
107.45 |
757 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission | 143.25 |
759 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) | 51.15 |
762 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) | 81.85 |
765 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) |
112.55 |
768 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission | 51.15 |
771 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission |
81.85 |
773 | Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) payable not more than once for each hospital admission | 112.55 |
Group A9 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 months patients with myopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 93.70 |
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 months patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 93.70 |
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 months patients with astigmatism of 3.0 dioptres or greater in 1 eye | 93.70 |
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 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 worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens | 93.70 |
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 months patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | 93.70 |
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 months patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system | 93.70 |
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 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 | 93.70 |
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 months patients who, by reason of physical deformity, are unable to wear spectacles | 93.70 |
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 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, where the condition is specified on the patient's account | 93.70 |
10816 |
Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, where the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens to which items 10801 to 10809 apply | 93.70 |
Group A10 Optometric consultations | ||
10900 | Professional attendance of more than 15 minutes duration, being the first in a course of attention not payable within 24 months of an attendance to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied | 54.20 |
10905 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has been referred by another optometrist who is not associated with the optometrist to whom the patient is referred | 54.20 |
10907 | Professional attendance of more than 15 minutes duration being the first in a course of attention where the patient has attended another optometrist within the previous 24 months for an attendance to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied. The appropriate fee for the purpose of paragraph 23A (2) (c) of the Health Insurance Act 1973 is $52.60 | 27.15 |
10912 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has suffered a significant change of visual function requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 at the same practice applied | 54.20 |
10913 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 at the same practice applied | 54.20 |
10914 |
Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied | 54.20 |
10916 | Professional attendance, being the first in a course of attention, of not more than 15 minutes duration | 27.15 |
10918 | Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses | 27.15 |
10921 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients with myopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 134.50 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 134.50 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients with astigmatism of 3.0 dioptres or greater in 1 eye | 134.50 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 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 worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens | 169.70 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) |
134.50 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system | 134.50 |
10927 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 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 |
169.70 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months patients who, by reason of physical deformity, are unable to wear spectacles | 134.50 |
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, 10905, 10907, 10912, 10913, 10914 or 10916 applies payable only once in a period of 36 months 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, where the condition is specified on the patient's account |
169.70 |
10930 | All professional attendances regarded as a single service in a single course of attention involving the prescription and fitting of contact lenses where the patient meets the requirements of an item in the range 10921 to 10929 and requires a change in contact lens material or basic lens parameters, other than a simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens covered by items 10921 to 10929 | 134.50 |
Diagnostic procedures and investigations Group D1 Miscellaneous diagnostic procedures and investigations Subgroup 1 Neurology | ||
11000 | Electroencephalography, not being a service: (a)
associated with a service to which item 11003, 11006 or 11009 applies; or (Anaes. 17708 = 5B + 3T) | 94.65 |
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 | 250.60 |
11006 | Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices | 128.45 |
11009 | Electrocorticography | 175.20 |
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) | 86.10 |
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) | 115.35 |
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) | 172.30 |
11021 | Neuromuscular electrodiagnosis repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations | 115.35 |
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 | 87.65 |
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 | 129.95 |
Subgroup 2 Ophthalmology | ||
11200 | Provocative test or tests for glaucoma, including water drinking | 31.35 |
11203 | Tonography in the investigation or management of glaucoma, of 1 or both eyes using an electrical tonography machine producing a directly recorded tracing |
53.05 |
11206 | Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes | 84.60 |
11209 | Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes | 125.40 |
11212 | Optic fundi, examination of following intravenous dye injection | 54.00 |
11215 | Retinal photography, multiple exposures, of 1 eye with intravenous dye injection |
94.55 |
11218 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | 116.85 |
11221 | Full quantitative computerised perimetry (automated absolute static threshold) performed by or on behalf of 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 | 52.10 |
11222 | Full quantitative computerised perimetry (automated absolute static threshold), performed by or on behalf of a specialist in the practice of his or her specialty, with assessment and report, bilateral, where it can be demonstrated that a further examination is indicated in the same 12 month period to which item 11221 applies due to presence of 1 of the following conditions: (a) established
glaucoma (where surgery is being considered or has been performed) where there
has been definite progression of damage over a 12 month period; each additional examination | 52.10 |
11224 | Full quantitative computerised perimetry (automated absolute static threshold) performed by or on behalf of 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 | 31.40 |
11225 | Full quantitative computerised perimetry (automated absolute static threshold), performed by or on behalf of a specialist in the practice of his or her specialty, with assessment and report, unilateral, where it can be demonstrated that a further examination is indicated in the same 12 month period to which item 11224 applies due to presence of one of the following conditions: (a) established glaucoma (where surgery is being
considered or has been performed) where there has been definite progression of
damage over a 12 month period; each additional examination | 31.40 |
11235 | Examination of the eye by impression cytology of cornea for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of report | 94.30 |
11240 | Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which items in Group I1 apply | 62.65 |
Subgroup 3 Otolaryngology | ||
11300 | Brain stem evoked response
audiometry | 148.05 |
11303 | Electrocochleography,
extratympanic method, 1 or | 148.05 |
11304 | Electrocochleography, transtympanic membrane insertion technique, 1 or both ears | 243.80 |
11306 |
Non-determinate audiometry | 16.90 |
11309 | Audiogram, air conduction | 20.20 |
11312 | Audiogram, air and bone conduction or air conduction and speech discrimination | 28.55 |
11315 | Audiogram, air and bone conduction and speech | 37.90 |
11318 | Audiogram, air and bone conduction and speech, with other cochlear tests | 46.70 |
11321 | Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) | 88.75 |
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 |
25.30 |
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 | 15.15 |
11330 |
Impedance audiogram where the patient is not referred by a medical practitioner 1 examination in any 4 week period | 6.10 |
11333 | Caloric test of labyrinth or labyrinths | 34.30 |
11336 | Simultaneous bithermal caloric test of labyrinths | 34.30 |
11339 | Electronystagmography |
34.30 |
Subgroup 4 Respiratory | ||
11500 | Bronchospirometry, including gas analysis | 128.45 |
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 | 106.65 |
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 | 15.80 |
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 | 27.45 |
11512 | Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) each occasion at which 1 or more such tests are performed | 47.55 |
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 type of pressure up to a
maximum of 4 pressures (not being a service to which item 13876 applies)
| 53.30 |
11601 | Blood pressure monitoring (central
venous, pulmonary arterial, systemic arterial or cardiac intracavity), by
indwelling catheter for each type of 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 | 53.30 |
11603 |
Examination of peripheral vessels at rest (unilateral or bilateral) excluding the cavernosal artery and dorsal artery of the penis, with hard copy recordings of wave forms, involving 1 of the following techniques: (a)
Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity
with or without pulse volume recordings; (not being a service to which item 11612 or 11615 applies) 1 examination and report | 39.75 |
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) | 56.35 |
11609 | 3 or more examinations of the kind referred to in item 11603 and report (not being a service to which item 11612 or 11615 applies) | 73.10 |
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) | 73.10 |
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 | 58.35 |
11618 | Examination of carotid or vertebral vessels, or both (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques: (a) Doppler real time
fast fourier transform analysis; (not being a service associated with a service to which item 55274, 55288 or 55290 applies) 1 examination and report | 51.90 |
11621 | 2 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55274, 55288 or 55290 applies) | 78.15 |
11624 | 3 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55274, 55288 or 55290 applies) | 103.80 |
11627 | Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age | 175.90 |
Subgroup 6 Cardiovascular | ||
11700 | Twelve-lead electrocardiography, tracing and report | 24.00 |
11701 | Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not in association with a consultation on the same occasion | 12.00 |
11702 |
Twelve-lead electrocardiography, tracing only | 12.00 |
11706 |
Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram interpretation and report | 55.45 |
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 |
98.35 |
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 | 128.85 |
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 | 39.85 |
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 | 21.75 |
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 | 117.00 |
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 | 53.65 |
11715 | Blood dye dilution indicator test |
92.95 |
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 | 26.70 |
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 | 53.65 |
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 | 129.95 |
Subgroup 7 Gastroenterology and colorectal | ||
11800 | Oesophageal motility test, manometric | 134.30 |
11810 | Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation | 134.30 |
11830 |
Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex | 143.65 |
11833 | Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency | 192.15 |
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 | 21.20 |
11903 | Cystometrography, not being a service associated with a service to which item 11012 to 11027, 11912, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies | 85.45 |
11906 | Urethral pressure profilometry, not being a service associated with a service to which item 11012 to 11027, 11909, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies | 85.45 |
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 | 127.00 |
11912 |
Cystometrography with simultaneous measurement of rectal pressure, not being a
service associated with a service to which item 11012 to 11027, 11903, 11915,
11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services
Table applies | 127.00 |
11915 | Cystometrography
with simultaneous measurement of urethral sphincter electromyography, not
being a service associated with a service to which item 11012 to 11027, 11903,
11909, 11912, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic
Imaging Services Table applies | 127.00 |
11918 |
Cystometrography in conjunction with imaging, with measurement of any 1 or
more of urine flow rate, urethral pressure profile, rectal pressure, urethral
sphincter electromyography; including all imaging associated with
cystometrography, not being a service associated with a service to which items
11012 to 11027, 11900 to 11915, 11921 and 36800 apply | 329.50 |
11921 | Bladder washout test for localisation of urinary infection not including bacterial counts for organisms in specimens | 57.70 |
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 | 29.95 |
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 | 45.25 |
12012 | Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery | 16.00 |
12015 |
Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery | 48.00 |
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 | 61.85 |
12021 | Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist in the practice of his or her specialty, using more than 50 allergens | 90.65 |
Subgroup 10 Other diagnostic procedures and investigations | ||
12200 | Collection of specimen of sweat by iontophoresis | 28.60 |
12203 | Overnight investigation for sleep apnoea for a period of at least 8 hours duration where: (a) continuous monitoring of
oxygen saturation and breathing using a multi-channel polygraph, and recording
of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement,
airflow, oxygen saturation and ECG are performed; and payable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period | 456.85 |
12207 | Overnight investigation for sleep apnoea for a period of at least 8 hours duration, where: (a) 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 are performed; and where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12203 applies for the adjustment and testing, or adjustment or testing, of the effectiveness of a positive pressure ventilatory support device (other than nasal continuous positive airway pressure) in sleep, in a patient with severe cardio-respiratory failure, and where previous studies have demonstrated failure of continuous positive airway pressure or oxygen each additional investigation | 456.85 |
Group D2 Nuclear medicine (non-imaging) | ||
12500 | Blood volume estimation | 166.60 |
12503 | Erythrocyte radioactive uptake survival time test or iron kinetic test | 326.85 |
12506 | Gastrointestinal blood loss estimation involving examination of stool specimens | 233.30 |
12509 |
Gastrointestinal protein loss | 166.60 |
12512 | Radioactive B12 absorption test 1 isotope | 80.75 |
12515 | Radioactive B12 absorption test 2 isotopes | 176.90 |
12518 | Thyroid uptake (using probe) |
80.75 |
12521 | Perchlorate discharge study | 97.45 |
12524 | Renal function test (without imaging procedure) | 121.80 |
12527 | Renal function test (with imaging and at least 2 blood samples) | 65.30 |
12530 | Whole body count not being a service associated with a service to which another item applies | 97.45 |
12533 | Carbon-labelled urea breath test using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13 CO 2 or 14 CO 2 , for either: (a) the
confirmation of Helicobactor pylori colonisation, where: where any request for the test by another medical practitioner who collects the breath sample specifically identifies in writing one or more of the clinical indications for the test | 65.05 |
Therapeutic procedures Group T1 Miscellaneous therapeutic procedures Subgroup 1 Hyperbaric oxygen therapy | ||
13020 | Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance | 199.10 |
13025 |
Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance per hour (or part of an hour) | 89.05 |
13030 | Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility where the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life saving emergency treatment, including any associated attendance per hour (or part of an hour) |
125.75 |
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 | 105.15 |
13103 | Supervision in hospital by a medical specialist of haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day |
54.75 |
13106 | Declotting of an arteriovenous shunt | 93.45 |
13109 |
Indwelling peritoneal catheter (Tenckhoff or similar) for
dialysis insertion and fixation of | 175.20 |
13110 | Tenckhoff peritoneal dialysis catheter, removal
of (including catheter cuffs) | 175.75 |
13112 | Peritoneal dialysis, establishment of, by abdominal puncture
and insertion of temporary catheter (including associated
consultation) | 105.15 |
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 | 1,538.05 |
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 | 384.50 |
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 | 659.15 |
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 | 65.80 |
13212 | Oocyte
retrieval by any means including laparoscopy or ultrasound-guided ova
flushing, for the purposes of assisted reproductive technologies
including in vitro fertilisation, gamete intra-fallopian transfer or
similar procedures only if rendered in conjunction with a
service to which item 13200 or 13206 applies | 280.15 |
13215 | Transfer of embryos or both ova and sperm to the
female reproductive system, by any means but excluding artificial
insemination or the transfer of frozen or donated embryos
only if rendered in conjunction with a service to which item 13200 or
13206 applies, being services rendered in 1 treatment cycle
| 87.95 |
13218 | Preparation and transfer of
frozen or donated embryos or both ova and sperm, to the female
reproductive system, by any means and including quantitative
estimation of hormones and all treatment counselling but excluding
artificial insemination services rendered in 1 treatment cycle and
excluding a service to which item 13200, 13203, 13206, 13212 or 13215
applies | 659.15 |
13221 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | 40.10 |
13290 | Semen, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required | 157.15 |
13292 | Semen, collection of, from a patient with spinal injuries or
medically induced impotence, for the purposes of analysis, storage or
assisted reproduction, by a medical practitioner using a vibrator or
electro-ejaculation device including catheterisation and drainage of
bladder where required, under general anaesthetic, in a hospital or
approved day-hospital facility | 314.35 |
Subgroup 4 Paediatric and neonatal | ||
13300 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein | 43.80 |
13303 | Umbilical artery catheterisation with or without infusion | 64.95 |
13306 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | 257.00 |
13309 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 219.10 |
13312 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 21.85 |
13318 | Central vein catheterisation (via jugular or
subclavian vein) by open exposure, in a person under 12
years | 175.00 |
13319 | Central vein
catheterisation in a neonate via peripheral vein | 175.00 |
Subgroup 5 Cardiovascular | ||
13400 |
Restoration of cardiac rhythm by electrical stimulation
(cardioversion), other than in the course of cardiac surgery | 74.50 |
Subgroup 6 Gastroenterology | ||
13500 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 138.75 |
13503 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | 277.45 |
13506 |
Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices |
141.90 |
Subgroup 7 Perfusion | ||
13600 | Perfusion of limb or organ using heart-lung machine or equivalent | 341.40 |
13603 |
Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent | 483.50 |
13604 | Prolonged whole body perfusion, cardiac by-pass, using heart-lung machine or equivalent, where the time for the procedure exceeds 6 hours | Amount under rule 41 |
13606 |
Induced controlled hypothermia total body | 84.25 |
13609 | Cardioplegia, blood or crystalloid, administration by |
194.45 |
13612 | Deep hypothermic circulatory arrest, with core temperature less than 22 o C, including management of retrograde cerebral perfusion if performed | 304.50 |
Subgroup 8 Haematology | ||
13700 | Harvesting of homologous (including allogeneic)
or autologous bone marrow for the purpose of transplantation | 256.40 |
13703 | Administration of blood including collection from donor | 91.90 |
13706 | Administration of blood or bone marrow already collected | 64.20 |
13709 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | 37.25 |
13750 |
Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, not being a service associated with a service to which item 13755 applies each day | 105.15 |
13755 | Donor haemapheresis for the collection of blood products for transfusion, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician; not being a service associated with a service to which item 13750 applies each day |
105.15 |
13757 | Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda | 56.15 |
13760 | In vitro processing (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for: (a) chemosensitive
intermediate or high grade non-Hodgkin's lymphoma at high risk of
relapse following first line chemotherapy; or performed under the supervision of a consultant physician each day | 586.70 |
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 | 65.55 |
13818 | Right heart balloon catheter, insertion of,
including pulmonary wedge pressure and cardiac output measurement
| 87.50 |
13830 | Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician each day | 57.95 |
13839 | Arterial puncture and collection of blood for diagnostic purposes | 17.70 |
13842 | Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis | 53.30 |
13845 | Counterpulsation by intra-aortic
balloon-management on the first day, including percutaneous insertion,
initial and subsequent consultations and monitoring of parameters
| 416.15 |
13848 | Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters |
100.80 |
13851 | Circulatory support device, management of, on first day | 379.80 |
13854 | Circulatory support device, management of, on each day subsequent to the first | 88.30 |
13857 | Mechanical ventilation, initiation of (other than initiation of ventilation in the context of an anaesthetic for surgery), outside of an intensive care unit, where subsequent management of ventilatory support is undertaken in an intensive care unit | 112.65 |
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 | 234.70 |
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 | 174.75 |
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 type of pressure up to a maximum of 4 pressures | 53.30 |
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 | 170.30 |
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 | 57.95 |
13885 | Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician on the first day in an intensive care unit | 104.85 |
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 | 54.60 |
Subgroup 11 Chemotherapeutic procedures | ||
13915 | Cytotoxic chemotherapy, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or by intravenous infusion of not more than 1 hour's duration payable once only on the same day | 50.05 |
13918 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 1 hour's duration but not more than 6 hours duration payable once only on the same day | 75.30 |
13921 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration for the first day of treatment | 85.20 |
13924 | Cytotoxic 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 | 50.25 |
13927 | Cytotoxic chemotherapy, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hour's duration payable once only on the same day | 64.95 |
13930 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 1 hour's duration but not more than 6 hours duration payable once only on the same day | 90.60 |
13933 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration for the first day of treatment | 100.50 |
13936 | Cytotoxic 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 | 65.45 |
13939 | Implanted pump or reservoir, loading of, with a cytotoxic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936 or 13945 applies | 75.30 |
13942 |
Ambulatory drug delivery device, loading of, with a cytotoxic 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, 13936 or 13945 applies | 50.25 |
13945 | Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of | 40.40 |
13948 | Cytotoxic agent, instillation of, into a body cavity | 50.25 |
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 | 40.60 |
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 | 40.60 |
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 4 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 | 117.35 |
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 4 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 | 144.05 |
14106 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), 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 50 cm 2 | 117.35 |
14109 | Laser photocoagulation using laser light
within the wave length of 510-1064nm in the treatment of port wine
stains, haemangiomas, café-au-lait macules and naevi of Ota,
other than melanocytic naevi (common moles), 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 50 cm 2 and | 144.05 |
14112 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), 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 100 cm 2 and | 170.65 |
14115 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), 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 150 cm 2 and | 197.30 |
14118 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), 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 250 cm 2 | 250.65 |
14120 | 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 4 metres, including any
associated consultation-session of at least 30 minutes
duration where it can be demonstrated that a 7 th or
subsequent session (including any sessions to which items 14100 to
14118 and 30213 apply) is indicated in a 12 month period | 117.35 |
14122 | 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 4 metres, including any associated consultation-session
of at least 60 minutes duration where it can be
demonstrated that a 7 th or subsequent session (including any sessions
to which items 14100 to 14118 and 30213 apply) is indicated in a 12
month period | 144.05 |
14124 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation-area of
treatment up to 50 cm 2 where it can be demonstrated
that a 7 th or subsequent session (including any sessions to which
items 14100 to 14118 and 30213 apply) is indicated in a 12 month
period | 117.35 |
14126 | Laser
photocoagulation using laser light within the wave length of
510-1064nm in the treatment of port wine stains, haemangiomas,
café-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation-area of
treatment more than 50 cm 2 and up to 100 cm 2
where it can be demonstrated that a 7 th or subsequent session
(including any sessions to which items 14100 to 14118 and 30213 apply)
is indicated in a 12 month period | 144.05 |
14128 | Laser photocoagulation using laser light within the wave
length of 510-1064nm in the treatment of port wine stains,
haemangiomas, café-au-lait macules and naevi of Ota, other than
melanocytic naevi (common moles), including any associated
consultation-area of treatment more than 100 cm 2 and up to
150 cm 2 where it can be demonstrated that a 7 th or
subsequent session (including any sessions to which items 14100 to
14118 and 30213 apply) is indicated in a 12 month period | 170.65 |
14130 | Laser photocoagulation using laser light
within the wave length of 510-1064nm in the treatment of port wine
stains, haemangiomas, café-au-lait macules and naevi of Ota,
other than melanocytic naevi (common moles), including any associated
consultation-area of treatment more than 150 cm 2 and up to
250 cm 2 where it can be demonstrated that a 7 th or
subsequent session (including any sessions to which items 14100 to
14118 and 30213 apply) is indicated in a 12 month period | 197.30 |
14132 | Laser photocoagulation using laser light
within the wave length of 510-1064nm in the treatment of port wine
stains, haemangiomas, café-au-lait macules and naevi of Ota,
other than melanocytic naevi (common moles), including any associated
consultation-area of treatment more than 250 cm 2
where it can be demonstrated that a 7 th or subsequent session
(including any sessions to which items 14100 to 14118 and 30213 apply)
is indicated in a 12 month period | 250.65 |
Subgroup 13 Other therapeutic procedures | ||
14200 | Gastric lavage in the treatment of ingested poison | 46.05 |
14203 | Hormone
or living tissue implantation, by direct implantation involving
incision and suture | 39.35 |
14206 | Hormone or living tissue implantation by cannula | 27.40 |
14209 |
Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | 68.30 |
14212 | Intussusception, management of
fluid or gas | 142.60 |
14215 |
Long-term implanted reservoir associated with the adjustable gastric
band, accessing of to add or | 75.30 |
14218 | Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space | 75.30 |
14221 |
Long-term implanted device for delivery of therapeutic agents, accessing of, not being a service associated with a service to which item 13945 applies | 40.40 |
14224 | Electroconvulsive therapy, with
or without the use of stimulus dosing techniques, including any
electroencephalographic monitoring and associated consultation | 54.05 |
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 | 32.75 |
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 15 |
15006 | Radiotherapy, superficial-attendance at which a single dose technique is applied 1 field | 72.65 |
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 16 |
15012 | Radiotherapy, superficial each attendance at which treatment is given to an eye | 41.10 |
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 | 36.70 |
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
| Amount under rule 15 |
15106 | Radiotherapy, deep or orthovoltage each attendance at which fractionated treatment is given at 2 treatments per week or less frequently 1 field | 43.35 |
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 15 |
15112 | Radiotherapy, deep or orthovoltage attendance at which a single dose technique is applied 1 field | 92.45 |
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 16 |
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 | 45.90 |
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 15 |
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 attendance | 45.90 |
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 15 |
15211 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit each attendance at which treatment is given 1 field | 42.05 |
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 15 |
Subgroup 4 Brachytherapy | ||
15303 | Intrauterine treatment alone using radioactive
sealed sources having a half-life greater than 115 days using manual
afterloading techniques | 274.65 |
15304 |
Intrauterine treatment alone using radioactive sealed sources having a
half-life greater than 115 days using automatic afterloading
techniques | 274.65 |
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 | 520.70 |
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 | 520.70 |
15311 | Intravaginal treatment alone using
radioactive sealed sources having a half-life greater than 115 days
using manual afterloading techniques | 256.35 |
15312 | Intravaginal treatment alone using radioactive sealed
sources having a half-life greater than 115 days using automatic
afterloading techniques | 254.55 |
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 | 503.30 |
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 | 503.30 |
15319 | Combined
intrauterine and intravaginal treatment using radioactive sealed
sources having a half-life greater than 115 days using manual
afterloading techniques | 312.30 |
15320 |
Combined intrauterine and intravaginal treatment using radioactive
sealed sources having a half-life greater than 115 days using
automatic afterloading techniques | 312.30 |
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 | 555.40 |
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
| 555.40 |
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
| 604.25 |
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 | 604.25 |
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 | 573.75 |
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 | 573.75 |
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 | 520.70 |
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 | 520.70 |
15339 | Removal of a
sealed radioactive source under general anaesthesia, or under epidural
or spinal nerve block | 58.60 |
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 | 146.45 |
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 | 390.65 |
15348 | Subsequent applications of radioactive mould referred to in item 15342 or 15345 each attendance | 44.90 |
15351 | Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface | 89.70 |
15354 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | 108.95 |
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 | 30.75 |
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) | 186.75 |
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) | 239.70 |
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) | 357.95 |
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) |
161.90 |
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) | 208.55 |
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) | 301.95 |
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 | 59.25 |
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 | 261.45 |
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 | 490.30 |
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 | 60.65 |
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
| 270.85 |
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 | 513.65 |
15536 | Brachytherapy planning, computerised Radiation Dosimetry |
205.30 |
Subgroup 6 Stereotactic radiosurgery | ||
15600 |
Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment |
1,309.65 |
Group T3 Therapeutic nuclear medicine | ||
16003 |
Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not
including preliminary paracentesis) | 500.50 |
16006 | Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique | 384.55 |
16009 |
Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique | 262.45 |
16012 | Intravenous administration of a therapeutic dose of Phosphorous 32 | 227.05 |
16015 |
Administration of Strontium 89 for painful bony metastases from carcinoma of the prostate where hormone therapy has failed and either: (a) the disease is poorly controlled by conventional radiotherapy; or
| 3,143.20 |
Group T4 Obstetrics | ||
16500 | Antenatal attendance | 25.85 |
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 | 25.65 |
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 |
25.65 |
16505 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of each attendance that is not a routine antenatal attendance | 25.65 |
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 | 25.65 |
16509 |
Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of each attendance that is not a routine antenatal attendance | 25.85 |
16511 | Cervix, purse string ligation of | 169.15 |
16512 | Cervix, removal of purse string
ligature of | 48.80 |
16514 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | 28.20 |
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 | 266.65 |
16518 | Management of labour, incomplete, where the patient's care has been transferred to another medical practitioner for completion of the delivery | 122.10 |
16519 |
Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days | 410.65 |
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 | 479.90 |
16522 | Management of labour and delivery, or delivery alone, (including Caesarean section), where in the course of antenatal supervision or intrapartum management, one or more, of the following conditions is present, including postnatal care for 7 days: (a)
multiple pregnancy; | 964.25 |
16525 | Management of second trimester labour, with or without induction, for intrauterine fetal death, gross fetal abnormality or life threatening maternal disease, not being a service to which item 35643 applies | 227.45 |
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 | 167.75 |
16567 | Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure | 245.35 |
16570 | Acute inversion of the uterus, vaginal correction of, as an independent procedure | 320.00 |
16571 | Cervix, repair of extensive laceration or lacerations | 245.35 |
16573 | Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure | 199.90 |
16600 | Amniocentesis, diagnostic | 48.80 |
16603 | Chorionic villus sampling, by any route | 93.80 |
16606 | Fetal blood sampling, using
interventional techniques from umbilical cord or fetus, including
fetal neuromuscular blockade and amniocentesis | 187.05 |
16609 | Fetal intravascular blood transfusion, using
blood already collected, including neuromuscular
blockade, amniocentesis and fetal blood sampling | 381.55 |
16612 | Fetal intraperitoneal blood transfusion,
using blood already collected, including neuromuscular
blockade, amniocentesis and fetal blood sampling not
performed in conjunction with a service described in item 16609
| 300.25 |
16615 | Fetal intraperitoneal
blood transfusion, using blood already collected, including
neuromuscular blockade, amniocentesis and fetal blood
sampling performed in conjunction with a service described
in item 16609 | 159.85 |
16618 |
Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500ml being aspirated | 159.85 |
16621 | Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios | 159.85 |
16624 | Fetal fluid filled cavity, drainage of | 230.10 |
16627 | Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis | 468.45 |
16633 | Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627 | Amount under rule 36 |
16636 | Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624 | Amount under rule 36 |
Group T5 Assistance in the administration of an anaesthetic | ||
17503 | Assistance in the
administration of an anaesthetic requiring continuous anaesthesia on a
patient in imminent danger of death requiring continuous life saving
emergency treatment, to the exclusion of all | Amount under rule 39 |
17506 | Assistance in the administration of an elective anaesthetic, where: (a) the patient has complex airway
problems; or | Amount under rule 39 |
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 | 33.00 |
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 | 14.60 |
17702 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 2 |
29.20 |
17703 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 3 | 43.80 |
17704 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 4 | 58.40 |
17705 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 5 | 73.00 |
17706 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 6 | 87.60 |
17707 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 7 |
102.20 |
17708 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 8 | 116.80 |
17709 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 9 | 131.40 |
17710 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 10 | 146.00 |
17711 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 11 | 160.60 |
17712 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 12 | 175.20 |
17713 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 13 | 189.80 |
17714 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 14 | 204.40 |
17715 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 15 | 219.00 |
17716 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 16 | 233.60 |
17717 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 17 | 248.20 |
17718 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 18 | 262.80 |
17719 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 19 | 277.40 |
17720 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 20 | 292.00 |
17721 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 21 | 306.60 |
17722 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 22 | 321.20 |
17723 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 23 | 335.80 |
17724 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 24 | 350.40 |
17725 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 25 | 365.00 |
17726 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 26 | 379.60 |
17727 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 27 | 394.20 |
17728 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 28 | 408.80 |
17729 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 29 | 423.40 |
17730 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 30 | 438.00 |
17731 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 31 | 452.60 |
17732 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 32 | 467.20 |
17733 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 33 | 481.80 |
17734 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 34 | 496.40 |
17735 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 35 | 511.00 |
17736 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 36 | 525.60 |
17737 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 37 | 540.20 |
17738 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 38 | 554.80 |
17739 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 39 | 569.40 |
17740 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 40 | 584.00 |
17741 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 41 | 598.60 |
17742 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 42 | 613.20 |
17743 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 43 | 627.80 |
17744 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 44 | 642.40 |
17745 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 45 | 657.00 |
17746 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 46 | 671.60 |
17747 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 47 | 686.20 |
17748 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 48 | 700.80 |
17749 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 49 | 715.40 |
17750 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 50 | 730.00 |
17751 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 51 | 744.60 |
17752 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 52 | 759.20 |
17753 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 53 | 773.80 |
17754 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 54 | 788.40 |
17755 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 55 | 803.00 |
17756 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 56 | 817.60 |
17757 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 57 | 832.20 |
17758 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 58 | 846.80 |
17759 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 59 | 861.40 |
17760 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 60 | 876.00 |
17761 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 61 | 890.60 |
17762 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 62 | 905.20 |
17763 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 63 | 919.80 |
17764 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 64 | 934.40 |
17765 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 65 | 949.00 |
17766 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 66 | 963.60 |
17767 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 67 | 978.20 |
17768 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 68 | 992.80 |
17769 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 69 | 1,007.40 |
17770 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 70 | 1,022.00 |
17771 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 71 | 1,036.60 |
17772 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 72 | 1,051.20 |
17773 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 73 | 1,065.80 |
17774 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 74 | 1,080.40 |
17775 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 75 | 1,095.00 |
17776 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 76 | 1,109.60 |
17777 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 77 | 1,124.20 |
17778 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 78 | 1,138.80 |
17779 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 79 | 1,153.40 |
17780 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 80 | 1,168.00 |
17781 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 81 | 1,182.60 |
17782 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 82 | 1,197.20 |
17783 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 83 | 1,211.80 |
17784 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 84 | 1,226.40 |
17785 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 85 | 1,241.00 |
17786 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 86 | 1,255.60 |
17787 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 87 | 1,270.20 |
17788 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 88 | 1,284.80 |
17789 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 89 | 1,299.40 |
17790 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 90 | 1,314.00 |
17791 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 91 | 1,328.60 |
17792 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 92 | 1,343.20 |
17793 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 93 | 1,357.80 |
17794 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 94 | 1,372.40 |
17795 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 95 | 1,387.00 |
17796 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 96 | 1,401.60 |
17797 |
Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 97 | 1,416.20 |
17798 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 98 | 1,430.80 |
17799 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 99 | 1,445.40 |
17800 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 1 hour applicable to anaesthesia assigned up to 12 anaesthetic time units | Amount under rule 42 |
17805 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 1 hour and 30 minutes applicable to anaesthesia assigned 13 to 24 anaesthetic time units | Amount under rule 42 |
17810 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 2 hours applicable to anaesthesia assigned more than 24 anaesthetic time units | Amount under rule 42 |
17965 | Administration of an anaesthetic in connection
with radio-therapy | 160.60 |
17968 |
Administration of an anaesthetic in connection with forceps delivery,
vacuum extraction delivery, breech delivery by manipulation, rotation
of head followed by delivery | 116.80 |
17970 |
Administration of an anaesthetic in connection with an operative procedure to which item 30001 applies | Amount under rule 43 |
17974 | Administration of an anaesthetic where the anaesthetic is
administered as a therapeutic procedure | 146.00 |
17977 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376 |
Amount under rule 17 |
17980 | Administration of an anaesthetic
in connection with computerised axial tomography brain
scan, plain study with or without contrast medium study | 160.60 |
17983 | Administration of an anaesthetic in connection
with computerised axial tomography body scan, plain study
with or without contrast medium study | 160.60 |
17986 | Administration of an anaesthetic in connection with the
removal of phaeochromocytoma | 365.00 |
17989 |
Administration of an anaesthetic in connection with peripheral venous
cannulation | 73.00 |
17992 | Administration of an
anaesthetic in connection with peripheral venous cannulation by open
exposure | 73.00 |
17995 | Administration of an
anaesthetic in connection with percutaneous central venous cannulation
| 102.20 |
17998 | Administration of an anaesthetic
in connection with electrocochleography (insertion of electrodes and
brain stem evoked response audiometry) | 175.20 |
18001 | Administration of an anaesthetic in connection with manual
removal of products of conception, treatment of postpartum haemorrhage
or repair of third degree tear |
102.20 |
18004 | Administration of an anaesthetic in connection with
repair of extensive laceration or lacerations of cervix or
manipulative correction of acute inversion of uterus by vaginal
approach | 116.80 |
18007 | Administration of an
anaesthetic in connection with Caesarean section |
219.00 |
18010 | Administration of an anaesthetic in connection with
repair of episiotomy | 73.00 |
18013 |
Administration of an anaesthetic in connection with magnetic resonance
imaging services covered by items 63000 to 63946 | 204.40 |
18016 | Administration of an anaesthetic in connection
with a regional or field nerve block covered by item 18216, 18219,
18230, 18232, 18233, 18234, 18236, 18242, 18262, 18280, 18284, 18286,
18288, 18290, 18292, 18294, 18296 or 18298, not being an anaesthetic
administered in conjunction with an operative procedure | 116.80 |
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 | 277.40 |
18021 | Administration of an anaesthetic in
connection with muscle biopsy for malignant hyperpyrexia | 189.80 |
18022 | Administration of an anaesthetic in
connection with digital subtraction angiography |
146.00 |
18026 | Administration of an anaesthetic during hyperbaric
therapy where the medical practitioner is not confined in the chamber
(including the administration of oxygen) | 204.40 |
18027 | Administration of an anaesthetic during hyperbaric therapy
where the medical practitioner is confined in the chamber (including
the administration of oxygen) |
379.60 |
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
where the anaesthesia time is up to and including 30 minutes | 87.60 |
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 where the anaesthesia time exceeds
30 minutes and is up to and including 60 minutes | 116.80 |
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 | 131.40 |
18033 | Administration of an anaesthetic in connection with a procedure covered by an item which has not been allocated anaesthetic units, not being a service to which item 18030, 18031 or 18032 applies, where it can be demonstrated that there is a clinical need for anaesthesia | Amount under rule 46 |
18035 | In
connection with a change of dressing or change of plaster undertaken
in a hospital or approved day-hospital facility |
73.00 |
Subgroup 3 Administration of an anaesthetic in connection with a dental service | ||
18102 | Administration by a medical
practitioner of an anaesthetic in connection with a dental operation
other than for the extraction of teeth or restorative dental work
where the procedure is less than 15 minutes duration | 87.60 |
18103 | Administration by a
medical practitioner of an anaesthetic in connection with a dental
operation other than for the extraction of teeth or restorative dental
work where the procedure is more than 15 minutes duration | 116.80 |
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 | 102.20 |
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 | 131.40 |
18113 |
Administration by a medical practitioner of an anaesthetic for
restorative dental work where the procedure is of not more than 30
minutes duration | 102.20 |
18118 | Administration
by a medical practitioner of an anaesthetic for restorative dental
work where the procedure is of more than 30 minutes duration | 160.60 |
18119 | Administration by a medical practitioner
of an anaesthetic in connection with a dental operation where the
procedure is of more than 3 hours duration |
248.20 |
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 | 38.60 |
18209 | Introduction of local anaesthetic, for control of post-operative pain, into the epidural or intrathecal space, in conjunction with an operation | 38.60 |
18210 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral or sciatic nerves, in conjunction with knee, ankle or foot surgery | 34.15 |
18211 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral and sciatic nerves, in conjunction with knee, ankle or foot surgery | 40.95 |
18212 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the brachial plexus in conjunction with shoulder surgery | 34.15 |
18213 | Intravenous regional anaesthesia of limb by retrograde perfusion | 68.25 |
18216 | Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner | 146.10 |
18219 | Intrathecal or epidural 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 34 |
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 | 28.95 |
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 |
38.60 |
18228 | Interpleural block, initial injection or commencement of infusion of a therapeutic substance | 48.05 |
18230 | Intrathecal or epidural injection of neurolytic substance | 183.45 |
18232 |
Intrathecal or epidural injection of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which another item in this group applies | 146.10 |
18233 | Epidural injection of blood for blood patch | 146.10 |
18234 | Trigeminal nerve, primary division of, injection of an anaesthetic agent | 96.05 |
18236 |
Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent | 48.05 |
18238 | Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies | 28.95 |
18240 | Retrobulbar or peribulbar injection of an anaesthetic agent | 72.00 |
18242 | Greater occipital nerve, injection of an anaesthetic agent | 28.95 |
18244 | Vagus nerve, injection of an anaesthetic agent | 77.50 |
18246 | Glossopharyngeal nerve, injection of an anaesthetic agent | 77.50 |
18248 | Phrenic nerve, injection of an anaesthetic agent | 68.25 |
18250 | Spinal accessory nerve, injection of an anaesthetic agent | 48.05 |
18252 |
Cervical plexus, injection of an anaesthetic agent | 77.50 |
18254 |
Brachial plexus, injection of an anaesthetic agent | 77.50 |
18256 |
Suprascapular nerve, injection of an anaesthetic agent | 48.05 |
18258 | Intercostal nerve (single), injection of an anaesthetic agent |
48.05 |
18260 | Intercostal nerves (multiple), injection of an anaesthetic agent | 68.25 |
18262 | Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent | 48.05 |
18264 | Pudendal nerve, injection of an anaesthetic agent | 77.50 |
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 | 48.05 |
18268 | Obturator nerve, injection of an anaesthetic agent | 68.25 |
18270 | Femoral nerve, injection of an anaesthetic agent | 68.25 |
18272 | Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent | 48.05 |
18274 | Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level) | 68.25 |
18276 |
Paravertebral nerves, injection of an anaesthetic agent, (multiple levels) | 96.05 |
18278 | Sciatic nerve, injection of an anaesthetic agent | 68.25 |
18280 | Sphenopalatine ganglion, injection of an anaesthetic agent | 96.05 |
18282 | Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure | 77.50 |
18284 | Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block) | 113.60 |
18286 | Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block) | 113.60 |
18288 | Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent | 113.60 |
18290 | Cranial nerve other than trigeminal, destruction by a neurolytic agent | 192.15 |
18292 | Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies | 96.05 |
18294 | Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent | 135.40 |
18296 | Lumbar sympathetic chain, destruction by a neurolytic agent | 115.75 |
18298 | Cervical or thoracic sympathetic chain, destruction by a neurolytic agent | 135.40 |
Group T8 Surgical operations | ||
Subgroup 1 General | ||
30001 | Operative procedure, not being a service to which any other item in this group applies, being a service to which an item in this group would have applied had the procedure not been discontinued on medical grounds | Amount under rule 44 |
30003 | Localised burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation | 25.85 |
30006 | Extensive burns, dressing of, without anaesthesia (not involving grafting) each attendance at which the procedure is performed, including any associated consultation | 35.75 |
30009 | Localised burns, dressing of, under
general anaesthesia (not involving grafting) (G) | 46.70 |
30010 | Localised burns, dressing of, under general
anaesthesia (not involving grafting) (S) | 56.85 |
30013 | Extensive burns, dressing of, under general
anaesthesia (not involving grafting) (G) | 100.65 |
30014 | Extensive burns, dressing of, under general
anaesthesia (not involving grafting) (S) | 119.55 |
30017 | Burns, excision of, under general anaesthesia,
involving not more than 10% of body surface, where grafting is not
carried out during the same operation
| 250.80 |
30020 | Burns, excision of, under general anaesthesia, involving more
than 10% of body surface, where grafting is not carried out during the
same operation | 488.50 |
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 | 250.80 |
30026 | Skin and subcutaneous tissue or mucous
membrane, repair of wound of, other than wound closure at time of
surgery, not on face or neck, small (not more than 7 cm long),
superficial, not being a service to which another item in Group T4
applies | 40.15 |
30029 | Skin and
subcutaneous tissue or mucous membrane, repair of wound of, other than
wound closure at time of surgery, not on face or neck, small (not more
than 7 cm in length), involving deeper tissue, not being a
service to which another item in Group T4 applies | 69.20 |
30032 | Skin and subcutaneous tissue or mucous membrane,
repair of wound of, other than wound closure at time of surgery, on
face or neck, small (not more than 7 cm long), superficial
| 63.45 |
30035 | Skin and subcutaneous
tissue or mucous membrane, repair of wound of, other than wound
closure at time of surgery, on face or neck, small (not more than
7 cm long), involving deeper tissue |
90.40 |
30038 | Skin and subcutaneous tissue or mucous membrane,
repair of wound of, other than wound closure at time of surgery, not
on face or neck, large (more than 7 cm long), superficial, not
being a service to which another item in Group T4 applies | 69.20 |
30041 | Skin and subcutaneous tissue or
mucous membrane, repair of wound of, other than wound closure at time
of surgery, not on face or neck, large (more than 7 cm long),
involving deeper tissue, not being a service to which another item in
Group T4 applies (G) | 110.80 |
30042 | Skin
and subcutaneous tissue or mucous membrane, repair of wound of, other
than wound closure at time of surgery, other than on face or neck,
large (more than 7 cm long), involving deeper tissue, not being a
service to which another item in Group T4 applies (S) | 142.90 |
30045 | Skin and subcutaneous tissue or mucous
membrane, repair of wound of, other than wound closure at time of
surgery, on face or neck, large (more than 7 cm long),
superficial | 90.40 |
30048 | Skin and
subcutaneous tissue or mucous membrane, repair of wound of, other than
wound closure at time of surgery, on face or neck, large (more than
7 cm long), involving deeper tissue (G) | 115.20 |
30049 | Skin and subcutaneous tissue or mucous membrane,
repair of wound of, other than wound closure at time of surgery, on
face or neck, large (more than 7 cm long), involving deeper
tissue (S) | 142.90 |
30052 | Full thickness
laceration of ear, eyelid, nose or lip, repair of, with accurate
apposition of each layer of tissue | 195.40 |
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
| 56.85 |
30058 | Post-operative haemorrhage,
control of, under general anaesthesia, as an independent procedure
| 110.80 |
30061 | Superficial foreign body,
removal of, (including from cornea or sclera) as an independent
procedure | 18.05 |
30064 | Subcutaneous foreign body, removal of, requiring incision and
exploration, including closure of wound if performed, as an
independent procedure | 84.60 |
30067 |
Foreign body in muscle, tendon or other deep tissue, removal of, as an
independent procedure (G)
| 172.05 |
30068 | Foreign body in muscle, tendon or other deep tissue, removal
of, as an independent procedure (S)
| 212.90 |
30071 | Biopsy of skin or mucous membrane, as an independent procedure
| 40.15 |
30074 | Biopsy of lymph gland,
muscle or other deep tissue or organ, as an independent procedure (G)
| 90.40 |
30075 | Biopsy of lymph gland,
muscle or other deep tissue or organ, as an independent procedure (S)
| 115.20 |
30078 | Drill biopsy of lymph
gland, deep tissue or organ, as an independent procedure | 37.25 |
30081 | Biopsy of bone marrow by trephine using
an open approach | 84.60 |
30084 | Biopsy of
bone marrow by trephine using a percutaneous approach with a Jamshidi
needle or similar device | 45.20 |
30087 | Biopsy of bone marrow by aspiration or punch biopsy of synovial
membrane | 22.70 |
30090 | Biopsy of pleura,
percutaneous 1 or more biopsies on any 1 occasion | 98.85 |
30093 | Needle biopsy of vertebra | 131.95 |
30094 | Percutaneous aspiration biopsy of
deep organ using interventional techniques but not
including imaging | 145.70 |
30096 | Scalene
node biopsy | 141.45 |
30099 | Sinus,
excision of, involving superficial tissue only | 69.20 |
30102 | Sinus, excision of, involving muscle and deep
tissue (G) | 115.20 |
30103 | Sinus, excision
of, involving muscle and deep tissue (S) |
141.45 |
30104 | Pre-auricular sinus, excision of | 97.70 |
30106 | Ganglion or small bursa, excision of, not being
a service associated with a service to which another item in this
group applies (G) | 119.55 |
30107 |
Ganglion or small bursa, excision of, not being a service associated
with a service to which another item in this group applies (S)
| 169.15 |
30110 | Bursa (large), including
olecranon, calcaneum or patella, excision of (G) | 218.75 |
30111 | Bursa (large), including olecranon,
calcaneum or patella, excision of (S) | 285.75 |
30114 | Bursa, semimembranosus (Baker's cyst),
excision of | 285.75 |
30165 |
Lipectomy transverse wedge excision of abdominal apron
| 349.95 |
30168 |
Lipectomy wedge excision of skin or fat (not being a
service to which item 30165 applies) 1 excision
| 349.95 |
30171 |
Lipectomy wedge excision of skin or fat (not being a
service to which item 30165 applies) 2 or more excisions
| 532.25 |
30174 |
Lipectomy subumbilical excision with undermining of skin
edges and strengthening of musculo-aponeurotic wall | 532.25 |
30177 | Lipectomy radical
abdominoplasty (Pitanguy type or similar) with excision of skin and
subcutaneous tissue, repair of musculo-aponeurotic layer and
transposition of umbilicus |
758.30 |
30180 | Axillary hyperhidrosis, wedge excision for
| 105.00 |
30183 | Axillary
hyperhidrosis, total excision of sweat gland bearing area | 189.60 |
30186 | Palmar or plantar wart, removal
of, not being a service to which item 30187 applies | 36.50 |
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, where the time taken is greater than 45 minutes
(5 or more warts) | 197.70 |
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
| 113.30 |
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) | 306.05 |
30192 | Premalignant skin lesions, treatment of,
by galvanocautery or electrodesiccation or cryocautery (10 or
more lesions) | 30.50 |
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 to
which item 30196, 30197, 30202, 30203 or 30205 apply (1 or more
lesions) | 48.80 |
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 | 97.20 |
30197 | 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 (10 or more lesions) | 338.55 |
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 | 37.15 |
30203 |
Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-haw cycles (10 or more lesions) |
131.05 |
30205 | Cancer of skin proven by histopathology, removal of,
by liquid nitrogen cryotherapy using repeat freeze-thaw cycles where
cancer extends into cartilage | 97.20 |
30207 | Skin lesions, multiple injections with hydrocortisone or similar
preparations | 34.30 |
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 |
125.40 |
30213 | Telangiectases or starburst vessels on the head or
neck where lesions are visible from 4 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 | 84.50 |
30214 | Telangiectases or starburst vessels on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation-session of at least 20 minutes duration where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period |
84.50 |
30216 | Haematoma, aspiration of |
21.00 |
30219 | Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care) | 21.00 |
30222 | Large haematoma, large
abscess, carbuncle, cellulitis or similar lesion requiring a general
anaesthetic, incision with drainage of (excluding after-care) (G)
| 90.40 |
30223 |
Large haematoma, large abscess, carbuncle, cellulitis or similar
lesion requiring a general anaesthetic, incision with drainage of
(excluding after-care) (S)
| 125.40 |
30224 |
Percutaneous drainage of deep abscess using interventional
techniques but not including imaging
| 182.80 |
30225 |
Abscess drainage tube, exchange of using interventional
techniques but not including imaging
| 205.90 |
30226 |
Muscle, excision of (limited) or fasciotomy
| 115.20 |
30229 | Muscle,
excision of (extensive) | 210.00 |
30232 | Muscle, ruptured, repair of (limited), not associated with
external wound | 172.05 |
30235 | Muscle,
ruptured, repair of (extensive), not associated with external wound
| 227.45 |
30238 | Fascia, deep,
repair of, for herniated muscle | 115.20 |
30241 | Bone tumour, innocent, excision of, not being a
service to which another item in this group applies
| 274.15 |
30244 | Styloid process of temporal bone, removal of
|
274.15 |
30246 | Parotid duct, repair of, using micro-surgical
techniques | 530.65 |
30247 |
Parotid gland, total extirpation of | 568.75 |
30250 | Parotid gland, total extirpation of with
preservation of facial nerve |
962.40 |
30251 | Recurrent parotid tumour, excision of, with
preservation of facial nerve |
1,478.35 |
30253 | Parotid gland, superficial lobectomy of, with
exposure of facial nerve | 641.70 |
30255 | Submandibular ducts, relocation of, for surgical control of
drooling | 854.45 |
30256 |
Submandibular gland, extirpation of
| 342.70 |
30259 | Sublingual gland, extirpation of |
151.65 |
30262 | Salivary gland, dilatation or diathermy of duct
| 45.20 |
30265 | Salivary gland,
removal of calculus from duct or meatotomy or marsupialisation, 1 or
more such procedures (G) | 90.40 |
30266 | Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures (S) | 115.20 |
30269 | Salivary gland, repair of cutaneous
fistula of | 115.20 |
30272 |
Tongue, partial excision of |
227.45 |
30275 | Radical excision of intra-oral tumour involving
resection of mandible and lymph glands of neck (commando-type
operation) | 1,356.20 |
30278 |
Tongue tie, repair of, not being a service to which another item in
this group applies | 35.75 |
30281 | Tongue
tie, mandibular frenulum or maxillary frenulum, repair of, in a person
aged 2 years and over, under general anaesthesia | 91.90 |
30282 | Ranula or mucous cyst of mouth, removal of (G)
| 119.55 |
30283 | Ranula or mucous cyst
of mouth, removal of (S) | 157.50 |
30286 | Branchial cyst, removal of | 306.15 |
30289 | Branchial fistula, removal of | 386.40 |
30293 | Cervical oesophagostomy; or closure
of cervical oesophagostomy with or without plastic repair
| 342.70 |
30294 |
Cervical oesophagectomy with tracheostomy and oesophagostomy, with or
without plastic reconstruction; or laryngopharyngectomy with
tracheostomy and plastic reconstruction | 1,356.20 |
30296 | Thyroidectomy, total | 787.60 |
30297 | Thyroidectomy following previous
thyroid surgery | 787.60 |
30306 | Total hemithyroidectomy |
614.40 |
30308 | Bilateral sub-total thyroidectomy | 614.40 |
30309 | Thyroidectomy, sub-total for
thyrotoxicosis |
787.60 |
30310 | Thyroid, unilateral sub-total thyroidectomy or
equivalent partial thyroidectomy |
351.90 |
30313 | Thyroglossal cyst, removal of | 210.00 |
30314 | Thyroglossal cyst or fistula or both,
radical removal of, including thyroglossal duct and portion of hyoid
bone | 351.90 |
30315 |
Parathyroid operation for hyperparathyroidism
| 876.95 |
30317 |
Cervical re-exploration for recurrent or persistent
hyperparathyroidism | 1,050.10 |
30318 | Mediastinum, exploration of, via the cervical route, for
hyperparathyroidism (including thymectomy) | 698.20 |
30320 | Mediastinum, exploration of, via
mediastinotomy, for hyperparathyroidism (including thymectomy)
| 1,050.10 |
30321 |
Retroperitoneal neuroendocrine tumour, removal of | 698.20 |
30323 | Retroperitoneal neuroendocrine
tumour, removal of, requiring complex and extensive dissection
|
1,050.10 |
30324 | Adrenal gland tumour, excision of
|
1,050.10 |
30329 | Lymph glands of groin, limited excision of
| 189.90 |
30330 | Lymph
glands of groin, radical excision of | 552.95 |
30332 | Lymph glands of axilla, limited
excision of | 189.90 |
30333 |
Lymph glands of axilla, radical excision of
| 552.95 |
30337 |
Simple mastectomy with or without frozen section biopsy (G) | 250.80 |
30338 | Simple mastectomy with
or without frozen section biopsy (S) | 342.70 |
30341 | Breast, excision of cyst, fibro adenoma
or other local lesion or segmental resection for any other reason (G)
| 151.65 |
30342 |
Breast, excision of cyst, fibro adenoma or other local lesion or
segmental resection for any other reason (S)
| 197.20 |
30345 |
Breast, excision of cyst, fibro adenoma or other local lesion or
segmental resection for any other reason, where frozen section biopsy
is performed or where specimen radiography is used (G) | 201.20 |
30346 | Breast, excision of cyst, fibro
adenoma or other local lesion or segmental resection for any other
reason, where frozen section biopsy is performed or where specimen
radiography is used (S) | 250.80 |
30349 | Partial mastectomy involving more than 25% of the breast
tissue, with or without frozen section biopsy (G) | 201.20 |
30350 | Partial mastectomy involving
more than 25% of the breast tissue, with or without frozen section
biopsy (S) | 250.80 |
30353 |
Breast, extended simple mastectomy with or without frozen section
biopsy | 452.10 |
30356 |
Subcutaneous mastectomy with or without frozen section biopsy | 422.85 |
30359 | Breast, radical or
modified radical mastectomy with or without frozen section biopsy
| 663.50 |
30360 | Fine needle
breast biopsy, imaging guided but not including imaging
| 145.70 |
30361 | Breast, preoperative
localisation of lesion of, by hookwire or similar device, using
interventional techniques but not including imaging
| 145.70 |
30363 | Breast, core biopsy of
solid tumour or tissue of, using mechanical biopsy device, for
histological examination | 106.10 |
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 after-care |
125.10 |
30366 | Breast, microdochotomy of, for benign or malignant
condition | 256.95 |
30367 | Breast
central ducts, excision of, for benign condition | 205.55 |
30369 | Accessory breast tissue,
excision of | 205.55 |
30370 | Inverted nipple, surgical eversion of
| 116.15 |
30372 |
Accessory nipple, excision of | 97.25 |
30373 | Laparotomy (exploratory), including associated biopsies, where no
other intra-abdominal procedure is performed | 371.80 |
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 | 401.00 |
30376 | Laparotomy involving division of peritoneal adhesions (where
no other intra-abdominal procedure is performed) | 401.00 |
30378 | Laparotomy involving division of
adhesions in association with another intra-abdominal procedure where
the time taken to divide the adhesions is between 45 minutes and
2 hours | 402.85 |
30379 |
Laparotomy with division of extensive adhesions (duration greater than
2 hours) with or without insertion of long intestinal tube | 714.10 |
30382 | Enterocutaneous
fistula, radical repair of, involving extensive dissection and
resection of bowel | 1,005.40 |
30384 | Laparotomy for grading of lymphoma, including splenectomy,
liver biopsies, lymph node biopsies and oophoropexy | 845.75 |
30385 | Laparotomy for control of
post-operative haemorrhage, where no other procedure is performed
| 433.35 |
30387 | Laparotomy involving operation on abdominal viscera (including
pelvic viscera), not being a service to which another item in this
group applies | 488.50 |
30388 |
Laparotomy for trauma involving 3 or more organs | 1,228.90 |
30390 | Laparoscopy, diagnostic
| 169.15 |
30391 | Laparoscopy, with biopsy
| 218.75 |
30392 | Radical or
debulking operation for advanced intra-abdominal malignancy, with or
without omentectomy, as an independent procedure | 518.90 |
30393 | Laparoscopic division of adhesions
in association with another intra-abdominal procedure where the time
taken to divide the adhesions exceeds 45 minutes
| 402.85 |
30394 | Laparotomy for drainage of subphrenic abscess, pelvic abscess,
appendiceal abscess, ruptured appendix or for peritonitis from any
cause, with or without appendicectomy | 379.10 |
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
| 782.05 |
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 | 178.75 |
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
| 245.85 |
30400 | Laparotomy with insertion of portacath for administration of
cytotoxic therapy including placement of reservoir | 486.55 |
30402 | Retroperitoneal abscess,
drainage of, not involving laparotomy | 357.40 |
30403 | Ventral, incisional, or recurrent hernia
or burst abdomen, repair of |
401.00 |
30405 | Ventral, or incisional hernia, repair of requiring
muscle transposition, mesh hernioplasty or resection of strangulated
bowel | 703.85 |
30406 |
Paracentesis abdominis | 40.15 |
30408 |
Peritoneo venous (Leveen) shunt, insertion of
| 301.65 |
30409 | Liver
biopsy, percutaneous | 134.30 |
30411 | Liver
biopsy by wedge excision when performed in association with another
intra-abdominal procedure | 68.35 |
30412 |
Liver biopsy by core needle, when performed in conjunction with
another intra-abdominal procedure | 40.25 |
30414 | Liver, subsegmental resection of, (local
excision), other than for trauma |
530.65 |
30415 | Liver, segmental resection of, other than for trauma
| 1,061.30 |
30416 | Liver
cyst, laparoscopic marsupialisation of, where the size of the cyst is
greater than 5 cm in diameter | 576.25 |
30417 | Liver cysts, laparoscopic marsupialisation of 5 or
more, including any cyst greater than 5 cm in diameter | 864.35 |
30418 | Liver, lobectomy of,
other than for trauma | 1,228.90 |
30419 | Liver tumours, destruction of, by hepatic cryotherapy | 628.65 |
30421 | Liver, tri-segmental
resection (extended lobectomy) of, other than for trauma | 1,536.00 |
30422 | Liver, repair of
superficial laceration of, for trauma | 519.50 |
30425 | Liver, repair of deep multiple
lacerations of, or debridement of, for trauma | 1,005.40 |
30427 | Liver, segmental resection of, for
trauma | 1,200.90 |
30428 |
Liver, lobectomy of, for trauma |
1,284.75 |
30430 | Liver, extended lobectomy (tri-segmental resection)
of, for trauma | 1,787.35 |
30431 | Liver abscess, open abdominal drainage of | 401.00 |
30433 | Liver abscess (multiple), open abdominal
drainage of | 558.60 |
30434 |
Hydatid cyst of liver, peritoneum or viscus, complete removal of
contents of, with or without suture of biliary radicles | 452.45 |
30436 | Hydatid cyst of liver,
peritoneum or viscus, complete removal of contents of, with or without
suture of biliary radicles, with omentoplasty or myeloplasty | 502.70 |
30437 | Hydatid cyst of liver,
total excision of, by cysto-pericystectomy (membrane plus fibrous
wall) | 625.60 |
30438 | Hydatid
cyst of liver, excision of, with drainage and excision of liver tissue
| 885.35 |
30439 | Operative
cholangiography or operative pancreatography or intra operative
ultrasound of the biliary tract (including 1 or more examinations
performed during the 1 operation) | 142.90 |
30440 | Cholangiogram, percutaneous transhepatic, and biliary
drainage, using interventional techniques but not
including imaging | 404.95 |
30441 | Intra operative ultrasound for staging of intra abdominal tumours
| 104.80 |
30442 | Choledochoscopy in
conjunction with another procedure | 142.90 |
30443 | Cholecystectomy | 568.75 |
30445 | Laparoscopic cholecystectomy | 568.75 |
30446 | Laparoscopic cholecystectomy when
procedure is completed by laparotomy | 568.75 |
30448 | Laparoscopic cholecystectomy, involving
removal of common duct calculi via the cystic duct | 748.50 |
30449 | Laparoscopic cholecystectomy with
removal of common duct calculi via laparoscopic choledochotomy | 832.25 |
30450 | Calculus of biliary or
renal tract, extraction of, using interventional imaging
techniques not being a service associated with a service
to which item 36627, 36630, 36645 or 36648 applies | 403.35 |
30451 | Biliary drainage tube, exchange of,
using interventional techniques but not including imaging
| 205.90 |
30452 | Choledochoscopy
with balloon dilatation of a stricture or passage of stent or
extraction of calculi | 290.45 |
30454 | Choledochotomy (with or without cholecystectomy), with or
without removal of calculi | 663.50 |
30455 | Choledochotomy (with or without cholecystectomy), with
removal of calculi including biliary intestinal anastomosis | 780.15 |
30457 | Choledochotomy,
intrahepatic, involving removal of intrahepatic bile duct calculi
| 1,061.30 |
30458 | Transduodenal
operation on sphincter of Oddi, involving 1 or more of, removal of
calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of
peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic
duct, pancreatic duct septoplasty, with or without choledochotomy
| 780.15 |
30460 |
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy
or Roux-en-Y as a bypass procedure when no prior biliary surgery
performed | 663.50 |
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 | 1,137.40 |
30463 | Radical resection of common hepatic duct and right and left
hepatic ducts for carcinoma, with two duct anastomoses | 1,396.40 |
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 | 1,675.75 |
30466 | Intrahepatic biliary bypass of left hepatic ductal system by
Roux-en-Y loop to peripheral ductal system | 966.35 |
30467 | Intraheptic bypass of right hepatic
ductal system by Roux-en-Y loop to peripheral ductal system | 1,195.30 |
30469 | Biliary stricture,
repair of, after 1 or more operations on the biliary tree | 1,323.80 |
30470 | Bile duct fistula,
repair of, following previous bile duct surgery | 837.90 |
30472 | Hepatic or common bile duct, repair
of, as the primary procedure subsequent to transection of bile duct or
ducts | 714.90 |
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 | 136.25 |
30475 | Endoscopy with balloon dilatation of gastric
or gastroduodenal stricture | 246.35 |
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 | 188.95 |
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 | 188.95 |
30479 | Endoscopic laser
therapy for neoplasia and benign vascular lesions or strictures of the
gastrointestinal tract | 366.25 |
30481 |
Percutaneous gastrostomy (initial procedure), including any associated
imaging services | 274.65 |
30482 |
Percutaneous gastrostomy (repeat procedure), including any associated
imaging services | 195.30 |
30483 |
Gastrostomy button, non-endoscopic insertion of, or non-endoscopic
replacement of | 136.20 |
30484 | Endoscopic
retrograde cholangio-pancreatography | 280.75 |
30485 | Endoscopic sphincterotomy with or without extraction of
stones from common bile duct | 433.35 |
30487 | Small bowel intubation with biopsy | 139.20 |
30488 | Small bowel intubation as an independent
procedure | 69.20 |
30490 | Oesophageal
prosthesis, insertion of, including endoscopy and dilatation | 404.95 |
30491 | Bile duct, endoscopic stenting of
(including endoscopy and dilatation) | 427.20 |
30493 | Biliary manometry | 256.35 |
30494 | Endoscopic biliary dilatation | 323.45 |
30496 | Vagotomy, truncal or selective, with or without pyloroplasty
or gastroenterostomy | 452.45 |
30497 | Vagotomy and antrectomy |
539.50 |
30499 | Vagotomy, highly selective | 641.70 |
30500 | Vagotomy, highly selective with
duodenoplasty for peptic stricture | 687.05 |
30502 | Vagotomy, highly selective, with dilatation of
pylorus | 758.30 |
30503 | Vagotomy
or antrectomy, or both, for peptic ulcer following previous operation
for peptic ulcer | 849.10 |
30505 |
Bleeding peptic ulcer, control of, involving suture of bleeding point
or wedge excision | 424.50 |
30506 | Bleeding peptic ulcer, control of, involving suture of bleeding point
or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy
| 742.95 |
30508 | Bleeding peptic
ulcer, control of, involving suture of bleeding point or wedge
excision, and highly selective vagotomy | 782.05 |
30509 | Bleeding peptic ulcer, control of,
involving gastric resection (other than wedge resection) | 782.05 |
30511 | Morbid obesity, gastric
reduction or gastroplasty for, by any method | 653.55 |
30512 | Morbid obesity, gastric bypass for, by
any method including anastomosis |
804.30 |
30514 | Morbid obesity, surgical reversal of procedure to
which item 30511 or 30512 applies | 1,184.15 |
30515 | Gastroenterostomy (including gastroduodenostomy)
or enterocolostomy or enteroenterostomy | 541.80 |
30517 | Gastroenterostomy, pyloroplasty or
gastroduodenostomy, reconstruction of | 709.40 |
30518 | Partial gastrectomy | 759.70 |
30520 | Gastric tumour, removal of, by local
excision, not being a service to which item 30518 applies | 519.50 |
30521 | Gastrectomy, total, for
benign disease | 1,111.60 |
30523 | Gastrectomy, sub-total radical, for carcinoma (including splenectomy
when performed) | 1,161.75 |
30524 | Gastrectomy, total radical, for carcinoma (including extended node
dissection and distal pancreatectomy and splenectomy when performed)
| 1,279.10 |
30526 | Gastrectomy,
total, and including lower oesophagus, performed by left
thoraco-abdominal incision or opening of diaphragmatic hiatus
(including splenectomy when performed) | 1,658.90 |
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 | 670.30 |
30529 |
Antireflux operation by fundoplasty, with oesophagoplasty for
stricture or short oesophagus |
1,005.40 |
30530 | Antireflux operation by cardiopexy, with or without
fundoplasty | 603.30 |
30532 |
Oesophagogastric myotomy (Heller's operation) via abdominal or
thoracic approach, with or without closure of the diaphragmatic hiatus
| 692.75 |
30533 |
Oesophagogastric myotomy (Heller's operation) via abdominal or
thoracic approach, with fundoplasty, with or without closure of the
diaphragmatic hiatus | 823.95 |
30535 | Oesophagectomy with gastric reconstruction by abdominal
mobilisation and thoracotomy |
1,305.20 |
30536 | Oesophagectomy involving gastric reconstruction by
abdominal mobilisation, thoracotomy and anastomosis in the
neck 1 surgeon |
1,323.80 |
30538 | Oesophagectomy involving gastric reconstruction by
abdominal mobilisation, thoracotomy and anastomosis in the
neck conjoint surgery, principal surgeon (including
after-care) | 916.05 |
30539 |
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck conjoint surgery, co-surgeon (Assist.) | 670.30 |
30541 |
Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal
mobilisation, anastomosis) with posterior or anterior mediastinal
placement 1 surgeon |
1,167.45 |
30542 | Oesophagectomy, by trans-hiatal oesophagectomy
(cervical and abdominal mobilisation, anastomosis) with posterior or
anterior mediastinal placement conjoint surgery, principal
surgeon (including after-care) |
793.15 |
30544 | Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement conjoint surgery, co-surgeon (Assist.) | 580.95 |
30545 | Oesophagectomy with colon or
jejunal anastomosis, (abdominal and thoracic mobilisation with
thoracic anastomosis) 1 surgeon | 1,413.25 |
30547 | Oesophagectomy with colon or jejunal
anastomosis, (abdominal and thoracic mobilisation with thoracic
anastomosis) conjoint surgery, principal surgeon
(including after-care) | 971.90 |
30548 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) conjoint surgery, co-surgeon (Assist.) | 726.15 |
30550 |
Oesophagectomy with colon or jejunal replacement (abdominal and
thoracic mobilisation with anastomosis of pedicle in the
neck) 1 surgeon |
1,586.35 |
30551 | Oesophagectomy with colon or jejunal replacement
(abdominal and thoracic mobilisation with anastomosis of pedicle in
the neck) conjoint surgery, principal surgeon (including
after-care) | 1,094.80 |
30553 |
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) conjoint surgery, co-surgeon (Assist.) | 809.90 |
30554 | Oesophagectomy with reconstruction by free jejunal
graft 1 surgeon |
1,765.10 |
30556 | Oesophagectomy with reconstruction by free jejunal
graft conjoint surgery, principal surgeon (including
after-care) | 1,217.70 |
30557 |
Oesophagectomy with reconstruction by free jejunal graft conjoint surgery, co-surgeon (Assist.) | 899.30 |
30559 | Oesophagus,
local excision for tumour of |
653.55 |
30560 | Oesophageal perforation, repair of, by thoracotomy
| 726.15 |
30562 | Enterostomy or
colostomy, closure of not involving resection of bowel
| 457.80 |
30563 | Colostomy or
ileostomy, refashioning of | 457.80 |
30564 | Small bowel strictureplasty for chronic inflammatory bowel
disease | 594.15 |
30565 | Small
intestine, resection of, without anastomosis (including formation of
stoma) | 670.30 |
30566 | Small
intestine, resection of, with anastomosis | 744.60 |
30568 | Intraoperative enterotomy for
visualisation of the small intestine by endoscopy | 558.60 |
30569 | Endoscopic examination of small bowel
with flexible endoscope passed at laparotomy, with or without biopsies
| 284.85 |
30571 | Appendicectomy,
not being a service to which item 30574 applies | 342.70 |
30572 | Laparoscopic appendicectomy
| 342.70 |
30574 | Appendicectomy,
when performed in conjunction with any other intra-abdominal procedure
through the same incision | 94.80 |
30575 |
Pancreatic abscess, laparotomy and external drainage of, not requiring
retro-pancreatic dissection |
394.45 |
30577 | Pancreatic necrosectomy for pancreatic necrosis or
abscess formation requiring major pancreatic or retro-pancreatic
dissection, excluding after-care |
837.90 |
30578 | Endocrine tumour, exploration of pancreas or
duodenum, followed by local excision of pancreatic tumour | 882.55 |
30580 | Endocrine tumour,
exploration of pancreas or duodenum, followed by local excision of
duodenal tumour | 804.30 |
30581 |
Endocrine tumour, exploration of pancreas or duodenum for, but no
tumour found | 586.50 |
30583 |
Distal pancreatectomy | 918.75 |
30584 | Pancreatico-duodenectomy, Whipple's operation, with or without
preservation of pylorus |
1,356.20 |
30586 | Pancreatic cyst-anastomosis to stomach or
duodenum by open or endoscopic means | 539.50 |
30587 | Pancreatic cyst, anastomosis to Roux
loop of jejunum | 558.60 |
30589 |
Pancreatico-jejunostomy for pancreatitis or trauma | 962.40 |
30590 | Pancreatico-jejunostomy following
previous pancreatic surgery |
1,061.30 |
30593 | Pancreatectomy, near total or total (including
duodenum), with or without splenectomy | 1,452.30 |
30594 | Pancreatectomy for pancreatitis
following previously attempted drainage procedure or partial resection
| 1,675.75 |
30596 |
Splenorrhaphy or partial splenectomy for trauma | 690.25 |
30597 | Splenectomy | 554.10 |
30599 | Splenectomy, for massive spleen (weighing
more than 1500gms) or involving thoraco-abdominal incision | 1,005.40 |
30600 | Diaphragmatic hernia,
traumatic, repair of | 597.90 |
30601 | Diaphragmatic hernia, congenital, repair of, by thoracic or
abdominal approach) | 736.45 |
30602 | Portal hypertension, porto-caval shunt for | 1,195.30 |
30603 | Portal hypertension, meso-caval
shunt for | 1,262.40 |
30605 |
Portal hypertension, selective spleno-renal shunt for | 1,435.55 |
30606 | Portal hypertension,
oesophageal transection via stapler or oversew of gastric varices with
or without devascularisation |
854.60 |
30609 | Femoral or inguinal hernia, laparoscopic repair of,
not being a service associated with a service to which item 30612
or 30614 applies | 357.30 |
30612 |
Femoral or inguinal hernia or infantile hydrocele, repair of, not
being a service to which item 30403 or 30615 applies (G) | 274.15 |
30614 | Femoral or inguinal hernia or
infantile hydrocele, repair of, not being a service to which item
30403 or 30615 applies (S) | 357.30 |
30615 | Strangulated, incarcerated or obstructed hernia, repair of,
without bowel resection | 401.00 |
30616 | Umbilical, epigastric or linea alba hernia, repair of, in a
person under 10 years of age (G) | 204.10 |
30617 | Umbilical, epigastric or linea alba hernia, repair of, in a
person under 10 years of age (S) | 274.15 |
30620 | Umbilical, epigastric or linea alba hernia, repair of, in a
person 10 years of age or over (G) | 230.40 |
30621 | Umbilical, epigastric or linea alba hernia, repair
of, in a person 10 years of age or over (S) | 313.55 |
30628 | Hydrocele, tapping of | 27.40 |
30631 |
Hydrocele, removal of, not being a service associated with a service
to which items 30638, 30641 and 30644 apply |
182.00 |
30634 | Varicocele, surgical correction of, not being a
service associated with a service to which items 30638, 30641 and
30644 apply, 1 procedure (G) |
180.85 |
30635 | Varicocele, surgical correction of, not being a
service associated with a service to which items 30638, 30641 and
30644 apply, 1 procedure (S) |
224.55 |
30638 | Orchidectomy, simple or subcapsular, unilateral with
or without insertion of testicular prosthesis (G) | 230.40 |
30641 | Orchidectomy, simple or subcapsular,
unilateral with or without insertion of testicular prosthesis (S)
| 313.55 |
30644 | Exploration of
spermatic cord, inguinal approach, with or without testicular biopsy
and with or without excision of spermatic cord and testis | 401.00 |
30653 | Circumcision of a male
under 6 months of age | 35.75 |
30656 |
Circumcision of a male under 10 years of age but not less than 6
months of age | 83.15 |
30659 | Circumcision
of a male 10 years of age or over (G) |
115.20 |
30660 | Circumcision of a male 10 years of age or over (S)
| 142.90 |
30663 | Haemorrhage, arrest of,
following circumcision requiring general anaesthesia | 111.05 |
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
| 36.50 |
30672 | Coccyx, excision of | 342.70 |
30675 | Pilonidal sinus or cyst,
or sacral sinus or cyst, excision of (G) |
230.40 |
30676 | Pilonidal sinus or cyst, or sacral sinus or cyst,
excision of (S) | 291.65 |
30679 | Pilonidal
sinus, injection of sclerosant fluid under anaesthesia | 74.05 |
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 | 446.85 |
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) | 558.60 |
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 | 670.30 |
31200 | Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this group applies | 26.20 |
31205 |
Tumour (other than viral verrucae (common warts) and seborrheic
keratoses), cyst, ulcer or scar (other than a scar removed during the
surgical approach at an operation), lesion size up to 10 mm in
diameter, removal by surgical excision and suture from cutaneous or
subcutaneous tissue or from mucous membrane, including excision to
establish the diagnosis of tumours covered by items 31300 to 31335,
where specimen sent for histological examination (not being a service
to which item 30195 applies) | 73.35 |
31210 | Tumour (other than viral verrucae (common warts) and seborrheic
keratoses), cyst, ulcer or scar (other than a scar removed during the
surgical approach at an operation), lesion size more than 10 mm
and up to 20 mm in diameter, removal by surgical excision and
suture from cutaneous or subcutaneous tissue or from mucous membrane,
including excision to establish the diagnosis of tumours covered by
items 31300 to 31335, where specimen sent for histological examination
(not being a service to which item 30195 applies) | 94.65 |
31215 | Tumour (other than viral verrucae (common warts)
and seborrheic keratoses), cyst, ulcer or scar (other than a scar
removed during the surgical approach at an operation), lesion size
more than 20 mm in diameter, removal by surgical excision and
suture from cutaneous or subcutaneous tissue or from mucous membrane,
including excision to establish the diagnosis of tumours covered by
items 31300 to 31335, where specimen sent for histological examination
(not being a service to which item 30195 applies) | 110.40 |
31220 | Tumours (other than viral verrucae (common
warts) and seborrheic keratoses), cysts, ulcers or scars (other than
scars removed during the surgical approach at an operation), lesion
size up to 10 mm in diameter, removal of 4 to 10 lesions by
surgical excision and suture from cutaneous or subcutaneous tissue or
from mucous membrane, including excision to establish the diagnosis of
tumours covered by items 31300 to 31335, where specimen sent for
histological examination (not being a service to which item 30195
applies) | 165.05 |
31225 | Tumours (other
than viral verrucae (common warts) and seborrheic keratoses), cysts,
ulcers or scars (other than scars removed during the surgical approach
at an operation), lesion size up to 10 mm in diameter, removal of
more than 10 lesions by surgical excision and suture from cutaneous or
subcutaneous tissue or from mucous membrane, including excision to
establish the diagnosis of tumours covered by items 31300 to
31335 where specimen sent for histological examination
(not being a service to which item 30195 applies) | 293.35 |
31230 | Tumour (other than viral verrucae (common
warts) and seborrheic keratoses), cyst, ulcer or scar (other than a
scar removed during the surgical approach at an operation), removal by
surgical excision and suture from nose, eyelid, lip, ear, digit or
genitalia, including excision to establish the diagnosis of tumours
covered by items 31300 to 31335 where specimen sent for
histological examination (not being a service to which item 30195
applies) | 291.30 |
31235 | Tumour (other
than viral verrucae (common warts) and seborrheic keratoses), cyst,
ulcer or scar (other than a scar removed during the surgical approach
at an operation), removal by surgical excision and suture from face,
neck (anterior to the sternomastoid muscles) or lower leg (mid calf to
ankle), including excision to establish the diagnosis of tumours
covered by items 31300 to 31335, lesion size up to 10 mm in
diameter where specimen sent for histological examination
(not being a service to which item 30195 applies) | 110.40 |
31240 | Tumour (other than viral verrucae (common
warts) and seborrheic keratoses), cyst, ulcer or scar (other than a
scar removed during the surgical approach at an operation), removal by
surgical excision and suture from face, neck (anterior to the
sternomastoid muscles) or lower leg (mid calf to ankle), including
excision to establish the diagnosis of tumours covered by
items 31300 to 31335, lesion size more than 10 mm in
diameter where specimen sent for histological examination
(not being a service to which item 30195 applies) | 129.30 |
31245 | Skin and subcutaneous tissue, extensive
excision of, in the treatment of suppurative hydradenitis (excision
from axilla, groin or natal cleft) or sycosis barbae or nuchae
(excision from face or neck) | 283.85 |
31250 | Giant hairy or compound naevus, excision of an area at least 1% of
body surface where the specimen is sent for histological confirmation
of diagnosis | 283.85 |
31255 | Basal cell
carcinoma or squamous cell carcinoma (including keratocanthoma),
removal from nose, eyelid, lip, ear, digit or genitalia, tumour size
up to 10 mm in diameter where removal is by surgical
excision and suture and histological confirmation of malignancy has
been obtained | 170.30 |
31260 | Basal cell
carcinoma or squamous cell carcinoma (including keratocanthoma),
removal from nose, eyelid, lip, ear, digit or genitalia, tumour size
more than 10 mm in diameter where removal is by
surgical excision and suture and histological confirmation of
malignancy has been obtained | 242.85 |
31265 | Basal cell carcinoma or squamous cell carcinoma (including
keratocanthoma), removal from face, neck (anterior to the steromastoid
muscles) or lower leg (mid calf to ankle), tumour size up to
10 mm in diameter where removal is by surgical
excision and suture and histological confirmation of malignancy has
been obtained | 141.90 |
31270 | Basal cell
carcinoma or squamous cell carcinoma (including keratocanthoma),
removal from face, neck (anterior to the steromastoid muscles) or
lower leg (mid calf to ankle), tumour size more than 10 mm
and up to 20 mm in diameter where removal is by
surgical excision and suture and histological confirmation of
malignancy has been obtained | 198.70 |
31275 | Basal cell carcinoma or squamous cell carcinoma (including
keratocanthoma), removal from face, neck (anterior to the steromastoid
muscles) or lower leg (mid calf to ankle), tumour size more than
20 mm in diameter where removal is by surgical
excision and suture and histological confirmation of malignancy has
been obtained | 230.25 |
31280 | Basal cell
carcinoma or squamous cell carcinoma (including keratocanthoma),
removal from areas of the body not covered by items 31255 and 31265,
tumour size up to 10 mm in diameter where removal is
by surgical excision and suture and histological confirmation of
malignancy has been obtained | 119.85 |
31285 | Basal cell carcinoma or squamous cell carcinoma (including
keratocanthoma), removal from areas of the body not covered by items
31260 and 31270, tumour size more than 10 mm and up to 20 mm
in diameter where removal is by surgical excision and
suture and histological confirmation of malignancy has been obtained
| 163.95 |
31290 | Basal cell carcinoma or
squamous cell carcinoma (including keratocanthoma), removal from areas
of the body not covered by items 31260 and 31275, tumour size more
than 20 mm in diameter where removal is by surgical
excision and suture and histological confirmation of malignancy has
been obtained | 189.20 |
31295 | Basal cell
carcinoma or squamous cell carcinoma, residual or recurrent (where
lesion treated by previous surgery, serial cautery and curettage,
radiotherapy or two prolonged freeze or thaw cycles of liquid nitrogen
therapy), performed by a specialist in the practice of his or her
specialty or by a practitioner other than the practitioner who
provided the previous treatment, removal from the head or neck
(anterior to the sternomastoid muscles), where removal is by surgical
excision and suture and histological confirmation of malignancy has
been obtained | 225.30 |
31300 | Malignant
melanoma, appendageal carcinoma, malignant fibrous tumour of skin,
merkel cell carcinoma of skin or Hutchinson's melanotic
freckle-removal from nose, eyelid, lip, ear, digit or genitalia,
tumour size up to 10 mm in diameter where removal is
by definitive surgical excision and suture and histological
confirmation of malignancy has been obtained | 246.05 |
31305 | Malignant melanoma, appendageal carcinoma, malignant
fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's
melanotic freckle-removal from nose, eyelid, lip, ear, digit or
genitalia, tumour size more than 10 mm in diameter
where removal is by definitive surgical excision and suture and
histological confirmation of malignancy has been obtained | 302.70 |
31310 | Malignant melanoma, appendageal
carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of
skin or Hutchinson's melanotic freckle-removal from face, neck
(anterior to sternomastoid muscles) or lower leg (mid calf to ankle),
tumour size up to 10 mm in diameter where removal is
by definitive surgical excision and suture and histological
confirmation of malignancy has been obtained | 214.45 |
31315 | Malignant melanoma, appendageal carcinoma, malignant
fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's
melanotic freckle-removal from face, neck (anterior to sternomastoid
muscles) or lower leg (mid calf to ankle), tumour size more than
10 mm and up to 20 mm in diameter where removal
is by definitive surgical excision and suture and histological
confirmation of malignancy has been obtained | 271.20 |
31320 | Malignant melanoma, appendageal carcinoma, malignant
fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's
melanotic freckle-removal from face, neck (anterior to sternomastoid
muscles) or lower leg (mid calf to ankle), tumour size more than
20 mm in diameter where removal is by definitive
surgical excision and suture and histological confirmation of
malignancy has been obtained | 302.70 |
31325 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour
of skin, merkel cell carcinoma of skin or Hutchinson's melanotic
freckle-removal from areas of the body not covered by items 31300 and
31310 tumour size up to 10 mm in diameter
where removal is by definitive surgical excision and suture and
histological confirmation of malignancy has been obtained | 208.20 |
31330 | Malignant melanoma, appendageal
carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of
skin or Hutchinson's melanotic freckle-removal from areas of the body
not covered by items 31305 and 31310 tumour size more than
10 mm and up to 20 mm in diameter where removal
is by definitive surgical excision and suture and histological
confirmation of malignancy has been obtained | 246.05 |
31335 | Malignant melanoma, appendageal carcinoma, malignant
fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's
melanotic freckle-removal from areas of the body not covered by items
31305 and 31320 tumour size more than 20 mm in
diameter where removal is by definitive surgical excision
and suture and histological confirmation of malignancy has been
obtained | 283.85 |
31340 | Muscle, bone or
cartilage, excision of one or more of, where clinically indicated,
performed in association with excision of malignant tumour of skin
covered by item 31255, 31260, 31265, 31270, 31275, 31280, 31285,
31290, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330 or 31335
| Amount under rule 38 |
31345 | Lipoma,
removal of by surgical excision or liposuction, where lesion is
subcutaneous and greater than 50 mm in diameter, or is
sub-fascial, where specimen is sent for histological confirmation of
diagnosis | 162.20 |
31350 | Benign tumour of
soft tissue, removal of by surgical excision, where specimen is sent
for histological confirmation of diagnosis, not being a service to
which another item in this group applies | 333.40 |
31355 | Malignant tumour of soft tissue, removal
of by surgical excision, where histological proof of malignancy has
been obtained, not being a service to which another item in this group
applies | 549.60 |
31400 |
Malignant upper aerodigestive tract tumour up to 20 mm in
diameter (excluding tumour of the lip), excision of, where
histological confirmation of malignancy has been obtained | 200.85 |
31403 | Malignant upper
aerodigestive tract tumour more than 20 mm and up to 40 mm
in diameter (excluding tumour of the lip), excision of, where
histological confirmation of malignancy has been obtained | 231.80 |
31406 | Malignant upper
aerodigestive tract tumour more than 40 mm in diameter (excluding
tumour of the lip), excision of, where histological confirmation of
malignancy has been obtained |
386.30 |
31409 | Parapharyngeal tumour, excision of, by cervical
approach | 1,200.20 |
31412 |
Recurrent or persistent parapharyngeal tumour, excision of, by
cervical approach | 1,478.35 |
31420 | Lymph node of neck, biopsy of |
141.45 |
31423 | Lymph nodes of neck, selective dissection of 1 or
2 lymph node levels involving removal of soft tissue and lymph
nodes from one side of the neck |
309.05 |
31426 | Lymph nodes of neck, selective dissection of 3 lymph
node levels involving removal of soft tissue and lymph nodes from one
side of the neck | 618.15 |
31429 | Lymph nodes of neck, selective dissection of 4 lymph node levels on
one side of the neck with preservation of one or more of: internal
jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve
| 963.25 |
31432 | Lymph nodes of
neck, bilateral selective dissection of levels I, II and III
(bilateral supraomohyoid dissections) | 1,030.20 |
31435 | Lymph nodes of neck, comprehensive
dissection of all 5 lymph node levels on one side of the neck
| 757.20 |
31438 | Lymph nodes of
neck, comprehensive dissection of all 5 lymph node levels on one
side of the neck with preservation of one or more of: internal jugular
vein, sternocleido-mastoid muscle, or spinal accessory nerve | 1,200.20 |
31441 | Long-term implanted
reservoir associated with the adjustable gastric band, repair,
revision or | 193.60 |
31450 |
Laparoscopic division of adhesions, as an independent procedure, where
the time taken is 1 hour or less |
312.85 |
31452 | Laparoscopic division of adhesions, as an independent
procedure, where the time taken is more than 1 hour | 547.45 |
Subgroup 2 Colorectal | ||
32000 |
Large intestine, resection of, without anastomosis, including right
hemicolectomy (including formation | 793.45 |
32003 | Large intestine, resection of, with
anastomosis, including right hemicolectomy | 830.00 |
32004 | Large intestine, sub-total colectomy
(resection of right colon, transverse colon and splenic flexure)
without anastomosis, not being a service associated with a service to
which item 32000, 32003, 32005 or 32006 applies | 885.00 |
32005 | Large intestine, sub-total 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 | 999.75 |
32006 | Left hemicolectomy, including the
descending and sigmoid colon (including formation of stoma) | 885.00 |
32009 | Total colectomy and
ileostomy | 1,049.80 |
32012 |
Total colectomy and ileo-rectal anastomosis | 1,159.65 |
32015 | Total colectomy with excision of rectum
and ileostomy 1 surgeon | 1,425.10 |
32018 | Total colectomy with excision of rectum
and ileostomy, combined synchronous operation; abdominal resection
(including after-care) | 1,208.45 |
32021 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection (Assist.) | 433.35 |
32024 | Rectum, high restorative anterior resection with
intraperitoneal anastomosis (of the rectum) greater than 10 cm
from the anal verge excluding resection of sigmoid colon
alone | 1,049.80 |
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 |
1,404.20 |
32026 | Rectum, ultra low restorative resection, with or
without covering stoma, where the anastomosis is sited in the
anorectal region and is 6 cm or less from the anal verge | 1,512.20 |
32028 | Rectum, low or ultra
low restorative resection, with peranal sutured coloanal anastomosis,
with or without covering stoma |
1,620.25 |
32029 | Colonic reservoir, construction of, being a service
associated with a service to which any other item in this subgroup
applies | 324.00 |
32030 |
Rectosigmoidectomy (Hartmann's operation) | 793.45 |
32033 | Restoration of bowel following
Hartmann's or similar operation, including dismantling of the stoma
| 1,159.65 |
32036 |
Sacrococcygeal and presacral tumour excision of | 1,470.85 |
32039 | Rectum and anus,
abdomino-perineal resection of 1 surgeon | 1,181.00 |
32042 | Rectum and anus,
abdomino-perineal resection of, combined synchronous operation,
abdominal resection | 994.85 |
32045 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation perineal resection (Assist.) |
372.35 |
32046 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon (Assist.) | 575.35 |
32047 | Perineal proctectomy | 670.30 |
32051 | Total colectomy with excision of
rectum and ileoanal anastomosis with formation of ileal reservoir,
with or without creation of temporary ileostomy 1 surgeon
| 1,782.20 |
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
after-care) | 1,635.65 |
32057 |
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir conjoint surgery, perineal surgeon (Assist.) | 433.35 |
32060 | Ileostomy closure with rectal
resection and mucosectomy and ileoanal anastomosis with formation of
ileal reservoir, with or without temporary loop ileostomy
1 surgeon | 1,782.20 |
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 after-care) |
1,635.65 |
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 (Assist.) | 433.35 |
32069 |
Ileostomy reservoir, continent type, creation of, including conversion
of existing ileostomy where appropriate |
1,318.35 |
32072 | Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy | 36.85 |
32075 |
Sigmoidoscopic examination (with rigid sigmoidoscope), under general
anaesthesia, with or without biopsy, not being a service associated
with a service to which another item in this group applies | 57.75 |
32078 | Sigmoidoscopic examination with
diathermy or resection of 1 or more polyps where the time taken
is less than or equal to 45 minutes | 129.65 |
32081 | Sigmoidoscopic examination with diathermy or resection of
1 or more polyps where the time taken is greater than
45 minutes | 178.00 |
32084 | Flexible
fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic
flexure, with or without biopsy | 85.65 |
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 | 157.50 |
32090 | Fibreoptic
colonoscopy examination of colon beyond the hepatic
flexure with or without biopsy | 257.15 |
32093 | Fibreoptic colonoscopy examination of colon beyond
the hepatic flexure with removal of 1 or more polyps | 360.90 |
32094 | Endoscopic dilatation of colorectal
strictures including colonoscopy | 424.50 |
32095 | Endoscopic examination of small bowel with flexible endoscope
passed by stoma, with or without biopsies |
98.30 |
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 | 197.70 |
32099 | Rectal
tumour of 5 cm or less in diameter, per anal submucosal excision
of | 256.35 |
32102 | Rectal tumour
of greater than 5 cm in diameter, indicated by pathological
examination, per anal submucosal excision of | 488.25 |
32105 | Anorectal carcinoma per anal
full thickness | 372.35 |
32108 | Rectal tumour, trans-sphincteric excision of (Kraske or
similar operation) | 769.05 |
32111 | Rectal prolapse, Delorme procedure for | 488.25 |
32112 | Rectal prolapse, perineal
recto-sigmoidectomy for | 594.15 |
32114 | Rectal stricture, per anal release of | 134.30 |
32115 | Rectal stricture, dilatation of | 97.65 |
32117 | Rectal prolapse, abdominal rectopexy of
| 769.05 |
32120 | Rectal prolapse,
perineal repair of | 197.70 |
32123 | Anal stricture, anoplasty for |
256.35 |
32126 | Anal incontinence, Parks' intersphincteric procedure
for | 372.35 |
32129 | Anal
sphincter, direct repair of |
488.25 |
32131 | Rectocele, perineal repair of | 410.50 |
32132 | Haemorrhoids or rectal
prolapse sclerotherapy for |
34.75 |
32135 | Haemorrhoids or rectal prolapse rubber
band ligation of, with or without sclerotherapy, cryosurgery or
infrared therapy for | 51.90 |
32138 |
Haemorrhoidectomy including excision of anal skin tags when performed
| 282.90 |
32139 | Haemorrhoidectomy
involving third or fourth degree haemorrhoids, including excision of
anal skin tags when performed |
282.90 |
32142 | Anal skin tags or anal polyps, excision of 1 or more
of | 51.90 |
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 | 103.90 |
32147 | Perianal thrombosis, incision of | 34.75 |
32150 | Operation for fissure-in-ano, including
excision or sphincterotomy but excluding dilatation only | 197.70 |
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 | 54.00 |
32156 |
Fistula-in-ano, subcutaneous, excision of |
101.35 |
32159 | Anal fistula, excision of, involving lower half of
the anal sphincter mechanism |
256.35 |
32162 | Anal fistula, excision of, involving the upper half
of the anal sphincter mechanism |
372.35 |
32165 | Anal fistula, repair of by mucosal flap advancement
| 488.25 |
32166 | Anal
fistula readjustment of Seton |
158.60 |
32168 | Fistula wound, review of, under general or regional
anaesthetic, as an independent procedure |
101.35 |
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 |
68.35 |
32174 | Intra-anal, perianal or ischio-rectal abscess,
drainage of (excluding after-care) | 68.35 |
32175 | Intra-anal, perianal or ischio-rectal abscess, draining of,
undertaken in the operating theatre of a hospital or approved
day-hospital facility (excluding after-care) | 125.10 |
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 | 134.10 |
32180 | Anal warts,
removal of, under general anaesthesia, or under regional or field
nerve block (excluding pudendal block) requiring admission to a
hospital or approved day-hospital facility, where the time taken is
greater than 45 minutes not being a service associated
with a service to which item 35507 or 35508 applies | 197.70 |
32183 | Intestinal sling procedure prior to
radiotherapy | 432.10 |
32186 |
Colonic lavage, total, intra-operative | 432.10 |
32200 | Distal muscle, devascularisation of
| 227.45 |
32203 | Anal or perineal
graciloplasty | 488.50 |
32206 |
Stimulator and electrodes, insertion of, following previous
graciloplasty | 441.30 |
32209 |
Anal or perineal graciloplasty with insertion of stimulator and
electrodes | 709.20 |
32210 |
Gracilis neosphincter pacemaker, replacement of | 196.50 |
32212 | Ano-rectal application of formalin in the
treatment of radiation proctitis, where performed in the operating
theatre of a hospital or approved day-hospital facility, excluding
after-care | 104.80 |
Subgroup 3 Vascular | ||
32500 | Varicose veins where varicosity measures
2.5 mm 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 after-care) to a maximum of
6 treatments in a 12 month period |
84.50 |
32501 | Varicose veins where varicosity measures 2.5 mm 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 after-care) where it can be demonstrated that a 7th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period | 84.50 |
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 32507, 32508, 32511, 32514 or 32517 applies | 205.90 |
32507 | Varicose veins, sub-fascial
surgical exploration of one or more incompetent perforating
veins 1 leg not being a service associated
with a service to which item 32508, 32511, 32514 or 32517 applies
| 410.50 |
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 | 410.50 |
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 | 610.30 |
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 | 712.95 |
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 | 918.10 |
32700 | Artery
of neck, bypass using vein or synthetic material | 1,105.00 |
32703 | Internal carotid artery,
transection and reanastomosis of, or resection of small length and
reanastomosis of with or without endarterectomy | 914.10 |
32708 | Aortic bypass for
occlusive disease using a straight non-bifurcated graft | 1,093.50 |
32710 | Aortic bypass for
occlusive disease using a bifurcated graft with 1 or both anastomoses
to the iliac arteries | 1,215.00 |
32711 | Aortic bypass for occlusive disease using a bifurcated graft
with 1 or both anastomoses to the common femoral or profunda femoris
arteries | 1,336.50 |
32712 |
Ilio-femoral bypass grafting |
966.15 |
32715 | Axillary or subclavian to femoral bypass grafting to
1 or both femoral arteries |
966.15 |
32718 | Femoro-femoral or ilio-femoral cross-over bypass
grafting | 914.10 |
32721 | Renal
artery, bypass grafting to |
1,452.00 |
32724 | Renal arteries (both), bypass grafting to | 1,648.70 |
32730 | Mesenteric vessel
(single), bypass grafting to |
1,249.60 |
32733 | Mesenteric vessels (multiple), bypass grafting to
| 1,452.00 |
32736 | Inferior
mesenteric artery, operation on, when performed in conjunction with
another intra-abdominal vascular operation | 318.15 |
32739 | Femoral artery bypass grafting using
vein, including harvesting of vein (when it is the ipsilateral long
saphenous vein) with above knee anastomosis | 995.05 |
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
| 1,139.70 |
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 | 1,301.60 |
32748 | Femoral artery bypass grafting
using vein, including harvesting of vein (when it is the ipsilateral
long saphenous vein) with distal anastomosis within 5 cm of the
ankle joint | 1,411.55 |
32751 |
Femoral artery bypass grafting using synthetic graft, with lower
anastomosis above or below the knee | 914.10 |
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 |
1,139.70 |
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 | 318.15 |
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
| 312.30 |
32763 | Arterial bypass
grafting, using vein or synthetic material, not being a service to
which another item in this subgroup applies | 914.10 |
32766 | Arterial or venous anastomosis, not being
a service to which another item in this subgroup applies, as an
independent procedure | 607.45 |
32769 | Arterial or venous anastomosis not being a service to which
another item in this subgroup applies, when performed in combination
with another vascular operation (including graft to graft anastomosis)
| 210.55 |
33050 | Bypass
grafting to replace a popliteal aneurysm using vein, including
harvesting vein (when it is the ipsilateral long saphenous vein)
| 1,119.50 |
33055 | Bypass
grafting to replace a popliteal aneurysm using a synthetic graft
| 897.85 |
33070 | Aneurysm in the
extremities, ligation, suture closure or excision of, without bypass
grafting | 647.80 |
33075 |
Aneurysm in the neck, ligation, suture closure or excision of, without
bypass grafting | 824.00 |
33080 | Intra-abdominal or pelvic aneurysm, ligation, suture closure or
excision of, without bypass grafting | 1,005.85 |
33100 | Aneurysm of common or internal carotid
artery, or both, replacement by graft of vein or synthetic material
| 1,105.00 |
33103 | Thoracic
aneurysm, replacement by graft |
1,550.35 |
33109 | Thoraco-abdominal aneurysm, replacement by graft
including re-implantation of arteries | 1,874.40 |
33112 | Suprarenal abdominal aortic aneurysm,
replacement by graft including re-implantation of arteries | 1,625.60 |
33115 | Infrarenal abdominal
aortic aneurysm, replacement by tube graft not being a service
associated with a service to which item 33116 applies | 1,093.50 |
33118 | Infrarenal abdominal aortic
aneurysm, replacement by bifurcation graft to iliac arteries (with or
without excision of common iliac aneurysms) not being a service
associated with a service to which item 33119 applies | 1,215.00 |
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) | 1,336.50 |
33124 |
Aneurysm of iliac artery (common, external or internal), replacement
by graft unilateral |
931.35 |
33127 | Aneurysms of iliac arteries (common, external or
internal), replacement by graft bilateral | 1,220.65 |
33130 | Aneurysm of visceral artery,
excision and repair by direct anastomosis or replacement by graft
| 1,064.45 |
33133 | Aneurysm of
visceral artery, dissection and ligation of arteries without
restoration of continuity | 798.30 |
33136 | False aneurysm, repair of, at aortic anastomosis following
previous aortic surgery |
2,013.15 |
33139 | False aneurysm, repair of, in iliac artery and
restoration of arterial continuity | 1,220.65 |
33142 | False aneurysm, repair of, in femoral
artery and restoration of arterial continuity | 1,139.70 |
33145 | Ruptured thoracic aortic aneurysm,
replacement by graft | 1,961.15 |
33148 | Ruptured thoraco-abdominal aortic aneurysm, replacement by
graft | 2,435.50 |
33151 |
Ruptured suprarenal abdominal aortic aneurysm, replacement by graft
| 2,314.05 |
33154 | Ruptured
infrarenal abdominal aortic aneurysm, replacement by tube graft
| 1,712.45 |
33157 | Ruptured
infrarenal abdominal aortic aneurysm, replacement by bifurcation graft
to iliac arteries (with or without excision or bypass of common iliac
aneurysms) | 1,909.10 |
33160 |
Ruptured infrarenal abdominal aortic aneurysm, replacement by
bifurcation graft to 1 or both femoral arteries | 1,909.10 |
33163 | Ruptured iliac artery aneurysm,
replacement by graft | 1,619.90 |
33166 | Ruptured aneurysm of visceral artery, replacement by
anastomosis or graft | 1,619.90 |
33169 | Ruptured aneurysm of visceral artery, simple ligation of
| 1,261.20 |
33172 | Aneurysm of
major artery, replacement by graft, not being a service to which
another item in this subgroup applies | 983.45 |
33175 | Ruptured aneurysm in the extremities,
ligation, suture closure or excision of, without bypass grafting
| 906.30 |
33178 | Ruptured
aneurysm in the neck, ligation, suture closure or excision of, without
bypass grafting | 1,152.55 |
33181 | Ruptured intra-abdominal or pelvic aneurysm, ligation, suture
closure or excision of, without bypass grafting | 1,409.20 |
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)
| 873.50 |
33506 | Innominate or
subclavian artery, endarterectomy of, including closure by suture
| 977.70 |
33509 | Aortic
endarterectomy, including closure by suture, not being a service
associated with another procedure on | 1,093.50 |
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 | 1,215.00 |
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 | 1,336.50 |
33518 | Iliac endarterectomy, including closure
by suture, not being a service associated with another procedure on
the iliac artery | 977.70 |
33521 | Ilio-femoral endarterectomy (1 side), including closure by suture
| 1,058.65 |
33524 | Renal
artery, endarterectomy of |
1,249.60 |
33527 | Renal arteries (both), endarterectomy of | 1,452.00 |
33530 | Coeliac or superior
mesenteric artery, endarterectomy of | 1,249.60 |
33533 | Coeliac and superior mesenteric artery,
| 1,452.00 |
33536 | Inferior mesenteric artery, endarterectomy of, not being a
service associated with a service to which another item in this
subgroup applies | 1,035.60 |
33539 | Artery of extremities, endarterectomy of, including closure by
suture | 746.25 |
33542 | Extended
deep femoral endarterectomy where the endarterectomy is at least
7 cm long | 1,064.45 |
33545 |
Artery, vein or bypass graft, patch grafting to by vein or synthetic
material where patch is less than 3 cm long | 210.55 |
33548 | Artery, vein or bypass graft, patch
grafting to by vein or synthetic material where patch is 3 cm
long or greater | 428.20 |
33551 |
Vein, harvesting of from leg or arm for patch when not performed
through same incision as operation | 210.55 |
33554 | Endarterectomy, in conjunction with an arterial
bypass operation to prepare the site for anastomosis each
site | 209.55 |
33800 | Embolus,
removal of, from artery of neck |
908.25 |
33803 | Embolectomy or thrombectomy, by abdominal approach,
of an artery or bypass graft of trunk | 867.80 |
33806 | Embolectomy or thrombectomy, from an
artery or bypass graft of extremities, or embolectomy of abdominal
artery via the femoral artery |
624.85 |
33810 | Inferior vena cava or iliac vein, closed thrombectomy
by catheter via the femoral vein |
455.80 |
33811 | Inferior vena cava or iliac vein, open removal of
thrombus or tumour | 1,356.80 |
33812 | Thrombus, removal of, from femoral or other similar large vein
| 717.40 |
33815 | Major artery or
vein of extremity, repair of wound of, with restoration of continuity,
by lateral suture | 659.50 |
33818 | Major artery or vein of extremity, repair of wound of, with
restoration of continuity, by direct anastomosis | 769.45 |
33821 | Major artery or vein of extremity,
repair of wound of, with restoration of continuity, by interposition
graft of synthetic material or vein | 879.35 |
33824 | Major artery or vein of neck, repair of
wound of, with restoration of continuity, by lateral suture | 838.80 |
33827 | Major artery or vein of
neck, repair of wound of, with restoration of continuity, by direct
anastomosis | 983.45 |
33830 |
Major artery or vein of neck, repair of wound of, with restoration of
continuity, by interposition graft of synthetic material or vein
| 1,128.05 |
33833 | Major artery
or vein of abdomen, repair of wound of, with restoration of continuity
by lateral suture | 1,024.00 |
33836 | Major artery or vein of abdomen, repair of wound of, with
restoration of continuity by direct anastomosis | 1,220.65 |
33839 | Major artery or vein of abdomen,
repair of wound of, with restoration of continuity by means of
interposition graft | 1,428.90 |
33842 | Artery of neck, re-operation for bleeding or thrombosis after
carotid or vertebral artery surgery | 705.80 |
33845 | Laparotomy for control of post operative
bleeding or thrombosis after intra-abdominal vascular procedure, where
no other procedure is performed |
491.75 |
33848 | Extremity, re-operation on, for control of bleeding
or thrombosis after vascular procedure, where no other procedure is
performed | 491.75 |
34100 | Major
artery of neck, elective ligation or exploration of, not being a
service associated with any other vascular procedure | 543.80 |
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 except those services to which item
32508, 32511, 32514 or 32517 apply | 318.15 |
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 except
those services to which item 32508, 32511, 32514 or 32517 apply
| 224.45 |
34109 | Temporal artery,
biopsy of | 260.30 |
34112 |
Arterio-venous fistula of an extremity, dissection and ligation
| 659.50 |
34115 | Arterio-venous
fistula of the neck, dissection and ligation | 746.25 |
34118 | Arterio-venous fistula of the abdomen,
dissection and ligation |
1,064.45 |
34121 | Arterio-venous fistula of an extremity, dissection
and repair of, with restoration of continuity | 850.40 |
34124 | Arterio-venous fistula of the neck,
dissection and repair of, with restoration of continuity | 931.35 |
34127 | Arterio-venous fistula of the
abdomen, dissection and repair of, with restoration of continuity
| 1,220.65 |
34130 | Surgically
created arterio-venous fistula of an extremity, closure of | 381.85 |
34133 | Scalenotomy | 428.20 |
34136 | First rib, resection of
portion of | 688.35 |
34139 |
Cervical rib, removal of, or other operation for removal of thoracic
outlet compression, not being a service to which another item in this
subgroup applies | 688.35 |
34142 |
Coeliac artery, decompression of, for coeliac artery compression
syndrome, as an independent procedure | 850.40 |
34145 | Popliteal artery, exploration of, for
popliteal entrapment, with or without division of fibrous tissue and
muscle | 619.05 |
34148 | Carotid
associated tumour, resection of, with or without repair or
reconstruction of internal or common carotid arteries, when tumour is
4 cm or less in maximum diameter | 1,105.00 |
34151 | Carotid associated tumour, resection
of, with or without repair or reconstruction of internal or common
carotid arteries, when tumour is greater than 4 cm in maximum
diameter | 1,509.95 |
34154 |
Recurrent carotid associated tumour, resection of, with or without
repair or replacement of portion of internal or common carotid
arteries | 1,799.20 |
34157 |
Neck, excision of infected bypass graft, including closure of vessel
or vessels | 914.10 |
34160 |
Aorto-duodenal fistula, repair of, by suture of aorta and repair of
duodenum | 1,712.45 |
34163 |
Aorto-duodenal fistula, repair of, by insertion of aortic graft and
repair of duodenum | 2,198.35 |
34166 | Aorto-duodenal fistula, repair of, by oversewing of abdominal
aorta, repair of duodenum and axillo bifemoral grafting | 2,198.35 |
34169 | Infected bypass graft from
trunk, excision of, including closure of arteries | 1,220.65 |
34172 | Infected axillo-femoral or
femoro-femoral graft, excision of, including closure of arteries
| 995.05 |
34175 | Infected
bypass graft from extremities, excision of including closure of
arteries | 914.10 |
34500 |
Arteriovenous shunt, external, insertion of | 237.20 |
34503 | Arteriovenous anastomosis of upper or
lower limb, in conjunction with another venous or arterial operation
| 318.15 |
34506 | Arteriovenous
shunt, external, removal of |
162.00 |
34509 | Arteriovenous anastomosis of upper or lower limb, not
in conjunction with another venous or arterial operation | 752.05 |
34512 | Arteriovenous access device,
insertion of | 827.30 |
34515 |
Arteriovenous access device, thrombectomy of | 590.05 |
34518 | Stenosis of arteriovenous fistula or
prosthetic arteriovenous access device, correction of | 989.25 |
34521 | Intra-abdominal artery or vein,
cannulation of, for infusion chemotherapy, by open operation
(excluding after-care) | 607.70 |
34524 | Arterial cannulation for infusion chemotherapy by open
operation, not being a service to which item 34521 applies (excluding
after-care) | 318.15 |
34527 |
Central vein catheterisation by open technique, using subcutaneous
tunnel with pump or access port as with Hickman or Broviac catheter or
other chemotherapy delivery device, including any associated
percutaneous central vein catheterisation |
424.35 |
34528 | Central vein catheterisation by percutaneous
technique, using subcutaneous tunnel with pump or access port as with
Hickman or Broviac catheter or other chemotherapy delivery device
| 209.55 |
34530 | Hickman or Broviac
catheter, or other chemotherapy device, removal of, by open surgical
procedure in the operating theatre of a hospital or approved
day-hospital | 157.15 |
34533 | Isolated limb
perfusion, including cannulation of artery and vein at commencement of
procedure, regional perfusion for chemotherapy, or other therapy,
repair of arteriotomy and venotomy at conclusion of procedure
(excluding after-care) | 954.50 |
34800 | Inferior vena cava, plication, ligation, or application of
caval clip | 624.85 |
34803 |
Inferior vena cava, reconstruction of or bypass by vein or synthetic
material | 1,376.90 |
34806 |
Cross leg bypass grafting, saphenous to iliac or femoral vein | 746.25 |
34809 | Saphenous vein
anastomosis to femoral or popliteal vein for femoral vein bypass
| 746.25 |
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 | 902.50 |
34815 | Vein
stenosis, patch angioplasty for, (excluding vein graft
stenosis) using vein or synthetic material | 746.25 |
34818 | Venous valve, plication or
repair to restore valve competency | 821.50 |
34821 | Vein transplant to restore valvular function | 1,116.55 |
34824 | External stent,
application of, to restore venous valve competency to superficial
vein 1 stent | 381.85 |
34827 | External stents, application of, to restore venous valve
competency to superficial vein or veins more than
1 stent | 462.80 |
34830 |
External stent, application of, to restore venous valve competency to
deep vein 1 stent |
543.80 |
34833 | External stents, application of, to restore venous
valve competency to deep vein or veins more than 1 stent
| 705.80 |
35000 | Lumbar
sympathectomy | 543.80 |
35003 |
Cervical or upper thoracic sympathectomy by any surgical approach
| 705.80 |
35006 | Cervical or
upper thoracic sympathectomy, where operation is a re-operation for
previous incomplete sympathectomy by any surgical approach | 885.15 |
35009 | Lumbar sympathectomy,
where operation is following chemical sympathectomy or for previous
incomplete surgical sympathectomy |
688.35 |
35012 | Sacral or pre-sacral sympathectomy | 543.80 |
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 | 283.55 |
35103 | Ischaemic
limb, debridement of necrotic material, gangrenous tissue, or slough
in, in the operating theatre of a hospital, superficial tissue only
| 180.50 |
35200 | Operative arteriography or
venography, 1 or more of, performed during the course of an operative
procedure on an artery or vein, 1 site |
131.90 |
35202 | Major arteries or veins in the neck, abdomen or
extremities, access to, as part of re-operation after prior surgery on
these vessels | 628.65 |
35300 |
Transluminal balloon angioplasty of 1 peripheral artery or vein of 1
limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding after-care | 396.55 |
35303 | Transluminal balloon
angioplasty of aortic arch branches, aortic visceral branches, or more
than 1 peripheral artery or vein of 1 limb, percutaneous or by
open exposure, excluding associated radiological services or
preparation, and excluding after-care | 508.35 |
35304 | Transluminal balloon angioplasty of 1
coronary artery, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding
after-care | 396.55 |
35305 |
Transluminal balloon angioplasty of more than 1 coronary artery,
percutaneous or by open exposure, excluding associated radiological
services or preparation, and excluding after-care | 508.35 |
35306 | Transluminal stent insertion
including associated balloon dilatation for 1 peripheral artery or
vein of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding
after-care | 469.20 |
35309 |
Transluminal stent insertion including associated balloon dilatation
for visceral arteries or veins, or more than 1 peripheral artery
or vein of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding
after-care | 586.50 |
35310 |
Transluminal stent insertion including associated balloon dilatation
for coronary artery, percutaneous or by open exposure, excluding
associated radiological services and preparation, and excluding
after-care | 586.50 |
35312 |
Peripheral arterial atherectomy including associated balloon
dilatation of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding
after-care | 664.70 |
35315 |
Peripheral laser angioplasty including associated balloon dilatation
of 1 limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding after-care | 664.70 |
35317 | Peripheral arterial or
venous catheterisation with administration of thrombolytic or
chemotherapeutic agents, by continuous infusion, using percutaneous
approach, excluding associated radiological services or preparation,
and excluding after-care (not being a service associated with a
service to which another item in Subgroup 11 of Group T1 or item 35319
or 35320 applies) | 273.70 |
35319 | Peripheral arterial or venous catheterisation with administration of
thrombolytic or chemotherapeutic agents, by pulse spray technique,
using percutaneous approach, excluding associated radiological
services or preparation, and excluding after-care (not being a service
associated with a service to which another item in Subgroup 11 of
Group T1 or item 35317 or 35320 applies) | 490.65 |
35320 | Peripheral arterial or venous
catheterisation with administration of thrombolytic or
chemotherapeutic agents, by open exposure, excluding associated
radiological services or preparation, and excluding after-care (not
being a service associated with a service to which another item in
Subgroup 11 of Group T1 or item 35317 or 35319 applies) | 659.15 |
35321 | Peripheral arterial or
venous catheterisation to administer agents to occlude arteries, veins
or arterio-venous fistulae or to arrest haemorrhage, percutaneous or
by open exposure, excluding associated radiological services or
preparation, and excluding after-care | 625.60 |
35324 | Angioscopy not combined with any other
procedure, excluding associated radiological services or preparation,
and excluding after-care | 234.55 |
35327 | Angioscopy combined with any other procedure, excluding
associated radiological services or preparation, and excluding
after-care | 314.35 |
35330 |
Insertion of inferior vena caval filter, percutaneous or by open
exposure, excluding associated radiological services or preparation,
and excluding after-care | 396.55 |
Subgroup 4 Gynaecological | ||
35500 | Gynaecological
examination under anaesthesia, not being a service associated with a
service to which another item in this group applies | 62.50 |
35503 | Intra-uterine contraceptive device,
introduction of, not being a service associated with a service to
which another item in this group applies |
41.20 |
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 |
41.30 |
35507 | Vulval or vaginal warts, removal of under general
anaesthesia, or under regional or field nerve block (excluding
pudendal block) requiring admission to a hospital or approved
day-hospital facility, where the time taken is less than or equal to
45 minutes not being a service associated with a service
to which item 32177 or 32180 applies |
134.30 |
35508 | Vulval or vaginal warts, removal of under general
anaesthesia, or under regional or field nerve block (excluding
pudendal block) requiring admission to a hospital or approved
day-hospital facility, where the time taken is greater than
45 minutes not being a service associated with a
service to which item 32177 or 32180 applies | 197.70 |
35509 | Hymenectomy |
68.90 |
35512 | Bartholin's cyst, excision of (G) | 137.95 |
35513 | Bartholin's cyst, excision of (S) | 170.60 |
35516 | Bartholin's cyst or gland,
marsupialisation of (G) | 89.55 |
35517 |
Bartholin's cyst or gland, marsupialisation of (S) | 112.30 |
35518 | Ovarian cyst aspiration, for cysts of at
least 4 cm in diameter in premenopausal women and at least
2 cm in diameter in postmenopausal women, by abdominal or vaginal
route, using interventional imaging techniques and not associated with
services provided for assisted reproductive techniques | 159.85 |
35520 | Bartholin's abscess, incision of | 44.80 |
35523 | Urethra or urethral caruncle,
cauterisation of | 44.80 |
35526 | Urethral
caruncle, excision of (G) | 89.55 |
35527 |
Urethral caruncle, excision of (S) | 112.30 |
35530 | Clitoris, amputation of, where medically indicated
| 207.55 |
35533 | Vulvoplasty or
labioplasty, where medically indicated, not being a service associated
with a service to which item 35536 applies |
269.15 |
35536 | Vulva, wide local excision of suspected malignancy or
hemivulvectomy, 1 or both procedures | 268.05 |
35539 | Colposcopically directed CO 2 laser
therapy for previously confirmed intraepithelial neoplastic changes of
the cervix, vagina, vulva, urethra or anal canal, including any
associated biopsies 1 anatomical site | 210.00 |
35542 | Colposcopically directed CO 2 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 | 245.85 |
35545 | Colposcopically directed CO 2 laser
therapy for condylomata, unsuccessfully treated by other methods
| 141.30 |
35548 | Vulvectomy, radical, for
malignancy | 641.70 |
35551 |
Pelvic lymph glands, excision of (radical) | 526.15 |
35554 | Vagina, dilatation of, as an independent
procedure including any associated consultation | 33.45 |
35557 | Vagina, removal of simple tumour
(including Gartner duct cyst) | 165.00 |
35560 | Vagina, partial or complete removal of | 526.15 |
35561 | Vaginectomy, radical, for proven
invasive malignancy 1 surgeon | 1,061.30 |
35562 | Vaginectomy, radical, for proven
invasive malignancy, conjoint surgery abdominal surgeon
(including after-care) | 871.40 |
35564 | Vaginectomy, radical, for proven invasive malignancy, conjoint surgery perineal surgeon (Assist.) | 402.25 |
35565 |
Vaginal reconstruction for congenital absence, gynatresia or
urogenital sinus | 526.15 |
35566 | Vaginal septum, excision of, for correction of double vagina | 305.65 |
35567 | Vaginal repair including
1 or more of anterior, posterior or enterocele repair, with
sacrospinous colpopexy | 540.05 |
35569 | Plastic repair to enlarge vaginal orifice | 123.70 |
35572 | Colpotomy, not being a service to which another
item in this group applies | 95.25 |
35576 |
Anterior vaginal repair or posterior vaginal repair (involving repair
of rectocele or enterocele or both) not being a service to which item
35580 or 35584 applies | 327.00 |
35580 | Anterior vaginal repair and posterior vaginal repair
(involving repair of rectocele or enterocele or both) not being a
service to which item 35584 applies | 412.35 |
35584 | Manchester (Donald-Fothergill) operation or le Fort
operation for genital prolapse |
518.90 |
35587 | Urethrocele, operation for |
135.10 |
35590 | Operation involving abdominal approach for repair of
enterocele or suspension of vaginal vault or enterocele and suspension
of vaginal vault | 412.35 |
35593 |
Vaginal repair of enterocele with or without repair of rectocele, not
being a service associated with a service to which item 35576, 35580,
35584, 35590, 35657, 35673, 35750 or 35753 applies, and where on a
previous occasion there had been performed surgery reflected by a
procedure to which item 35576, 35580, 35584, 35590, 35657, 35673,
35750 or 35753 applies | 412.35 |
35596 | Fistula between genital and urinary or alimentary tracts,
repair of, not being a service to which item 37029, 37333 or 37336
applies | 526.15 |
35599 | Stress
incontinence, sling operation for |
518.90 |
35600 | Stress incontinence, vaginal procedure for | 402.85 |
35602 | Stress incontinence,
combined synchronous abdomino-vaginal operation for; abdominal
procedure (including after-care) |
518.90 |
35605 | Stress incontinence, combined synchronous abdomino-vaginal operation for; vaginal procedure (including after-care) (Assist.) | 281.50 |
35608 | Cervix, cauterisation (other
than by chemical means), ionisation, diathermy or biopsy of, with or
without dilatation of cervix | 49.20 |
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 | 49.20 |
35612 | Cervix,
residual stump, removal of, by abdominal approach | 389.25 |
35613 | Cervix, residual stump, removal of,
by vaginal approach | 311.45 |
35614 | Examination of lower female genital tract by a Hinselmann-type
colposcope in a patient with a previous abnormal cervical smear or a
history of maternal ingestion of oestrogen or where a patient, because
of suspicious signs of cancer, has been referred by another medical
practitioner | 49.10 |
35615 | Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies | 41.30 |
35617 | Cervix, cone biopsy, amputation or
repair of, not being a service to which item 35584 applies (G) | 133.60 |
35618 | Cervix, cone
biopsy, amputation or repair of, not being a service to which
item 35583 or 35584 applies (S) | 167.75 |
35620 | Endometrial biopsy where malignancy is suspected in patients
with abnormal uterine bleeding or post menopausal bleeding | 41.00 |
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 | 463.55 |
35623 |
Hysteroscopic resection of myoma or uterine septum followed by
endometrial ablation by laser or diathermy |
630.25 |
35626 | Hysteroscopy, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not being a service associated with a service to which item 35627 or 35630 applies | 63.70 |
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 | 82.45 |
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 | 140.80 |
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 | 167.75 |
35636 |
Hysteroscopy, and laparoscopy where performed, under general
anaesthesia involving either myomectomy or resection of uterine septum
or both | 333.15 |
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 | 312.85 |
35638 | Complicated operative laparoscopy,
including use of laser when required, for 1 or more of the following
procedures; oophorectomy, ovarian cystectomy, myomectomy,
salpingectomy or salpingostomy, ablation of moderate or severe
endometriosis requiring more than 1 hour's operating time, division of
adhesions requiring more than 1 hour's operating time or division of
utero-sacral ligaments for significant dysmenorrhoea not
being a service associated with any other intraperitoneal procedure
| 547.45 |
35639 | Uterus,
curettage of, with or without dilatation (including curettage for
incomplete miscarriage) under general anaesthesia or under epidural or
spinal (intrathecal) nerve block where undertaken in a hospital or
approved day-hospital facility, including procedures to which item
35626, 35627 or 35630 applies, where performed (G) | 103.80 |
35640 | Uterus, curettage of, with or without
dilatation (including curettage for incomplete miscarriage) under
general anaesthesia or under epidural or spinal (intrathecal) nerve
block where undertaken in a hospital or approved day-hospital
facility, including procedures to which item 35626, 35627 or 35630
applies, where performed (S) | 140.80 |
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, where performed | 167.75 |
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 | 156.60 |
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 | 245.25 |
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 | 156.60 |
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 | 156.60 |
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 | 245.25 |
35649 | Hysterotomy
or uterine myomectomy, abdominal |
412.35 |
35653 | Hysterectomy, abdominal, sub-total or total, with or
without removal of uterine adnexae | 519.00 |
35657 | Hysterectomy, vaginal, with or without uterine
curettage, not being a service to which item 35673 applies | 519.00 |
35658 | Uterus (at least
equivalent in size to a 10 week gravid uterus), debulking of, prior to
vaginal removal at hysterectomy |
320.00 |
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 | 670.30 |
35664 | Radical hysterectomy with radical excision of pelvic lymph
glands (with or without excision of uterine adnexae) for proven
malignancy including excision of any 1 or more of parametrium,
paracolpos, upper vagina or contiguous pelvic peritoneum and involving
ureterolysis where performed |
1,117.15 |
35667 | Radical hysterectomy without gland dissection (with
or without excision of uterine adnexae) for proven malignancy
including excision of any 1 or more of parametrium, paracolpos, upper
vagina or contiguous pelvic peritoneum and involving ureterolysis
where performed | 949.50 |
35670 |
Hysterectomy, abdominal, with radical excision of pelvic lymph glands,
with or without removal of uterine adnexae | 781.85 |
35673 | Hysterectomy, vaginal, (with or without
uterine curettage) with salpingectomy, oophorectomy or excision of
ovarian cyst, 1 or more, 1 or both sides | 582.95 |
35674 | Ultrasound guided needling and injection of ectopic pregnancy | 159.85 |
35676 | Ectopic pregnancy, removal of
(G) | 327.00 |
35677 | Ectopic
pregnancy, removal of (S) | 412.35 |
35678 | Ectopic pregnancy, laparoscopic removal of | 497.15 |
35680 | Bicornuate uterus, plastic
reconstruction for | 447.80 |
35683 | Uterus, suspension or fixation of, as an independent
procedure (G) | 270.20 |
35684 | Uterus, suspension or fixation of, as an independent
procedure (S) | 362.55 |
35687 | Sterilisation by transection or resection of fallopian tubes, via
abdominal or vaginal routes or via laparoscopy using diathermy or any
other method (G) | 250.20 |
35688 |
Sterilisation by transection or resection of fallopian tubes, via
abdominal or vaginal routes or via laparoscopy using diathermy or any
other method (S) | 305.65 |
35691 |
Sterilisation by interruption of fallopian tubes when performed in
conjunction with Caesarean section | 122.10 |
35694 | Tuboplasty (salpingostomy, salpingolysis or tubal implantation
into uterus), unilateral or bilateral, 1 or more procedures | 490.55 |
35697 | Microsurgical tuboplasty
(salpingostomy, salpingolysis or tubal implantation into uterus),
unilateral or bilateral, 1 or more procedures | 727.90 |
35700 | Fallopian tubes, unilateral
microsurgical anastomosis of, using operating microscope, for other
than reversal of previous sterilisation | 561.65 |
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 | 51.90 |
35706 | Rubin test for patency of fallopian tubes
| 51.90 |
35709 | Fallopian tubes,
hydrotubation of, as a repetitive post-operative procedure | 33.45 |
35710 | Falloposcopy, unilateral or
bilateral, including hysteroscopy and tubal catheterization | 356.45 |
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)
| 278.65 |
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)
| 348.35 |
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) |
334.15 |
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)
| 419.45 |
35720 | Radical or
debulking operation for advanced gynaecological malignancy, with or
without omentectomy | 518.90 |
35723 | Retro-peritoneal lymph node biopsies from above the level of
the aortic bifurcation, for staging or restaging of gynaecological
malignancy | 371.65 |
35726 |
Infra-colic omentectomy with multiple peritoneal biopsies for staging
or restaging of gynaecological malignancy | 371.65 |
35729 | Ovarian transposition out of the pelvis,
in conjunction with radical hysterectomy for invasive malignancy
| 167.60 |
35750 | Laparoscopically assisted
hysterectomy, including any associated laparoscopy | 603.65 |
35753 | Laparoscopically assisted
hysterectomy, with salpingectomy, oophorectomy or excision of ovarian
cyst, one or both sides, including any associated laparoscopy | 667.50 |
35756 | Laparoscopically
assisted hysterectomy, when procedure is completed by open
hysterectomy, including any associated laparoscopy | 603.65 |
Subgroup 5 Urological | ||
36500 | Adrenal gland, excision of partial or total | 711.30 |
36502 | Pelvic lymphadenectomy, open
or laparoscopic, or both, unilateral or bilateral | 526.15 |
36503 | Renal transplant, not being a
service to which item 36506 or 36509 applies | 1,070.20 |
36506 | Renal transplant, performed by
vascular surgeon and urologist operating together vascular
anastomosis, including after-care | 711.30 |
36509 | Renal transplant, performed by vascular surgeon and urologist operating together ureterovesical anastomosis, including after-care (Assist.) | 602.35 |
36516 | Nephrectomy,
complete | 711.30 |
36519 |
Nephrectomy, complete, complicated by previous surgery on the same
kidney | 993.30 |
36522 |
Nephrectomy, partial | 852.35 |
36525 | Nephrectomy, partial, complicated by previous surgery on the
same kidney | 1,211.25 |
36528 |
Nephrectomy, radical, with enbloc dissection of lymph nodes, with or
without adrenalectomy | 993.30 |
36531 | Nephro-ureterectomy, complete, including associated bladder
repair and any associated endoscopic procedure | 890.75 |
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 | 531.95 |
36540 | Nephrolithotomy or
pyelolithotomy, or both, through the same skin incision, for 1 or 2
stones | 852.35 |
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 |
993.30 |
36546 | Extracorporeal shock wave lithotripsy (ESWL) to
urinary tract and post-treatment care for 3 days, including
pre-treatment consultations, unilateral |
531.95 |
36549 | Ureterolithotomy |
640.85 |
36552 | Nephrostomy or pyelostomy, open, as an independent
procedure | 570.40 |
36558 | Renal
cyst or cysts, excision or unroofing of | 499.90 |
36561 | Renal biopsy (closed) | 132.70 |
36564 | Pyeloplasty, by open exposure | 711.30 |
36567 | Pyeloplasty in congenitally
abnormal kidney or solitary kidney, by open exposure | 781.85 |
36570 | Pyeloplasty, complicated by
previous surgery on the same kidney, by open exposure | 993.30 |
36573 | Divided ureter, repair of
| 711.30 |
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 | 890.75 |
36579 | Ureterectomy, complete or partial, with
or without associated bladder repair, not being a service associated
with a service to which item 37000 applies | 570.40 |
36585 | Ureter, transplantation of, into skin
| 570.40 |
36588 | Ureter,
reimplantation into bladder |
711.30 |
36591 | Ureter, reimplantation into bladder with psoas hitch
or Boari flap or both | 852.35 |
36594 | Ureter, transplantation of, into intestine | 711.30 |
36597 | Ureter, transplantation of, into
another ureter | 711.30 |
36600 |
Ureter, transplantation of, into isolated intestinal segment,
unilateral | 852.35 |
36603 |
Ureters, transplantation of, into isolated intestinal segment,
bilateral | 993.30 |
36604 |
Ureteric stent, passage of through percutaneous nephrostomy tube,
using interventional imaging techniques |
205.90 |
36606 | Intestinal urinary reservoir, continent, formation
of, including formation of non-return valves and implantation of
ureters (1 or both) into reservoir | 1,781.55 |
36609 | Intestinal urinary conduit or
ureterostomy, revision of | 570.40 |
36612 | Ureter, exploration of, with or without drainage of, as an
independent procedure | 499.90 |
36615 | Ureterolysis, with or without repositioning of ureter, for
retroperitoneal fibrosis, ovarian vein syndrome or similar condition
| 570.40 |
36618 | Reduction
ureteroplasty | 499.90 |
36621 |
Closure of cutaneous ureterostomy |
357.30 |
36624 | Nephrostomy, percutaneous, using interventional
imaging techniques | 429.35 |
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 | 531.95 |
36630 | Nephroscopy, being a service to which item 36627 applies,
where, after a substantial portion of the procedure has been
performed, it is necessary to discontinue the operation due to
bleeding | 262.80 |
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 | 570.40 |
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 | 307.65 |
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) | 640.85 |
36642 | Nephroscopy, being a service to which item
36639 applies, where, after a substantial portion of the procedure has
been performed, it is necessary to discontinue the operation due to
bleeding | 320.40 |
36645 |
Nephroscopy, percutaneous, with removal or destruction of a stone
greater than 3 cm in any dimension, or for 3 or more stones
| 820.25 |
36648 | Nephroscopy,
being a service to which item 36645 applies, where, after a
substantial portion of the procedure has been performed, it is
necessary to discontinue the operation | 730.60 |
36649 | Nephrostomy drainage tube, exchange
of but not including imaging | 205.90 |
36800 | Bladder, catheterisation of, where no
other procedure is performed | 21.25 |
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 | 358.80 |
36806 | Ureteroscopy being a service to which item 36803 applies, plus
1 or more of extraction of stone, biopsy or diathermy | 499.90 |
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
| 640.85 |
36811 | Cystoscopy with
insertion of urethral prosthesis | 248.75 |
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 | 128.15 |
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 | 183.05 |
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 | 212.75 |
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 |
248.60 |
36824 | Cystoscopy with ureteric catheterisation, unilateral
or bilateral, not being a service associated with a service to which
item 36818 or 36821 applies | 164.05 |
36825 | Cystoscopy, with endoscopic incision of pelviureteric junction or
ureteric stricture, including removal or replacement of ureteric
stent, not being a service associated with a service to which item
36818, 36821, 36824, 36830 or 36833 applies | 447.20 |
36827 | Cystoscopy, with controlled
hydro-dilatation of the bladder | 176.90 |
36830 | Cystoscopy, with ureteric meatotomy |
156.40 |
36833 | Cystoscopy with removal of ureteric stent or other
foreign body | 212.75 |
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 | 176.90 |
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 | 248.60 |
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, 36827 to 36863, 37203 or 37206
apply | 250.20 |
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 2 cm in diameter |
531.95 |
36848 | Cystoscopy with resection of ureterocele | 176.90 |
36851 | Cystoscopy with injection into
bladder wall | 176.90 |
36854 | Cystoscopy
with endoscopic incision or resection of external sphincter, bladder
neck or both | 358.80 |
36857 | Endoscopic
manipulation or extraction of ureteric calculus | 281.90 |
36860 | Endoscopic examination of intestinal conduit or
reservoir | 128.15 |
36863 | Litholapaxy,
with or without cystoscopy | 358.80 |
37000 | Bladder, partial excision of | 570.40 |
37004 | Bladder, repair of rupture | 499.90 |
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 | 320.40 |
37011 | Suprapubic stab cystotomy, not
being a service associated with a service to which items 37200 to
37221 apply | 71.75 |
37014 | Bladder, total
excision of | 820.25 |
37020 |
Bladder diverticulum, excision or obliteration of | 570.40 |
37023 | Vesical fistula, cutaneous, operation
for | 320.40 |
37026 | Cutaneous vesicostomy,
establishment of | 320.40 |
37029 |
Vesico-vaginal fistula, closure of by abdominal approach | 711.30 |
37038 | Vesico-intestinal fistula,
closure of, excluding bowel resection | 532.25 |
37041 | Bladder aspiration, by needle | 35.85 |
37044 | Bladder stress incontinence, suprapubic procedure for, not
being a service to which item 35599 applies | 532.25 |
37045 | Mitrofanoff continent valve, formation of
| 1,099.15 |
37047 | Bladder
enlargement using intestine |
1,281.70 |
37050 | Bladder exstrophy closure, not involving sphincter
reconstruction | 570.40 |
37053 |
Bladder transection and re-anastomosis to trigone | 659.15 |
37200 | Prostatectomy, open | 781.85 |
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 |
801.70 |
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
| 429.35 |
37207 | Prostate,
endoscopic non-contact (side firing) visual laser ablation, with or
without cystoscopy and with or without urethroscopy, and including
services to which item 36854, 37203, 37206, 37321 or 37324 applies
| 666.60 |
37208 | Prostate,
endoscopic non-contact (side firing) visual laser ablation, with or
without cystoscopy and with or without urethroscopy, and including
services to which item 36854, 37203, 37321 or 37324 applies,
continuation of, within 10 days of the procedure described by
item 37203 or 37207, which had to be discontinued for medical reasons
| 320.00 |
37209 | Prostate, total
excision of | 993.30 |
37210 |
Prostatectomy, radical, involving total excision of the prostate,
sparing of nerves around the bladder and bladder neck reconstruction,
not being a service associated with a service to which item 35551,
36502 or 37375 applies | 1,225.85 |
37211 | Prostatectomy, radical, involving total excision of the
prostate, sparing of nerves around the bladder and bladder neck
reconstruction, with pelvic lymphadenectomy, not being a service
associated with a service to which item 35551, 36502 or 37375 applies
| 1,488.85 |
37212 | Prostate,
open perineal biopsy or open drainage of abscess | 212.75 |
37215 | Prostate, biopsy of, endoscopic, with
or without cystoscopy | 320.40 |
37218 | Prostate, needle biopsy of, or injection into | 106.40 |
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 55600 or 55603 applies |
216.05 |
37221 | Prostatic abscess, endoscopic drainage of | 358.80 |
37223 | Prostatic coil,
insertion of, under ultrasound control |
158.65 |
37300 | Urethral sounds, passage of, as an independent
procedure | 35.85 |
37303 | Urethral
stricture, dilatation of | 57.00 |
37306 |
Urethra, repair of rupture of distal section | 499.90 |
37309 | Urethra, repair of rupture of prostatic
or membranous segment | 711.30 |
37315 | Urethroscopy, as an independent procedure | 106.40 |
37318 | Urethroscopy, with any 1 or more of
biopsy, diathermy, visual laser destruction of stone or removal of
foreign body or stone | 212.75 |
37321 | Urethral meatotomy, external | 71.75 |
37324 | Urethrotomy or urethrostomy, internal or external | 176.90 |
37327 | Urethrotomy, optical, for urethral
stricture | 248.60 |
37330 |
Urethrectomy, partial or complete, for removal of tumour | 499.90 |
37333 | Urethro-vaginal fistula,
closure of | 429.35 |
37336 |
Urethro-rectal fistula, closure of | 570.40 |
37339 | Periurethral or transurethral injection of materials
for the treatment of urinary incontinence, including cystoscopy and
urethroscopy | 184.55 |
37342 |
Urethroplasty single stage operation | 640.85 |
37345 | Urethroplasty 2 stage
operation first stage |
531.95 |
37348 | Urethroplasty 2 stage
operation second stage | 531.95 |
37351 | Urethroplasty, not being a service to which another
item in this group applies | 212.75 |
37354 | Hypospadias, meatotomy and hemi-circumcision | 248.60 |
37369 | Urethra, excision of prolapse of
| 143.55 |
37372 | Urethral diverticulum,
excision of | 358.80 |
37375 |
Urethral sphincter, reconstruction by bladder tubularisation technique
or similar procedure | 890.75 |
37381 | Artificial urinary sphincter, insertion of cuff, perineal
approach | 570.40 |
37384 |
Artificial urinary sphincter, insertion of cuff, abdominal approach
| 890.75 |
37387 | Artificial
urinary sphincter, insertion of pressure regulating balloon and pump
| 248.60 |
37390 | Artificial
urinary sphincter, revision or removal of, with or without replacement
| 711.30 |
37393 | Priapism,
decompression by glanular stab caverno-sospongiosum shunt or penile
aspiration with or without lavage | 176.90 |
37396 | Priapism, shunt operation for, not being a service to which
item 37393 applies | 570.40 |
37402 | Penis, partial amputation of | 358.80 |
37405 | Penis, complete or radical amputation of
| 711.30 |
37408 | Penis, repair of
laceration of cavernous tissue, or fracture involving cavernous tissue
| 358.80 |
37411 | Penis, repair of
avulsion | 711.30 |
37415 | Penis,
injection of, for the investigation and treatment | 35.85 |
37417 | Penis, correction of
chordee, with or without excision of fibrous plaque or plaques and
with or without grafting | 429.35 |
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 | 281.90 |
37423 | Penis,
lengthening by translocation of corpora | 711.30 |
37426 | Penis, artificial erection device,
insertion of, into 1 or both corpora | 749.75 |
37429 | Penis, artificial erection device,
insertion of pump and pressure regulating reservoir | 248.60 |
37432 | Penis, artificial erection device,
complete or partial revision or removal of components, with or without
replacement | 711.30 |
37435 |
Penis, frenuloplasty as an independent procedure | 71.75 |
37438 | Scrotum, partial excision of | 212.75 |
37444 | Ureterolithotomy complicated by
previous surgery at the same site of the same ureter | 769.05 |
37601 | Spermatocele or epididymal cyst,
excision of, 1 or more of, on 1 side | 212.75 |
37604 | Exploration of scrotal contents, with or without fixation
and with or without biopsy, unilateral |
212.75 |
37607 | Retroperitoneal lymph node dissection, unilateral,
not being a service associated with a service to which item 36528
applies | 711.30 |
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 |
1,070.20 |
37613 | Epididymectomy | 212.75 |
37616 | Vaso-vasostomy or vaso-epididymostomy, unilateral, using the
operating microscope, for other than reversal of previous
sterilisation | 531.95 |
37619 |
Vaso-vasostomy or vaso-epididymostomy, unilateral, for other than
reversal of previous sterilisation | 212.75 |
37622 | Vasotomy or vasectomy, unilateral or bilateral (G)
| 148.70 |
37623 | Vasotomy or vasectomy,
unilateral or bilateral (S) | 176.90 |
37800 | Patent urachus, excision of |
401.00 |
37803 | Undescended testis, orchidopexy for, not being a
service to which item 37806 applies | 401.00 |
37806 | Undescended testis in inguinal canal close to deep
inguinal ring or within abdominal cavity, | 463.35 |
37809 | Undescended testis,
revision orchidopexy for | 463.35 |
37812 | Impalpable testis, exploration of groin for, not being a
service associated with a service to which items 37803 to 37809 apply
| 427.75 |
37815 | Hypospadias,
examination under anaesthesia with erection test | 71.30 |
37818 | Hypospadias, glanuloplasty incorporating meatal
advancement | 378.10 |
37821 |
Hypospadias, distal, 1 stage repair | 640.85 |
37824 | Hypospadias, proximal, 1 stage repair | 891.10 |
37827 | Hypospadias, staged repair,
first stage | 410.50 |
37830 |
Hypospadias, staged repair, second stage | 531.95 |
37833 | Hypospadias, repair of post operative
urethral fistula | 253.85 |
37836 |
Epispadias, staged repair, first stage | 534.70 |
37839 | Epispadias, staged repair, second stage
| 605.95 |
37842 | Exstrophy of
bladder or epispadias, secondary repair with bladder neck tightening,
with or without ureteric reimplantation | 1,176.35 |
37845 | Ambiguous genitalia with urogenital
sinus, reduction clitoroplasty, with or without endoscopy | 534.70 |
37848 | Ambiguous genitalia
with urogenital sinus, reduction clitoroplasty, with endoscopy and
vaginoplasty | 962.35 |
37851 |
Congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar
condition, vaginoplasty for, with or without endoscopy | 712.95 |
37854 | Urethral valve, destruction of,
including cystoscopy and urethroscopy | 281.90 |
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 | 342.70 |
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
| 408.95 |
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 | 494.35 |
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 or 38213 applies | 634.75 |
38212 | Cardiac electrophysiological study: (a) 4 or
more catheter supraventricular tachycardia investigation; or not being a service associated with a service to which item
38209 or 38213 applies | 1,055.85 |
38213 |
Cardiac electrophysiological study, for follow-up testing of implanted
defibrillator not being a service associated with a
service to which item 38209 or 38212 applies | 314.35 |
38215 | Selective coronary arteriography
placement of catheters and injection of opaque material | 347.90 |
38218 | Selective coronary
arteriography placement of catheters and injection of
opaque material with right or left heart catheterisation, or both
| 573.75 |
38256 | Temporary transvenous
pacemaking electrode, | 205.55 |
38270 | Balloon valvuloplasty or septostomy, including cardiac
catheterisations before and after balloon dilatation | 701.85 |
38275 | Myocardial biopsy, by cardiac
catheterisation | 229.45 |
38278 | Single
chamber permanent transvenous electrode, insertion, removal or
replacement of | 491.35 |
38281 | Permanent
pacemaker, insertion, removal or | 196.50 |
38284 | Dual chamber permanent transvenous electrodes,
insertion, removal or replacement of | 644.20 |
38287 | Ablation of arrhythmia circuit or focus or isolation
procedure involving 1 atrial chamber | 1,614.30 |
38290 | Ablation of arrhythmia circuits or
foci, or isolation procedure involving both atrial chambers and
including curative procedures for atrial fibrillation | 2,055.55 |
38293 | Ventricular arrhythmia with
mapping and ablation, including all associated electrophysiological
studies performed on the same day | 2,206.35 |
38400 | Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies | 29.65 |
38403 | Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample | 59.15 |
38406 | Pericardium, paracentesis of (excluding after-care)
| 102.75 |
38409 | Intercostal drain,
insertion of, not involving resection of rib (excluding after-care)
| 102.75 |
38410 | Intercostal drain,
insertion of, with pleurodesis and not involving resection of rib
(excluding after-care) | 126.65 |
38412 |
Percutaneous needle biopsy of lung | 160.90 |
38415 | Empyema, radical operation for, involving resection | 307.20 |
38418 | Thoracotomy,
exploratory, with or without biopsy | 737.30 |
38421 | Thoracotomy, with pulmonary decortication
| 1,178.55 |
38424 | Thoracotomy,
with pleurectomy or pleurodesis, or enucleation of hydatid cysts
| 737.30 |
38427 | Thoracoplasty
(complete) 3 or more ribs | 910.40 |
38430 | Thoracoplasty (in stages)
each stage | 469.20 |
38436 |
Thoracoscopy, with or without division of pleural adhesions, including
insertion of intercostal catheter, with or without biopsy | 192.15 |
38438 | Pneumonectomy or lobectomy or
segmentectomy not being a service associated with a service to which
item 38418 applies |
1,178.55 |
38440 | Lung, wedge resection of | 882.55 |
38441 | Radical lobectomy or pneumonectomy
including resection of chest wall, diaphragm, pericardium, or formal
mediastinal node dissection |
1,396.40 |
38446 | Thoracotomy or sternotomy, for removal of thymus or
mediastinal tumour | 910.40 |
38447 | Pericardiectomy via sternotomy or anterolateral thoracotomy
without cardiopulmonary bypass |
1,178.55 |
38448 | Mediastinum, cervical exploration of, with or
without biopsy | 279.30 |
38449 |
Pericardiectomy via sternotomy or anterolateral thoracotomy with
cardiopulmonary bypass | 1,648.80 |
38450 | Pericardium, transthoracic drainage of | 659.10 |
38452 | Pericardium, sub-xyphoid drainage of
| 441.30 |
38453 | Tracheal
excision and repair without cardiopulmonary bypass | 1,323.80 |
38455 | Tracheal excision and repair of,
with cardiopulmonary bypass |
1,790.70 |
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 | 1,178.55 |
38457 | Pectus excavatum or pectus carinatum, repair or radical correction of
| 1,100.35 |
38458 | Pectus
excavatum, repair of, with implantation of subcutaneous prosthesis
| 586.50 |
38460 | Sternal wires
or wires, removal of | 211.85 |
38462 |
Sternotomy wound, debridement of, not involving reopening of the
mediastinum | 251.10 |
38464 | Sternotomy
wound, debridement of, involving curettage of infected bone with or
without removal of wires but not involving reopening of the
mediastinum | 272.95 |
38466 | Sternum,
reoperation on, for dehiscence or infection involving reopening of the
mediastinum, with or without rewiring | 737.05 |
38468 | Sternum and mediastinum, reoperation for
infection of, involving muscle advancement flaps or greater omentum
| 1,135.65 |
38469 | Sternum and
mediastinum, reoperation for infection of, involving muscle
advancement flaps and greater omentum | 1,323.80 |
38470 | Permanent myocardial electrode,
insertion of, by thoracotomy or sternotomy | 737.30 |
38473 | Permanent pacemaker electrode, insertion
by sub-xyphoid approach | 441.30 |
38475 | Valve annuloplasty without insertion of ring, not being a
service associated with a service to which item 38480 or 38481 applies
| 639.95 |
38477 | Valve
annuloplasty with insertion of ring not being a service to which item
38478 applies | 1,541.25 |
38478 | Valve annuloplasty with insertion of ring performed in conjunction
with item 38480 or 38481 | 746.60 |
38480 | Valve repair, 1 leaflet | 1,541.25 |
38481 | Valve repair, 2 or more leaflets | 1,754.55 |
38483 | Aortic valve leaflet or
leaflets, decalcification of, not being a service to which item 38475,
38477, 38480, 38481, 38488 or 38489 applies | 1,323.80 |
38485 | Mitral annulus, reconstruction of,
after decalcification, when performed in association with valve
surgery | 628.65 |
38487 | Mitral
valve, open valvotomy of |
1,323.80 |
38488 | Valve replacement with bioprosthesis or mechanical
prosthesis | 1,469.05 |
38489 |
Valve replacement with allograft (subcoronary or cylindrical implant),
or unstented xenograft | 1,747.10 |
38490 | Sub-valvular structures, reconstruction and re-implantation
of, associated with mitral and tricuspid valve replacement | 426.60 |
38493 | Operative management of
acute infective endocarditis, in association with heart valve surgery
| 1,506.05 |
38496 | Artery
harvesting (other than internal mammary), for coronary artery bypass
| 480.00 |
38497 | Coronary artery
bypass using saphenous vein graft or grafts only, including harvesting
of vein graft material where performed | 1,575.20 |
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 | 1,692.45 |
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 | 1,837.65 |
38505 | Coronary endarterectomy, by open
operation, including repair with 1 or more patch grafts, each vessel
| 213.30 |
38506 | Left
ventricular aneurysm, plication of | 1,251.15 |
38507 | Left ventricular aneurysm resection
with primary repair | 1,468.75 |
38508 | Left ventricular aneurysm resection with patch reconstruction
of the left ventricle | 1,837.65 |
38509 | Ischaemic ventricular septal rupture, repair of | 1,837.65 |
38512 | Division of accessory
pathway, isolation procedure, procedure on atrioventricular node or
perinodal tissues involving 1 atrial chamber only | 1,614.30 |
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 |
2,055.55 |
38518 | Ventricular arrhythmia with mapping and muscle
ablation, with or without aneurysmeotomy | 2,206.35 |
38521 | Automatic defibrillator, insertion of
patches for, or insertion of transvenous endocardial defibrillation
electrode for not being a service associated with a
service to which item 38213 applies | 809.90 |
38524 | Automatic defibrillator generator,
insertion or replacement of not being a service associated
with a service to which item 38213 applies | 221.40 |
38550 | Ascending thoracic aorta, repair or
replacement of, not involving valve replacement or repair or coronary
artery implantation | 1,651.10 |
38553 | Ascending thoracic aorta, repair or replacement of, with
aortic valve replacement or repair, without implantation of coronary
arteries | 2,092.30 |
38556 |
Ascending thoracic aorta, repair or replacement of, with aortic valve
replacement or repair, and implantation of coronary arteries | 2,388.45 |
38559 | Aortic arch and
ascending thoracic aorta, repair or replacement of, not involving
valve replacement or repair or coronary artery implantation | 1,947.15 |
38562 | Aortic arch and
ascending thoracic aorta, repair or replacement of, with aortic valve
replacement or repair, without implantation of coronary arteries
| 2,388.45 |
38565 | Aortic arch
and ascending thoracic aorta, repair or replacement of, with aortic
valve replacement or repair, and implantation of coronary arteries
| 2,678.85 |
38568 | Descending
thoracic aorta, repair or replacement of, without shunt or
cardiopulmonary bypass | 1,433.20 |
38571 | Descending thoracic aorta, repair or replacement of, using
shunt or cardiopulmonary bypass |
1,578.45 |
38572 | Operative management of acute rupture or
dissection, in conjunction with procedures on the thoracic aorta
| 1,528.65 |
38577 | Cannulation for, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest (Assist.) | 426.60 |
38588 | Cannulation of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring (Assist.) | 320.00 |
38600 | Central cannulation for cardiopulmonary bypass excluding
post-operative management, not being a service associated with a
service to which another item in this subgroup applies | 1,178.55 |
38603 | Peripheral cannulation for
cardiopulmonary bypass excluding post-operative management | 737.30 |
38606 | Intra-aortic balloon
pump, percutaneous insertion of | 296.10 |
38609 | Intra-aortic balloon pump, insertion of, by arteriotomy
| 368.65 |
38612 | Intra-aortic
balloon pump, removal of, with closure of artery by direct suture
| 413.25 |
38613 | Intra-aortic
balloon pump, removal of, with closure of artery by patch graft
| 518.65 |
38615 | Left or right
ventricular assist device, insertion of | 1,178.55 |
38618 | Left and right ventricular assist
device, insertion of | 1,469.05 |
38621 | Left or right ventricular assist device, removal of, as an
independent procedure | 586.50 |
38624 | Left and right ventricular assist device, removal of, as an
independent procedure | 659.10 |
38627 | Extra-corporeal membrane oxygenation, bypass or ventricular
assist device cannulae, adjustment and re-positioning of, by open
operation, in patients supported by these devices | 515.10 |
38637 | Patent diseased coronary artery
bypass vein graft or grafts, dissection, disconnection and oversewing
of | 426.60 |
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 | 737.30 |
38643 |
Thoracotomy or sternotomy involving division of adhesions where the
time taken to divide the adhesions exceeds 45 minutes | 821.10 |
38647 | Thoracotomy or
sternotomy involving division of extensive adhesions where the time
taken to divide the adhesions exceeds 2 hours | 1,642.15 |
38650 | Myomectomy or myotomy for
hypertrophic obstructive cardiomyopathy | 1,469.05 |
38653 | Open heart surgery, not being a service
to which another item in this group applies | 1,469.05 |
38656 | Thoracotomy or median sternotomy for
post-operative bleeding | 737.30 |
38670 | Cardiac tumour, excision of, involving the wall of the artrium
or inter-atrial septum, without patch or conduit reconstruction
| 1,468.75 |
38673 | Cardiac
tumour, excision of, involving the wall of the atrium or inter-atrial
septum, requiring reconstruction with patch or conduit | 1,653.20 |
38677 | Cardiac tumour arising from
ventricular myocardium, partial thickness excision of | 1,546.55 |
38680 | Cardiac tumour arising from
ventricular myocardium, full thickness excision of including repair or
reconstruction | 1,834.50 |
38700 | Patent ductus arteriosus, shunt, collateral or other single large
vessel, division or ligation of, without cardiopulmonary bypass, for
congenital heart disease | 821.10 |
38703 | Patent ductus arteriosus, shunt, collateral or other single
large vessel, division or ligation of, with cardiopulmonary bypass,
for congenital heart disease |
1,480.25 |
38706 | Aorta, anastomosis or repair of, without
cardiopulmonary bypass, for congenital heart disease | 1,402.00 |
38709 | Aorta, anastomosis or repair
of, with cardiopulmonary bypass, for congenital heart disease | 1,642.15 |
38712 | Aortic interruption,
repair of, for congenital heart disease | 1,971.80 |
38715 | Main pulmonary artery, banding,
debanding or repair of, without cardiopulmonary bypass, for congenital
heart disease | 1,312.65 |
38718 | Main pulmonary artery, banding, debanding or repair of, with
cardiopulmonary bypass, for congenital heart disease | 1,642.15 |
38721 | Vena cava, anastomosis or
repair of, without cardiopulmonary bypass, for congenital heart
disease | 1,150.65 |
38724 | Vena
cava, anastomosis or repair of, with cardiopulmonary bypass, for
congenital heart disease |
1,642.15 |
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 | 1,150.65 |
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 | 1,642.15 |
38733 | Systemic pulmonary or cavo-pulmonary
shunt, creation of, without cardiopulmonary bypass, for congenital
heart disease | 1,150.65 |
38736 | Systemic pulmonary or cavo-pulmonary shunt, creation of, with
cardiopulmonary bypass, for congenital heart disease | 1,642.15 |
38739 | Atrial septectomy, with or
without cardiopulmonary bypass, for congenital heart disease | 1,480.25 |
38742 | Atrial septal
defect, closure by direct suture or patch, for congenital heart
disease | 1,480.25 |
38745 |
Intra-atrial baffle, insertion of, for congenital heart disease
| 1,642.15 |
38748 | Ventricular
septectomy, for congenital heart disease | 1,642.15 |
38751 | Ventricular septal defect, closure by
direct suture or patch, for congenital heart disease | 1,642.15 |
38754 | Intraventricular baffle or
conduit, insertion of, for congenital heart disease | 2,055.55 |
38757 | Extracardiac conduit,
insertion of, for congenital heart disease | 1,642.15 |
38760 | Extracardiac conduit, replacement of,
for congenital heart disease |
1,642.15 |
38763 | Ventricular myectomy, for relief of ventricular
obstruction, right or left, for congenital heart disease | 1,642.15 |
38766 | Ventricular augmentation,
right or left, for congenital heart disease | 1,642.15 |
Subgroup 7 Neurosurgical | ||
39000 |
Lumbar puncture | 57.90 |
39003 | Cisternal
puncture | 65.90 |
39006 | Ventricular
puncture (not including burr-hole) | 122.65 |
39009 | Subdural haemorrhage, tap for, each tap | 45.65 |
39012 | Burr-hole, single, preparatory to ventricular
puncture or for inspection purpose not being a service to
which another item applies | 182.80 |
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 | 84.05 |
39015 | Ventricular reservoir, external ventricular drain or
intracranial pressure monitoring device, insertion of
including burr-hole (excluding after-care) | 289.25 |
39018 | Cerebrospinal fluid reservoir, insertion
of | 289.25 |
39100 | Injection of
primary branch of trigeminal nerve with alcohol, cortisone, phenol, or
similar substance | 182.80 |
39106 |
Neurectomy, intracranial, for trigeminal neuralgia | 914.10 |
39109 | Trigeminal gangliotomy by
radiofrequency, balloon or glycerol | 341.30 |
39112 | Cranial nerve, intracranial decompression of, using
microsurgical techniques |
1,185.95 |
39115 | Percutaneous neurotomy of posterior divisions (or
rami) of spinal nerves by any method, including any associated spinal,
epidural or regional nerve block (payable once only in a 30 day
period) | 57.90 |
39118 | Percutaneous
neurotomy for facet joint denervation by radio-frequency probe or
cryoprobe using radiological imaging control | 229.10 |
39121 | Percutaneous cordotomy | 486.00 |
39124 | Cordotomy or myelotomy, laminectomy
for, or operation for dorsal root entry zone (Drez) lesion | 1,243.80 |
39125 | Spinal catheter,
insertion of for an automated infusion device | 229.30 |
39126 | Automated subcutaneous
infusion device, insertion of |
278.40 |
39127 | Subcutaneous reservoir and spinal catheter for pain,
insertion of | 364.45 |
39128 | Automated
subcutaneous infusion device and spinal catheter, insertion of | 507.70 |
39130 | Percutaneous epidural
electrode, insertion of 1 or more of for spinal
stimulation | 469.50 |
39131 | Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner each day | 98.30 |
39133 | Epidural stimulator or intrathecal infusion
device, revision of | 122.65 |
39134 | Spinal
neurostimulator receiver or pulse generator, subcutaneous placement of
| 262.00 |
39136 | Percutaneous
epidural implant for management of pain, removal of | 122.65 |
39139 | Epidural electrode for management of pain,
insertion of 1 or more of by laminectomy, including implantation of
pulse generator (1 or 2 stages) |
827.30 |
39140 | Epidural catheter, insertion of, under imaging
control, with epidurogram and epidural therapeutic injection for lysis
of adhesions | 225.30 |
39300 | Cutaneous
nerve (including digital nerve), primary repair of, using
microsurgical techniques | 271.90 |
39303 | Cutaneous nerve (including digital nerve), secondary repair
of, using microsurgical techniques | 358.60 |
39306 | Nerve trunk, primary repair of, using microsurgical
techniques | 520.70 |
39309 | Nerve
trunk, secondary repair of, using microsurgical techniques | 549.50 |
39312 | Nerve trunk, internal
(interfascicular), neurolysis of, using microsurgical techniques
| 306.55 |
39315 | Nerve trunk,
nerve graft to, (cable graft) including harvesting of nerve graft
using microsurgical techniques |
792.50 |
39318 | Cutaneous nerve (including digital nerve), nerve
graft to, using microsurgical techniques | 491.75 |
39321 | Nerve, transposition of | 364.45 |
39323 | Percutaneous neurotomy by
cryoneurotomy or radiofrequency lesion generator, not being a service
to which another item applies |
212.90 |
39324 | Neurectomy, neurotomy or removal of tumour from
superficial peripheral nerve, by open operation | 212.90 |
39327 | Neurectomy, neurotomy or removal of
tumour from deep peripheral nerve, by open operation | 364.45 |
39330 | Neurolysis by open operation
without transposition, not being a service associated with a service
to which item 39312 applies |
212.90 |
39331 | Carpal tunnel release (division of transverse carpal
ligament), by any method | 212.90 |
39333 |
Brachial plexus, exploration of, not being a service to which another
item in this group applies | 306.55 |
39500 | Vestibular nerve, section of, via posterior fossa | 977.70 |
39503 | Facio-hypoglossal
nerve or facio-accessory nerve, anastomosis of | 734.70 |
39600 | Intracranial haemorrhage, burr-hole
craniotomy for including burr-holes | 364.45 |
39603 | Intracranial haemorrhage,
osteoplastic craniotomy or extensive craniectomy and removal of
haematoma | 919.80 |
39606 |
Fractured skull, depressed or comminuted, operation for | 613.20 |
39609 | Fractured skull, compound,
without dural penetration, operation for | 734.70 |
39612 | Fractured skull, compound, depressed or
complicated, with dural penetration and brain laceration, operation
for | 862.05 |
39615 | Fractured
skull with rhinorrhoea or otorrhoea, cranioplasty and repair of
| 919.80 |
39640 | Tumour
involving anterior cranial fossa, removal of, involving craniotomy,
radical excision of the skull base, and dural repair | 2,332.30 |
39642 | Tumour involving anterior
cranial fossa, removal of, involving frontal craniotomy with lateral
rhinotomy for clearance of paranasal sinus extension, (intracranial
procedure) | 2,452.00 |
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) | 2,810.75 |
39650 | Tumour involving middle cranial fossa
and infra-temporal fossa, removal of, craniotomy and | 2,033.30 |
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 | 3,618.10 |
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 | 2,631.35 |
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 (Assist.) |
1,973.50 |
39658 | Tumour involving the clivus, radical or sub-total
radical excision of, involving transoral or transmaxillary approach
| 2,332.30 |
39660 | Tumour or
vascular lesion of cavernous sinus, radical excision of, involving
craniotomy with or without intracranial carotid artery exposure
| 2,332.30 |
39662 | Tumour or
vascular lesion of foramen magnum, radical excision of, via
transcondylar or far lateral suboccipital approach | 2,332.30 |
39700 | Skull tumour, benign or
malignant, excision of, excluding cranioplasty | 428.20 |
39703 | Intracranial tumour, cyst or other
brain tissue, burr-hole and biopsy of, or drainage of, or both | 399.20 |
39706 | Intracranial tumour,
biopsy or decompression of via osteoplastic flap or biopsy and
decompression of via osteoplastic flap | 856.15 |
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 subgroup applies | 1,220.65 |
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 subgroup
applies | 2,204.10 |
39715 |
Pituitary tumour, removal of, by transcranial or transphenoidal
approach | 1,527.25 |
39718 |
Arachnoidal cyst, craniotomy for |
671.10 |
39721 | Craniotomy, involving osteoplastic flap, for
re-opening post-operatively for haemorrhage, swelling, etc | 613.20 |
39800 | Aneurysm, clipping or
reinforcement of sac | 2,198.35 |
39803 | Intracranial arteriovenous malformation, excision of | 2,198.35 |
39806 | Aneurysm, or
arteriovenous malformation, intracranial proximal artery clipping of
| 989.25 |
39812 | Intracranial
aneurysm or arteriovenous fistula, ligation of cervical vessel or
vessels | 486.00 |
39815 |
Carotid-cavernous fistula, obliteration of combined
cervical and intracranial procedure | 1,405.75 |
39818 | Extracranial to intracranial bypass
using superficial temporal artery | 1,405.75 |
39821 | Extracranial to intracranial bypass using
saphenous vein graft | 1,669.20 |
39900 | Intracranial infection, drainage of, via burr-hole
including burr-hole | 399.20 |
39903 | Intracranial abscess, excision of | 1,220.65 |
39906 | Osteomyelitis of skull or removal of
infected bone flap, craniectomy for | 613.20 |
40000 | Ventriculo-cisternostomy (Torkildsen's
operation) | 705.80 |
40003 |
Cranial or cisternal shunt diversion, insertion of | 705.80 |
40006 | Lumbar shunt diversion, insertion
of | 555.35 |
40009 | Cranial,
cisternal or lumbar shunt, revision or removal of | 404.95 |
40012 | Third ventriculostomy (open or
endoscopic) with or without endoscopic septum pellucidotomy | 792.50 |
40015 | Subtemporal
decompression | 491.35 |
40018 |
Lumbar cerebrospinal fluid drain, insertion of | 122.65 |
40100 | Meningocele, excision and closure of | 532.25 |
40103 | Myelomeningocele,
excision and closure of, including skin flaps or Z plasty where
performed | 781.00 |
40106 |
Arnold-Chiari malformation, decompression of | 792.50 |
40109 | Encephalocoele, excision and closure
of | 856.15 |
40112 | Tethered
cord, release of, including lipomeningocele or diastematomyelia
| 1,099.15 |
40115 |
Craniostenosis, operation for single suture | 555.35 |
40118 | Craniostenosis, operation
for more than 1 suture | 734.70 |
40300 | Intervertebral disc or discs, laminectomy
for removal of | 734.70 |
40301 |
Intervertebral disc or discs, microsurgical discectomy of | 737.05 |
40303 | Recurrent disc lesion or
spinal stenosis, or both, laminectomy for 1 level | 838.80 |
40306 | Spinal stenosis,
laminectomy for, involving more than 1 vertebral interspace (disc
level) | 1,105.00 |
40309 |
Extradural tumour or abscess, laminectomy for | 838.80 |
40312 | Intradural lesion, laminectomy for, not
being a service to which another item in this group applies | 1,128.05 |
40315 | Craniocervical
junction lesion, transoral approach for | 1,220.65 |
40316 | Odontoid screw fixation | 1,599.90 |
40318 | Intramedullary tumour or
arteriovenous malformation, laminectomy and radical excision of
| 1,527.25 |
40321 | Posterior
spinal fusion, not being a service to which items 40324 and 40327
apply | 838.80 |
40324 |
Laminectomy followed by posterior fusion, performed by neurosurgeon
and orthopaedic surgeon operating together laminectomy,
including after-care | 491.75 |
40327 | Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together posterior fusion, including after-care (Assist.) | 491.75 |
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 | 734.70 |
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 | 734.70 |
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
| 1,198.85 |
40333 | Cervical
discectomy (anterior), without fusion | 613.20 |
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 | 810.65 |
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 | 1,489.00 |
40336 | Intradiscal
injection of chymopapain (discase) 1 disc | 243.05 |
40339 | Hydromyelia, plugging of obex
for, with or without duroplasty |
1,220.65 |
40342 | Hydromyelia, craniotomy and laminectomy for, with
cavity packing and CSF shunt |
1,128.05 |
40345 | Thoracic decompression of spinal cord with or
without involvement of nerve roots, via pedicle or
costotransversectomy | 1,050.20 |
40348 | Thoracic decompression of spinal cord via thoracotomy with
vertebrectomy, not including stabilisation procedure | 1,333.25 |
40351 | Thoraco-lumbar or high
lumbar anterior decompression of spinal cord, not including
stabilisation procedure |
1,333.25 |
40600 | Cranioplasty, reconstructive | 734.70 |
40700 | Corpus callosum, anterior section
of, for epilepsy | 1,342.20 |
40703 | Corticectomy, topectomy or partial lobectomy for epilepsy
| 1,128.05 |
40706 |
Hemispherectomy for intractable epilepsy | 1,648.70 |
40709 | Burr-hole placement of intracranial
depth or surface electrodes |
399.20 |
40712 | Intracranial electrode placement via craniotomy
| 804.10 |
40800 | Stereotactic
anatomical localisation, as an independent procedure | 491.35 |
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 | 1,343.05 |
40803 | Intracranial stereotactic procedure by
any method, not being a service to which item 40800 or 40801 applies
| 919.80 |
40903 | Neuroendoscopy,
for inspection of an intraventricular lesion, with or without biopsy
including burr-hole | 426.60 |
Subgroup 8 Ear, nose and throat | ||
41500 | Ear, foreign
body (other than ventilating tube) in, removal of, other than by
simple syringing | 63.45 |
41503 | Ear,
removal of foreign body in, involving incision of external auditory
canal | 183.75 |
41506 | Aural polyp, removal
of | 110.80 |
41509 | External auditory
meatus, surgical removal of keratosis obturans from, not being a
service to which another item in this group applies | 125.40 |
41512 | Meatoplasty involving removal of cartilage or
bone or both cartilage and bone, not being a service to which item
41515 applies | 450.75 |
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 | 295.80 |
41518 | External auditory meatus, removal of
exostoses in | 714.55 |
41521 |
Correction of auditory canal stenosis, including meatoplasty, with or
without grafting | 760.75 |
41524 |
Reconstruction of external auditory canal, being a service associated
with a service to which items 41557, 41560 and 41563 apply | 219.75 |
41527 | Myringoplasty,
trans-canal approach (Rosen incision) | 452.10 |
41530 | Myringoplasty, post-aural or endaural
approach with or without mastoid inspection |
736.45 |
41533 | Atticotomy without reconstruction of the bony defect,
with or without myringoplasty |
880.40 |
41536 | Atticotomy with reconstruction of the bony defect
with or without myringoplasty |
986.05 |
41539 | Ossicular chain reconstruction | 838.50 |
41542 | Ossicular chain reconstruction and
myringoplasty | 918.75 |
41545 |
Mastoidectomy (cortical) | 401.00 |
41548 | Obliteration of the mastoid cavity | 532.25 |
41551 | Mastoidectomy, intact wall technique,
with myringoplasty | 1,225.55 |
41554 | Mastoidectomy, intact wall technique, with myringoplasty and
ossicular chain reconstruction |
1,443.90 |
41557 | Mastoidectomy (radical or modified radical) | 838.50 |
41560 | Mastoidectomy (radical
or modified radical) and myringoplasty |
918.75 |
41563 | Mastoidectomy (radical or modified radical),
myringoplasty and ossicular chain reconstruction | 1,137.40 |
41564 | Mastoidectomy (radical or modified
radical), obliteration of the mastoid cavity, blind sac closure of
external auditory canal and obliteration of eustachian tube | 1,470.85 |
41566 | Revision of
mastoidectomy (radical, modified radical or intact wall), including
myringoplasty | 838.50 |
41569 |
Decompression of facial nerve in its mastoid portion | 918.75 |
41572 | Labyrinthotomy or destruction of
labyrinth | 794.75 |
41575 |
Cerebello-pontine angle tumour, removal of by 2 surgeons
operating conjointly, by transmastoid, translabyrinthine or
retromastoid approach transmastoid, translabyrinthine or
retromastoid procedure (including after-care) | 1,873.85 |
41576 | Cerebello-pontine angle tumour,
removal of, by transmastoid, translabyrinthine or retromastoid
appoach intracranial procedure (including after-care) not
being a service to which item 41578 or 41579 applies | 2,810.75 |
41578 | Cerebello-pontine angle
tumour, removal of, by transmastoid, translabyrinthine or retromastoid
approach, (intracranial procedure) conjoint surgery,
principal surgeon | 1,873.85 |
41579 | Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) conjoint surgery, co-surgeon (Assist.) |
1,405.35 |
41581 | Tumour involving infra-emporal fossa, removal of,
involving craniotomy and radical excision of | 2,155.25 |
41584 | Partial temporal bone resection
for removal of tumour involving mastoidectomy with or without
decompression of facial nerve |
1,479.10 |
41587 | Total temporal bone resection for removal of tumour
| 2,014.45 |
41590 |
Endolymphatic sac, transmastoid decompression with or without drainage
of | 918.75 |
41593 |
Translabyrinthine vestibular nerve section | 1,197.45 |
41596 | Retrolabyrinthine vestibular nerve
section or cochlear nerve section, or both | 1,338.30 |
41599 | Internal auditory meatus, exploration
by middle cranial fossa approach with cranial nerve decompression
| 1,338.30 |
41602 | Fenestration
operation each ear |
918.75 |
41605 | Venous graft to fenestration cavity | 452.10 |
41608 | Stapedectomy | 838.50 |
41611 | Stapes mobilisation | 539.50 |
41614 | Round window surgery including
repair of cochleotomy | 838.50 |
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 | 838.50 |
41617 |
Cochlear implant, insertion of, including mastoidectomy | 1,458.00 |
41620 | Glomus tumour,
transtympanic removal of | 634.35 |
41623 | Glomus tumour, transmastoid removal of, including
mastoidectomy | 918.75 |
41626 |
Abscess or inflammation of middle ear, operation for (excluding
after-care) | 110.80 |
41629 | Middle ear,
exploration of | 401.00 |
41632 |
Middle ear, insertion of tube for drainage of (including myringotomy)
| 183.75 |
41635 | Clearance of middle ear
for granuloma, cholesteatoma and polyp, 1 or more, with or without
myringoplasty | 880.40 |
41638 |
Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or
more, with or without myringoplasty with ossicular chain
reconstruction | 1,098.80 |
41641 | Perforation of tympanum, cauterisation or diathermy of | 36.50 |
41644 | Excision of rim of eardrum perforation,
not being a service associated with myringoplasty | 109.85 |
41647 | Ear toilet requiring use of operating
microscope and microinspection of tympanic membrane with or without
general anaesthesia | 84.60 |
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 | 84.60 |
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 | 55.40 |
41656 | Nasal haemorrhage,
posterior, arrest of, with posterior nasal packing with or without
cauterisation and with or without anterior pack (excluding after-care)
| 94.40 |
41659 | Nose, removal of foreign
body in, other than by simple probing | 59.75 |
41662 | Nasal polyp or polypi (simple), removal of | 63.45 |
41665 |
Nasal polyp or polypi (requiring admission to hospital), removal of
(G) | 132.70 |
41668 | Nasal polyp or polypi
(requiring admission to hospital), removal of (S) | 169.15 |
41671 | Nasal septum, septoplasty, submucous resection
or closure of septal perforation | 371.80 |
41672 | Nasal septum, reconstruction of | 463.90 |
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 | 77.25 |
41677 | Nasal haemorrhage,
arrest of during an episode of epistaxis by cauterisation or nasal
cavity packing or both | 69.20 |
41680 |
Cryotherapy to nose in the treatment of nasal haemorrhage | 125.40 |
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 | 90.10 |
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 | 55.40 |
41689 | Turbinectomy or
turbinectomies, partial or total, unilateral | 105.00 |
41692 | Turbinates, submucous resection of, unilateral
| 137.00 |
41695 | Nasal turbinates,
cryotherapy to | 76.90 |
41698 | Maxillary
antrum, proof puncture and lavage of | 25.00 |
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 | 70.80 |
41704 | Maxillary
antrum, lavage of each attendance at which the procedure
is performed, including any associated consultation | 25.85 |
41707 | Maxillary artery, transantral ligation of
| 345.05 |
41710 | Antrostomy
(radical) | 401.00 |
41713 |
Antrostomy (radical) with transantral ethmoidectomy or transantral
vidian neurectomy | 466.60 |
41716 | Antrum, intranasal operation on or removal of foreign body from
| 227.45 |
41719 | Antrum, drainage
of, through tooth socket | 90.40 |
41722 |
Oro-antral fistula, plastic closure of | 452.10 |
41725 | Ethmoidal artery or arteries,
transorbital ligation of (unilateral) | 345.05 |
41728 | Lateral rhinotomy with removal of tumour
| 690.25 |
41729 | Dermoid of nose,
excision of, with intranasal extension | 437.45 |
41731 | Fronto-nasal ethmoidectomy by external
approach with or without sphenoidectomy | 597.90 |
41734 | Radical fronto-ethmoidectomy with
osteoplastic flap | 780.15 |
41737 | Frontal sinus, or ethmoidal sinuses on the one side, intranasal
operation on | 371.80 |
41740 |
Frontal sinus, catheterisation of | 45.20 |
41743 | Frontal sinus, trephine of | 259.60 |
41746 | Frontal sinus, radical obliteration of | 597.90 |
41749 | Ethmoidal sinuses, external
operation on | 466.60 |
41752 |
Sphenoidal sinus, intranasal operation on | 227.45 |
41755 | Eustachian tube, catheterisation of
| 35.75 |
41758 | Division of pharyngeal
adhesions | 90.40 |
41761 | Post nasal space,
direct examination of, with or without biopsy | 94.40 |
41764 | Nasendoscopy or sinoscopy or fibreoptic examination
of nasopharynx and larynx, 1 or more of these procedures | 94.40 |
41767 | Nasopharyngeal angiofibroma, transpalatal
removal | 566.95 |
41770 |
Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy
| 539.50 |
41773 | Pharyngeal
pouch, endoscopic resection of (Dohlman's operation) | 452.10 |
41776 | Cricopharyngeal myotomy with or
without inversion of pharyngeal pouch | 450.75 |
41779 | Pharyngotomy (lateral), with or without
total excision of tongue | 539.50 |
41782 | Partial pharyngectomy via pharyngotomy | 732.45 |
41785 | Partial pharyngectomy via
pharyngotomy with partial or total glossectomy | 908.70 |
41786 | Uvulopalatopharyngoplasty, with or
without tonsillectomy, by any means | 566.95 |
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
| 437.45 |
41788 | Tonsils or
tonsils and adenoids, removal of, in a person aged less than 12 years
(G) | 169.15 |
41789 | Tonsils or tonsils and
adenoids, removal of, in a person aged less than 12 years (S) | 227.45 |
41792 | Tonsils or tonsils and adenoids,
removal of, in a person 12 years of age or over (G) | 212.90 |
41793 | Tonsils or tonsils and adenoids, removal
of, in a person 12 years of age or over (S) | 285.75 |
41796 | Tonsils or tonsils and adenoids, arrest of
haemorrhage requiring general anaesthesia, following removal of (G)
| 87.50 |
41797 | Tonsils or tonsils and
adenoids, arrest of haemorrhage requiring general anaesthesia,
following removal of (S) | 110.80 |
41800 |
Adenoids, removal of (G) | 90.40 |
41801 |
Adenoids, removal of (S) | 125.40 |
41804 |
Lingual tonsil or lateral pharyngeal bands, removal of | 69.20 |
41807 | Peritonsillar abscess (quinsy), incision of
| 54.00 |
41810 | Uvulotomy or uvulectomy
| 27.40 |
41813 | Vallecular or pharyngeal
cysts, removal of | 274.15 |
41816 | Oesophagoscopy (with rigid oesophagoscope) |
142.90 |
41819 | Oesophageal and anastomic stricture, endoscopic
dilatation of | 268.50 |
41822 |
Oesophagoscopy (with rigid oesophagoscope) with biopsy | 183.75 |
41825 | Oesophagoscopy (with rigid oesophagoscope)
with removal of foreign body |
274.15 |
41828 | Oesophageal stricture, dilatation of, without
oesophagoscopy | 40.15 |
41831 | Oesophagus,
endoscopic pneumatic dilatation of | 274.65 |
41832 | Oesophagus, balloon dilatation of, using
interventional imaging techniques | 175.75 |
41834 | Laryngectomy (total) |
991.65 |
41837 | Vertical hemi-laryngectomy including tracheostomy
| 950.90 |
41840 | Supraglottic
laryngectomy including tracheostomy | 1,169.20 |
41843 | Laryngopharyngectomy or primary
restoration of alimentary continuity after laryngopharyngectomy using
stomach or bowel | 1,028.10 |
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 | 142.90 |
41849 | Larynx, direct
examination of, with biopsy |
209.95 |
41852 | Larynx, direct examination of, with removal of tumour
| 227.45 |
41855 |
Microlaryngoscopy | 221.70 |
41858 | Microlaryngoscopy with removal of juvenile papillomata | 380.25 |
41861 | Microlaryngoscopy with removal
of papillomata by laser surgery |
464.80 |
41864 | Microlaryngoscopy with removal of tumour | 313.55 |
41867 | Microlaryngoscopy with
arytenoidectomy | 471.85 |
41868 |
Laryngeal web, division of, using microlarygoscopic techniques | 299.00 |
41869 | Botulinum toxin injection into vocal cords, including associated consultation | 205.40 |
41870 |
Injection of vocal cord by teflon, fat, collagen or gelfoam | 349.95 |
41873 | Larynx, fractured,
operation for | 452.10 |
41876 |
Larynx, external operation on, or laryngofissure, with or without
cordectomy | 452.10 |
41879 |
Laryngoplasty or tracheoplasty, including tracheostomy | 732.45 |
41880 | Tracheostomy by a percutaneous
technique using sequential dilatation or partial splitting method to
allow insertion of a cuffed tracheostomy tube | 195.50 |
41881 | Tracheostomy by open exposure of the trachea,
including separation of the strap muscles or division of the thyroid
isthmus, where performed | 309.05 |
41884 | Cricothyrostomy by direct stab or Seldinger technique, using
Minitrach or similar device | 70.00 |
41885 |
Trache-oesophageal fistula, formation of, as a secondary procedure
following laryngectomy, including associated endoscopic procedures
| 221.45 |
41886 | Trachea, removal
of foreign body in | 137.00 |
41889 |
Bronchoscopy, as an independent procedure |
137.00 |
41892 | Bronchoscopy with 1 or more endobronchial biopsies or
other diagnostic or therapeutic procedures |
180.85 |
41895 | Bronchus, removal of foreign body in | 282.90 |
41898 | Fibreoptic bronchoscopy with 1
or more transbronchial lung biopsies, with or without bronchial or
broncho-alveolar lavage, with or without the use of interventional
imaging | 197.70 |
41901 |
Endoscopic laser resection of endobronchial tumours for relief of
obstruction including any associated endoscopic procedures | 464.80 |
41904 | Bronchoscopy with
dilatation of tracheal stricture | 189.60 |
41905 | Trachea or bronchus, dilatation of stricture and endoscopic
insertion of stent | 348.80 |
41907 | Nasal septum button, insertion of | 94.40 |
41910 | Duct of major salivary gland, transposition of | 300.25 |
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 | 78.75 |
42506 | Eye,
enucleation of, with or without sphere implant | 370.25 |
42509 | Eye, enucleation of, with insertion
of integrated implant | 468.55 |
42510 | Eye, enucleation of, with insertion of hydroxy apatite implant
or similar coralline implant |
540.05 |
42512 | Globe, evisceration of | 370.25 |
42515 | Globe, evisceration of, and insertion of
intrascleral ball or cartilage |
468.55 |
42518 | Anophthalmic orbit, insertion of cartilage or
artificial implant as a delayed procedure, or removal of implant from
socket; or placement of a motility intergrating peg by drilling into
existing orbital implant | 271.90 |
42521 | Anophthalmic socket, treatment of, by insertion of a wired-in
conformer, integrated implant or dermofat graft, as a secondary
procedure | 925.65 |
42524 |
Orbit, skin graft to, as a delayed procedure | 157.40 |
42527 | Contracted socket, reconstruction including mucous
membrane grafting and stent mould |
312.30 |
42530 | Orbit, exploration with or without biopsy, requiring
removal of bone | 486.00 |
42533 |
Orbit, exploration of, with drainage or biopsy not requiring removal
of bone | 312.30 |
42536 | Orbit,
exenteration of, with or without skin graft and with or without
temporalis muscle transplant |
642.15 |
42539 | Orbit, exploration of, with removal of tumour or
foreign body, requiring removal of bone | 914.10 |
42542 | Orbit, exploration of anterior aspect
with removal of tumour or foreign body | 387.65 |
42543 | Orbit, exploration of retrobulbar aspect
with removal of tumour or foreign body | 679.95 |
42545 | Orbit, decompression of, for dysthyroid
eye disease, by fenestration of 2 or more walls, or by the removal of
intraorbital peribulbar and retrobulbar fat from each quadrant of the
orbit, 1 eye | 983.45 |
42548 |
Optic nerve meninges, incision of | 584.30 |
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
| 486.00 |
42554 | Eyeball,
perforating wound of, with incarceration or prolapse of uveal
tissue repair | 566.95 |
42557 | Eyeball, perforating wound of, with incarceration of lens or
vitreous repair |
792.50 |
42560 | Intraocular foreign body, magnetic removal from
anterior segment | 312.30 |
42563 |
Intraocular foreign body, nonmagnetic removal from anterior segment
| 399.20 |
42566 | Intraocular
foreign body, magnetic removal from posterior segment | 566.95 |
42569 | Intraocular foreign body,
nonmagnetic removal from posterior segment | 792.50 |
42572 | Orbital abscess or cyst, drainage of
| 90.20 |
42573 | Dermoid, periorbital,
excision of | 175.00 |
42574 | Dermoid,
orbital, excision of | 371.80 |
42575 | Tarsal cyst, extirpation of | 63.65 |
42578 | Tarsal cartilage, excision of | 358.60 |
42581 | Ectropion or entropion, tarsal
cauterisation of | 90.20 |
42584 |
Tarsorrhaphy | 212.90 |
42587 |
Trichiasis, treatment of by cryotherapy, laser or
electrolysis each eyelid | 39.90 |
42590 | Canthoplasty, medial or lateral | 260.30 |
42593 | Lacrimal gland, excision of palpebral
lobe | 157.40 |
42596 | Lacrimal sac,
excision of, or operation on |
387.65 |
42599 | Lacrimal canalicular system, establishment of patency
by closed operation using silicone tubes or similar, 1 eye | 486.00 |
42602 | Lacrimal canalicular
system, establishment of patency by open operation, 1 eye | 486.00 |
42605 | Lacrimal canaliculus,
immediate repair of | 358.60 |
42608 | Lacrimal drainage by insertion of glass tube, as an
independent procedure | 231.35 |
42610 | Nasolacrimal tube (unilateral), removal or replacement of, or
lacrimal passages, probing for obstruction, unilateral, with or
without lavage under general anaesthesia | 74.00 |
42611 | Nasolacrimal tube (bilateral), removal or
replacement of, or lacrimal passages, probing for obstruction,
bilateral, with or without lavage under general
anaesthesia | 111.05 |
42614 | Nasolacrimal tube (unilateral), removal or 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) | 37.10 |
42615 | Nasolacrimal tube (bilateral), removal or 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) | 55.55 |
42617 | Punctum snip operation
| 105.35 |
42620 | Punctum, occlusion of, by
use of a plug | 40.55 |
42621 | Punctum,
temporary occlusion of, by use of electrical cautery | 40.55 |
42622 | Punctum, permanent occlusion of, by use of
electrical cautery | 63.65 |
42623 |
Dacryocystorhinostomy | 538.10 |
42626 | Dacryocystorhinostomy where a previous dacryocystorhinostomy
has been performed | 867.80 |
42629 | Conjunctivorhinostomy including dacryocystorhinostomy and
fashioning of conjunctival flaps |
653.70 |
42632 | Conjunctival peritomy or repair of corneal laceration
by conjunctival flap | 90.20 |
42635 |
Corneal perforations, sealing of, with tissue adhesive | 231.35 |
42638 | Conjunctival graft over cornea
| 289.25 |
42641 | Autoconjunctival
transplant, or mucous membrane graft | 376.00 |
42644 | Cornea or sclera, removal of imbedded
foreign body from (excluding after-care) |
55.50 |
42647 | Corneal scars, removal of, by partial keratectomy, not
being a service associated with a service to which item 42686
applies | 157.40 |
42650 | Cornea, epithelial
debridement for corneal ulcer or corneal erosion (excluding
after-care) | 55.50 |
42651 | Cornea,
epithelial debridement for eliminating band keratopathy | 123.65 |
42653 | Cornea, transplantation of, full
thickness | 1,029.75 |
42656 |
Cornea, transplantation of, where there have been 2 previous
graft operations | 1,284.30 |
42659 | Cornea, transplantation of, superficial or lamellar | 694.15 |
42662 | Sclera, transplantation of, full
thickness, including collection of donor material | 694.15 |
42665 | Sclera, transplantation of,
superficial or lamellar, including collection of donor material
| 462.80 |
42667 | Running corneal suture, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation |
109.20 |
42668 | Corneal sutures, removal of, not earlier than 6 weeks
after operation requiring use of slit lamp or operating microscope
| 57.90 |
42671 | Refractive keratoplasty
with penetrating incisions (excluding radial keratotomy) following
corneal grafting or intraocular operation including any measurements
and calculations associated with the procedure | 694.15 |
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
| 347.15 |
42676 | Conjunctiva, biopsy of, as an independent procedure | 89.05 |
42677 | Conjunctiva, cautery of,
including treatment of pannus each attendance at which
treatment is given including any associated consultation | 46.90 |
42680 | Conjunctiva, cryotherapy to, for
melanotic lesions or similar using CO 2 or N 20 | 231.35 |
42683 | Conjunctival cysts, removal of, requiring
admission to hospital or approved day-hospital facility | 92.55 |
42686 | Pterygium, removal of | 210.55 |
42689 | Pinguecula, removal of, not being a service
associated with the fitting of contact lenses | 90.20 |
42692 | Limbic tumour, removal of, excluding Pterygium
| 212.90 |
42695 | Limbic tumour,
excision of, requiring keratectomy or sclerectomy, excluding Pterygium
| 347.15 |
42698 | Lens extraction
| 541.50 |
42701 | Artificial lens, insertion
of | 301.95 |
42702 | Lens extraction and
insertion of artificial lens | 692.50 |
42703 | Artificial lens, insertion of, into the posterior chamber and suture
to the iris and sclera | 440.05 |
42704 | Artificial lens, removal or repositioning of by open
operation not being a service associated with a service to
which item 42701 applies | 358.60 |
42707 |
Artificial lens, removal of and replacement with a different lens
| 613.20 |
42710 | Artificial lens, removal
of, and replacement with a lens inserted into the posterior chamber
and sutured to the iris or sclera |
694.15 |
42713 | Intraocular lenses, repositioning of, by the use of a
McCannell suture or similar |
289.25 |
42716 | Cataract, juvenile, removal of, including subsequent
needlings | 919.80 |
42719 |
Capsulectomy or removal of vitreous via the anterior chamber by any
method, not being a service associated with a service to which item
42698, 42702 or 42716 applies |
399.20 |
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 a service to which item 42698, 42702 or 42716
applies 1 or both procedures | 436.70 |
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 | 1,029.75 |
42728 | Cryotherapy of retina or
other intraocular structures with an internal probe, being a service
associated with a service to which item 42725 applies | 173.60 |
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 |
1,168.55 |
42734 | Capsulotomy, other than by laser | 231.35 |
42737 | Needling of posterior capsule
| 231.35 |
42740 | Paracentesis of
anterior or posterior chamber or both, |
231.35 |
42743 | Anterior chamber, irrigation of blood from, as an
independent procedure | 486.00 |
42746 | Glaucoma, filtering operation for | 734.70 |
42749 | Glaucoma, filtering operation for, where
previous filtering operation has been performed | 919.80 |
42752 | Glaucoma, insertion of Molteno valve
for, 1 or more stages | 1,029.75 |
42755 | Glaucoma, removal of Molteno valve |
127.30 |
42758 | Goniotomy | 538.10 |
42761 | Division of anterior or posterior synechiae, as an
independent procedure, other than by laser | 399.20 |
42764 | Iridectomy (including excision of tumour
of iris) or iridotomy, as an independent procedure, other than by
laser | 399.20 |
42767 | Tumour,
involving ciliary body or ciliary body and iris, excision of | 838.80 |
42770 | Cyclodestructive
procedures for the treatment of intractable glaucoma, treatment to 1
eye, to a maximum of 2 treatments to that eye in a 2 year period
| 226.85 |
42773 | Detached retina,
diathermy or cryotherapy for, not being a service associated with a
service to which item 42776 applies | 694.15 |
42776 | Detached retina, buckling or resection operation
for | 1,029.75 |
42779 | Detached
retina, revision operation for |
1,284.30 |
42782 | Laser trabeculoplasty each treatment to
1 eye, to a maximum of 4 treatments to that eye in a 2 year period
| 347.15 |
42783 | Laser
trabeculoplasty each treatment to 1 eye where
it can be demonstrated that a 5 th or subsequent treatment to that eye
(including any treatments to which item 42782 applies) is indicated in
a 2 year period | 347.15 |
42785 |
Laser iridotomy each treatment to 1 eye, to a maximum of 2
treatments to that eye in a 2 year period | 271.90 |
42786 | Laser iridotomy each
treatment to 1 eye where it can be demonstrated that a 3
rd or subsequent treatment to that eye (including any treatments to
which item 42785 applies) is indicated in a 2 year period | 271.90 |
42788 | Laser
capsulotomy each treatment to 1 eye, to a maximum of 2
treatments to that eye in a 2 year period | 271.90 |
42789 | Laser capsulotomy each
treatment to 1 eye where it can be demonstrated that a 3
rd or subsequent treatment to that eye (including any treatments to
which item 42788 applies) is indicated in a 2 year period | 271.90 |
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 | 271.90 |
42792 |
Laser vitreolysis or corticolysis of lens material or
fibrinolysis each treatment to 1 eye where it
can be demonstrated that a 3 rd or subsequent treatment to that eye
(including any treatments to which item 42791 applies) is indicated in
a 2 year period | 271.90 |
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
| 52.05 |
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 | 52.05 |
42806 | Iris tumour, laser photocoagulation
of | 271.90 |
42807 |
Photomydriasis, laser | 273.70 |
42808 | Photoiridosyneresis, laser |
273.70 |
42809 | Retina, photocoagulation of | 347.15 |
42810 | Phototherapeutic keratectomy, by laser,
for corneal scarring or disease, excluding surgery for refractive
error | 436.75 |
42812 | Detached retina,
removal of encircling silicone band from |
127.30 |
42815 | Posterior chamber, removal of silicone oil from
| 486.00 |
42818 | Retina,
cryotherapy to, as an independent procedure, with external probe
| 451.15 |
42821 | Retrobulbar
transillumination, as an independent procedure | 69.40 |
42824 | Retrobulbar injection of alcohol or other drug, as an independent procedure | 53.80 |
42827 | Botulinus toxin,
injection of, for blepharospasm, including all such injections on any
1 day | 34.70 |
42830 | Botulinus toxin,
injection of, for strabismus including all such injections on any 1
day and associated electromyography | 120.35 |
42833 | Squint, operation for, on 1 or both eyes, the operation
involving a total of 1 or 2 muscles | 451.15 |
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 | 561.10 |
42839 | Squint, operation for,
on 1 or both eyes, the operation involving a total of 3 or more
muscles | 538.10 |
42842 | Squint,
operation for, on 1 or both eyes, the operation involving a total of 3
or more muscles where there have been 2 or more previous squint
operations on the eye or eyes |
671.10 |
42845 | Readjustment of adjustable sutures, 1 or both eyes,
as an independent procedure following an operation for correction of
squint | 145.70 |
42848 | Squint, muscle
transplant for (Hummelsheim type, or similar operation) | 538.10 |
42851 | Squint, muscle transplant for
(Hummelsheim type, or similar operation) where there have been 2 or
more previous squint operations on the eye or eyes | 671.10 |
42854 | Ruptured medial palpebral ligament
or ruptured extra-ocular muscle, repair of | 312.30 |
42857 | Resuturing of wound following intraocular
procedures with or without excision of prolapsed iris | 312.30 |
42860 | Eyelid (upper or lower), scleral
or Goretex or other non-autogenous graft to, with recession of the lid
retractors | 694.15 |
42863 |
Eyelid, recession of | 595.85 |
42866 | Entropion or tarsal ectropion, repair of, by tightening,
shortening or repair of inferior retractors by open operation across
the entire width of the eyelid |
578.50 |
42869 | Eyelid closure in facial nerve paralysis, insertion
of foreign implant for | 422.35 |
42872 | Eyebrow, elevation of, for paretic states | 185.15 |
Subgroup 10 Operations for osteomyelitis | ||
43500 | Operation on phalanx (for acute osteomyelitis) | 94.90 |
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 | 157.50 |
43506 | Operation on
humerus or femur (for acute osteomyelitis) 1 bone
| 274.15 |
43509 | Operation on
spine or pelvic bones (for acute osteomyelitis) 1 bone
| 274.15 |
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 | 274.15 |
43515 | Operation on humerus or femur (for
chronic osteomyelitis) 1 bone | 274.15 |
43518 | Operation on spine or pelvic bones (for
chronic osteomyelitis) 1 bone | 452.10 |
43521 | Operation on skull (for chronic
osteomyelitis) | 357.30 |
43524 |
Operation on any combination of adjoining bones, being bones referred
to in item 43515, 43518 or 43521 (for chronic osteomyelitis) | 452.10 |
Subgroup 11 Paediatric | ||
43801 | Intestinal malrotation with or without volvulus,
laparotomy for, not involving bowel resection | 736.45 |
43804 | Intestinal malrotation with or without
volvulus, laparotomy for, with bowel resection and anastomosis, with
or without formation of stoma |
784.15 |
43807 | Duodenal atresia or stenosis, duodenoduodenostomy or
duodenojejunostomy for | 855.50 |
43810 | Jejunal atresia, bowel resection and anastomosis for, with or
without tapering | 998.10 |
43813 | Meconium ileus, laparotomy for, complicated by 1 or more of
associated volvulus, atresia, intestinal perforation with or without
meconium peritonitis | 998.10 |
43816 | Ileal atresia, colonic atresia or meconium ileus not being a
service associated with a service to which item 43813 applies,
laparotomy for | 926.80 |
43819 |
Hirschsprung's disease, laparotomy for, with or without frozen section
biopsies and formation of stoma |
748.55 |
43822 | Anorectal malformation, laparotomy and colostomy for
| 748.55 |
43825 | Neonatal
alimentary obstruction, laparotomy for, not being a service to which
any other item in this subgroup applies | 855.50 |
43828 | Acute neonatal necrotising enterocolitis,
laparotomy for, with resection, including any anastomoses or stoma
formation | 945.10 |
43831 | Acute
neonatal necrotising enterocolitis where no definitive procedure is
possible, laparotomy for | 736.45 |
43834 | Bowel resection for necrotising enterocolitis stricture or
strictures, including any anastomoses or stoma formation | 855.50 |
43837 | Congenital diaphragmatic
hernia, repair by thoracic or abdominal approach, with diagnosis
confirmed in the first 24 hours of life | 1,069.30 |
43840 | Congenital diaphragmatic hernia,
repair by thoracic or abdominal approach, diagnosed after the first
day of life and before 20 days of age | 926.80 |
43843 | Oesophageal atresia (with or without
repair of tracheo-oesophageal fistula), complete correction of, not
being a service to which item 43846 applies | 1,425.75 |
43846 | Oesophageal atresia (with or without
repair of tracheo-oesophageal fistula), complete correction of, in
infant of birth weight less than 1500 grams | 1,532.65 |
43849 | Oesophageal atresia, gastrostomy for
| 392.05 |
43852 | Oesophageal
atresia, thoracotomy for, and division of tracheo-oesophageal fistula
without anastomosis | 1,247.55 |
43855 | Oesophageal atresia, delayed primary anastomosis for | 1,318.85 |
43858 | Oesophageal atresia,
cervical oesophagostomy for |
463.35 |
43861 | Congenital cystadenomatoid malformation or congenital
lobar emphysema, thoracotomy and lung resection for | 1,283.20 |
43864 | Gastroschisis, operation for
| 962.35 |
43867 | Gastroschisis,
secondary operation for, with removal of silo and closure of abdominal
wall | 534.70 |
43870 | Exomphalos
containing small bowel only, operation for | 748.55 |
43873 | Exomphalos containing small bowel and
other viscera, operation for |
998.10 |
43876 | Sacrococcygeal teratoma, excision of, by posterior
approach | 855.50 |
43879 |
Sacrococcygeal teratoma, excision of, by combined posterior and
abdominal approach | 998.10 |
43882 | Cloacal exstrophy, operation for | 1,283.20 |
43900 | Tracheo-oesophageal fistula without
atresia, division and repair of |
855.50 |
43903 | Oesophageal atresia or corrosive oesophageal
stricture, oesophageal replacement for, utilizing gastric tube,
jejunum or colon | 1,425.75 |
43906 | Oesophagus, resection of congenital, anastomic or corrosive
stricture and anastomosis, not being a service to which item 43903
applies | 1,247.55 |
43909 |
Tracheomalacia, aortopexy for |
1,247.55 |
43912 | Thoracotomy and excision of 1 or more of
bronchogenic or enterogenous cyst or mediastinal teratoma | 1,178.55 |
43915 | Eventration,
plication of diaphragm for |
891.10 |
43930 | Hypertrophic pyloric stenosis, pyloromyotomy for
| 342.70 |
43933 | Idiopathic
intussusception, laparotomy and manipulative reduction of | 401.10 |
43936 | Intussusception,
laparotomy and resection with anastomosis | 748.55 |
43939 | Ventral hernia following neonatal closure
of exomphalos or gastroschisis, repair of | 570.30 |
43942 | Abdominal wall vitello intestinal
remnant, excision of | 178.25 |
43945 |
Patent vitello intestinal duct, excision of | 748.55 |
43948 | Umbilical granuloma, excision of, under
general anaesthesia | 106.95 |
43951 |
Gastro-oesophageal reflux with or without hiatus hernia, laparotomy
and fundoplication for, without gastrostomy | 670.30 |
43954 | Gastro-oesophageal reflux with or without
hiatus hernia, laparotomy and fundoplication for, with gastrostomy
| 819.85 |
43957 |
Gastro-oesophageal reflux, laparotomy and fundoplication for, with or
without hiatus hernia, in child with neurological disease, with
gastrostomy | 891.10 |
43960 |
Anorectal malformation, perineal anoplasty of | 313.55 |
43963 | Anorectal malformation, posterior
sagittal anorectoplasty of |
1,247.55 |
43966 | Anorectal malformation, posterior sagittal
anorectoplasty of, with laparotomy | 1,425.75 |
43969 | Persistent cloaca, total correction of, with
genital repair using posterior sagittal approach, with or without
laparotomy | 1,960.45 |
43972 |
Choledochal cyst, resection of, with 1 duct anastomosis | 1,425.75 |
43975 | Choledochal cyst, resection
of, with 2 duct anastomoses |
1,675.30 |
43978 | Biliary atresia, portoenterostomy for | 1,425.75 |
43981 | Nephroblastoma,
neuroblastoma or other malignant tumour, laparotomy (exploratory),
including associated biopsies, where no other intra-abdominal
procedure is performed | 392.05 |
43984 | Nephroblastoma, radical nephrectomy for | 998.10 |
43987 | Neuroblastoma, radical excision of
| 1,105.05 |
43990 |
Hirschsprung's disease, definitive resection with pull-through
anastomosis, with or without frozen section biopsies, when aganglionic
segment extends to sigmoid colon | 1,354.50 |
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 | 1,461.45 |
43996 | Hirschsprung's disease, total colectomy for total
colonic aganglionosis with ileoanal pull-through, with or without side
to side ileocolonic anastomosis |
1,639.65 |
43999 | Hirschsprung's disease, anal sphincterotomy as an
independent procedure for | 205.10 |
44102 | Rectum, examination of, under general anaesthesia with full
thickness biopsy or removal of polyp or similar lesion | 197.70 |
44105 | Rectal prolapse, submucosal or
perirectal injection for, under general anaesthesia | 34.75 |
44108 | Inguinal hernia repair at age less than 3
months | 378.10 |
44111 |
Obstructed or strangulated inguinal hernia, repair of, at age less
than 3 months, including orchidopexy when performed | 442.85 |
44114 | Inguinal hernia repair at age less
than 3 months when orchidopexy also required | 442.85 |
44130 | Lymphadenectomy, for atypical
mycobacterial infection or other granulomatous disease | 356.45 |
44133 | Torticollis, open division of
sternomastoid muscle for | 282.90 |
44136 | Ingrown toe nail, operation for, under general anaesthesia
| 130.40 |
Subgroup 12 Amputations | ||
44325 | Hand, midcarpal or
transmetacarpal, amputation of | 227.45 |
44328 | Hand, forearm or through arm, amputation of
| 274.15 |
44331 | Amputation at
shoulder | 452.10 |
44334 |
Interscapulothoracic amputation | 918.75 |
44338 | 1 digit of foot, amputation of
| 110.80 |
44342 | 2 digits of 1
foot, amputation of | 169.15 |
44346 | 3
digits of 1 foot, amputation of | 195.40 |
44350 | 4 digits of 1 foot, amputation of
| 221.70 |
44354 | 5 digits of 1
foot, amputation of | 253.75 |
44358 | Toe, including metatarsal or part of metatarsal
each toe, amputation of | 141.45 |
44359 | One or more toes of one foot, amputation of, including if
performed, excision of 1 or more metatarsal bones of the foot,
performed for diabetic or other microvascular disease, excluding
after-care | 203.00 |
44361 | Foot
at ankle (Syme, Pirogoff types), amputation of | 274.15 |
44364 | Foot, midtarsal or
transmetatarsal, amputation of | 227.45 |
44367 | Amputation through thigh, at knee or below knee
| 401.50 |
44370 | Amputation at
hip | 554.10 |
44373 |
Hindquarter, amputation of |
1,137.40 |
44376 | Amputation stump, re-amputation of, to provide adequate skin and muscle cover (Assist.) | Amount under rule 17 |
Subgroup 13 Plastic and reconstructive surgery | ||
45000 |
Single stage local muscle flap repair, on eyelid, nose, lip, neck,
hand, thumb, finger or genitals | 416.50 |
45003 | Single stage local myocutaneous flap repair to 1 defect,
simple and small | 462.80 |
45006 | Single
stage large myocutaneous flap repair to 1 defect, (pectoralis major,
latissimus dorsi, or similar large muscle) | 798.30 |
45009 | Single stage local muscle flap repair to
1 defect, simple and small | 291.65 |
45012 | Single stage large muscle flap repair to 1 defect,
(pectoralis major, gastrocnemius, gracilis or similar large muscle)
| 488.50 |
45015 | Muscle or
myocutaneous flap, delay of | 231.35 |
45018 | Dermis, dermofat or fascia graft (excluding transfer of fat by
injection) | 364.45 |
45019 | Full
face chemical peel for severely sun-damaged skin, where it can be
demonstrated that the damage affects 75% of the facial skin surface
area involving photodamage (dermatoheliosis) typically consisting of
solar keratoses, solar lentigines, freckling, yellowing and leathering
of the skin, where at least medium depth peeling agents are used,
performed in the operating theatre of a hospital or approved
day-hospital facility by a specialist in the practice of his or her
specialty 1 session only in a 12 month period | 305.15 |
45020 | Full face chemical peel for severe
chloasma or melasma refractory to all other treatments, where it can
be demonstrated that the chloasma or melasma affects 75% of the facial
skin surface area involving diffuse pigmentation visible at a distance
of 4 metres, where at least medium depth peeling agents are used,
performed in the operating theatre of a hospital or approved
day-hospital facility by a specialist in the practice of his or her
specialty 1 session only in a 12 month period | 305.15 |
45021 | Abrasive therapy for severely
disfiguring scarring resulting from trauma, burns or acne
limited to 1 aesthetic area | 136.50 |
45024 | Abrasive therapy for severely disfiguring scarring resulting
from trauma, burns or acne more than 1 aesthetic area
| 306.55 |
45025 | Carbon dioxide laser or
erbium laser resurfacing of the face or neck for severely disfiguring
scarring resulting from trauma, burns or acne limited to 1
aesthetic area | 136.50 |
45026 | Carbon
dioxide laser or erbium laser resurfacing of the face or neck for
severely disfiguring scarring resulting from trauma, burns or
acne more than 1 aesthetic area |
306.55 |
45027 | Angioma, cauterisation of or injection into, where
undertaken in the operating theatre of a hospital or approved
day-hospital facility | 92.55 |
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 | 99.45 |
45033 |
Angioma (haemangioma or lymphangioma or both), large or involving
deeper tissue including facial muscle or breast, excision and suture
of | 185.15 |
45035 | Angioma (haemangioma or
lymphangioma or both) large and deep, involving muscles or nerves,
excision of | 540.05 |
45036 |
Angioma (haemangioma or lymphangioma or both) of neck, deep, excision
of | 867.80 |
45039 | Arteriovenous
malformation (3 cm or less) of superficial tissue, excision of
| 185.15 |
45042 | Arteriovenous
malformation, (greater than 3 cm), excision of | 237.20 |
45045 | Arteriovenous malformation on
eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals,
excision of | 237.20 |
45048 |
Lymphoedematous tissue or lymphangiectasis, of lower leg and foot, or
thigh, or upper arm, or forearm and hand, major excision of | 595.85 |
45051 | Contour reconstruction
for pathological deformity, insertion of foreign implant (non
biological but excluding injection of liquid or semisolid material) by
open operation | 364.55 |
45054 |
Limb or chest, decompression escharotomy of (including all incisions),
for acute compartment syndrome secondary to burn | 189.30 |
45200 | Single stage local flap, where
indicated to repair 1 defect, simple and small, excluding flap
for male pattern baldness | 218.75 |
45203 |
Single stage local flap, where indicated to repair 1 defect,
complicated or large, excluding flap for male pattern baldness | 312.30 |
45206 | Single stage local flap
where indicated to repair 1 defect, on eyelid, nose, lip, ear,
neck, hand, thumb, finger or genitals |
295.05 |
45209 | Direct flap repair (cross arm, abdominal or similar),
first stage | 364.55 |
45212 |
Direct flap repair (cross arm, abdominal or similar), second stage
| 180.85 |
45215 | Direct flap repair, cross
leg, first stage | 780.15 |
45218 |
Direct flap repair, cross leg, second stage | 349.95 |
45221 | Direct flap repair, small (cross finger
or similar), first stage | 201.20 |
45224 |
Direct flap repair, small (cross finger or similar), second stage
| 90.40 |
45227 | Indirect flap or tubed
pedicle, formation of | 342.70 |
45230 | Direct or indirect flap or tubed pedicle, delay of | 171.30 |
45233 | Indirect flap or tubed pedicle,
preparation of intermediate or final site and attachment to the site
| 364.55 |
45236 | Indirect flap or
tubed pedicle, spreading of pedicle, as a separate procedure | 285.75 |
45239 | Direct, indirect or local flap,
revision of | 201.20 |
45400 | Free grafting
(split skin) of a granulating area, small |
157.50 |
45403 | Free grafting (split skin) of a granulating area,
extensive | 313.55 |
45406 | Free
grafting (split skin) to burns, including excision of burnt
tissue involving not more than 3% of total body surface
| 347.15 |
45409 | Free grafting
(split skin) to burns, including excision of burnt tissue
involving 3% or more but less than 6% of total body surface | 462.80 |
45412 | Free grafting (split
skin) to burns, including excision of burnt tissue
involving 6% or more but less than 9% of total body surface | 636.40 |
45415 | Free grafting (split
skin) to burns, including excision of burnt tissue
involving 9% or more but less than 12% of total body surface | 694.15 |
45418 | Free grafting (split
skin) to burns, including excision of burnt tissue
involving 12% or more but less than 15% of total body surface | 752.05 |
45419 | Free grafting (split
skin) to burns, including excision of burnt tissue
involving 15% or more of total body surface | 1,205.30 |
45439 | Free grafting (split skin) to 1 defect,
including elective dissection, small | 218.75 |
45442 | Free grafting (split skin) to 1 defect, including elective
dissection, extensive | 451.15 |
45445 | Free grafting (split skin) as inlay graft to 1 defect
including elective dissection using a mould (including insertion of
and removal of mould) | 428.20 |
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 | 289.25 |
45451 | Free grafting
(full thickness) to 1 defect, excluding grafts for male pattern
baldness | 364.55 |
45485 | Free
grafting (split skin) to burns, including excision of burnt
tissue upper eyelid, nose, lip, ear or palm of the hand
| 406.00 |
45486 | Free grafting
(split skin) to burns, including excision of burnt tissue
forehead, cheek, anterior aspect of the neck, chin, plantar aspect of
the foot, heel or genitalia |
347.15 |
45487 | Free grafting (split skin) to burns, including
excision of burnt tissue whole of toe | 312.30 |
45488 | Free grafting (split skin) to burns,
including excision of burnt tissue the whole of 1 digit of
the hand | 347.15 |
45489 | Free
grafting (split skin) to burns, including excision of burnt
tissue the whole of 2 digits of the hand | 520.70 |
45490 | Free grafting (split skin) to
burns, including excision of burnt tissue the whole of 3
digits of the hand | 694.25 |
45491 | Free grafting (split skin) to burns, including excision of
burnt tissue the whole of 4 digits of the hand | 867.80 |
45492 | Free grafting (split
skin) to burns, including excision of burnt tissue the
whole of 5 digits of the hand |
1,041.40 |
45493 | Free grafting (split skin) to burns, including
excision of burnt tissue portion of digit of hand | 312.30 |
45494 | Free grafting (split
skin) to burns, including excision of burnt tissue whole
of face (excluding ears) |
1,260.65 |
45500 | Microvascular repair using microsurgical
techniques, with restoration of continuity of artery or vein of distal
extremity or digit | 838.80 |
45501 | Microvascular anastomosis of artery using microsurgical
techniques, for re-implantation of limb or digit | 1,365.35 |
45502 | Microvascular anastomosis of vein
using microsurgical techniques, for re-implantation of limb or digit
| 1,365.35 |
45503 |
Micro-arterial or micro-venous graft using microsurgical techniques
| 1,562.00 |
45504 | Microvascular
anastomosis of artery using microsurgical techniques, for free
transfer of tissue including setting in of free flap | 1,365.35 |
45505 | Microvascular anastomosis of
vein using microsurgical techniques, for free transfer of tissue
including setting in of free flap | 1,365.35 |
45506 | Scar, of face or neck, not more than 3 cm in
length, revision of, where undertaken in the operating theatre of a
hospital or approved day-hospital facility, or where performed by a
specialist in the practice of his or her specialty | 169.15 |
45512 | Scar, of face or neck, more than 3 cm in
length, revision of, where undertaken in the operating theatre of a
hospital or approved day-hospital facility, or where performed by a
specialist in the practice of his or her specialty | 227.45 |
45515 | Scar, other than on face or neck, not more
than 7 cm in length, revision of, as an independent procedure,
where undertaken in the operating theatre of a hospital or approved
day-hospital facility, or where performed by a specialist in the
practice of his or her specialty | 143.50 |
45518 | Scar, other than on face or neck, more than 7 cm in
length, revision of, as an independent procedure, where undertaken in
the operating theatre of a hospital or approved day-hospital facility,
or where performed by a specialist in the practice of his or her
speciality | 173.60 |
45519 | Extensive burn
scars of skin (more than 1% of body surface area), excision of, for
correction of scar contracture |
330.05 |
45520 | Reduction mammaplasty (unilateral) with surgical
repositioning of nipple | 692.75 |
45522 | Reduction mammaplasty (unilateral) without surgical
repositioning of nipple | 486.00 |
45524 | Mammaplasty, augmentation, for significant breast asymmetry
where the augmentation is limited to 1 breast | 570.55 |
45527 | Mammaplasty, augmentation, (unilateral),
following mastectomy | 570.55 |
45528 | Mammaplasty, augmentation, bilateral, not being a service to
which item 45524 or 45527 applies, where it can be demonstrated that
surgery is indicated because of disease, trauma or congenital
malformation | 855.80 |
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
| 845.75 |
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 | 957.85 |
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 | 352.20 |
45539 | Breast reconstruction (unilateral), following mastectomy, using
tissue expansion insertion of tissue expansion unit and
all attendances for subsequent expansion injections | 824.10 |
45542 | Breast reconstruction (unilateral),
following mastectomy, using tissue expansion removal of
tissue expansion unit and insertion of permanent prosthesis | 471.85 |
45543 | Breast ptosis,
correction of (unilateral), to match the position of the contralateral
breast | 589.30 |
45544 | Breast
ptosis, correction of (unilateral), following pregnancy and lactation,
when performed within 6 years of the most recent pregnancy, and where
it can be demonstrated that the nipple is inferior to the
infra-mammary groove | 589.30 |
45545 | Nipple or areola or both, reconstruction of, by any surgical
technique | 478.95 |
45546 | Nipple or areola or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple |
152.25 |
45548 | Breast prosthesis, removal of, as an independent
procedure | 212.90 |
45551 | Breast
prosthesis, removal of, with complete excision of fibrous capsule
| 341.30 |
45552 | Breast
prosthesis, removal of, with complete excision of fibrous capsule and
replacement of prosthesis | 491.35 |
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 | 538.10 |
45555 |
Silicone breast prosthesis, removal of and replacement with prosthesis
other than silicone gel prosthesis | 491.35 |
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 | 364.45 |
45562 | Free
transfer of tissue involving raising of tissue on vascular or
neurovascular pedicle, including direct repair of secondary cutaneous
defect if performed, excluding flap for male pattern baldness | 845.75 |
45563 | Neurovascular island
flap, including direct repair of secondary cutaneous defect if
performed, excluding flap for male pattern baldness | 845.75 |
45564 | Free transfer of tissue
reconstructive surgery for the repair of major tissue defect due to
congenital deformity, surgery or trauma, involving anastomoses of
vessels using microvascular techniques and including raising of tissue
on a vascular or neurovascular pedicle, preparation of recipient
vessels, transfer of tissue, insetting of tissue at recipient site and
direct repair of secondary cutaneous defect if performed, not being a
service associated with a service to which item 45501, 45502, 45504,
45505 or 45562 applies conjoint surgery, principal
specialist surgeon | 1,958.90 |
45565 | Free transfer of tissue reconstructive surgery for the repair of major tissue defect due to congenital deformity, surgery or trauma, involving anastomoses of vessels using microvascular techniques and including raising of tissue on a vascular or neurovascular pedicle, preparation of recipient vessels, transfer of tissue, insetting of tissue at recipient site and direct repair of secondary cutaneous defect if performed, not being a service associated with a service to which item 45501, 45502, 45504, 45505 or 45562 applies conjoint surgery, conjoint specialist surgeon (Assist.) | 1,469.20 |
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 | 824.10 |
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 | 224.45 |
45575 | Facial nerve paralysis, free fascia graft for
| 554.10 |
45578 | Facial nerve
paralysis, muscle transfer for |
641.70 |
45581 | Facial nerve palsy, excision of tissue for | 212.90 |
45584 | Liposuction (suction assisted
lipolysis) to 1 regional area (thigh, buttock, or similar), for
treatment of post-traumatic pseudolipoma |
486.00 |
45585 | Liposuction (suction assisted lipolysis) to 1
regional area, not being a service to which item 45584 applies, where
it can be demonstrated that the treatment is for pathological
lipodystrophy of hips, buttocks, thighs and lower legs (including
knees), gynaecomastia, lymphoedema or similar conditions | 486.00 |
45587 | Meloplasty for correction of facial
asymmetry due to soft tissue abnormality where the meloplasty is
limited to 1 side of the face |
685.40 |
45588 | Meloplasty, bilateral, not being a service to which
item 45587 applies, where it can be demonstrated that surgery is
indicated because of disease, trauma or congenital conditions | 1,028.05 |
45590 | Orbital cavity,
reconstruction of a wall or floor, with or without foreign implant
| 371.80 |
45593 | Orbital cavity,
bone or cartilage graft to orbital wall or floor including reduction
of prolapsed or entrapped orbital contents | 436.70 |
45596 | Maxilla, total resection of | 692.75 |
45597 | Maxilla, total resection of
both maxillae | 927.25 |
45599 |
Mandible, total resection of both sides, including condylectomies
where performed | 720.55 |
45602 | Mandible, including lower border, or maxilla, sub-total resection of
| 538.10 |
45605 | Mandible or
maxilla, segmental resection of, for tumours or cysts | 452.10 |
45608 | Mandible, hemi-mandibular
reconstruction with bone graft, not being a service associated with a
service to which item 45599 applies | 636.40 |
45611 | Mandible, condylectomy | 364.55 |
45614 | Eyelid, whole thickness
reconstruction of, other than by direct suture only | 452.10 |
45617 | Upper eyelid, reduction of, for
skin redundancy obscuring vision (as evidenced by upper eyelid skin
resting on lashes on straight ahead gaze), herniation of orbital fat
in exophthalmos, facial nerve palsy or post-traumatic scarring, or the
restoration of symmetry of contralateral upper eyelid in respect of 1
of these conditions | 180.85 |
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 | 250.80 |
45623 | Ptosis of
eyelid (unilateral), correction of | 556.30 |
45624 | Ptosis of eyelid, correction of, where previous
ptosis surgery has been performed on that side | 721.15 |
45625 | Ptosis of eyelid, correction of
eyelid height by revision of levator sutures within one week of
primary repair by levator resection or advancement, performed in the
operating theatre of a hospital or approved day-hospital facility
| 144.25 |
45626 | Ectropion or entropion,
correction of (unilateral) | 250.80 |
45629 |
Symblepharon, grafting for | 364.55 |
45632 | Rhinoplasty, correction of lateral or alar cartilages
| 393.75 |
45635 | Rhinoplasty, correction of
bony vault only | 452.10 |
45638 |
Rhinoplasty, total, including correction of all bony and cartilaginous
elements of the external nose, for correction of post-traumatic
deformity or nasal obstruction, or both |
780.15 |
45639 | Rhinoplasty, total, including correction of all bony
and cartilaginous elements of the external nose, where it can be
demonstrated that there is a need for correction of significant
developmental deformity | 780.15 |
45641 |
Rhinoplasty involving nasal or septal cartilage graft, or nasal bone
graft, or nasal bone and nasal cartilage graft | 833.05 |
45644 | Rhinoplasty involving autogenous bone or
cartilage graft obtained from distant donor site, including obtaining
of graft | 984.30 |
45645 | Choanal
atresia, repair of by puncture and dilatation | 172.05 |
45646 | Choanal atresia, correction by open operation with
bone removal | 692.75 |
45647 |
Face, contour restoration of 1 region, using autogenous bone or
cartilage graft (not being a service to which item 45644 applies)
| 984.30 |
45650 | Rhinoplasty,
secondary revision of | 113.75 |
45652 |
Rhinophyma, carbon dioxide laser excision ablation of
| 274.15 |
45653 | Rhinophyma, shaving of
| 274.15 |
45656 | Composite graft
(chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid | 386.40 |
45659 | Lop ear, bat ear or
similar deformity, correction of | 401.00 |
45662 | Congenital atresia, reconstruction of external auditory canal
| 539.50 |
45665 | Lip, eyelid or
ear, full thickness wedge excision of, with repair by direct sutures
| 250.80 |
45668 | Vermilionectomy, by
surgical excision | 250.80 |
45669 |
Vermilionectomy, using carbon dioxide laser excision
ablation | 250.80 |
45671 | Lip or eyelid
reconstruction using full thickness flap (Abbe or similar), first
stage | 641.70 |
45674 | Lip or
eyelid reconstruction using full thickness flap (Abbe or similar),
second stage | 186.65 |
45675 | Macrocheilia
or macroglossia, operation for |
371.80 |
45676 | Macrostomia, operation for | 442.60 |
45677 | Cleft lip, unilateral primary
repair, 1 stage, without anterior palate repair | 416.50 |
45680 | Cleft lip, unilateral
primary repair, 1 stage, with anterior palate repair | 520.70 |
45683 | Cleft lip, bilateral
primary repair, 1 stage, without anterior palate repair | 578.50 |
45686 | Cleft lip,
bilateral primary repair, 1 stage, with anterior palate
repair | 682.70 |
45689 | Cleft
lip, lip adhesion procedure, unilateral or bilateral | 201.35 |
45692 | Cleft lip, partial revision,
including minor flap revision alignment and adjustment, including
revision of minor whistle deformity if performed | 231.35 |
45695 | Cleft lip, total revision, including major flap
revision, muscle reconstruction and revision of major whistle
deformity | 376.00 |
45698 | Cleft
lip, primary columella lengthening procedure, bilateral | 352.90 |
45701 | Cleft lip reconstruction using full
thickness flap (Abbe or similar), first stage | 636.40 |
45704 | Cleft lip reconstruction using full
thickness flap (Abbe or similar), second stage | 231.35 |
45707 | Cleft palate, primary repair | 601.60 |
45710 | Cleft palate, secondary repair,
closure of fistula using local flaps | 376.00 |
45713 | Cleft palate, secondary repair, lengthening procedure
| 428.20 |
45714 | Oro-nasal
fistula, plastic closure of, including services to which item 45200,
45203 or 45239 applies | 601.60 |
45716 | Velo-pharyngeal incompetence, pharyngeal flap for, or
pharyngoplasty for | 601.60 |
45720 |
Mandible or maxilla, unilateral osteotomy or osteectomy of, including
transposition of nerves and vessels and bone grafts taken from the
same site | 743.75 |
45723 |
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 | 838.80 |
45726 | Mandible or maxilla,
bilateral osteotomy or osteectomy of, including transposition of
nerves and vessels and bone grafts taken from the same site | 947.90 |
45729 | 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 | 1,064.45 |
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 | 1,079.10 |
45732 | 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 | 1,214.90 |
45735 | Mandible and 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 | 1,239.45 |
45738 |
Mandible and 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 | 1,394.20 |
45741 | Mandible and 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 | 1,363.45 |
45744 |
Mandible and 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 | 1,533.00 |
45747 | Mandible and
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 |
1,487.45 |
45752 | Mandible and 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 |
1,666.10 |
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 |
1,676.10 |
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 | 2,009.10 |
45755 |
Temporo-mandibular meniscectomy |
282.90 |
45758 | Temporo-mandibular joint, arthroplasty | 506.25 |
45761 | Genioplasty, including
transposition of nerves and vessels and bone grafts taken from the
same site | 575.95 |
45767 |
Hypertelorism, correction of, intra-cranial | 1,932.20 |
45770 | Hypertelorism, correction of,
sub-cranial | 1,480.10 |
45773 |
Treacher Collins Syndrome, periorbital correction of, with rib and
iliac bone grafts | 1,348.90 |
45776 | Orbital dystopia (unilateral), correction of, with total
repositioning of 1 orbit, intra-cranial | 1,348.90 |
45779 | Orbital dystopia (unilateral),
correction of, with total repositioning of 1 orbit, extra-cranial
| 991.65 |
45782 | Fronto-orbital
advancement, unilateral | 758.30 |
45785 | Cranial vault reconstruction for oxycephaly, brachycephaly,
turricephaly or similar condition (bilateral
fronto-orbital advancement) |
1,283.25 |
45788 | Glenoid fossa, zygomatic arch and temporal bone,
reconstruction of, (Obwegeser technique) | 1,268.65 |
45791 | Absent condyle and ascending ramus in
hemifacial microsomia, construction of, not including harvesting of
graft material | 685.40 |
45794 |
Osseo-integration procedure extra-oral, implantation of
titanium fixture | 387.65 |
45797 |
Osseo-integration procedure, fixation of transcutaneous abutment
| 143.50 |
Subgroup 14 Hand surgery | ||
46300 | Interphalangeal joint or metacarpophalangeal joint,
arthrodesis of | 260.35 |
46303 |
Carpometacarpal joint, arthrodesis of | 289.35 |
46306 | Interphalangeal joint or
metacarpophalangeal joint interposition arthroplasty of
and including tendon transfers or realignment on the 1 ray | 405.05 |
46307 | Interphalangeal joint or
metacarpophalangeal joint volar plate arthroplasty for
traumatic deformity including tendon transfers or realignment on the 1
ray | 405.05 |
46309 |
Interphalangeal joint or metacarpophalangeal joint, total replacement
arthroplasty or hemiarthroplasty of, including associated synovectomy,
tendon transfer or realignment 1 joint | 405.05 |
46312 | Interphalangeal joint or
metacarpophalangeal joint, total replacement arthroplasty or
hemiarthroplasty of, including associated synovectomy, tendon transfer
or realignment 2 joints | 520.80 |
46315 | Interphalangeal joint or
metacarpophalangeal joint, total replacement arthroplasty or
hemiarthroplasty of, including associated synovectomy, tendon transfer
or realignment 3 joints | 694.30 |
46318 | Interphalangeal joint or
metacarpophalangeal joint, total replacement arthroplasty or
hemiarthroplasty of, including associated synovectomy, tendon transfer
or realignment 4 joints | 868.00 |
46321 | Interphalangeal joint or
metacarpophalangeal joint, total replacement arthroplasty or
hemiarthroplasty of, including associated synovectomy, tendon transfer
or realignment 5 or more joints | 1,041.60 |
46324 | Carpal bone replacement
arthroplasty including associated tendon transfer or realignment when
performed | 621.15 |
46325 | Carpal
bone replacement or resection arthroplasty using adjacent tendon or
other soft tissue including associated tendon transfer or realignment
when performed | 648.10 |
46327 |
Interphalangeal joint or metacarpophalangeal joint, arthrotomy of
| 156.30 |
46330 | Interphalangeal joint or
metacarpophalangeal joint, arthrotomy of, with ligamentous or capsular
repair | 266.25 |
46333 |
Interphalangeal joint or metacarpophalangeal joint, ligamentous repair
of, using free tissue graft or implant | 433.95 |
46336 | Interphalangeal joint or
metacarpophalangeal joint, synovectomy, capsulectomy or debridement
of, not being a service associated with any other procedure related to
that joint | 202.55 |
46339 |
Extensor tendons or flexor tendons of hand or wrist, synovectomy of
| 358.70 |
46342 | Distal
radioulnar joint or carpometacarpal joint or joints, synovectomy of
| 358.70 |
46345 | Distal
radioulnar joint, reconstruction or stabilisation of, including
fusion, or ligamentous arthroplasty and excision of distal ulna, when
performed | 433.95 |
46348 | Digit,
synovectomy of flexor tendon or tendons 1 digit
| 188.05 |
46351 | Digit, synovectomy of
flexor tendon or tendons 2 digits | 280.65 |
46354 | Digit, synovectomy of flexor tendon
or tendons 3 digits | 376.10 |
46357 | Digit, synovectomy of flexor tendon or
tendons 4 digits |
468.70 |
46360 | Digit, synovectomy of flexor tendon or
tendons 5 digits |
564.15 |
46363 | Tendon sheath of hand or wrist, open operation on,
for stenosing tenovaginitis | 162.05 |
46366 | Dupuytren's contracture, subcutaneous fasciotomy for each
band | 98.35 |
46369 | Dupuytren's
contracture, palmar fasciectomy for 1 hand | 162.05 |
46372 | Dupuytren's contracture,
fasciectomy for, from 1 ray, including dissection of
nerves 1 hand | 329.20 |
46375 | Dupuytren's contracture, fasciectomy for, from 2 rays,
including dissection of nerves 1 hand | 390.60 |
46378 | Dupuytren's contracture, fasciectomy
for, from 3 or more rays, including dissection of nerves 1
hand | 520.80 |
46381 |
Interphalangeal joint, joint capsule release when performed in
conjunction with operation for Dupuytren's contracture
each procedure | 231.40 |
46384 | Z
plasty (or similar local flap procedure) when performed in conjunction
with operation for Dupuytren's contracture 1 such
procedure | 231.40 |
46387 |
Dupuytren's contracture, fasciectomy for, from 1 ray, including
dissection of nerves operation for recurrence in that ray
| 477.35 |
46390 | Dupuytren's
contracture, fasciectomy for, from 2 rays, including dissection of
nerves operation for recurrence in those rays | 636.55 |
46393 | Dupuytren's contracture,
fasciectomy for, from 3 or more rays, including dissection of
nerves operation for recurrence in those rays | 737.75 |
46396 | Phalanx or metacarpal
of the hand, osteotomy or osteectomy of | 253.55 |
46399 | Phalanx or metacarpal of the hand,
osteotomy of, with internal fixation | 398.35 |
46402 | Phalanx or metacarpal, bone grafting of,
for pseudarthrosis (non-union), including obtaining of graft material
| 398.35 |
46405 | Phalanx or
metacarpal, bone grafting of, for pseudarthrosis (non-union),
involving internal fixation and including obtaining of graft material
| 486.10 |
46408 | Tendon,
reconstruction of, by tendon graft | 532.35 |
46411 | Flexor tendon pulley, reconstruction of, by graft
| 312.40 |
46414 | Artificial
tendon prosthesis, insertion of in preparation for tendon grafting
| 404.95 |
46417 | Tendon transfer
for restoration of hand function, each transfer | 376.10 |
46420 | Extensor tendon of hand or wrist,
primary repair of, each tendon | 157.40 |
46423 | Extensor tendon of hand or wrist, secondary repair of, each
tendon | 251.70 |
46426 | Flexor
tendon of hand or wrist, primary repair of, proximal to A1 pulley,
each tendon | 260.35 |
46429 |
Flexor tendon of hand or wrist, secondary repair of, proximal to A1
pulley, each tendon | 318.25 |
46432 | Flexor tendon of hand, primary repair of, distal to
A1 pulley, each tendon |
347.25 |
46435 | Flexor tendon of hand, secondary repair of, distal to
A1 pulley, each tendon |
405.05 |
46438 | Mallet finger, closed pin fixation of | 104.15 |
46441 | Mallet finger, open repair of, including
pin fixation when performed |
251.70 |
46442 | Mallet finger with intra-articular fracture involving
more than one-third of base of terminal phalanx open
reduction | 216.05 |
46444 |
Boutonniere deformity without joint contracture, reconstruction of
| 376.10 |
46447 | Boutonniere
deformity with joint contracture, reconstruction of | 468.70 |
46450 | Extensor tendon, tenolysis of,
following tendon injury, repair or graft |
173.60 |
46453 | Flexor tendon, tenolysis of, following tendon injury,
repair or graft | 289.35 |
46456 |
Finger, percutaneous tenotomy of | 75.20 |
46459 | Operation for osteomyelitis on distal phalanx | 144.70 |
46462 | Operation for osteomyelitis on middle or
proximal phalanx, metacarpal or carpus | 231.40 |
46464 | Amputation of a supernumerary complete
digit | 173.60 |
46465 | Amputation of single
digit, proximal to nail bed, involving section of bone or joint and
requiring soft tissue cover | 173.60 |
46468 | Amputation of 2 digits, proximal to nail bed, involving section of
bone or joint and requiring soft tissue cover | 303.80 |
46471 | Amputation of 3 digits, proximal to nail
bed, involving section of bone or joint and requiring soft tissue
cover | 433.95 |
46474 | Amputation
of 4 digits, proximal to nail bed, involving section of bone or joint
and requiring soft tissue cover |
564.15 |
46477 | Amputation of 5 digits, proximal to nail bed,
involving section of bone or joint and requiring soft tissue cover
| 694.30 |
46480 | Amputation of
single digit, proximal to nail bed, involving section of bone or joint
and requiring soft tissue cover, including metacarpal | 289.35 |
46483 | Revision of amputation
stump to provide adequate soft tissue cover | 231.40 |
46486 | Nail bed, accurate reconstruction of nail
bed laceration using magnification, undertaken in the operating
theatre of a hospital or approved day-hospital facility | 173.60 |
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 | 202.55 |
46492 |
Contracture of digits of hand, flexor or extensor, correction of,
involving tissues deeper than skin and subcutaneous tissue | 277.75 |
46494 | Ganglion of hand,
excision of, not being a service associated with a service to which
another item in this group applies | 169.15 |
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 | 156.30 |
46498 | Ganglion of
flexor tendon sheath, excision of, not being a service associated with
a service to which item 30106 or 30107 applies | 169.15 |
46500 | Ganglion of dorsal wrist joint, excision of,
not being a service associated with a service to which item 30106 or
30107 applies | 202.55 |
46501 |
Ganglion of volar wrist joint, excision of, not being a service
associated with a service to which item 30106 or 30107 applies | 253.20 |
46502 | Recurrent ganglion of
dorsal wrist joint, excision of, not being a service associated with a
service to which item 30106 or 30107 applies | 233.00 |
46503 | Recurrent ganglion of volar wrist
joint, excision of, not being a service associated with a service to
which item 30106 or 30107 applies | 291.10 |
46504 | Neurovascular island flap, for pulp
innervation | 850.60 |
46507 |
Digit or ray, transposition or transfer of, on vascular pedicle,
complete procedure | 989.45 |
46510 | Macrodactyly, surgical reduction of enlarged
elements each digit |
270.05 |
46513 | Digital nail of finger or thumb, removal of, not
being a service to which item 46516 applies |
43.50 |
46516 | Digital nail of finger or thumb, removal of, in the
operating theatre of a hospital or approved day-hospital facility
| 86.85 |
46519 | Middle palmar, thenar or
hypothenar spaces of hand, drainage of (excluding after-care) | 108.70 |
46522 | Flexor tendon sheath of finger or
thumb open operation and drainage for infection | 324.00 |
46525 | Pulp space infection,
paronychia of hand, incision for, when performed in an operating
theatre of a hospital or approved day-hospital facility, not being a
service to which another item in this group applies (excluding
after-care) | 43.50 |
46528 | Ingrowing nail
of finger or thumb, wedge resection for, including removal of segment
of nail, ungual fold and portion of the nail bed | 130.40 |
46531 | Ingrowing nail of finger or thumb, partial
resection of nail, including phenolisation but not including excision
of nail bed | 65.45 |
46534 | Nail plate
injury or deformity, radical excision of nail germinal matrix | 181.15 |
Subgroup 15 Orthopaedic | ||
47000 | Mandible, treatment of dislocation of, by closed reduction
| 54.35 |
47003 | Clavicle, treatment of
dislocation of, by closed reduction | 65.15 |
47006 | Clavicle, treatment of dislocation of, by open reduction
| 131.05 |
47009 | Shoulder, treatment of
dislocation of, requiring general anaesthesia, not being a service to
which item 47012 applies | 130.40 |
47012 |
Shoulder, treatment of dislocation of, requiring general anaesthesia,
open reduction | 260.75 |
47015 |
Shoulder, treatment of dislocation of, not requiring general anaesthesia | 65.15 |
47018 | Elbow, treatment of dislocation of, by
closed reduction | 152.05 |
47021 | Elbow,
treatment of dislocation of, by open reduction | 202.80 |
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 | 152.05 |
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
| 202.80 |
47030 | Carpus, or
carpus on radius and ulna, or carpometacarpal joint, treatment of
dislocation of, by closed reduction | 152.05 |
47033 | Carpus, or carpus on radius and ulna, or carpometacarpal
joint, treatment of dislocation of, by open reduction | 202.80 |
47036 | Interphalangeal joint, treatment
of dislocation of, by closed reduction |
65.15 |
47039 | Interphalangeal joint, treatment of dislocation of, by
open reduction | 86.85 |
47042 |
Metacarpophalangeal joint, treatment of dislocation of, by closed
reduction | 86.85 |
47045 |
Metacarpophalangeal joint, treatment of dislocation of, by open
reduction | 115.90 |
47048 | Hip, treatment
of dislocation of, by closed reduction |
249.90 |
47051 | Hip, treatment of dislocation of, by open reduction
| 333.10 |
47054 | Knee, treatment
of dislocation of, by closed reduction | 249.90 |
47057 | Patella, treatment of dislocation of, by
closed reduction | 97.75 |
47060 | Patella,
treatment of dislocation of, by open reduction | 130.40 |
47063 | Ankle or tarsus, treatment of dislocation of,
by closed reduction | 195.55 |
47066 | Ankle
or tarsus, treatment of dislocation of, by open reduction | 260.75 |
47069 | Toe, treatment of
dislocation of, by closed reduction | 54.35 |
47072 | Toe, treatment of dislocation of, by open reduction | 72.35 |
47300 | Distal phalanx of finger or thumb,
treatment of fracture of, by closed reduction, including percutaneous
fixation where used | 65.15 |
47303 | Distal
phalanx of finger or thumb, treatment of intra-articular fracture of,
by closed reduction | 76.05 |
47306 | Distal
phalanx of finger or thumb, treatment of fracture of, by open
reduction | 86.85 |
47309 | Distal phalanx of
finger or thumb, treatment of intra-articular fracture of, by open
reduction | 108.70 |
47312 | Middle phalanx
of finger, treatment of fracture of, by closed reduction | 97.75 |
47315 | Middle phalanx of finger, treatment of
intra-articular fracture of, by closed reduction | 112.25 |
47318 | Middle phalanx of finger, treatment of fracture
of, by open reduction | 130.40 |
47321 |
Middle phalanx of finger, treatment of intra-articular fracture of, by
open reduction | 162.90 |
47324 | Proximal
phalanx of finger or thumb, treatment of fracture of, by closed
reduction | 130.40 |
47327 | Proximal phalanx
of finger or thumb, treatment of intra-articular fracture of, by
closed reduction | 152.05 |
47330 | Proximal
phalanx of finger or thumb, treatment of fracture of, by open
reduction | 173.85 |
47333 | Proximal phalanx
of finger or thumb, treatment of intra-articular fracture of, by open
reduction | 217.20 |
47336 |
Metacarpal, treatment of fracture of, by closed reduction | 130.40 |
47339 | Metacarpal, treatment of
intra-articular fracture of, by closed reduction | 152.05 |
47342 | Metacarpal, treatment of fracture of, by open
reduction | 173.85 |
47345 | Metacarpal,
treatment of intra-articular fracture of, by open reduction | 217.20 |
47348 | Carpus (excluding
scaphoid), treatment of fracture of, not being a service to which item
47351 applies | 72.35 |
47351 | Carpus
(excluding scaphoid), treatment of fracture of, by open reduction
| 181.15 |
47354 | Carpal scaphoid, treatment
of fracture of, not being a service to which item 47357 applies
| 130.40 |
47357 | Carpal scaphoid, treatment
of fracture of, by open reduction |
289.70 |
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 | 101.45 |
47363 | Radius or ulna, distal end of, treatment of fracture of, by
closed reduction | 152.05 |
47366 | Radius or
ulna, distal end of, treatment of fracture of, by open reduction
| 202.80 |
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 | 130.40 |
47372 | Radius, distal end
of, treatment of Colles', Smith's or Barton's fracture, by closed
reduction | 217.20 |
47375 | Radius, distal
end of, treatment of Colles', Smith's or Barton's fracture, by open
reduction | 289.70 |
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
| 130.40 |
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
| 195.55 |
47384 | Radius or ulna, shaft of,
treatment of fracture of, by open reduction | 260.75 |
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 |
224.50 |
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 |
362.10 |
47387 | Radius and ulna, shafts of, treatment of fracture of,
by cast immobilisation, not being a service to which item 47390
or 47393 applies | 210.00 |
47390 |
Radius and ulna, shafts of, treatment of fracture of, by closed
reduction, undertaken in the operating theatre of a hospital or
approved day-hospital facility | 315.05 |
47393 | Radius and ulna, shafts of, treatment of fracture of, by open
reduction | 420.05 |
47396 |
Olecranon, treatment of fracture of, not being a service to which item
47399 applies | 144.85 |
47399 | Olecranon,
treatment of fracture of, by open reduction | 289.70 |
47402 | Olecranon, treatment of fracture of,
involving excision of olecranon fragment and reimplantation of tendon
| 217.20 |
47405 | Radius,
treatment of fracture of head or neck of, closed management of | 144.85 |
47408 | Radius, treatment of fracture of
head or neck of, open management of, including internal fixation and
excision where performed | 289.70 |
47411 | Humerus, treatment of fracture of tuberosity of, not being a
service to which item 47417 applies | 86.85 |
47414 | Humerus, treatment of fracture of tuberosity of, by open
reduction | 173.85 |
47417 | Humerus,
treatment of fracture of tuberosity of, and associated dislocation of
shoulder, by closed reduction |
202.80 |
47420 | Humerus, treatment of fracture of tuberosity of, and
associated dislocation of shoulder, by open reduction | 398.35 |
47423 | Humerus, proximal, treatment of
fracture of, not being a service to which item 47426, 47429 or 47432
applies | 166.50 |
47426 | Humerus, proximal,
treatment of fracture of, by closed reduction, undertaken in the
operating theatre of a hospital or approved day-hospital facility
| 249.90 |
47429 | Humerus, proximal,
treatment of fracture of, by open reduction | 333.10 |
47432 | Humerus, proximal, treatment of
intra-articular fracture of, by open reduction | 416.45 |
47435 | Humerus, proximal, treatment of
fracture of, and associated dislocation of shoulder, by closed
reduction | 318.70 |
47438 |
Humerus, proximal, treatment of fracture of, and associated
dislocation of shoulder, by open reduction | 507.05 |
47441 | Humerus, proximal, treatment of
intra-articular fracture of, and associated dislocation of shoulder,
by open reduction | 633.75 |
47444 | Humerus, shaft of, treatment of fracture of, not being a service to
which item 47447 or 47450 applies | 173.85 |
47447 | Humerus, shaft of, treatment of fracture of, by closed
reduction, undertaken in the operating theatre of a hospital or
approved day-hospital facility | 260.75 |
47450 | Humerus, shaft of, treatment of fracture of, by internal or
external | 347.65 |
47451 |
Humerus, shaft of, treatment of fracture of, by intramedullary
fixation | 419.10 |
47453 |
Humerus, distal, (supracondylar or condylar), treatment of fracture
of, not being a service to which item 47456 or 47459 applies | 202.80 |
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 | 304.30 |
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 | 405.60 |
47462 | Clavicle, treatment of fracture of, not
being a service to which item 47465 applies |
86.85 |
47465 | Clavicle, treatment of fracture of, by open reduction
| 173.85 |
47466 | Sternum, treatment of
fracture of, not being a service to which item 47467 applies | 86.85 |
47467 | Sternum, treatment of fracture of,
by open reduction | 173.85 |
47468 | Scapula,
neck or glenoid region of, treatment of fracture of, by open reduction
| 333.10 |
47471 | Ribs (1 or more), treatment of fracture of each attendance | 33.00 |
47474 | Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum | 144.85 |
47477 | Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum | 181.15 |
47480 | Pelvic ring, treatment of fracture of,
requiring traction | 362.10 |
47483 | Pelvic ring, treatment of fracture of, requiring control by external
fixation | 434.55 |
47486 | Pelvic
ring, treatment of fracture of, by open reduction and involving
internal fixation of anterior segment, including diastasis of pubic
symphysis | 724.25 |
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 | 1,086.40 |
47492 | Acetabulum, treatment of fracture of,
and associated dislocation of hip | 181.15 |
47495 | Acetabulum, treatment of fracture of, and associated
dislocation of hip, requiring traction | 362.10 |
47498 | Acetabulum, treatment of fracture of, and
associated dislocation of hip, requiring internal fixation, with or
without traction | 543.20 |
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 | 724.25 |
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 |
1,086.40 |
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
| 1,086.40 |
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 | 1,086.40 |
47513 | Sacro-iliac joint disruption, treatment of,
requiring internal fixation, being a service associated with a service
to which items 47501 to 47510 apply | 289.70 |
47516 | Femur, treatment of fracture of, by
closed reduction or traction |
333.10 |
47519 | Femur, treatment of trochanteric or subcapital
fracture of, by internal fixation |
666.35 |
47522 | Femur, treatment of subcapital fracture of, by
hemi-arthroplasty | 579.45 |
47525 | Femur, treatment of fracture of, for slipped capital femoral
epiphysis | 666.35 |
47528 | Femur,
treatment of fracture of, by internal fixation or external fixation
| 579.45 |
47531 | Femur, treatment
of fracture of shaft, by intramedullary fixation and cross fixation
| 738.75 |
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 | 832.90 |
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
| 333.10 |
47540 | Hip spica or
shoulder spica, application of, as an independent procedure | 166.50 |
47543 | Tibia, plateau of, treatment of
medial or lateral fracture of, not being a service to which item 47546
or 47549 applies | 173.85 |
47546 | Tibia,
plateau of, treatment of medial or lateral fracture of, by closed
reduction | 260.75 |
47549 | Tibia, plateau
of, treatment of medial or lateral fracture of, by open reduction
| 347.65 |
47552 | Tibia, plateau
of, treatment of both medial and lateral fractures of, not being a
service to which item 47555 or 47558 applies | 289.70 |
47555 | Tibia, plateau of, treatment of both
medial and lateral fractures of, by closed reduction | 434.55 |
47558 | Tibia, plateau of, treatment of both
medial and lateral fractures of, by open reduction | 579.45 |
47561 | Tibia, shaft of, treatment of
fracture of, by cast immobilisation, not being a service to which item
47564, 47567, 47570 or 47573 applies | 210.00 |
47564 | Tibia, shaft of, treatment of fracture of, by closed
reduction, with or without treatment of fibular fracture | 315.05 |
47565 | Tibia, shaft of, treatment of fracture
of, by internal fixation or external fixation | 548.00 |
47566 | Tibia, shaft of, treatment of fracture
of, by intramedullary fixation and cross fixation | 698.60 |
47567 | Tibia, shaft of, treatment of
intra-articular fracture of, by closed reduction, with or without
treatment of fibular fracture |
365.70 |
47570 | Tibia, shaft of, treatment of fracture of, by open
reduction, with or without treatment of fibular fracture | 420.05 |
47573 | Tibia, shaft of, treatment of
intra-articular fracture of, by open reduction, with or without
treatment of fibular fracture |
525.05 |
47576 | Fibula, treatment of fracture of | 86.85 |
47579 | Patella, treatment of fracture of, not being a
service to which item 47582 or 47585 applies | 123.15 |
47582 | Patella, treatment of fracture of, by excision of
patella or pole with reattachment of tendon | 253.55 |
47585 | Patella, treatment of fracture of, by
internal fixation | 325.95 |
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
| 1,013.95 |
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 | 1,231.35 |
47594 | Ankle joint,
treatment of fracture of, not being a service to which item 47597
applies | 166.50 |
47597 | Ankle joint,
treatment of fracture of, by closed reduction | 249.90 |
47600 | Ankle joint, treatment of fracture of, by internal
fixation of 1 of malleolus, fibula or diastasis | 333.10 |
47603 | Ankle joint, treatment of
fracture of, by internal fixation of more than 1 of malleolus, fibula
or diastasis | 434.55 |
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 | 181.15 |
47609 | Calcaneum or
talus, treatment of fracture of, by closed reduction, with or without
dislocation | 271.60 |
47612 |
Calcaneum or talus, treatment of intra-articular fracture of, by
closed reduction, with or without dislocation | 315.05 |
47615 | Calcaneum or talus, treatment of fracture
of, by open reduction, with or without dislocation | 362.10 |
47618 | Calcaneum or talus, treatment of
intra-articular fracture of, by open reduction, with or without
dislocation | 452.70 |
47621 |
Tarso-metatarsal, treatment of intra-articular fracture of, by closed
reduction, with or without dislocation | 315.05 |
47624 | Tarso-metatarsal, treatment of fracture
of, by open reduction, with or without dislocation | 434.55 |
47627 | Tarsus (excluding calcaneum or
talus), treatment of fracture of | 123.15 |
47630 | Tarsus (excluding calcaneum or talus), treatment of fracture
of, by open reduction, with or without dislocation | 260.75 |
47633 | Metatarsal, 1 of, treatment of
fracture of | 86.85 |
47636 | Metatarsal, 1
of, treatment of fracture of, by closed reduction | 130.40 |
47639 | Metatarsal, 1 of, treatment of fracture of, by
open reduction | 173.85 |
47642 |
Metatarsals, 2 of, treatment of fracture of |
115.90 |
47645 | Metatarsals, 2 of, treatment of fracture of, by
closed reduction | 173.85 |
47648 |
Metatarsals, 2 of, treatment of fracture of, by open reduction | 231.65 |
47651 | Metatarsals, 3 or more
of, treatment of fracture of | 181.15 |
47654 | Metatarsals, 3 or more of, treatment of fracture of, by closed
reduction | 271.60 |
47657 |
Metatarsals, 3 or more of, treatment of fracture of, by open reduction
| 362.10 |
47663 | Phalanx of great
toe, treatment of fracture of, by closed reduction | 108.70 |
47666 | Phalanx of great toe, treatment of fracture
of, by open reduction | 181.15 |
47672 |
Phalanx of toe (other than great toe), 1 of, treatment of fracture of,
by open reduction | 86.85 |
47678 | Phalanx
of toe (other than great toe), more than 1 of, treatment of fracture
of, by open reduction | 130.40 |
47681 |
Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements each attendance |
33.00 |
47684 | Spine, treatment of fracture, dislocation or
fracture-dislocation, without spinal cord involvement, including
immobilisation by calipers |
579.45 |
47687 | Spine, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to 14 days post-operative care (Assist.) | 1,013.95 |
47690 | Spine, treatment of fracture,
dislocation or fracture-dislocation, without cord involvement,
including immobilisation by calipers, requiring reduction by closed
manipulation | 796.70 |
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 (Assist.) | 1,013.95 |
47696 | Spine, reduction of
fracture or dislocation of, without cord involvement, undertaken in
the operating theatre of a hospital or approved day-hospital facility
| 289.70 |
47699 | Spine,
treatment of fracture, dislocation or fracture-dislocation without
cord involvement requiring open reduction with or without internal
fixation | 1,158.85 |
47702 |
Spine, treatment of fracture, dislocation or fracture-dislocation with
cord involvement requiring open reduction with or without internal
fixation, including up to 14 days post-operative care | 1,448.60 |
47703 | Skull, treatment of fracture of, each attendance | 33.00 |
47705 | Skull calipers, insertion of, as
an independent procedure | 217.20 |
47708 | Plaster jacket, application of, as an independent procedure
| 166.50 |
47711 | Halo, application of, as
an independent procedure | 246.30 |
47714 | Halo, application of, in addition to spinal fusion for
scoliosis, or other conditions | 184.70 |
47717 | Halo-thoracic traction application of both halo
and thoracic jacket | 325.95 |
47720 | Halo-femoral traction, as an independent procedure | 325.95 |
47723 | Halo-femoral traction in
conjunction with a major spine operation | 325.95 |
47726 | Bone graft, harvesting of, via separate
incision, in conjunction with another service
autogenous small quantity |
108.70 |
47729 | Bone graft, harvesting of, via separate incision, in
conjunction with another service autogenous
large quantity | 181.15 |
47732 |
Vascularised pedicle bone graft, harvesting of, in conjunction with
another service | 289.70 |
47735 |
Nasal bones, treatment of fracture of, not being a service to which item 47738 or 47741 applies each attendance | 33.00 |
47738 | Nasal bones, treatment of fracture of, by reduction | 181.15 |
47741 | Nasal bones, treatment of fracture
of, by open reduction involving osteotomies | 369.45 |
47753 | Maxilla, treatment of fracture of,
requiring splinting, wiring of teeth, circumosseous fixation or
external fixation | 312.85 |
47756 | Mandible, treatment of fracture of, requiring splinting, wiring of
teeth, circumosseous fixation or external fixation | 312.85 |
47762 | Zygomatic bone, treatment of
fracture of, requiring surgical reduction by a temporal, intra-oral or
other approach | 183.75 |
47765 | Zygomatic
bone, treatment of fracture of, requiring surgical reduction and
involving internal or external fixation at 1 site | 301.65 |
47768 | Zygomatic bone, treatment of fracture
of, requiring surgical reduction and involving internal or external
fixation or both at 2 sites |
369.45 |
47771 | Zygomatic bone, treatment of fracture of, requiring
surgical reduction and involving internal or external fixation or both
at 3 sites | 424.50 |
47774 |
Maxilla, treatment of fracture of, requiring open operation | 335.20 |
47777 | Mandible, treatment of
fracture of, requiring open reduction | 335.20 |
47780 | Maxilla, treatment of fracture of,
requiring open reduction and internal fixation not involving plate(s)
| 435.65 |
47783 | Mandible,
treatment of fracture of, requiring open reduction and internal
fixation not involving plate(s) |
435.65 |
47786 | Maxilla, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s) | 552.95 |
47789 | Mandible, treatment of fracture of,
requiring open reduction and internal fixation involving plate(s)
| 552.95 |
47900 | Bone cyst,
injection into or aspiration of | 130.40 |
47903 | Epicondylitis, open operation for |
181.15 |
47904 | Digital nail of toe, removal of, not being a service
to which item 47906 applies | 43.50 |
47906 |
Digital nail of toe, removal of, in the operating theatre of a
hospital or approved day-hospital facility |
86.85 |
47912 | Pulp space infection, paronychia of foot, incision
for, not being a service to which another item in this group applies
(excluding after-care) | 43.50 |
47915 |
Ingrowing nail of toe, wedge resection for, including removal of
segment of nail, ungual fold and portion of the nail bed | 130.40 |
47916 | Ingrowing nail of toe, partial resection
of nail, including phenolisation but not including excision of nail
bed | 65.45 |
47918 | Ingrowing toenail,
radical excision of nailbed | 181.15 |
47920 | Bone growth stimulator, insertion of | 292.95 |
47921 | Orthopaedic pin or wire, insertion of, as
an independent procedure | 86.85 |
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 | 28.95 |
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 | 108.70 |
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
| 202.80 |
47933 | Exostosis of
small bone, excision of, including simple removal of bunion and any
associated bursa | 159.30 |
47936 | Exostosis
of large bone, excision of | 195.55 |
47948 | External fixation, removal of, in the operating theatre of a
hospital or approved day-hospital facility |
123.15 |
47951 | External fixation, removal of, in conjunction with
operations involving internal fixation or bone grafting or both
| 144.85 |
47954 | Tendon, repair of, not
being a service to which another item in this group applies | 289.70 |
47957 | Tendon, large,
lengthening of, not being a service to which another item in this
group applies | 217.20 |
47960 |
Tenotomy, subcutaneous, not being a service to which another item in
this group applies | 101.45 |
47963 |
Tenotomy, open, with or without tenoplasty, not being a service to
which another item in this group applies |
166.50 |
47966 | Tendon or ligament transfer, not being a service to
which another item in this group applies | 333.10 |
47969 | Tenosynovectomy, not being a service to
which another item in this group applies | 202.80 |
47972 | Tendon sheath, open operation for
teno-vaginitis, not being a service to which another item in this
group applies | 162.05 |
47975 | Forearm or
calf, decompression fasciotomy of, for acute compartment syndrome,
requiring excision of muscle and deep tissue | 283.95 |
47978 | Forearm or calf, decompression fasciotomy
of, for chronic compartment syndrome, requiring excision of muscle and
deep tissue | 172.50 |
47981 | Forearm, calf
or interosseous muscle space of hand, decompression fasciotomy of, not
being a service to which another item applies | 115.75 |
47982 | Forage (Drill decompression), of neck or head of
femur, or both | 280.75 |
48200 |
Femur, bone graft to | 579.45 |
48203 | Femur, bone graft to, with internal fixation | 702.55 |
48206 | Tibia, bone graft to | 435.00 |
48209 | Tibia, bone graft to,
with internal fixation | 557.65 |
48212 | Humerus, bone graft to |
435.00 |
48215 | Humerus, bone graft to, with internal fixation
| 557.65 |
48218 | Radius or ulna,
bone graft to | 435.00 |
48221 |
Radius and ulna, bone graft to, with internal fixation of 1 or
both bones | 579.45 |
48224 |
Radius or ulna, bone graft to |
289.70 |
48227 | Radius or ulna, bone graft to, with internal fixation
of 1 or both bones | 376.65 |
48230 | Scaphoid, bone graft to, for non-union | 325.95 |
48233 | Scaphoid, bone graft to, for
non-union, with internal fixation |
470.80 |
48236 | Scaphoid, bone graft to, for mal-union, including
osteotomy, bone graft and internal fixation | 615.65 |
48239 | Bone graft, not being a service to which
another item in this group applies | 340.40 |
48242 | Bone graft, with internal fixation, not being a
service to which another item in this group applies | 470.80 |
48400 | Phalanx, metatarsal, accessory bone
or sesamoid bone, osteotomy or osteectomy of, excluding services to
which item 49848 or 49851 applies |
253.55 |
48403 | Phalanx or metatarsal, osteotomy or osteectomy of,
with internal fixation | 398.35 |
48406 | Fibula, radius, ulna, clavicle, scapula (other than acromion),
rib, tarsus or carpus, osteotomy or osteectomy of | 253.55 |
48409 | Fibula, radius, ulna, clavicle,
scapula (other than acromion), rib, tarsus or carpus, osteotomy or
osteectomy, with internal fixation | 398.35 |
48412 | Humerus, osteotomy or osteectomy of | 485.20 |
48415 | Humerus, osteotomy or osteectomy
of, with internal fixation | 615.65 |
48418 | Tibia, osteotomy or osteectomy of | 485.20 |
48421 | Tibia, osteotomy or osteectomy of, with
internal fixation | 615.65 |
48424 | Femur or pelvis, osteotomy or osteectomy of | 579.45 |
48427 | Femur or pelvis, osteotomy or osteectomy
of, with internal fixation |
702.55 |
48500 | Femur, epiphysiodesis of | 253.55 |
48503 | Tibia and fibula, epiphysiodesis of
| 253.55 |
48506 | Femur, tibia and
fibula, epiphysiodesis of | 376.65 |
48509 | Epiphysiodesis, staple arrest of hemi-epiphysis | 181.15 |
48512 | Epiphysiolysis, operation to
prevent closure of plate | 688.00 |
48600 | Spine, manipulation of, performed in the operating theatre of
a hospital or approved day-hospital facility | 72.35 |
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 | 108.70 |
48606 | Scoliosis or Kyphosis, spinal fusion for (without
instrumentation) | 1,013.95 |
48609 | Scoliosis or Kyphosis, spinal fusion for, using Harrington or
other non-segmental fixation |
1,267.50 |
48612 | Scoliosis, spinal fusion for, using segmental
instrumentation (C D, Zielke, Luque, or similar) | 1,883.15 |
48613 | Scoliosis or Kyphosis, spinal
fusion for, using segmental instrumentation, reconstruction using
separate anterior and posterior approaches | 2,678.60 |
48615 | Scoliosis, re-exploration for,
involving adjustment or removal of instrumentation or simple bone
grafting procedure | 340.40 |
48618 | Scoliosis, revision of failed scoliosis surgery, involving
more than 1 of multiple osteotomy, fusion or instrumentation | 1,883.15 |
48621 | Scoliosis, anterior
correction of, with fusion and segmental fixation (Dwyer, Zielke, or
similar) not more than 4 levels | 1,231.35 |
48624 | Scoliosis, anterior correction of, with
fusion and segmental fixation (Dwyer, Zielke or similar)
more than 4 levels | 1,521.05 |
48627 | Scoliosis, spinal fusion for, combined with segmental
instrumentation (C D, Zielke or similar) down to and including pelvis
| 1,955.55 |
48630 | Scoliosis,
requiring anterior decompression of spinal cord with resection of
vertebrae including bone graft and instrumentation in the presence of
spinal cord involvement |
2,172.80 |
48632 | Scoliosis, congenital, vertebral resection and
fusion for | 1,201.10 |
48636 |
Percutaneous lumbar discectomy, 1 or more levels | 622.80 |
48639 | Vertebral body, total or sub-total
excision of, including bone grafting or other form of fixation | 1,050.20 |
48640 | Vertebral body,
disease of, excision and spinal fusion for, using segmental
instrumentation, reconstruction utilising separate anterior and
posterior approaches | 2,678.60 |
48642 | Spine, posterior, bone graft to, not being a service to which
item 48648 or 48651 applies 1 or 2 levels | 615.65 |
48645 | Spine, posterior, bone graft
to, not being a service to which item 48648 or 48651
applies more than 2 levels | 832.90 |
48648 | Spine, bone graft to, (postero-lateral
fusion) 1 or 2 levels | 832.90 |
48651 | Spine, bone graft to, (postero-lateral
fusion) more than 2 levels | 1,158.85 |
48654 | Spinal fusion (posterior interbody),
with laminectomy 1 level | 832.90 |
48657 | Spinal fusion (posterior interbody), with
laminectomy more than 1 level | 1,158.85 |
48660 | Spinal fusion (anterior interbody) to
cervical, thoracic or lumbar regions 1 level | 832.90 |
48663 | Spinal fusion (anterior
interbody) to cervical, thoracic or lumbar regions 1 level
(where an assisting surgeon performs the approach)
principal surgeon | 622.80 |
48666 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions 1 level (where an assisting surgeon performs the approach) assisting surgeon (Assist.) |
376.65 |
48669 | Spinal fusion (anterior interbody) to cervical,
thoracic or lumbar regions more than 1 level | 1,122.65 |
48672 | Spinal fusion (anterior
interbody) to cervical, thoracic or lumbar regions more
than 1 level (where an assisting surgeon performs the
approach) principal surgeon | 840.25 |
48675 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions more than 1 level (where an assisting surgeon performs the approach) assisting surgeon (Assist.) | 507.05 |
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 | 435.00 |
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 | 724.25 |
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
| 724.25 |
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 |
1,013.95 |
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 | 1,158.85 |
48900 | Shoulder, excision
of coraco-acromial ligament or removal of calcium deposit from cuff or
both | 217.20 |
48903 | Shoulder,
decompression of subacromial space by acromioplasty, excision of
coraco-acromial ligament and distal clavicle, or any combination
| 434.55 |
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 | 434.55 |
48909 | Shoulder, repair of
rotator cuff, including decompression of subacromial space by
acromioplasty, excision of coraco-acromial ligament and distal
clavicle, or any combination, not being a service associated with a
service to which item 48903 applies | 579.45 |
48912 | Shoulder, arthrotomy of | 253.55 |
48915 | Shoulder, hemi-arthroplasty of | 579.45 |
48918 | Shoulder, total
replacement arthroplasty of, including any associated rotator cuff
repair | 1,158.85 |
48921 |
Shoulder, total replacement arthroplasty, revision of | 1,195.05 |
48924 | Shoulder, total replacement
arthroplasty, revision of, requiring bone graft to scapula or humerus,
or both | 1,376.20 |
48927 |
Shoulder prosthesis, removal of |
282.40 |
48930 | Shoulder, stabilisation procedure for recurrent
anterior or posterior dislocation |
579.45 |
48933 | Shoulder, stabilisation procedure for
multi-directional instability, anterior or posterior (or both) repair
when performed | 760.50 |
48936 |
Shoulder, synovectomy of, as an independent procedure | 579.45 |
48939 | Shoulder, arthrodesis of | 832.90 |
48942 | Shoulder, arthrodesis
of, including removal of prosthesis, requiring bone grafting or
internal fixation | 1,086.40 |
48945 | Shoulder, diagnostic arthroscopy of (including
biopsy) not being a service associated with any other
arthroscopic procedure of the shoulder region | 210.00 |
48948 | Shoulder, arthroscopic surgery of,
involving any 1 or more of: removal of loose bodies; decompression of
calcium deposit; debridement of labrum, synovium or rotator cuff; or
chondroplasty not being a service associated with any
other arthroscopic procedure of the shoulder region | 470.80 |
48951 | Shoulder, arthroscopic division of
coraco-acromial ligament including acromioplasty not being
a service associated with any other arthroscopic procedure of the
shoulder region | 688.00 |
48954 |
Shoulder, arthroscopic total synovectomy of, including release of
contracture when performed not being a service associated
with any other arthroscopic procedure of the shoulder region | 724.25 |
48957 | Shoulder, arthroscopic
stabilisation of, for recurrent instability including labral repair or
reattachment when performed not being a service associated
with any other arthroscopic procedure of the shoulder region | 832.90 |
48960 | Shoulder,
reconstruction or repair of, including repair of rotator cuff by
arthroscopic, arthroscopic assisted or mini open means; arthroscopic
acromioplasty; or resection of acromioclavicular joint by separate
approach when performed not being a service associated
with any other procedure of the shoulder region | 724.25 |
49100 | Elbow, arthrotomy of, involving 1 or
more of lavage, removal of loose body or division of contracture
| 253.55 |
49103 | Elbow,
ligamentous stabilisation of |
543.20 |
49106 | Elbow, arthrodesis of | 724.25 |
49109 | Elbow, total synovectomy of | 543.20 |
49112 | Elbow, silastic or other
replacement of radial head | 543.20 |
49115 | Elbow, total joint replacement of | 869.10 |
49118 | Elbow, diagnostic arthroscopy of,
including biopsy | 210.00 |
49121 |
Elbow, arthroscopic surgery involving any 1 or more of: drilling of
defect, removal of loose body; release of contracture or adhesions;
chondroplasty; or osteoplasty not being a service
associated with any other arthroscopic procedure of the elbow | 470.80 |
49200 | Wrist, arthrodesis of,
including bone graft, with or without internal fixation of the
radiocarpal joint | 630.05 |
49203 | Wrist, limited arthrodesis of the intercarpal joint, including bone
graft | 470.80 |
49206 | Wrist,
proximal carpectomy of, including styloidectomy when performed | 434.55 |
49209 | Wrist, total replacement
arthroplasty of | 579.45 |
49212 |
Wrist, arthrotomy of | 181.15 |
49215 |
Wrist, reconstruction of, including repair of single or multiple
ligaments or capsules, including associated arthrotomy | 499.80 |
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 | 210.00 |
49221 | Wrist, arthroscopic surgery of, involving
any 1 or more of: drilling of defect; removal of loose body, release
of adhesions; local synovectomy; or debridement of one
area not being a service associated with any other
arthroscopic procedure of the wrist joint | 470.80 |
49224 | Wrist, arthroscopic debridement of 2 or
more distinct areas; or osteoplasty including excision of the distal
ulna; or total synovectomy | 543.20 |
49227 | Wrist, arthroscopic pinning of osteochondral fragment or
stabilisation procedure for ligamentous disruption not
being a service associated with any other arthroscopic procedure of
the wrist joint | 543.20 |
49300 |
Sacro-iliac joint arthrodesis of | 401.00 |
49303 | Hip, arthrotomy of, including lavage,
drainage or biopsy when performed |
420.05 |
49306 | Hip-arthrodesis of | 832.90 |
49309 | Hip, arthrectomy or excision arthroplasty
of, including removal of prosthesis (Austin Moore or similar (non
cement)) | 579.45 |
49312 | Hip,
arthrectomy or excision arthroplasty of, including removal of
prosthesis (cemented, porous coated or similar) | 724.25 |
49315 | Hip, arthroplasty of, unipolar or
bipolar | 651.90 |
49318 | Hip,
total replacement arthroplasty of, including minor bone grafting
| 1,013.95 |
49319 | Hip, total
replacement arthroplasty of, including associated minor grafting, if
performed bilateral |
1,781.15 |
49321 | Hip, total replacement arthroplasty of, including
major bone grafting, including obtaining of graft | 1,231.35 |
49324 | Hip, total replacement
arthroplasty of, revision procedure including removal of prosthesis
| 1,448.60 |
49327 | Hip, total
replacement arthroplasty of, revision procedure requiring bone
grafting to acetabulum, including obtaining of graft | 1,665.85 |
49330 | Hip, total replacement
arthroplasty of, revision procedure requiring bone grafting to femur,
including obtaining of graft |
1,665.85 |
49333 | Hip, total replacement arthroplasty of, revision
procedure requiring bone grafting to both acetabulum and femur,
including obtaining of graft |
1,883.15 |
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
| 275.20 |
49339 | Hip, revision
total replacement of, requiring anatomic specific allograft of
proximal femur greater than 5 cm in length | 2,136.55 |
49342 | Hip, revision total replacement
of, requiring anatomic specific allograft of acetabulum | 2,136.55 |
49345 | Hip, revision total
replacement of, requiring anatomic specific allograft of both femur
and acetabulum | 2,535.00 |
49346 | Hip, revision arthroplasty with replacement of acetabular liner or
ceramic head, not requiring removal of femoral component or acetabular
shell | 651.90 |
49348 | Hip,
congenital dislocation of, treatment of, by closed reduction | 123.15 |
49351 | Hip, congenital dislocation of,
treatment of, involving supervision of splint, harness or
cast each attendance | 43.50 |
49354 | Hip, congenital dislocation of, open reduction of | 651.90 |
49357 | Hip spica, initial
application of, for congenital dislocation of hip (excluding
after-care) | 272.95 |
49360 | Hip,
diagnostic arthroscopy of | 264.60 |
49363 | Hip, diagnostic arthroscopy of, with synovial biopsy | 318.65 |
49366 | Hip, arthroscopic
surgery of | 470.80 |
49500 | Knee,
arthrotomy of, involving 1 or more of; capsular release, biopsy or
lavage, or removal of loose body or foreign body | 289.70 |
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 | 376.65 |
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 | 564.95 |
49509 | Knee, total synovectomy or
arthrodesis of | 579.45 |
49512 |
Knee, arthrodesis of, with removal of prosthesis | 832.90 |
49515 | Knee, removal of prosthesis,
cemented or uncemented, including associated cement, as the first
stage of a 2 stage procedure | 651.90 |
49517 | Knee, hemiarthroplasty of | 928.05 |
49518 | Knee, total replacement arthroplasty of
| 1,013.95 |
49519 | Knee, total
replacement arthroplasty of, including associated minor grafting, if
performed bilateral |
1,781.15 |
49521 | Knee, total replacement arthroplasty of, requiring
major bone grafting to femur or tibia, including obtaining of graft
| 1,231.35 |
49524 | Knee, total
replacement arthroplasty of, requiring major bone grafting to femur
and tibia, including obtaining of graft | 1,448.60 |
49527 | Knee, total replacement arthroplasty
of, revision procedure, including removal of prosthesis | 1,231.35 |
49530 | Knee, total replacement
arthroplasty of, revision procedure, requiring bone grafting to femur
or tibia, including obtaining of graft and including removal of
prosthesis | 1,521.05 |
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 | 1,738.30 |
49534 | Knee, patello-femoral joint of, total
replacement arthroplasty as a primary procedure | 345.75 |
49536 | Knee, repair or reconstruction of,
for chronic instability (open or arthroscopic, or both) involving
either cruciate or collateral ligaments, including notchplasty when
performed | 724.25 |
49539 | Knee,
reconstructive surgery of cruciate ligaments (open or arthroscopic, or
both), including notchplasty when performed and surgery to other
internal derangements, not being a service to which another item in
this group applies | 724.25 |
49542 | Knee, reconstructive surgery of cruciate ligaments (open or
arthroscopic, or both), including notchplasty, meniscus repair,
extracapsular procedure and debridement when performed | 1,013.95 |
49545 | Knee, revision arthrodesis of
| 579.45 |
49548 | Knee, revision
of patello-femoral stabilisation |
724.25 |
49551 | Knee, revision of procedures to which item 49536,
49539 or 49542 applies | 1,013.95 |
49554 | Knee, revision of total replacement of, by anatomic specific
allograft of tibia or femur |
1,448.60 |
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 | 210.00 |
49558 | Knee,
arthroscopic surgery of, involving 1 or more of: debridement,
osteoplasty or chrondroplasty not associated with any
other arthroscopic procedure of the knee region | 210.00 |
49559 | Knee, arthroscopic surgery of,
involving chrondroplasty requiring multiple drilling or carbon fibre
(or similar) implant; including any associated debridement or
oestoplasty not associated with any other arthroscopic
procedure of the knee region |
314.35 |
49560 | Knee, arthroscopic surgery of, involving 1 or more of
meniscectomy, removal of loose body or lateral release not
being a service associated with any other arthroscopic procedure of
the knee region | 424.35 |
49561 |
Knee, arthroscopic surgery of, involving 1 or more of; meniscectomy,
removal of loose body or lateral release; where the procedure includes
associated debridement, osteoplasty or chrondoplasty not
associated with any other arthroscopic procedure of the knee region
| 518.60 |
49562 | Knee,
arthroscopic surgery of, involving 1 or more of: meniscectomy, removal
of loose body or lateral release; where the procedure includes
chondroplasty requiring multiple drilling or carbon fibre (or similar)
implant and associated debridement or osteoplasty not
associated with any other arthroscopic procedure of the knee region
| 565.80 |
49563 | Knee,
arthroscopic surgery of, involving 1 or more of meniscus repair,
osteochondral graft; or chondral graft not associated with
any other arthroscopic procedure of the knee region | 612.90 |
49566 | Knee, arthroscopic total
synovectomy of | 579.45 |
49569 |
Knee, mobilisation for post-traumatic stiffness, by multiple muscle or
tendon release (quadricepsplasty) |
579.45 |
49700 | Ankle, diagnostic arthroscopy of, including biopsy
| 210.00 |
49703 | Ankle,
arthroscopic surgery of | 470.80 |
49706 | Ankle, arthrotomy of, involving 1 or more of: lavage, removal
of loose body or division of contracture | 253.55 |
49709 | Ankle, ligamentous stabilisation of
| 543.20 |
49712 | Ankle,
arthrodesis of | 579.45 |
49715 |
Ankle, total joint replacement of | 869.10 |
49718 | Ankle, Achilles' tendon or other major tendon,
repair of | 289.70 |
49721 | Ankle, Achilles' tendon rupture managed by non-operative treatment | 181.15 |
49724 | Ankle, Achilles' tendon, secondary repair or reconstruction of
| 507.05 |
49727 | Ankle, Achilles'
tendon, operation for lengthening |
217.20 |
49800 | Foot, flexor or extensor tendon, primary repair of
| 101.45 |
49803 | Foot, flexor or extensor
tendon, secondary repair of | 130.40 |
49806 | Foot, subcutaneous tenotomy of, 1 or more tendons | 101.45 |
49809 | Foot, open tenotomy of, with or without
tenoplasty | 166.50 |
49812 | Foot, tendon or
ligament transplantation of, not being a service to which another item
in this group applies | 333.10 |
49815 | Foot, triple arthrodesis of | 579.45 |
49818 | Foot, excision of calcaneal spur | 210.00 |
49821 | Foot, correction of hallux valgus
or hallux rigidus by excision arthroplasty (Keller's or similar
procedure) unilateral |
333.10 |
49824 | Foot, correction of hallux valgus or hallux rigidus
by excision arthroplasty (Keller's or similar procedure)
bilateral | 583.05 |
49827 | Foot,
correction of hallux valgus and transfer of adductor hallucis
tendon unilateral |
362.10 |
49830 | Foot, correction of hallux valgus and transfer of
adductor hallucis tendon bilateral | 633.75 |
49833 | Foot, correction of hallux valgus by
osteotomy of first metatarsal including internal fixation where
performed unilateral |
398.35 |
49836 | Foot, correction of hallux valgus by osteotomy of
first metatarsal including internal fixation where
performed bilateral |
688.00 |
49839 | Foot, correction of hallux rigidus or hallux valgus
by prosthetic arthroplasty unilateral | 398.35 |
49842 | Foot, correction of hallux rigidus or
hallux valgus by prosthetic arthroplasty bilateral | 688.00 |
49845 | Foot, arthrodesis of,
first metatarso-phalangeal joint |
362.10 |
49848 | Foot, correction of claw or hammer toe | 123.15 |
49851 | Foot, correction of claw or hammer toe
with internal fixation | 159.30 |
49854 |
Foot, radical plantar fasciotomy or fasciectomy of | 289.70 |
49857 | Foot, metatarso-phalangeal joint
replacement | 267.95 |
49860 |
Foot, synovectomy of metatarso-phalangeal joint, single joint | 217.20 |
49863 | Foot, synovectomy of
metatarso-phalangeal joint, 2 or more joints | 325.95 |
49866 | Foot, neurectomy for plantar or digital
neuritis (Morton's or Bett's syndrome) | 231.65 |
49878 | Talipes equinovarus, calcaneo valgus or
metatarsus varus, treatment by cast, splint or
manipulation each attendance |
43.50 |
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
| 210.00 |
50102 | Joint,
arthroscopic surgery of, not being a service to which another item in
this group applies | 470.80 |
50103 | Joint, arthrotomy of, not being a service to which another item in
this group applies | 253.55 |
50104 | Joint, synovectomy of, not being a service to which another item in
this group applies | 240.20 |
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 | 362.10 |
50109 | Joint, arthrodesis of, not being a service to which
another item in this group applies | 362.10 |
50112 | Cicatricial flexion or extension contraction of
joint, correction of, involving tissues deeper than skin and
subcutaneous tissue, not being a service to which another item in this
group applies | 277.75 |
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
| 108.70 |
50118 | Subtalar joint,
arthrodesis of | 333.10 |
50121 |
Greater trochanter, transplantation of ileopsoas tendon to | 651.90 |
50124 | Joint or other synovial
cavity, aspiration of, or injection into, or both of these procedures;
payable on not more than 25 occasions in any 12 month period
| 22.80 |
50125 | Joint or other synovial
cavity, aspiration of, or injection into, or both of these
procedures where it can be demonstrated that a 26 th or
subsequent treatment (including any treatments to which item 50124
applies) is indicated in a 12 month period |
22.80 |
50127 | Joint or joints, arthroplasty of, by any technique not
being a service to which another item applies | 540.45 |
50130 | Joint or joints, application of
external fixator to, other than for treatment of fractures | 240.20 |
50200 | Aggressive or
potentially malignant bone or deep soft tissue tumour, biopsy of (not
including after-care) | 144.85 |
50203 | Bone
or malignant deep soft tissue tumour, lesional or marginal excision of
| 318.70 |
50206 | Bone tumour,
lesional or marginal excision of, combined with any 1 of: liquid
nitrogen freezing, autograft, allograft or cementation | 470.80 |
50209 | Bone tumour, lesional or
marginal excision of, combined with any 2 or more of: liquid nitrogen
freezing, autograft, allograft or cementation | 579.45 |
50212 | Malignant or aggressive soft tissue
tumour affecting the long bones of leg or arm, enbloc resection of,
with compartmental or wide excision of soft tissue, without
reconstruction | 1,267.50 |
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) | 1,593.45 |
50218 | Malignant tumour of long bone, enbloc resection of, with
replacement or arthrodesis of adjacent joint | 2,100.45 |
50221 | Malignant or aggressive soft tissue
tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc
resection of | 1,955.55 |
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 | 2,172.80 |
50227 | Malignant bone tumour, enbloc resection of, with
massive anatomic specific allograft or autograft, with or without
prosthetic replacement | 2,535.00 |
50230 | Benign tumour, resection of, requiring anatomic specific
allograft, with or without internal fixation | 1,303.70 |
50233 | Malignant tumour, amputation for,
hemipelvectomy or interscapulo-thoracic | 1,665.85 |
50236 | Malignant tumour, amputation for,
hip disarticulation, shoulder disarticulation or proximal third femur
| 1,303.70 |
50239 | Malignant
tumour, amputation for, not being a service to which another item
in this group applies | 869.10 |
50300 | Joint deformity, slow correction of, using ring fixator or
similar device, including all associated attendances
payable only once in any 12 month period | 890.60 |
50303 | Limb lengthening, up to and including
5 cm, 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 | 1,215.90 |
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 |
1,898.55 |
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 | 234.60 |
50312 |
Ankle, synovectomy of | 538.65 |
50315 | Talipes equinovarus, posterior release of | 533.30 |
50318 | Talipes equinovarus, medial release
of | 533.30 |
50321 | Talipes
equinovarus, combined postero-medial | 714.60 |
50324 | Talipes equinovarus, combined
postero-medial release of, revision procedure | 1,018.65 |
50327 | Talipes equinovarus, bilateral
procedures | 1,242.55 |
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 | 175.95 |
50333 | Tarsal coalition, excision of, with interposition of muscle,
fat graft or similar graft | 474.60 |
50336 | Talus, vertical, congenital, combined anterior and posterior
reconstruction | 709.30 |
50339 |
Foot and ankle, tibialis anterior tendon (split or whole) transfer to
lateral column | 432.00 |
50342 |
Foot and ankle, tibialis or tibialis posterior tendon transfer,
through the interosseous membrane to anterior or posterior aspect of
foot | 501.30 |
50345 |
Hyperextension deformity of toe, release incorporating V-Y plasty of
skin, lengthening of extensor tendons and release of capsule
contracture | 266.70 |
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 |
175.95 |
50351 | Hip, congenital or developmental dislocation of, open
reduction of | 767.95 |
50354 |
Tibia, pseudarthrosis of, congenital, resection and internal fixation
| 1,007.95 |
50357 | Knee, leg or
thigh, rectus femoris tendon transfer or medial or lateral hamstring
tendon transfer | 432.00 |
50360 |
Knee, leg or thigh, combined medial and lateral hamstring tendon
transfer | 501.30 |
50363 | Knee,
contracture of, posterior release involving multiple tendon
lengthening or tenotomies, unilateral | 384.05 |
50366 | Knee, contracture of, posterior release
involving multiple tendon lengthening or tenotomies, bilateral | 672.00 |
50369 | Knee, contracture of,
posterior release involving multiple tendon lengthening with or
without tenotomies and release of joint capsule with or without
cruciate ligaments, unilateral |
501.30 |
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 | 879.95 |
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
| 384.05 |
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 | 672.00 |
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 | 501.30 |
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 |
879.95 |
50387 | Hip, iliopsoas tendon transfer to greater trochanter,
or transfer of abdominal musculature to greater trochanter, or
transfer or adductors to ischium |
501.30 |
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 | 175.95 |
50393 | Pelvis, bone graft or shelf procedures for acetabular
dysplasia | 650.60 |
50394 |
Acetabular dysplasia, treatment of, by multiple peri-acetabular
osteotomy, including internal fixation where performed | 2,136.55 |
50396 | Hand, congenital
abnormalities or duplication of digits, amputation or splitting
of phalanx or phalanges, with ligament or joint reconstruction | 357.35 |
50399 | Forearm, radial aplasia
or dysplasia (radial club hand), centralisation or radialisation of
| 709.30 |
50402 | Torticollis,
bipolar release of sternocleidomastoid muscle and associated soft
tissue | 325.35 |
50405 | Elbow,
flexorplasty, or tendon transfer to restore elbow function | 442.65 |
50408 | Shoulder, congenital or
developmental dislocation, open reduction of | 767.95 |
50411 | Lower limb deficiency, treatment of
congenital deficiency of the femur by resection of the distal femur
and proximal tibia followed by knee fusion | 1,007.95 |
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 | 1,359.90 |
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 |
1,007.95 |
50420 | Patella, congenital dislocation of, reconstruction
of the quadriceps | 831.95 |
50423 | Tibia, fibula or both, congenital deficiency of, transfer of the
fibula to tibia, with internal fixation | 767.95 |
50426 | Diaphyseal aclasia, removal of lesion or
lesions from bone 1 approach | 357.35 |
Group T9 Assistance at operations | ||
51300 | Assistance at any operation under an item in Group T8 identified by the word `Assist.' for which the fee does not exceed $429.55 or at a series or combination of operations under items in Group T8 identified by the word `Assist.' for which the aggregate fee does not exceed $429.55 | 66.40 |
51303 | Assistance at any operation under an item in Group T8 identified by the word `Assist.' for which the fee exceeds $429.55 or at a series or combination of operations under items in Group T8 identified by the word `Assist.' for which the aggregate fee exceeds $429.55 | Amount under rule 32 |
51306 |
Assistance at a delivery involving Caesarean section | 95.95 |
51309 |
Assistance at a series or combination of operations which have been identified by the word `Assist.' and assistance at a delivery involving Caesarean section | Amount under rule 33 |
51312 |
Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615, 16627 and 16633 | Amount under rule 37 |
51315 | Assistance at cataract and intraocular lens surgery covered by item 42698,42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42746, 42749, 42752, 42776 or 42779 | 209.55 |
51318 |
Assistance at cataract and intraocular lens surgery where patient has: (a) total loss of vision, including no potential for central vision,
in the fellow eye; or | 138.30 |
Oral and maxillofacial services | ||
Group O1 Consultations | ||
51700 | Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, at consulting rooms, hospital or nursing home where the patient is referred to him or her |
65.80 |
51703 | Professional attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or nursing home where the patient is referred to him or her | 33.00 |
Group O2 Assistance at operation | ||
51800 | Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word `Assist.' for which the fee does not exceed $429.55 or at a series or combination of operations in Groups O3 to O9 identified by the word `Assist.' for which the aggregate fee does not exceed $429.55 | 66.40 |
51803 | Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation identified by the word `Assist.' for which the fee exceeds $429.55 or at a series or combination of operations in Groups O3 to O9 identified by the word `Assist.' for which the aggregate fee exceeds $429.55 | Amount under rule 32 |
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 | 63.45 |
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 | 90.40 |
52006 |
Skin and subcutaneous tissue or mucous membrane, repair of recent
wound of, on face or neck, large (more than 7 cm long),
superficial | 90.40 |
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 | 142.90 |
52012 | Superficial foreign
body, removal of, as an independent procedure | 18.05 |
52015 | Subcutaneous foreign body, removal of, requiring
incision and suture, as an independent procedure | 84.60 |
52018 | Foreign body in muscle, tendon or other deep
tissue, removal of, as an independent procedure | 212.90 |
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 | 22.70 |
52024 |
Biopsy of skin or mucous membrane, as an independent procedure | 40.15 |
52027 | Biopsy of lymph gland, muscle or
other deep tissue or organ, as an independent procedure | 115.20 |
52030 | Sinus, excision of, involving
superficial tissue only | 69.20 |
52033 |
Sinus, excision of, involving muscle and deep tissue | 141.45 |
52034 | Premalignant lesions of the oral mucous, treatment by liquid nitrogen cryotherapy | 33.00 |
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, where the
removal is by surgical excision and suture, not being a service to
which item 52039 applies | 97.70 |
52039 |
Tumours, cysts, ulcers or scars (other than a scar removed during the
surgical approach at an operation), up to 3 cm in diameter,
removal from cutaneous or subcutaneous tissue or from mucous membrane,
where the removal is by surgical excision and suture, and the
procedure is performed on more than 3 but not more than 10 lesions
| 250.80 |
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 | 132.70 |
52045 | Tumour, cyst (other than a cyst
associated with a tooth or tooth fragment unless it has been
established by radiological examination that there is a minimum of
5 mm separation between the cyst lining and tooth structure or
where a tumour or cyst has been proven by positive histopathology),
ulcer or scar (other than a scar removed during the surgical approach
at an operation), removal of, not being a service to which another
item in Groups O3 to O9 applies, involving muscle, bone, or other deep
tissue | 189.60 |
52048 | Tumour or deep cyst
(other than a cyst associated with a tooth or tooth fragment unless it
has been established by radiological examination that there is a
minimum of 5 mm separation between the cyst lining and tooth
structure or where a tumour or cyst has been proven by positive
histopathology), removal of, requiring wide excision, not being a
service to which another item in Groups O3 to O9 applies | 285.75 |
52051 | Tumour, removal of, from soft
tissue (including muscle, fascia and connective tissue), extensive
excision of, without skin or mucosal graft | 386.40 |
52054 | Tumour, removal of, from soft tissue
(including muscle, fascia and connective tissue), extensive excision
of, with skin or mucosal graft |
452.10 |
52055 | Haematoma, abscess or cellulitis not requiring a general anaesthesia, incision with drainage of (excluding after-care) | 21.00 |
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 | 125.40 |
52060 |
Muscle, excision of | 145.70 |
52063 | Bone
tumour, innocent, excision of, not being a service to which another
item in Groups O3 to O9 applies |
274.15 |
52066 | Submandibular gland, extirpation of | 342.70 |
52069 | Sublingual gland, extirpation of
| 152.75 |
52072 | Salivary gland, dilatation
or diathermy of duct | 45.20 |
52075 |
Salivary gland, removal of calculus from duct or meatotomy or
marsupialisation, 1 or more such procedures |
115.20 |
52078 | Tongue, partial excision of | 227.45 |
52081 | Tongue tie, division or excision of
frenulum | 35.75 |
52084 | Tongue tie,
mandibular frenulum or maxillary frenulum, division or excision of
frenulum, in a person aged not less than 2 years | 91.90 |
52087 | Ranula or mucous cyst of mouth, removal of
| 157.50 |
52090 | Operation on mandible or
maxilla (other than alveolar margins) for osteomyelitis 1
bone | 274.15 |
52092 | Operation
on skull for osteomyelitis |
357.30 |
52096 | Orthopaedic pin or wire, insertion of, into maxilla
or mandible or zygoma, as an independent procedure | 86.85 |
52099 | Buried wire, pin or screw, 1 or more, which
were inserted for internal fixation purposes into maxilla or mandible
or zygoma, removal of, requiring anaesthesia, incision, dissection and
suturing, per bone, not being a service associated with a service to
which item 52102 or 52105 applies | 108.70 |
52102 | Buried wire, pin or screw, 1 or more, which were inserted for
internal fixation purposes into maxilla or mandible or zygoma, removal
of, requiring anaesthesia, incision, dissection and suturing, where
undertaken in the operating theatre of a hospital or approved
day-hospital facility, per bone | 108.70 |
52105 | Plate, 1 or more of, and associated screw and wire which were
inserted for internal fixation purposes into maxilla or mandible or
zygoma, removal of, requiring anaesthesia, incision, dissection and
suturing, per bone, not being a service associated with a service to
which item 52099 or 52102 applies |
202.80 |
52106 | Arch bars, 1 or more, which were inserted for dental
fixation purposes to the maxilla or mandible, removal of, requiring
general anaesthesia where undertaken in the operating theatre of a
hospital or approved day-hospital facility |
83.80 |
52108 | Lip, full thickness wedge excision of, with repair by
direct sutures | 250.80 |
52111 |
Vermilionectomy | 250.80 |
52114 |
Mandible or maxilla, segmental resection of, for tumours or cysts
| 452.10 |
52117 | Mandible,
including lower border, or maxilla, sub-total resection of | 538.10 |
52120 | Mandible,
hemimandiblectomy of, including condylectomy where performed | 634.35 |
52122 | Mandible,
hemi-mandibular reconstruction of, or maxilla reconstruction of, with
bone graft, plate, tray or alloplast, not being a service associated
with a service to which item 52123 applies | 636.40 |
52123 | Mandible, total resection of both sides,
including condylectomies where performed | 720.55 |
52126 | Maxilla, total resection of | 692.75 |
52129 | Maxilla, total resection of
both maxillae | 927.25 |
52132 |
Tracheostomy | 183.75 |
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 | 111.05 |
52138 |
Maxillary artery, ligation of |
342.70 |
52141 | Facial, mandibular or lingual artery or vein or
artery and vein, ligation of, not being a service to which item 52138
applies | 341.30 |
52144 | Foreign
body, deep, removal of using interventional imaging techniques | 318.15 |
52147 | Duct of major salivary
gland, transposition of | 300.25 |
52148 | Parotid duct, repair of, using micro-surgical techniques
| 530.65 |
Group O4 Plastic and reconstructive | ||
52300 | Single-stage local flap, where
indicated, repair to 1 defect, with skin or mucosa | 218.75 |
52303 | Single-stage local flap, where
indicated, repair to 1 defect, with buccal pad of fat | 312.30 |
52306 | Single-stage local flap,
where indicated, repair to 1 defect, using temporalis muscle
| 463.55 |
52309 | Free grafting
(mucosa or split skin) of a granulating area | 157.50 |
52312 | Free grafting (mucosa, split skin or connective
tissue) to 1 defect, including elective dissection | 218.75 |
52315 | Free grafting, full thickness,
to 1 defect (mucosa or skin) |
364.55 |
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 | 108.70 |
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 |
180.85 |
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 | 364.55 |
52324 | Direct flap repair,
using tongue, first stage | 364.55 |
52327 | Direct flap repair, using tongue, second stage | 180.85 |
52330 | Palatal defect (oro-nasal fistula),
plastic closure of, including services to which item 52300, 52303,
52306 or 52324 applies | 601.60 |
52333 | Cleft palate, primary repair | 601.60 |
52336 | Cleft palate, secondary repair, closure
of fistula using local flaps |
376.00 |
52337 | Alveolar cleft (congenital) unilateral, grafting of,
including plastic closure of associated oro-nasal fistulae and ridge
augmentation | 822.50 |
52339 |
Cleft palate, secondary repair, lengthening procedure | 428.20 |
52342 | Mandible or maxilla, unilateral
osteotomy or osteectomy of, including transposition of nerves and
vessels and bone grafts taken from the same site | 743.75 |
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 |
838.80 |
52348 | Mandible or maxilla, bilateral osteotomy or
osteectomy of, including transposition of nerves and vessels and bone
grafts taken from the same site |
947.90 |
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 | 1,064.45 |
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 | 1,079.10 |
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 | 1,214.90 |
52360 | Mandible and 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 | 1,239.45 |
52363 | Mandible and 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 | 1,394.20 |
52366 | Mandible and
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 | 1,363.45 |
52369 | Mandible and 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 |
1,533.00 |
52372 | Mandible and 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 | 1,487.45 |
52375 | Mandible and 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 | 1,666.10 |
52378 | Genioplasty
including transposition of nerves and vessels and bone grafts taken
from the same site | 575.95 |
52379 | Face, contour reconstruction of 1 region, using autogenous bone or
cartilage graft | 983.45 |
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 | 1,676.10 |
52382 | Midfacial
osteotomies Le Fort II, Modified |
2,009.10 |
52420 | Mandible, fixation by intermaxillary wiring, excluding wiring for obesity | 185.50 |
Group O5 Preprosthetic | ||
52600 | Mandibular or palatal exostosis, excision of
| 260.30 |
52603 | Mylohyoid ridge,
reduction of | 248.75 |
52606 |
Maxillary tuberosity, reduction of | 189.75 |
52609 | Papillary hyperplasia of the palate, removal of
less than 5 lesions | 248.75 |
52612 | Papillary hyperplasia of the palate, removal of 5
to 20 lesions | 312.30 |
52615 | Papillary hyperplasia of the palate, removal of more
than 20 lesions | 387.65 |
52618 |
Vestibuloplasty, submucosal or open, including excision of muscle and
skin or mucosal graft when performed unilateral or
bilateral | 451.15 |
52621 | Floor
of mouth lowering (Obwegeser or similar procedure), including excision
of muscle and skin or mucosal graft when performed
unilateral | 451.15 |
52624 |
Alveolar ridge augmentation with bone or alloplast or both
unilateral | 364.45 |
52626 |
Alveolar ridge augmentation unilateral, insertion of
tissue expanding device into maxillary or mandibular alveolar ridge
region for | 223.45 |
52627 |
Osseo-integration procedure extra oral implantation of
titanium fixture | 387.65 |
52630 |
Osseo-integration procedure fixation of transcutaneous
abutment | 143.50 |
52633 | Osseo-integration
procedure intra-oral implantation of titanium fixture to
facilitate restoration of the dentition following resection of part of
the maxilla or mandible for benign or malignant tumours | 387.65 |
52636 | Osseo-integration procedure
fixation of transmucosal abutment to fixtures placed following
resection of part of the maxilla or mandible for benign or malignant
tumours | 143.50 |
Group O6 Neurosurgical | ||
52800 | Neurolysis by open operation, without
transposition, not being a service associated with a service to which
item 52803 applies | 212.90 |
52803 | Nerve trunk, internal (interfascicular), neurolysis of, using
microsurgical techniques | 306.55 |
52806 | Neurectomy, neurotomy or removal of tumour from superficial
peripheral nerve | 212.90 |
52809 |
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve
| 364.55 |
52812 | Nerve trunk,
primary repair of, using microsurgical techniques | 520.70 |
52815 | Nerve trunk, secondary repair of,
using microsurgical techniques |
549.50 |
52818 | Nerve, transposition of | 364.55 |
52821 | Nerve graft to nerve trunk (cable graft)
including harvesting of nerve graft using microsurgical techniques
| 792.50 |
52824 | Peripheral
branches of the trigeminal nerve, cryosurgery of, for pain relief
| 341.30 |
Group O7 Ear, nose and throat | ||
53000 | Maxillary antrum, proof puncture and
lavage of | 25.00 |
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 | |
70.80 | ||
53006 |
Antrostomy (radical) | 401.00 |
53009 | Antrum, intranasal operation on or removal of foreign body
from | 227.45 |
53012 | Antrum,
drainage of, through tooth socket | 90.40 |
53015 | Oro-antral fistula, plastic closure of | 452.10 |
53016 | Nasal septum, septoplasty, submucous
resection or closure of septal perforation | 371.80 |
53018 | Turbinectomy or turbinectomies, partial
or total, unilateral | 105.00 |
53019 |
Maxillary sinus, bone graft to floor of maxillary sinus following
elevation of mucosal lining (sinus lift procedure), unilateral | 446.85 |
Group O8 Temporomandibular joint | ||
53200 | Mandible, treatment of a dislocation
of, not requiring open reduction | 36.50 |
53203 | Mandible, treatment of a dislocation of, requiring open
reduction | 91.40 |
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 | 109.90 |
53209 | Glenoid fossa,
zygomatic arch and temporal bone, reconstruction of (Obwegeser
technique) | 1,268.65 |
53212 |
Absent condyle and ascending ramus in hemifacial microsomia,
construction of, not including harvesting of graft material | 685.40 |
53215 | Temporomandibular
joint, arthroscopy of, with or without biopsy, not being a service
associated with any other arthroscopic procedure of that joint | 314.35 |
53218 | Temporomandibular joint,
arthroscopy of, removal of loose bodies, debridement, or treatment of
adhesions 1 or more of such procedures | 502.90 |
53221 | Temporomandibular joint, open
surgical exploration of, with or without microsurgical techniques
| 671.10 |
53224 |
Temporomandibular joint, open surgical exploration of, with
condylectomy or condylotomy, with or without microsurgical techniques
| 743.90 |
53225 | Arthrocentesis,
irrigation of temporomandibular joint after insertion of 2 cannuli
into the appropriate joint space(s) | 223.45 |
53227 | Temporomandibular joint, open surgical exploration
of, with or without meniscus or capsular surgery, including
meniscectomy when performed, with or without microsurgical techniques
| 914.10 |
53230 |
Temporomandibular joint, open surgical exploration of, with meniscus,
capsular and condylar head surgery, with or without microsurgical
techniques | 1,029.75 |
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 |
1,157.00 |
Group O9 Treatment of fractures | ||
53400 |
Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting | 99.40 |
53403 | Mandible, treatment of fracture of, not requiring splinting | 121.45 |
53406 | Maxilla, treatment of
fracture of, requiring splinting, wiring of teeth, circumosseous
fixation or external fixation |
312.85 |
53409 | Mandible, treatment of fracture of, requiring
splinting, wiring of teeth, circumosseous fixation or external
fixation | 312.85 |
53410 |
Zygomatic bone, treatment of fracture of, not requiring surgical reduction | 65.90 |
53411 | Zygomatic bone, treatment of fracture of,
requiring surgical reduction, by temporal, intra-oral or other
approach | 183.75 |
53412 | Zygomatic bone,
treatment of fracture of, requiring surgical reduction and involving
internal or external fixation at 1 site | 301.65 |
53413 | Zygomatic bone, treatment of fracture of,
requiring surgical reduction and involving internal or external
fixation or both at 2 sites |
368.65 |
53414 | Zygomatic bone, treatment of, requiring surgical
reduction and involving internal or external fixation or both at 3
sites | 424.50 |
53415 | Maxilla,
treatment of fracture of, requiring open reduction | 335.20 |
53416 | Mandible, treatment of fracture of,
requiring open reduction | 335.20 |
53418 | Maxilla, treatment of fracture of, requiring open reduction
and internal fixation not involving plate(s) | 435.65 |
53419 | Mandible, treatment of fracture of,
requiring open reduction and internal fixation not involving plate(s)
| 435.65 |
53422 | Maxilla,
treatment of fracture of, requiring open reduction and internal
fixation involving plate(s) |
552.95 |
53423 | Mandible, treatment of fracture of, requiring open
reduction and internal fixation involving plate(s) | 552.95 |
53424 | Maxilla, treatment of a complicated
fracture of, involving viscera, blood vessels or nerves, requiring
open reduction not involving plate(s) | 474.40 |
53425 | Mandible, treatment of a complicated
fracture of, involving viscera, blood vessels or nerves, requiring
open reduction not involving plate(s) | 474.40 |
53427 | Maxilla, treatment of a complicated
fracture of, involving viscera, blood vessels or nerves, requiring
open reduction involving the use of plate(s) | 647.95 |
53429 | Mandible, treatment of a complicated
fracture of, involving viscera, blood vessels or nerves, requiring
open reduction involving the use of plate(s) | 647.95 |
53439 | Mandible, treatment of a closed fracture
of, involving a joint surface | 183.75 |
53453 | Orbital cavity, reconstruction of a wall or floor with or
without foreign implant | 371.80 |
53455 | Orbital cavity, bone or cartilage graft to orbital wall or
floor including reduction of prolapsed or entrapped orbital contents
| 436.70 |
53458 | Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies | 33.05 |
53459 | Nasal bones, treatment of fracture of,
by reduction | 181.15 |
53460 | Nasal bones,
treatment of fractures of, by open reduction involving osteotomies
| 369.45 |
Cleft lip and cleft palate services | ||
Group C1 Orthodontic services | ||
75001 |
Initial professional attendance in a single course of treatment by an accredited orthodontist (AO) | 65.80 |
75004 | Professional attendance by an accredited orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO) |
33.00 |
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, 75036,
75037, 75039, 75045 or 75051 applies; or in a single course of treatment (AO) | 58.65 |
75009 | Orthodontic radiography orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO) | 52.40 |
75012 | Orthodontic radiography anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings including any consultation on the same occasion (AOS) (AO) | 83.05 |
75015 | Orthodontic radiography anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS) (AO) | 114.30 |
75018 | Orthodontic radiography anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO) | 145.55 |
75021 |
Orthodontic radiography hand-wrist studies (including growth prediction) including any consultation on the same occasion (AOS) | 178.50 |
75023 | Intraoral radiography single area, periapical or bitewing film (AOS) | 35.70 |
75024 | Pre-surgical
infant maxillary arch repositioning, including supply of appliances
and all adjustments of appliances and supervision where 1
appliance is | 461.70 |
75027 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision where 2 appliances are used (AO) | 633.05 |
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) | 563.70 |
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) | 923.85 |
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) |
470.25 |
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) | 1,276.15 |
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) | 1,607.25 |
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) |
427.10 |
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) | 159.75 |
75045 | Permanent dentition treatment 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances initial 3 months of active treatment (AO) |
855.10 |
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) | 219.25 |
75049 | Retention, fixed or removable, single arch (mandibular or maxillary) supply of retainer and supervision of retention (AO) | 256.65 |
75050 | Retention, fixed or removable, 2-arch (mandibular and maxillary) supply of retainers and supervision of retention (AO) | 495.45 |
75051 | Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO) | 760.60 |
Group C2 Oral and maxillofacial services | ||
75150 | Initial professional attendance in a single course of treatment by an accredited oral and maxillofacial surgeon where the patient is referred to the surgeon by an accredited orthodontist (AOS) | 65.80 |
75153 | Professional attendance by an accredited oral and maxillofacial surgeon subsequent to the first professional attendance by the surgeon in a single course of treatment where the patient is referred to the surgeon by an accredited orthodontist (AOS) | 33.00 |
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 in a single course of treatment (AOS) | 58.65 |
75200 | Removal of tooth or tooth fragment (not being treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies), where the patient is referred by an accredited orthodontist (AD) | 42.25 |
75203 |
Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by an accredited orthodontist (AOS) | 63.40 |
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 (AOS) | 21.00 |
75400 | Surgical removal of erupted tooth, where the patient is referred by an accredited orthodontist (AOS) |
126.80 |
75403 | Surgical removal of tooth with soft tissue impaction, where the patient is referred by an accredited orthodontist (AOS) |
145.55 |
75406 | Surgical removal of tooth with partial bone impaction, where the patient is referred by an accredited orthodontist (AOS) | 165.95 |
75409 | Surgical removal of tooth with complete bone impaction, where the patient is referred by an accredited orthodontist (AOS) | 187.90 |
75412 | Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by an accredited orthodontist (AOS) | 104.95 |
75415 | Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by an accredited orthodontist (AOS) | 126.80 |
75600 |
Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) | 178.50 |
75603 | Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by an accredited orthodontist (AOS) | 209.80 |
75606 | Surgical repositioning of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) | 209.80 |
75609 | Transplantation of tooth bud, where the patient is referred by an accredited orthodontist (AOS) | 313.25 |
75612 | Surgical procedure for intra oral implantation of osseointegrated fixture (first stage) (AOS) | 387.65 |
75615 | Surgical procedure for fixation of trans-mucosal abutment (second stage of osseointegrated implant) (AOS) | 143.50 |
75618 |
Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome (AOS) |
178.15 |
75621 | The 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 | 178.15 |
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) | 63.40 |
75803 | Provision and fitting of acrylic base partial denture, including retainers 1 tooth (AD) | 253.70 |
75806 |
Provision and fitting of acrylic base partial denture, including retainers 2 teeth (AD) | 297.55 |
75809 | Provision and fitting of acrylic base partial denture, including retainers 3 teeth (AD) | 352.30 |
75812 | Provision and fitting of acrylic base partial denture, including retainers 4 teeth (AD) | 391.45 |
75815 | Provision and fitting of acrylic base partial denture, including retainers 5 to 9 teeth (AD) | 477.55 |
75818 | Provision and fitting of acrylic base partial denture, including retainers 10 to 12 teeth (AD) | 563.70 |
75821 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 1 tooth (AD) | 454.05 |
75824 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 2 teeth (AD) | 524.55 |
75827 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 3 teeth (AD) | 602.85 |
75830 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 4 teeth (AD) | 665.50 |
75833 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 5 to 9 teeth (AD) | 814.20 |
75836 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 10 to 12 teeth (AD) | 931.60 |
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) | 21.00 |
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) | 31.30 |
75845 | Relining of partial denture by laboratory process and associated fitting (AD) |
156.60 |
75848 | Remodelling and fitting of partial denture of more than 4 teeth (AD) | 187.90 |
75851 | Repair to cast metal base of partial denture 1 or more points (AD) | 93.95 |
75854 | Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) | 93.95 |