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HEALTH INSURANCE (GENERAL MEDICAL SERVICES TABLE) REGULATIONS 2003 2003 NO. 255 - SCHEDULE 1

Table of general medical services

(regulation 5)

Part 1 Prescription of table

1 Prescription of table
For section 4 of the Act, these Regulations prescribe a table of general medical services that sets out:

(a)
in Part 2 — rules for interpretation of the table; and

(b) in Part 3:

(i)
items of general medical services; and
(ii)
the amount of fees applicable for each item.

Part 2 Rules of interpretation

2 Application of table

An item in Part 3 does not apply to a service provided in contravention of a law of the Commonwealth or of a State or Territory.

3 General
(1) In this table, unless the contrary intention appears:
"attendance of a minor nature" or minor attendance , for an attendance on a patient by a consultant physician, means an attendance that:

(a)
is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and

(b)
does not result in a substantial alteration to the treatment of the patient.

closed reduction :

(a)
means treatment of a dislocation or fracture by non-operative reduction; and

(b)
includes the use of percutaneous fixation, or external splintage by cast or splints.

comprehensive hyperbaric medicine facility means a separate hospital area that, on a 24-hour basis:
(a) is equipped and staffed so that it is capable of providing to a patient:

(i)
hyperbaric oxygen therapy at a treatment pressure of at least 2.8 atmospheric pressure absolute (180 kilopascal gauge pressure); and
(ii)
mechanical ventilation and invasive cardiovascular monitoring within a monoplace or multiplace chamber for the duration of the hyperbaric treatment; and

(b) is under the direction of at least 1 practitioner who is rostered, and immediately available, to the facility during normal working hours and who:

(i)
is a specialist with training in diving and hyperbaric medicine; or
(ii)
holds a Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society; and

(c) is staffed by:

(i)
at least 1 medical practitioner with training in diving and hyperbaric medicine who is present in the facility and immediately available at all times when patients are being treated at the facility; and
(ii)
at least 1 registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Technicians and Nurses Association, who is present during hyperbaric oxygen therapy; and
(d)
has admission and discharge policies in operation.

general intensive care unit means a separate hospital area that:
(a) is equipped and staffed so that it is capable of providing to a patient:

(i)
mechanical ventilation for a period of several days; and
(ii)
invasive cardiovascular monitoring; and

(b) is supported by:

(i)
during normal working hours — at least 1 specialist, or consultant physician, in the specialty of intensive care, who is immediately available, and exclusively rostered, to that area; and
(ii)
at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii)
at least 18 hours each day — at least 1 registered nurse; and
(c)
has admission and discharge policies in operation.

general practitioner means:

(a)
a practitioner who is vocationally registered under section 3F of the Act; or

(b) a practitioner who:

(i)
is a Fellow of the RACGP; and
(ii)
participates in the quality assurance and continuing medical education program of the RACGP; and
(iii)
meets the RACGP requirements for quality assurance and continuing education; or

(c) a practitioner who is undertaking a placement in general practice that is approved by the RACGP:

(i)
as part of a training program for general practice leading to the award of Fellowship of the RACGP; or
(ii)
as part of another training program recognised by the RACGP as being of an equivalent standard; or
(iii)
as part of the Rural and Remote Area Placement Program administered by the Australian College of Rural and Remote Medicine; or
(d)
an eligible non-vocationally recognised medical practitioner.

institution means a place (other than a hospital or residential aged care facility) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:

(a)
disadvantaged children; or

(b)
juvenile offenders; or

(c)
aged persons; or

(d)
chronically ill psychiatric patients; or

(e)
homeless persons; or

(f)
unemployed persons; or

(g)
persons suffering from alcoholism; or

(h)
persons addicted to drugs; or

(i)
physically or intellectually disabled persons.

"intensive care unit" means a general intensive care unit or a neo-natal intensive care unit.

item means:

(a)
an item mentioned, by number, in column 1 of:

(i)
Part 3; or
(ii)
Part 3 of the diagnostic imaging services table; or
(iii)
Part 3 of the pathology services table; and
(b)
in a reference immediately followed by a number — the item so numbered.

Example
A reference (if any) by number to item 55028 is a reference to the item so numbered in the diagnostic imaging services table.
"neo-natal intensive care unit" means a separate hospital area that:
(a) is equipped and staffed so that it is capable of providing to a patient who is a newly born child:

(i)
mechanical ventilation for a period of several days; and
(ii)
invasive cardiovascular monitoring; and

(b) is supported by:

(i)
during normal working hours — at least 1 consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and
(ii)
at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii)
at least 18 hours each day — at least 1 registered nurse; and
(c)
has admission and discharge policies in operation.

open reduction means treatment of a dislocation or fracture by either:

(a)
operative exposure, including the use of any internal or external fixation; or

(b)
non-operative (closed) reduction using intra-medullary fixation or external fixation.

"RACGP" means the Royal Australian College of General Practitioners.

referring practitioner , for the referral of a patient, means:

(a)
in the case of all referrals — a medical practitioner; and

(b)
for a referral made to a specialist who is an ophthalmologist — an optometrist; and

(c)
for a referral that arises out of a dental service provided by a dental practitioner and that is made to a specialist (but not a consultant physician) — a dental practitioner; and

(d)
for a referral that arises out of a dental service provided by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3  (1) of the Act and that is made to a consultant physician — a dental practitioner.

"residential aged care facility" means a facility where residential care (within the meaning given by section 41-3 of the Aged Care Act 1997 ) is provided.

Rural, Remote and Metropolitan Areas Classification means the document so titled, as in force on 1 January 2001, setting out certain categories of areas in Australia that have been determined by the Department by reference to population size and remoteness of locality on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994.

(2)
A reference to a Group in the table includes every item in the Group, and a reference to a Subgroup in the table includes every item in the Subgroup.

(3)
A reference in the table to an eligible non-vocationally recognised medical practitioner is a reference to:

(a)
a medical practitioner (including an overseas trained practitioner or a temporary resident medical practitioner) who:

(i)
is providing general medical services in a rural or remote area under the Rural, Remote and Metropolitan Areas Classification; and
(ii)
is registered as a medical practitioner under the Rural Other Medical Practitioners' Program; and

(iii) is not vocationally registered under section 3F of the Act, but is undertaking, or has indicated in writing an intention to undertake, additional training:

(A) that could enable vocational registration within 4 years or, on written application, 5 years, after commencing that training; and
(B) of which the Commission has written notice; or

(b)
a medical practitioner who:

(i)
is registered as a medical practitioner under the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program; and
(ii)
is providing general medical services in accordance with that Program; and

(iii) is not vocationally registered under section 3F of the Act, but is required under that Program to undertake additional training or other activities:

(A) that could enable vocational registration within 4 years or, on written application, 5 years, after commencing the training or other activities; and
(B) of which the Commission has written notice.

(4)
For subrule (3):

(a)
the Rural Other Medical Practitioners' Program is a program administered by the Commission that, in relation to medical services provided to patients in rural and remote areas, provides a particular level of medicare benefits; and

(b)
the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program is a program administered by the Department that, in relation to medical services provided in accordance with the Program, provides a particular level of medicare benefits.

4 Meaning of symbols (S) and (G)
(1) An item including the symbol (S) applies only to a service performed by a specialist (and not to a service performed by a consultant physician) in the practice of his or her specialty, being:
(a) a service that:

(i)
is provided to a patient who has been referred to the specialist; and
(ii)
is the first service performed by the specialist in accordance with the referral; or

(b) a service that:

(i)
is provided to a patient who has been referred to the specialist; and
(ii)
is part of a single course of treatment given for the condition identified in the referral or, if no condition was identified in the referral, part of a single course of treatment for the condition identified by the specialist; and
(iii)
is provided within the period of validity of the referral that is applicable under regulation 31 of the Health Insurance Regulations 1975 ; or

(c) a service that:

(i)
is provided to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was provided; and
(ii)
is the first service performed by the specialist in accordance with the referral; or

(d) a service that:

(i)
is provided to a patient who has not been referred to the specialist; and
(ii)
is a service that, in an emergency within the meaning of subregulation 30 (5) of the Health Insurance Regulations 1975 , the specialist decides is necessary in the patient's interests to be provided as soon as practicable without a referral.
(2)
An item including the symbol (G) applies only to a service provided otherwise than by a specialist in accordance with subrule (1).

5 Meaning of single course of treatment in certain circumstances
(1) In subrules 3 (1), 4 (1) and 7 (1) and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128, 131, 385, 386, 387 and 388, "single course of treatment", in relation to a patient, includes:

(a)
the initial attendance on the patient by a specialist or consultant physician; and

(b)
the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and

(c)
any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or by the specialist or consultant physician.

(2)
For subrule (1), single course of treatment does not include treatment of an unrelated illness that requires referral of the patient to the specialist's or consultant physician's care.

(3) For subrule (1), an attendance (the later attendance ) on the patient by the specialist or consultant physician, after the end of the period of validity of the last referral to have application under regulation 31 of the Health Insurance Regulations 1975 , initiates a new course of treatment if:

(a)
the referring practitioner considers the later attendance necessary for the patient's condition to be reviewed; and

(b)
the patient was most recently attended by the specialist or consultant physician more than 9 months before the later attendance.

6 Meaning of professional attendance in certain items
(1) In items 1 to 338, 348 to 388, 410 to 417, 501 to 536, 601, 602, 697, 698, 2501 to 2727 and 10900 to 10929, professional attendance includes (but is not limited to) the provision, in relation to a patient, of any of the following services:

(a)
the evaluation of the patient's condition or conditions including, if applicable, evaluation using a health screening service mentioned in subsection 19 (5) of the Act;

(b)
the formulation of a plan for the management and, if applicable, for the treatment of the patient's condition or conditions;

(c)
the provision of advice to the patient about the patient's condition or conditions and, if applicable, about treatment;

(d)
if authorised by the patient, the provision of advice to another person, or other persons, about the patient's condition or conditions and, if applicable, about treatment;

(e)
the recording of the clinical details of the service or services provided to the patient.

(2) If:

(a)
in connection with a professional attendance mentioned in any of items 3 to 96, vaccine is supplied to a patient; and

(b)
the cost of the vaccine is not subsidised by the Commonwealth or a State;

the professional attendance is taken not to include that supply.

7 Interpretation of items 104 to 131 and 300 to 388
(1) In items 104 to 131 and 300 to 388, a reference to an attendance on a patient by a specialist, or consultant physician, in the practice of his or her specialty following referral of the patient to him or her:
(a) includes such an attendance on a patient who:

(i)
has declared that a written referral of the patient was completed by a medical practitioner; or
(ii)
in an emergency (within the meaning of subregulation 30 (5) of the Health Insurance Regulations 1975 ) has not been referred to the specialist, or consultant physician, if the specialist or consultant physician decides that it is necessary in the patient's interests to provide the service mentioned in the item as soon as practicable without a referral; but

(b) does not include such an attendance if:

(i)
the attendance forms part of a single course of treatment in which the first service was provided more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii)
a later referral has not been made.
(2)
For this rule, referral means referral by a referring practitioner.

8 Meaning of amount under rule 8 in certain items
(1) In items 4, 13, 19 and 20, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 3; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(2) In items 24, 25, 33 and 35, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 23; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(3) In items 37, 38, 40 and 43, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 36; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(4) In items 47, 48, 50 and 51, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 44; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(5) In items 58, 81, 87 and 92, amount under rule 8 means an amount equal to the sum of:

(a)
$8.50; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — 70 cents.

(6) In items 59, 83, 89, 93, 2610, 2631 and 2673, amount under rule 8 means an amount equal to the sum of:

(a)
$16.00; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $17.50 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — 70 cents.

(7) In items 60, 84, 90, 95, 2613, 2633, 2675 and 2707, amount under rule 8 means an amount equal to the sum of:

(a)
$35.50; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — 70 cents.

(8) In items 65, 86, 91, 96, 2616, 2635, 2677 and 2708, amount under rule 8 means an amount equal to the sum of:

(a)
$57.50; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — 70 cents.

(9) In item 195, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 193; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(10) In item 414, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 410; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(11) In item 415, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 411; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(12) In item 416, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 412; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(13) In item 417, amount under rule 8 means an amount equal to the sum of:

(a)
the fee for item 413; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

9 Items 10809 and 10929 not to apply in certain circumstances
Items 10809 and 10929 do not apply if the patient's requirement for contact lenses is only for any of the following reasons:

(a)
because the patient does not want to wear spectacles for reasons of appearance;

(b)
because the patient wants contact lenses for work or sporting purposes;

(c)
because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.

10 Personal attendance by medical practitioners generally

(1)
The items mentioned in subrule (2) apply only to a service provided in the course of a personal attendance by a single medical practitioner on a single patient on a single occasion.

(2)
The items are items 1 to 164, 173 to 338, 348 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11712, 11724, 11921, 12000, 12003, 13030, 13100, 13103, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118, 14120, 14122, 14124, 14126, 14128, 14130, 14132, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16512 and 16515 to 51318.

(3)
Items 170, 171, 172, 342, 344 and 346 apply only to a service provided in the course of a personal attendance by a single medical practitioner.

(4)
For this rule, an attendance by a medical practitioner on a patient by way of a telepsychiatry consultation, to which any of items 353 to 358 applies, is taken to be a personal attendance by the medical practitioner on the patient.

11 Personal attendance by certain medical practitioners
(1) The items mentioned in subrule (3) apply only to a service provided in the course of a personal attendance by:

(a)
a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or

(b) a medical practitioner who:

(i)
is employed by the proprietor of a hospital that is not a private hospital; and
(ii)
provides the service otherwise than in the course of employment by that proprietor.
(2)
Paragraph (1) (b) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.

(3)
The items are items 1 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11712, 11724, 11921, 12000, 12003, 13030, 13100, 13103, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118, 14120, 14122, 14124, 14126, 14128, 14130, 14132, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16512 and 16515 to 51318.

(4)
For this rule, an attendance by a medical practitioner on a patient by way of a telepsychiatry consultation, to which any of items 353 to 358 applies, is taken to be a personal attendance by the medical practitioner on the patient.

12 Certain services may be provided by persons other than medical practitioners
(1) The items mentioned in subrule (2) apply whether the medical service is given by:

(a)
a medical practitioner; or

(b)
a person, other than a medical practitioner, who:

(i)
is employed by a medical practitioner; or
(ii)
in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
(2)
The items are items 11000, 11003, 11004, 11005, 11006, 11009, 11024, 11027, 11200, 11203, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11222, 11224, 11225, 11235, 11237, 11240, 11241, 11242, 11243, 11300, 11303, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11332, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11602, 11604, 11605, 11610, 11611, 11612, 11614, 11615, 11700, 11702, 11706, 11708, 11709, 11710, 11711, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11919, 12012, 12015, 12018, 12021, 12200, 12203, 12207, 12210, 12213, 12215, 12217, 12500 to 12533, 13020, 13025, 13200, 13203, 13206, 13212, 13215, 13218, 13221, 13703, 13706, 13709, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14053, 14218, 14221, 15000 to 15336, 15339 to 15357, 15500 to 15539 and 16514.

13 Conditions under which certain services to be provided
Items 11309, 11312, 11315, 11318 and 11321 apply only to a service provided:

(a)
in conditions that allow the establishment of determinate thresholds; and

(b)
in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS1269-1983 of the Standards Association of Australia, as in force on 1 August 1987; and

(c)
using calibrated equipment that complies with Australian Standard AS2586-1983 of the Standards Association of Australia, as in force on 1 August 1987.

14 Application of items 51700 to 53706

Items 51700 to 53706 apply only to a service provided in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.

15 Meaning of amount under rule 15 in certain items
(1) In item 15003,  amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15000; and

(b)
$13.85 for each field separately treated in excess of 1.

(2) In item 15009,  amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15006; and

(b)
$15.05 for each field separately treated in excess of 1.

(3) In item 15103, amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15100; and

(b)
$15.25 for each field separately treated in excess of 1.

(4) In item 15109,  amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15106; and

(b)
$18.40 for each field separately treated in excess of 1.

(5) In item 15115,  amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15112; and

(b)
$38.35 for each field separately treated in excess of 1.

(6) In item 15214,  amount under rule 15 means an amount equal to the sum of:

(a)
the fee for item 15211; and

(b)
$25.85 for each field separately treated in excess of 1.

(7) In items 15230, 15233, 15236, 15239, 15242, 15260, 15263, 15266, 15269 and 15272, amount under rule 15 means an amount equal to the sum of:

(a)
$48.40; and

(b)
$30.75 for each field separately treated in excess of 1.

16 Meaning of amount under rule 16 in certain items

In item 44376 (reamputation), amount under rule 16 means an amount equal to 75% of the fee specified for the item relating to an original amputation (any of items 44325 to 44373) of the body part for which the reamputation is performed.

16A Cleft lip and cleft palate services

An item in Group C1, C2 or C3 applies only to a service provided to a prescribed dental patient.

Note
For the meaning of prescribed dental patient , see section 3 of the Act.

17 Meaning of (AD) in Group C2 — Oral and maxillofacial surgical services and Group C3 — General and prosthodontic services

An item in the range 75200 to 75206 and 75800 to 75854 that includes the symbol (AD) applies only to a service provided by a dental practitioner.

18 Orthodontic services

(1)
An item in the range 75001 to 75006 or 75024 to 75051 that includes the symbol (AO) applies only to a service provided by an accredited orthodontist.

(2) An item in the range 75009 to 75023 that includes the symbol (AO) and the symbol (AOS) applies only to a service provided by:

(a)
an accredited orthodontist; or

(b) a dental practitioner who is:

(i)
registered or licensed as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; and
(ii)
a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.

(3) In this rule:
"accredited orthodontist" means:
(a) a dental practitioner who is:

(i)
registered or licensed as an orthodontist under the relevant law; and
(ii)
accredited by the Minister for the purposes of this rule; or

(b) a dental practitioner:

(i)
who is not registered or licensed under the relevant law as an orthodontist or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists; and
(ii)
whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75001 to 75051; and
(iii)
who is accredited by the Minister for the purposes of this rule.
"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 a law of the State or Territory in which the service is provided that provides for the registration or licensing of orthodontists.

19 Oral surgery services
An item in the range 75150 to 75621 that includes the symbol (AOS) applies only to a service provided by a dental practitioner who is:

(a)
registered as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; and

(b)
a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.

20 Meaning of report in Group D1 — Miscellaneous diagnostic procedures and investigations

In items 11000 to 12217, report means a report prepared by a medical practitioner.

21 Meaning of treatment cycle of a patient
In rule 22 and items 13200 to 13221, treatment cycle , of a patient, means a series of treatments of the patient that:
(a) begins:

(i)
if treatment with superovulatory drugs is given — on the day on which that treatment begins; or
(ii)
if treatment with superovulatory drugs is not given — on the first day of a menstrual cycle of the patient; and
(b)
ends not more than 30 days after that day.

22 Items provided as part of treatment cycle relating to assisted reproductive services not to apply
(1) Subrule (2) applies to a service mentioned in:

(a)
an item in Subgroup 3 of Group T1 (assisted reproductive services); and

(b)
any other item (the associated item ) associated with an item in Subgroup 3 of Group T1.

(2)
A service provided as part of a treatment cycle to which an item in paragraph (1) (a) applies, is not a medical service for the purposes of the associated item.

23 Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances

Items 13200 to 13221 do not apply to a service provided in relation to a patient's pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for transfer to another person of the guardianship of, or custodial rights to, a child born as a result of the pregnancy.

24 Meaning of embryology laboratory services in items 13200 and 13206
In items 13200 and 13206, embryology laboratory services does not include semen preparation but includes:

(a)
egg recovery from aspirated follicular fluid; and

(b)
insemination; and

(c)
monitoring of fertilisation and embryo development; and

(d)
preparation of gametes or embryos for transfer or freezing.

25 Meaning of delivery in certain items
In items 16515, 16519 and 16522, delivery includes:

(a)
induction of labour by surgical or intravenous infusion methods; and

(b)
forceps or vacuum extraction; and

(c)
breech delivery; and

(d)
management of multiple deliveries; and

(e)
episiotomy; and

(f)
repair of tears; and

(g)
evacuation of the products of conception by manual removal.

26 Meaning of maxilla in certain items

In items 45720 to 45752 and 52342 to 52375, maxilla includes the zygoma.

27 Items 46300 to 46534 apply only in certain circumstances

Items 46300 to 46534 apply only to a service provided in the course of an operation on a hand or hands.

28 Assistance at operations
(1) Items 51300 to 51318 apply only to assistance rendered by a medical practitioner other than:

(a)
the practitioner performing the operation; or

(b)
the anaesthetist administering the anaesthetic in connection with the operation, if any; or

(c)
the assistant anaesthetist, if any.

(2) Items 51800 and 51803 apply only to assistance rendered by an approved dental practitioner other than:

(a)
the practitioner performing the operation; or

(b)
the anaesthetist administering the anaesthetic in connection with the operation, if any; or

(c)
the assistant anaesthetist, if any.

29 Meaning of amount under rule 29 in items 51303 and 51803

In items 51303 and 51803, amount under rule 29 , in relation to assistance at an operation or series of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at that operation, or series of operations, by the practitioner to whom the assistance was given.

30 Meaning of amount under rule 30 in item 51309

(1)
In item 51309, amount under rule 30 , in relation to assistance at a series or combination of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at those operations by the practitioner to whom the assistance was given.

(2)
For subrule (1), the fee for the caesarean section component of the operations is the fee applicable to item 16520.

31 Meaning of amount under rule 31 in items 18219 and 18227
(1) In item 18219, amount under rule 31 means an amount equal to the sum of:

(a)
the fee for item 18216; and

(b)
$15.45 for each additional period of 15 minutes, and part of a period of 15 minutes, of continuous attendance beyond the first hour of attendance.

(2)
In item 18227, amount under rule 31 means an amount equal to the sum of:

(a)
the fee for item 18226; and

(b)
$23.15 for each additional period of 15 minutes, and part of a period of 15 minutes, of continuous attendance beyond the first hour of attendance.

32 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures

For items 30196 to 30205, the requirement for histopathological proof of malignancy is satisfied in a case where multiple lesions are to be removed from a single anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.

33 Meaning of amount under rule 33 in items 16633 and 16636

(1)
In item 16633, amount under rule 33 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16606, 16609, 16612, 16615 and 16627 for services provided in relation to the multiple pregnancy.

(2)
In item 16636, amount under rule 33 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16600, 16603, 16618, 16621 and 16624 for services provided in relation to the multiple pregnancy.

34 Meaning of amount under rule 34 in item 51312

In item 51312, amount under rule 34 , in relation to assistance at a procedure, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at that procedure by the practitioner to whom the assistance was given.

35 Meaning of amount under rule 35 in item 31340

In item 31340, amount under rule 35 , in relation to the excision of muscle, bone or cartilage in association with the excision of a malignant tumour of skin under another item, means an amount equal to 75% of the fee payable under that other item.

36 Meaning of previous significant surgical complication in item 51318
In item 51318, previous significant surgical complication means:

(a)
vitreous loss; or

(b)
rupture of posterior capsule; or

(c)
loss of nuclear material into the vitreous; or

(d)
intraocular haemorrhage; or

(e)
intraocular infection (endophthalmitis); or

(f)
cystoid macular oedema; or

(g)
corneal decompensation; or

(h)
retinal detachment.

37 Meaning of amount under rule 37 in item 30001

In item 30001, amount under rule 37 means 50% of the specified fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.

38 Consultant occupational physicians
A fee specified for an attendance by a consultant occupational physician only applies if the attendance relates to 1 or more of the following matters:
(a) evaluation and assessment of a patient's rehabilitation requirements where, in the consultant's opinion, the patient has an accepted medical condition that:

(i)
may be affected by the patient's working environment; or
(ii)
affects the patient's capacity to be employed;
(b)
management of an accepted medical condition that, in the consultant's opinion, may affect a patient's capacity for continued employment, or return to employment, following a non-compensable accident, injury or ill-health;

(c)
evaluation and forming an opinion, including management as the case requires, of a patient's medical condition where causation may be related to acute or chronic exposure to scientifically acknowledged environmental hazards or toxins.

39 Meaning of qualified sleep medicine practitioner

(1)
For items 12203 to 12217, qualified sleep medicine practitioner means a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner.

(2) A person is a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner if:

(a)
the person has been assessed by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, sufficient training and experience in the relevant field of sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies; or

(b) the person has been assessed by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, substantial training or experience in adult sleep medicine, but requiring further specified training or experience in the relevant field of sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies, and either:

(i)
the period of 2 years immediately following that assessment has not expired; or
(ii)
the person has been assessed by the Credentialling Subcommittee as having satisfactorily finished the further training or gained the further experience specified for that person; or
(c)
the person has attained Level I or Level II of the relevant Advanced Training Program of the Thoracic Society of Australia and New Zealand and the Australasian Sleep Association, after having completed at least 12 months core training, including clinical practice in the relevant field of sleep medicine and in reporting sleep studies; or

(d)
the Advisory Committee has recognised the person, in writing, as having training equivalent to the training mentioned in paragraph (c).

(3) In this rule:

"Advisory" Committee means the Specialist Advisory Committee in Thoracic and Sleep Medicine of the Royal Australasian College of Physicians.

"Appeal Committee" means the Appeal Committee of the Royal Australasian College of Physicians.

"Credentialling Subcommittee" means the Credentialling Subcommittee of the Advisory Committee.

relevant Advanced Training Program means:

(a)
in relation to an assessment for qualification as a qualified adult sleep medicine practitioner — the Advanced Training Program in Adult Sleep Medicine; and

(b)
in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner — the Advanced Training Program in Paediatric Sleep Medicine.

relevant field of sleep medicine means:

(a)
in relation to an assessment for qualification as a qualified adult sleep medicine practitioner — adult sleep medicine; and

(b)
in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner — paediatric sleep medicine.

40 Public health physicians
Items 410 to 417 apply to an attendance on a patient by a public health physician only if the attendance relates to 1 or more of the following matters:

(a)
management of a patient's vaccination requirements for immunisation programs;

(b)
prevention or management of sexually transmitted disease;

(c)
prevention or management of disease caused by scientifically accepted environmental hazards or toxins;

(d)
prevention or management of infection arising from an outbreak of an infectious disease;

(e)
prevention or management of an exotic disease.

Note
An exotic disease is medically accepted as a disease that is of foreign origin.

41 Application of items in Group A14 to certain patients only
(1) Items 700, 702, 704 and 706 apply only to a service in relation to a patient who:
(a) is either:

(i)
at least 75 years old; or
(ii)
at least 55 years old and of Aboriginal or Torres Strait Islander descent; and
(b)
is not an in-patient of a hospital or day-hospital facility, or a care recipient in a residential aged care facility.

(2)
For subrule (1), a person is of Aboriginal or Torres Strait Islander descent if the person identifies himself or herself as being of that descent.

42 Application of items in Group A15 to certain patients only
(1) Items 720, 724, 726, 740, 742, 744, 759, 762 and 765 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:

(i)
has been (or is likely to be) present for at least 6 months; or
(ii)
is terminal; and
(b)
is not an in-patient of a hospital or day-hospital facility, or a care recipient in a residential aged care facility.

(2) Items 722, 728, 746, 749, 757, 768, 771 and 773 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:

(i)
has been (or is likely to be) present for at least 6 months; or
(ii)
is terminal; and
(b)
is an in-patient of a hospital or day-hospital facility; and

(c)
is not a care recipient in a residential aged care facility.

(3) Items 730, 734, 736, 738, 775, 778 and 779 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:

(i)
has been (or is likely to be) present for at least 6 months; or
(ii)
is terminal; and
(b)
is a care recipient in a residential aged care facility; and

(c)
is not an in-patient of a hospital or day-hospital facility.

43 Meaning of health assessment
(1) For items 700, 702, 704 and 706, health assessment means the assessment of:

(a)
a patient's health and physical, psychological and social function; and

(b)
whether preventative health care and education should be offered to the patient, to improve the patient's health and physical, psychological and social function.

(2) A health assessment involves all of the following:

(a)
a personal attendance by the medical practitioner;

(b)
measurement of the patient's blood pressure, pulse rate and rhythm;

(c)
an assessment of the patient's medication;

(d)
an assessment of the patient's continence;

(e)
an assessment of the patient's immunisation status for influenza, tetanus and pneumococcus;

(f)
an assessment of the patient's physical functions, including the patient's activities of daily living and whether or not the patient has had a fall in the last 3 months;

(g)
an assessment of the patient's psychological function, including the patient's cognition and mood;

(h) an assessment of the patient's social function, including:

(i)
the availability and adequacy of paid, and unpaid, help; and
(ii)
whether the patient is responsible for caring for another person.

(3) A health assessment also includes:

(a)
keeping a record of the health assessment; and

(b)
offering the patient a written report about the health assessment, with recommendations about matters covered by the health assessment; and

(c)
offering the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report relevant to the carer.

44 Meaning of multidisciplinary care plan
(1) For items 720, 722, 724, 726, 728 and 730 preparation of a "multidisciplinary care plan" means the preparation of a written plan describing all of the following matters:

(a)
an assessment of the patient's health care needs;

(b)
an assessment of the kinds of treatment, health services and health care that the patient is likely to need;

(c)
an assessment of any other kinds of services and care that the patient is likely to need;

(d)
arrangements for giving the treatment, services and care referred to in paragraphs (b) and (c);

(e)
management goals with which the patient agrees;

(f) arrangements to review the plan by a day specified in the plan.
Example
For paragraph (c), other kinds of services and care may include home and community care service providers.
(2) Preparation of a plan also includes:

(a)
discussing the preparation of the plan with the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and

(b)
telling the patient which persons will be included in the multidisciplinary care plan team; and

(c)
recording the plan and the patient's agreement to the preparation of the plan; and

(d)
giving copies of relevant parts of the plan to persons who, under the plan, will give the patient the treatment, service and care mentioned in the plan; and

(e)
offering a copy of the plan (and evidence of the contribution made to the plan by members of the team) to the patient and the patient's carer (if any, and if the medical practitioner considers it appropriate and the patient agrees).

45 Meaning of multidisciplinary care plan team
(1) A multidisciplinary care plan team :

(a)
includes a medical practitioner; and

(b)
includes at least 2 other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and 1 of whom may be another medical practitioner; and

(c)
may additionally include a family carer of the patient.

Example
Examples of persons who, for paragraph (b), may be included in a team are:
(a) allied health professionals such as:
* Aboriginal health care workers
* asthma educators
* audiologists
* dental therapists
* dentists
* diabetes educators
* dieticians
* mental health workers
* occupational therapists
* optometrists
* orthoptists
* orthotists or prosthetists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* registered nurses
* social workers
* speech pathologists; and
(b) home and community service providers, or care organisers, such as:
* education providers
* `meals on wheels' providers
* personal care workers
* probation officers.
(2) In subrule (1):
"family carer" includes a person who:

(a)
is a relative or friend of the patient; and

(b)
is providing care to the patient other than as a paid service.

46 Meaning of multidisciplinary discharge care plan

For items 722 and 728, a multidisciplinary discharge care plan is a multidisciplinary care plan that is prepared for a patient before the patient is discharged from a hospital.

47 Meaning of review of a multidisciplinary care plan
(1) For item 724, review of a multidisciplinary care plan means a process by which the medical practitioner:

(a)
reviews the matters mentioned in subrule 44 (1); and

(b)
considers whether the arrangements for treatment, service and care have been carried out; and

(c)
considers, in consultation with other members of the multidisciplinary care plan team, whether different arrangements need to be made to achieve the management goals mentioned in the plan; and

(d)
if different arrangements need to be made, prepares a revised multidisciplinary care plan stating those arrangements.

(2) The review of a plan also includes:

(a)
discussing the review of the plan with the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and

(b)
recording the patient's agreement to reviewing the plan; and

(c)
offering a copy of relevant parts of the revised multidisciplinary care plan (if any) to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees), and giving copies to persons who, under the revised plan, will give the patient the treatment, service and care mentioned in the plan.

48 Meaning of contribution to a plan
(1) For items 726, 728 and 730, a contribution to a multidisciplinary community care plan, a multidisciplinary discharge care plan or a multidisciplinary care plan in a residential aged care facility must be at the request of the person (or residential aged care facility) who prepares the plan, and may include:

(a)
preparation of a part of the plan that relates to the treatment, service or care that the medical practitioner will give to the patient; and

(b)
giving advice to the person who prepares the plan.

(2)
Contribution to a plan does not necessarily include preparation of the plan or part of the plan.

49 Meaning of multidisciplinary case conference
For the items mentioned in Subgroup 2 of Group A15, a multidisciplinary case conference is a process by which a multidisciplinary case conference team (see rule 52) carries out all of the following activities:

(a)
discussing a patient's history;

(b)
identifying the patient's multidisciplinary care needs;

(c)
identifying outcomes to be achieved by members of the case conference team giving care and service to the patient;

(d)
identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team;

(e)
assessing whether previously identified outcomes (if any) have been achieved.

50 Meaning of multidisciplinary discharge case conference

For items 746, 749, 757, 768, 771 and 773, a multidisciplinary discharge case conference is a multidisciplinary case conference carried out in relation to a patient before the patient is discharged from a hospital or day-hospital facility.

51 Meaning of multidisciplinary case conference in a residential aged care facility

For items 734, 736, 738, 775, 778 and 779, a multidisciplinary case conference in a residential aged care facility is a multidisciplinary case conference carried out in relation to a care recipient in a residential aged care facility.

52 Meaning of multidisciplinary case conference team
(1) For this table, a multidisciplinary case conference team :

(a)
includes a medical practitioner; and

(b)
includes at least 2 other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and 1 of whom may be another medical practitioner; and

(c)
may additionally include a family carer of the patient.

Example
Examples of persons who, for paragraph (b), may be included in a team are:
(a) allied health professionals such as:
* Aboriginal health care workers
* asthma educators
* audiologists
* dental therapists
* dentists
* diabetes educators
* dieticians
* mental health workers
* occupational therapists
* optometrists
* orthoptists
* orthotists or prosthetists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* registered nurses
* social workers
* speech pathologists; and
(b) home and community service providers, or care organisers, such as:
* education providers
* `meals on wheels' providers
* personal care workers
* probation officers.
(2) In subrule (1):
"family carer" includes a person who:

(a)
is a relative or friend of the patient; and

(b)
is providing care to the patient other than as a paid service.

53 Meaning of organise and co-ordinate in a multidisciplinary case conference and participation in a multidisciplinary case conference
(1) For items 734, 736, 738, 740, 742, 744, 746, 749 and 757, "organise and co-ordinate" a multidisciplinary case conference means undertaking all of the following activities in relation to a case conference:

(a)
explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the conference taking place;

(b)
recording the patient's agreement to the conference;

(c)
recording the day on which the conference was held, and the times at which the conference started and ended;

(d)
recording the names of the participants;

(e)
recording the matters mentioned in rule 49, and putting a copy of that record in the patient's medical records;

(f)
offering the patient and the patient's carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;

(g)
discussing the outcomes of the conference with the patient and the patient's carer (if any and if the practitioner considers appropriate and the patient agrees).

(2) For items 759, 762, 765, 768, 771, 773, 775, 778 and 779 participation in a multidisciplinary case conference must be at the request of the person who organises and co-ordinates the conference, and involves undertaking all of the following activities in relation to a case conference:

(a)
explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the practitioner's participation in the conference;

(b)
recording the patient's agreement to the practitioner's participation;

(c)
recording the day on which the conference was held, and the times at which the conference started and ended;

(d)
recording the names of the participants;

(e)
recording the matters mentioned in rule 49, and putting a copy of that record in the patient's medical records.

(3)
Participation in a multidisciplinary case conference does not include organising and co-ordinating a multidisciplinary case conference.

54 Meaning of living in a community setting in item 900
For item 900, a patient is living in a community setting if the patient:

(a)
is not an in-patient of a hospital or day-hospital facility; and

(b)
is not a care recipient in a residential aged care facility.

55 Meaning of amount under rule 55 in certain items
(1) In item 2503,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2501; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(2) In item 2506,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2504; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(3) In item 2509,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2507; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(4) In item 2518,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2517; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(5) In item 2522,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2521; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(6) In item 2526,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2525; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(7) In item 2547,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2546; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(8) In item 2553,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2552; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(9) In item 2559,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2558; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

(10) In item 2575,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2574; and

(b) either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.
(11)
In item 2578,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2577; and

(b)
either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.
(12)
In item 2723,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2721; and

(b)
either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.
(13)
In item 2727,  amount under rule 55 means an amount equal to the sum of:

(a)
the fee for item 2725; and

(b)
either:

(i)
if not more than 6 patients are attended at a single attendance — $20.60 divided by the number of patients attended; or
(ii)
if more than 6 patients are attended at a single attendance — $1.45.

56 Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19
(1) An item in Subgroup 2 of Group A18 or Subgroup 2 of Group A19 does not apply to a service that is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies.
(2) For an item in Subgroup 2 of Group A18 or Subgroup 2 of Group A19, a professional attendance completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus if the attendance completes a series of attendances that involve, over 12 months (the current cycle ), the following:

(a)
at least 1 assessment of the patient's diabetes control, by measuring the patient's HbA 1c ;

(b)
if the patient has not had a comprehensive eye examination in the 12 months immediately before the current cycle — at least 1 comprehensive eye examination;

(c)
measurement of the patient's weight and height, and calculation of the patient's BMI;

(d)
further measurement of the patient's weight at least once every 6 months;

(e)
measurement of the patient's blood pressure at least once every 6 months;

(f)
examination of the patient's feet at least once every 6 months;

(g)
at least 1 measurement of the patient's total cholesterol, triglycerides and HDL cholesterol;

(h)
at least 1 test of the patient's microalbuminuria;

(i) provision to the patient of self-management education regarding diabetes;
(j) a review of the patient's diet, and provision to the patient of information about appropriate dietary choices;
(k) a review of the patient's level of physical activity, and provision to the patient of information about the appropriate level of physical activity;
(l) checking the patient's tobacco smoking activity, and, if relevant, encouraging the patient to stop smoking;
(m) a review of the patient's medication.
57 Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19
(1) An item in Subgroup 3 of Group A18 or Subgroup 3 of Group A19 does not apply to a service that:

(a)
is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies; and

(b)
is not clinically indicated.

(2) For an item in Subgroup 3 of Group A18 or Subgroup 3 of Group A19, a professional attendance completes the minimum requirements of the Asthma 3+ Visit Plan if the attendance completes a series of attendances that involve:

(a)
documented diagnosis and documented assessment of severity; and

(b)
at least 3 asthma-related consultations (at least 2 of which are consultations that have been planned at any of the earlier asthma-related consultations), over a period of not less than 4 weeks and not more than 4 months, that involve the following, for a patient with moderate to severe asthma:

(i)
a review of the patient's use of asthma-related medication;

(ii) either:

(A) provision to the patient of a written asthma action plan; or
(B) if the patient is unable to use a written asthma action plan — discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient's medical records;

(iii)
provision to the patient of self-management education regarding asthma;
(iv)
a review of the patient's asthma action plan.

58 Meaning of approved site in items 15338 and 37220

For items 15338 and 37220, approved site , in relation to radiation oncology, means a site at which radiation oncology may be performed lawfully under the law of the State or Territory in which the site is located.

59 Group T10 applies only in connection with certain services
(1) Each of items 20100 to 21990 (other than item 21965), 22060, 23010 to 24136, 25200 and 25205 applies to a service only if the service is provided in connection with a service that:

(a)
is a professional service within the meaning of subsection 3 (1) of the Act; and

(b)
is specified in an item that includes, in its description, `(Anaes.)'.

(2)
Each of items 22900 and 22905 applies to a service only if the service is provided in connection with a dental service (other than a dental service that is a prescribed medical service under paragraph (b) of the definition of professional service in subsection 3 (1) of the Act).

60 Services specified in Subgroups 21 to 25 of Group T10
In Subgroups 21 to 25 of Group T10:

(a)
a reference to anaesthesia is a reference to administration of anaesthesia performed in association with a service to which any of items 20100 to 21997, 22900 and 22905 applies; and

(b)
a reference to perfusion is a reference to perfusion to which item 22060 applies; and

(c) a reference to assistance is a reference to assistance:

(i)
in the administration of anaesthesia; and
(ii)
to which item 25200 or 25205 applies.

61 Meaning of service time in Subgroups 21, 24, 25 and 26 of Group T10
In Subgroups 21, 24, 25 and 26 of Group T10:
"service time" means:
(a) in relation to administration of anaesthesia on a patient by an anaesthetist — the period that:

(i)
begins when the anaesthetist commences exclusive and continuous care of the patient for anaesthesia; and
(ii)
ends when the anaesthetist places the patient safely under the supervision of other personnel; and

(b) in relation to perfusion performed on a patient under anaesthesia — the period that:

(i)
begins when the anaesthetic commences; and
(ii)
ends with the closure of the chest of the patient; and
(c)
in relation to assistance given by an assistant anaesthetist in the administration of anaesthesia performed on a patient — the period when the assistant anaesthetist is actively attending on the patient.

62 Application of Subgroup 21 of Group T10

(1)
An item in the range 23010 to 24136 applies to perfusion in addition to any other item that applies to the perfusion.

(2)
An item in the range 23010 to 24136 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.

63 Application of Subgroups 22 and 23 of Group T10

(1)
An item in the range 25000 to 25020 applies to anaesthesia in addition to any other item that applies to the anaesthesia.

(2)
An item in the range 25000 to 25020 applies to perfusion in addition to any other item that applies to the perfusion.

(3)
An item in the range 25000 to 25020 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.

64 Meaning of amount under rule 64 in items 25025, 25030 and 25050
(1) For item 25025 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a)
the fee specified in any of items 20100 to 21997 and 22900 for the initiation of management of anaesthesia in association with which the anaesthesia is performed; and

(b)
the fee specified in the item in the range 23010 to 24136 that applies to the anaesthesia; and

(c)
if any of items 25000 to 25015 applies to the anaesthesia — the fee specified in that item; and

(d)
if a service specified in an item in the range 22001 to 22050 is performed in association with the anaesthesia — the fee specified in that item.

(2) For item 25030 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a)
$82.50; and

(b)
the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and

(c)
if any of items 25000 to 25015 applies to the assistance — the fee specified in that item; and

(d)
if a service specified in an item in the range 22001 to 22050 is performed in association with the assistance — the fee specified in that item.

(3) For item 25050 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a)
$330.00; and

(b)
the fee specified in the item in the range 23010 to 24136 that applies to the perfusion; and

(c)
if any of items 25000 to 25015 applies to the perfusion — the fee specified in that item; and

(d)
if a service specified in an item in the range 22001 to 22050 is performed in association with the perfusion — the fee specified in that item.

65 Application of Subgroups 24 and 25 of Group T10

An item in the range 25025 to 25050 applies to the anaesthesia, assistance or perfusion in addition to any other item that applies to the service.

66 Meaning of complex paediatric case in item 25205
For item 25205, a complex paediatric case involves 1 or more of the following services:

(a)
invasive monitoring, either intravascular or transoesophageal;

(b)
organ transplantation;

(c)
craniofacial surgery;

(d)
major tumour resection;

(e)
separation of conjoint twins.

67 Meaning of amount under rule 67 in items 25200 and 25205
For each of items 25200 and 25205, amount under rule 67 , means the sum of:

(a)
$82.50; and

(b)
the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and

(c)
if any of items 25000 to 25020 applies to the assistance — the fee specified in that item.

68 Restriction of telepsychiatry consultations to rural and remote areas

Each of items 353 to 358 applies only to a consultation that is provided:

(a)
by a consultant physician located in a Statistical Local Area that is a M1, M2 or R1 area within the meaning of the Rural, Remote and Metropolitan Areas Classification; and

(b)
to a patient located in a different Statistical Local Area that is a R1, R2, R3, Rem1 or Rem2 area within the meaning of the Rural, Remote and Metropolitan Areas Classification.

69 Meaning of recognised emergency department and problem focussed history in Group A21

(1)
In Group A21, recognised emergency department , of a private hospital, means a department of the hospital that is licensed, under a law of the State or Territory in which the hospital is located, to operate as an emergency department.

(2)
In items 501, 503 and 507, problem focussed history means a history focussing on the medical condition of the patient that necessitates the patient presenting for emergency attention.

70 Prolonged attendances by emergency physicians

In items 519 to 536, an attendance for emergency evaluation of a critically ill patient with an immediately life threatening problem means an attendance that requires:

(a)
immediate and rapid assessment; and

(b)
initiation of resuscitation and electronic monitoring of vital signs; and

(c)
taking a comprehensive history and evaluation while undertaking resuscitative measures; and

(d)
ordering and evaluation of appropriate investigations; and

(e)
transitional evaluation and monitoring; and

(f)
formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and

(g)
initiation of appropriate treatment interventions; and

(h)
liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent.

71 Application of Subgroup 4 of Group A18 and Subgroup 4 of Group A19
(1) An item in Subgroup 4 of Group A18 or Subgroup 4 of Group A19 applies only to a service that is provided by a medical practitioner:

(a)
whose name is entered in the register maintained by the Commission under regulation 3T of the Health Insurance Commission Regulations 1975 ; and

(b)
who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which those Subgroups apply.

(2)
An item in Subgroup 4 of Group A18 or Subgroup 4 of Group A19 does not apply to a service that:

(a)
is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies; and

(b)
is not clinically indicated.

(3)
A reference in an item in Subgroup 4 of Group A18 or Subgroup 4 of Group A19 to the minimum requirements of the 3 Step Mental Health Process is a reference to the following procedures in relation to the patient concerned:

(a)
at least 3 consultations related to a mental health disorder:

(i)
at least 2 of which are consultations that have been planned at a previous consultation; and
(ii)
each of which is of at least 20 minutes duration;
(b)
assessment of the mental health disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate);

(c)
formulation or diagnosis or both formulation and diagnosis of the mental health disorder;

(d)
supplying the patient or, if the patient agrees, the patient's carer with:

(i)
a written mental health plan; and
(ii)
suitable education about the mental health disorder;
(e)
at least 4 weeks, but no later than 6 months, after the consultation at which the written mental health plan was prepared:

(i)
a review of the patient's progress against the goals recorded in that plan; and
(ii)
if necessary, adjustment of that plan; and
(iii)
administration of the outcome measurement tool used in the assessment mentioned in paragraph (b) (except if considered clinically inappropriate).
(4)
In this rule:

"mental health disorder" means a significant impairment of any or all of an individual's cognitive, affective and relational abilities that:

(a)
may require medical intervention; and

(b)
may be a recognised, medically diagnosable illness or disorder; and

(c)
is not dementia, delirium, tobacco use disorder or mental retardation.

Note
In relation to this definition, practitioners should be aware of the Diagnostic and Management Guidelines for Mental Health Disorders in Primary Care (ICD-10, Chapter 5, Primary Care Version), developed by the World Health Organisation and published in 1996.

"outcome measurement tool" means a tool used to monitor changes in a patient's health that occur in response to treatment received by the patient.

"written mental health plan" means a written plan that:

(a)
is prepared in consultation with a patient or, if the patient agrees, a patient's carer; and

(b)
describes arrangements for:

(i)
treatment of the mental health disorder or disorders; and
(ii)
crisis intervention; and
(iii)
relapse prevention.

72 Focussed psychological strategies
(1) An item in Group A20 applies only to a service that:

(a)
is clinically indicated under the 3 Step Mental Health Process; and

(b)
is provided by a medical practitioner:

(i)
whose name is entered in the register maintained by the Commission under regulation 3T of the Health Insurance Commission Regulations 1975 ; and
(ii)
who is identified in the register as a practitioner who can provide services to which Group A20 applies; and
(iii)
who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which Group A20 applies; and
(c)
is provided in a general practice that participates in the Practice Incentives Program or is an accredited general practice that is not participating in the Program.

(2) An item in Group A20 does not apply to:

(a)
a service that:

(i)
is provided to a patient who has already been provided, in the previous 12 months, with 6 other services to which any of the items in that Group applies; and
(ii)
is provided before the medical practitioner managing the 3 Step Mental Health Process has conducted a review and has noted in the patient's records a recommendation that the patient have more than 6 sessions of psychological strategies in 12 months; or
(b)
a service that is provided to a patient who has already been provided, in the previous 12 months, with 12 other services to which any of items in that Group applies.

(3) In Group A20, a reference to focussed psychological strategies is a reference to any of the following mental health care management strategies, being a strategy that has been derived from evidence-based psychological therapies:

(a)
psycho-education;

(b)
cognitive-behavioural therapy that involves cognitive or behavioural interventions;

(c)
relaxation strategies;

(d)
skills training;

(e)
interpersonal therapy.

(4)
In this rule:

"general practice "means a business, consisting of 1 or more medical practitioners, that provides a general practice of medical services.

73 Meaning of qualified surgeon in items 31539 and 31545

For items 31539 and 31545, a medical practitioner is a qualified surgeon if:

(a) he or she is a specialist in the practice of his or her specialty of surgery; and

(b)
the Commission has received a written notice from the Royal Australasian College of Surgeons stating that the person meets the skills requirements for providing services to which the items apply.

74 Meaning of qualified radiologist in item 31542

For item 31542, a medical practitioner is a qualified radiologist if:

(a) he or she is a specialist in the practice of his or her specialty of radiology; and

(b)
the Commission has received a written notice from the Royal Australian and New Zealand College of Radiologists stating that the person meets the skills requirements for providing services to which the item applies.

75 Injection of botulinum toxin

Each of items 18350 to 18370 applies only to a service provided by a medical practitioner who is registered by the Commission to participate in the arrangements made, under paragraph 100 (1) (b) of the National Health Act 1953 , for the purpose of providing an adequate pharmaceutical service for persons requiring treatment with botulinum toxin.

76 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199

For items 193, 195, 197 and 199, a person is a qualified medical acupuncturist if:

(a)
the person is a general practitioner; and

(b)
the Commission has received a written notice from the Royal Australian College of General Practitioners stating that the person meets the skills requirements for providing services to which the items apply.

Part 3 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


96.05


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


96.05


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


13.80


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 residential aged care facility 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 8


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 8


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 8


20


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


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


30.20


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 residential aged care facility by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 37 or 47 applies — an attendance on 1 or more patients on 1 occasion — each patient


Amount under rule 8


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 8


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 8


35


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


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


57.35


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 residential aged care facility 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 8


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 8


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 8


43


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


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


84.45


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 residential aged care facility 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 8


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 8


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 8


51


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


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 residential aged care facility) 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 8


59


Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8


60


Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8


65


Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8


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 8


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 8


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 8


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 8


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 8


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 8


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 8


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 8


92


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


93


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


95


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient


Amount under rule 8


96


Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient


Amount under rule 8


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


80.30


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


80.30


Group A3 — Specialist attendances to which no other item applies


104


Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital, not being a service to which item 106 applies


71.10


105


Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital


35.65


106


Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 any of items 10801 to 10816 applies) where that attendance is at consulting rooms or hospital


59.00


107


Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital


104.25


108


Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital


65.95


Group A4 — Consultant physician attendances to which no other item applies


110


Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment


125.40


116


Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient 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


62.80


119


Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment


35.65


122


Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment


152.20


128


Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient 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


92.00


131


Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment


66.25


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


180.45


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


300.75


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


420.95


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


541.40


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


601.55


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


95.80


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


100.95


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


122.80


Group A7 — Acupuncture


173


Professional 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 qualified medical acupuncturist at a place other than a hospital:

(a) involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 197 or 199 applies;

at which acupuncture is performed by the qualified medical acupuncturist 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


30.20


195


Professional attendance by a qualified medical acupuncturist on 1 or more patients at a hospital on 1 occasion:

(a) involving taking a selective history, examination of each patient with implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 197 or 199 applies;

at which acupuncture is performed by the qualified medical acupuncturist 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


Amount under rule 8


197


Professional attendance by a qualified medical acupuncturist at a place other than a hospital:

(a) 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
(b) being attendance of at least 20 minutes, but less than 40 minutes, duration involving components of a service to which item 199 applies;

at which acupuncture is performed by the qualified medical acupuncturist 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


57.35


199


Professional attendance by a qualified medical acupuncturist at a place other than a hospital:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

at which acupuncture is performed by the qualified medical acupuncturist 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


84.45


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 following referral of the patient to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at consulting rooms (not being an attendance to which item 353 or 364 applies), if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


36.00


302


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 15 minutes, but not more than 30 minutes, duration at consulting rooms (not being an attendance to which item 355 or 366 applies), if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


71.90


304


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 30 minutes, but not more than 45 minutes, duration at consulting rooms (not being an attendance to which item 356 or 367 applies), if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


105.35


306


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes, but not more than 75 minutes, duration at consulting rooms (not being an attendance to which item 357 or 369 applies), if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


145.45


308


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 75 minutes duration at consulting rooms (not being an attendance to which item 358 or 370 applies), if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


177.15


310


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at consulting rooms, if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient


18.00


312


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 15 minutes, but not more than 30 minutes, duration at consulting rooms, if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient


36.00


314


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 30 minutes, but not more than 45 minutes, duration at consulting rooms, if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient


52.70


316


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes, but not more than 75 minutes, duration at consulting rooms, if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient


72.80


318


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 75 minutes duration at consulting rooms, if that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient


88.65


319


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes duration at consulting rooms, if 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
(b) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale — if that attendance and any other attendance to which any of items 300 to 319 and 353 to 370 applies have not exceeded 160 attendances in a calendar year for the patient


145.45


320


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at hospital


36.00


322


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 15 minutes, but not more than 30 minutes, duration at hospital


71.90


324


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 30 minutes, but not more than 45 minutes, duration at hospital


105.35


326


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes, but not more than 75 minutes, duration at hospital


145.45


328


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 75 minutes duration at hospital


177.15


330


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital


66.05


332


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 15 minutes, but not more than 30 minutes, duration where that attendance is at a place other than consulting rooms or hospital


103.65


334


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 30 minutes, but not more than 45 minutes, duration where that attendance is at a place other than consulting rooms or hospital


143.75


336


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes, but not more than 75 minutes, duration where that attendance is at a place other than consulting rooms or hospital


173.95


338


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital


207.35


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


41.00


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


54.45


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


80.45


348


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, duration, in the course of initial diagnostic evaluation of a patient


43.50


350


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient 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


97.80


352


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient 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 — if that attendance and any other attendance to which this item applies have not exceeded 4 in a calendar year for the patient


43.50


353


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of not more than 15 minutes duration, if:

(a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since:
(i) the patient first started telepsychiatry consultation; or
(ii) if the patient has had a face-to-face consultation to which any of items 364 to 370 applies — the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


41.40


355


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, duration, if:

(a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since:
(i) the patient first started telepsychiatry consultation; or


82.65



(ii) if the patient has had a face-to-face consultation to which any of items 364 to 370 applies — the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient



356


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, duration, if:

(a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since:
(i) the patient first started telepsychiatry consultation; or
(ii) if the patient has had a face-to-face consultation to which any of items 364 to 370 applies — the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and


121.20



(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient



357


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, duration, if:

(a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since:
(i) the patient first started telepsychiatry consultation; or
(ii) if the patient has had a face-to-face consultation to which any of items 364 to 370 applies — the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


167.30


358


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 75 minutes duration, if:

(a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since:
(i) the patient first started telepsychiatry consultation; or
(ii) if the patient has had a face-to-face consultation to which any of items 364 to 370 applies — the patient's last face-to-face consultation; and


203.75



(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient



364


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face-to-face consultation of not more than 15 minutes duration, if:

(a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies:
(i) before that attendance; or
(ii) if the patient has previously had a face-to-face consultation to which any of items 364 to 370 applies — since the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


36.00


366


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face-to-face consultation of more than 15 minutes, but not more than 30 minutes, duration, if:

(a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies:
(i) before that attendance; or
(ii) if the patient has previously had a face-to-face consultation to which any of items 364 to 370 applies — since the patient's last face-to-face consultation; and


71.90



(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient



367


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face-to-face consultation of more than 30 minutes, but not more than 45 minutes, duration, if:

(a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies:
(i) before that attendance; or
(ii) if the patient has previously had a face-to-face consultation to which any of items 364 to 370 applies — since the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


105.35


369


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face-to-face consultation of more than 45 minutes, but not more than 75 minutes, duration, if:

(a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies:
(i) before that attendance; or
(ii) if the patient has previously had a face-to-face consultation to which any of items 364 to 370 applies — since the patient's last face-to-face consultation; and


145.45



(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient



370


Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face-to-face consultation of more than 75 minutes duration, if:

(a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies:
(i) before that attendance; or
(ii) if the patient has previously had a face-to-face consultation to which any of items 364 to 370 applies — since the patient's last face-to-face consultation; and
(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient


177.15


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 following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment


71.10


386


Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment


35.65


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 following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment


104.25


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 following referral of the patient to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment


65.95


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


13.80


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


30.20


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


57.35


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


84.45


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 8


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 8


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 8


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 8


Group A16 — Attendance by a medical practitioner who is a sports physician in the practice of sports medicine and to which no other item applies


Subgroup 1 — Surgery consultations


444


Professional attendance at consulting rooms 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


13.80


445


Professional attendance at consulting rooms involving taking a selective 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 446 applies


30.20


446


Professional attendance at consulting rooms 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 an attendance of less than 40 minutes duration involving components of a service to which item 447 applies


57.35


447


Professional attendance at consulting rooms 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 an attendance of at least 40 minutes duration for implementation of a management plan


84.45


Subgroup 2 — Emergency attendances — after hours


448


Professional attendance at consulting rooms 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 practitioner to return to, and specially open, consulting rooms for the attendance — 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


96.05


449


Professional attendance at consulting rooms 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 practitioner to return to, and specially open, consulting rooms for the attendance — each attendance on any day of the week between 11 pm and 7 am


114.85


Group A21 — Emergency physician attendances to which no other item applies


501


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for the unscheduled evaluation and management of a patient, involving straightforward medical decision making that requires:

(a) taking a problem focussed history; and
(b) limited examination; and
(c) diagnosis; and
(d) initiation of appropriate treatment interventions


13.80


503


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for the unscheduled evaluation and management of a patient, involving medical decision making of low complexity that requires:

(a) taking an expanded problem focussed history; and
(b) expanded examination of 1 or more systems; and
(c) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and
(d) initiation of appropriate treatment interventions


30.20


507


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires:

(a) taking an expanded problem focussed history; and
(b) expanded examination of 1 or more systems; and
(c) ordering and evaluation of appropriate investigations; and
(d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and
(e) initiation of appropriate treatment interventions


57.35


511


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires:

(a) taking a detailed history; and
(b) detailed examination of 1 or more systems; and
(c) ordering and evaluation of appropriate investigations; and


84.45



(d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and
(e) initiation of appropriate treatment interventions; and
(f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent



515


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for the unscheduled evaluation and management of a patient, involving medical decision making of high complexity that requires:

(a) taking a comprehensive history; and
(b) comprehensive examination of 1 or more systems; and
(c) ordering and evaluation of appropriate investigations; and
(d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and
(e) initiation of appropriate treatment interventions; and
(f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent


135.10


519


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 30 minutes but less than 1 hour (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


90.20


520


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 1 hour but less than 2 hours (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


180.45


530


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 2 hours but less than 3 hours (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


300.75


532


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 3 hours but less than 4 hours (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


420.95


534


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 4 hours but less than 5 hours (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


541.40


536


Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine — attendance for a total period (whether or not continuous) of at least 5 hours (prior to patient's admission to an in-patient hospital bed) for emergency evaluation of a critically ill patient with an immediately life threatening problem


601.55


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


114.85


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


114.85


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


99.40


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


99.40


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


157.50


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 residential aged care facility, 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


222.75


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


157.50


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 residential aged care facility, 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


222.75


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 community care plan for a patient (not being a service associated with a service to which items 734 to 779 apply) — payable not more than once in any 6 month period


202.50


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 items 734 to 779 apply) — payable not more than once for each hospital admission


202.50


724


Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to review a multidisciplinary community care plan or a discharge care plan prepared by that medical practitioner for a patient and claimed for under item 720 or 722 (not being a payment for a service to which items 734 to 779 apply) — payable not more than once in any 3 month period, and not being an attendance in relation to a patient:

(a) for whom, in the preceding 3 months, a payment has been made under item 720; or
(b) for whom, in the preceding month, a payment has been made under item 722


101.25


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 contribute to a multidisciplinary community care plan or to a review of a multidisciplinary community care plan prepared by another provider (not being a payment for a service to which items 734 to 779 apply) — not being an attendance in relation to a patient for whom, in the preceding 6 months, a payment has been made under item 720


40.80


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 contribute to a multidisciplinary discharge care plan or to a review of a multidisciplinary discharge care plan prepared by another provider (not being a service associated with a service to which items 722 and 734 to 779 apply)


40.80


730


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 in a residential aged care facility or to a review of a multidisciplinary care plan in a residential aged care facility prepared by the residential aged care facility (not being a payment in respect of a service to which items 734 to 779 apply)


40.80


Subgroup 2 — Case conferences


734


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 in a residential aged care facility, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which item 730 applies)


78.80


736


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 in a residential aged care facility, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which item 730 applies)


118.15


738


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 in a residential aged care facility, where the conference time is at least 45 minutes (not being a service associated with a service to which item 730 applies)


157.50


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 community 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 items 720 to 730 apply)


78.80


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 community 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 items 720 to 730 apply)


118.15


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 community case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 730 apply)


157.50


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 items 720 to 730 apply) — payable not more than once for each hospital admission


78.80


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 items 720 to 730 apply) — payable not more than once for each hospital admission


118.15


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 items 720 to 730 apply) — payable not more than once for each hospital admission


157.50


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 community 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 items 720 to 730 apply)


56.20


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 community 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 items 720 to 730 apply)


90.00


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 community 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 items 720 to 730 apply)


123.70


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 items 720 to 730 apply) — payable not more than once for each hospital admission


56.20


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 items 720 to 730 apply) — payable not more than once for each hospital admission


90.00


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 items 720 to 730 apply) — payable not more than once for each hospital admission


123.70


775


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 in a residential aged care facility, (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 item 730 applies)


56.20


778


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 in a residential aged care facility, (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 item 730 applies)


90.00


779


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 in a residential aged care facility, (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 item 730 applies)


123.70


820


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


115.55


822


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


173.40


823


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


231.15


825


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a community case conference (other than to organise and to co-ordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


83.05


826


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a community case conference (other than to organise and to co-ordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


132.40


828


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a community case conference (other than to organise and to co-ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


181.80


830


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


115.55


832


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


173.40


834


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines


231.15


835


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and to co-ordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


83.05


837


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and to co-ordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


132.40


838


Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and to co-ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


181.80


855


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


115.55


857


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


173.40


858


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


231.15


861


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


115.55


864


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


173.40


866


Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co-ordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines


231.15


Group A17 — Domiciliary medication management review


900


Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in a community setting, where the medical practitioner:

(a) assesses a patient's medication management needs and, following that assessment, refers the patient to a community pharmacy for a DMMR and, with the patient's consent, provides relevant clinical information required for the review; and
(b) discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and


126.10



(c) develops a written medication management plan following discussion with the patient.

For any particular patient — applicable not more than once in each 12 month period, except where there has been a significant change in the patient's condition or medication regimen requiring a new DMMR



Group A18 — General practitioner attendances associated with Practice Incentives Program (PIP) payments


Subgroup 1 — Taking of a cervical smear from an unscreened or significantly underscreened woman


2501


Professional attendance at consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2504 or 2507 applies;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


30.20


2503


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2506 or 2509 applies;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


Amount under rule 55


2504


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2507 applies;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


57.35


2506


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2509 applies;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


Amount under rule 55


2507


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


84.45


2509


Professional attendance at a place other than consulting rooms by a general practitioner involving:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years


Amount under rule 55


Subgroup 2 — Completion of an annual cycle of care for patients with established diabetes mellitus


2517


Professional attendance at consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2521 or 2525 applies;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


30.20


2518


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2522 or 2526 applies;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 55


2521


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2525 applies;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


57.35


2522


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2526 applies;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 55


2525


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


84.45


2526


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 55


Subgroup 3 — Completion of the Asthma 3+ Visit Plan


2546


Professional attendance at consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2552 or 2558 applies;

that completes the minimum requirements of the Asthma 3+ Visit Plan


30.20


2547


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or
(b) being attendance of less than 20 minutes duration involving components of a service to which item 2553 or 2559 applies;

that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 55


2552


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2558 applies;

that completes the minimum requirements of the Asthma 3+ Visit Plan


57.35


2553


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) being attendance of less than 40 minutes duration involving components of a service to which item 2559 applies;

that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 55


2558


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

that completes the minimum requirements of the Asthma 3+ Visit Plan


84.45


2559


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) being attendance of at least 40 minutes duration for implementation of a management plan;

that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 55


Subgroup 4 — Completion of the 3 Step Mental Health Process


2574


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) involving components of a service to which item 2577 applies, being attendance of less than 40 minutes duration;

that completes the minimum requirements of the 3 Step Mental Health Process


57.35


2575


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) involving components of a service to which item 2578 applies, being attendance of less than 40 minutes duration;

that completes the minimum requirements of the 3 Step Mental Health Process


Amount under rule 55


2577


Professional attendance at consulting rooms by a general practitioner:

(a) 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
(b) for implementation of a management plan, being attendance of at least 40 minutes duration;

that completes the minimum requirements of the 3 Step Mental Health Process


84.45


2578


Professional attendance at a place other than consulting rooms by a general practitioner:

(a) 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
(b) for implementation of a management plan, being attendance of at least 40 minutes duration;

that completes the minimum requirements of the 3 Step Mental Health Process


Amount under rule 55


Group A19 — Other non-referred attendances associated with Practice Incentives Program (PIP) payments to which no other item applies


Subgroup 1 — Taking of a cervical smear from an unscreened or significantly underscreened woman


2600


Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


21.00


2603


Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


38.00


2606


Professional attendance at consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


61.00


2610


Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


Amount under rule 8


2613


Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


Amount under rule 8


2616


Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years


Amount under rule 8


Subgroup 2 — Completion of an annual cycle of care for patients with established diabetes mellitus


2620


Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


21.00


2622


Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the requirements for an annual cycle of care of a patient with established diabetes mellitus


38.00


2624


Professional attendance at consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


61.00


2631


Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 8


2633


Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 8


2635


Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus


Amount under rule 8


Subgroup 3 — Completion of the Asthma 3+ Visit Plan


2664


Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


21.00


2666


Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


38.00


2668


Professional attendance at consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


61.00


2673


Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 8


2675


Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes, duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 8


2677


Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma 3+ Visit Plan


Amount under rule 8


Subgroup 4 — Completion of the 3 Step Mental Health Process


2704


Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a general practitioner, a specialist or a consultant physician), that completes the minimum requirements of the 3 Step Mental Health Process, being attendance of more than 25 minutes, but not more than 45 minutes, duration


38.00


2705


Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a general practitioner, a specialist or a consultant physician), that completes the minimum requirements of the 3 Step Mental Health Process, being attendance of more than 45 minutes duration


61.00


2707


Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a general practitioner, a specialist or a consultant physician), that completes the minimum requirements of the 3 Step Mental Health Process, being attendance of more than 25 minutes, but not more than 45 minutes, duration


Amount under rule 8


2708


Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a general practitioner, a specialist or a consultant physician), that completes the minimum requirements of the 3 Step Mental Health Process, being attendance of more than 45 minutes duration


Amount under rule 8


Group A20 — Focussed psychological strategies


2721


Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies, being attendance of at least 30 minutes, but less than 40 minutes, duration


72.25


2723


Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies, being attendance of at least 30 minutes, but less than 40 minutes, duration


Amount under rule 55


2725


Professional attendance at consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies, being attendance of at least 40 minutes duration


103.45


2727


Professional attendance at a place other than consulting rooms by a medical practitioner who practises in general practice (other than a specialist or a consultant physician), for providing focussed psychological strategies, being attendance of at least 40 minutes duration


Amount under rule 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


101.15


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


101.15


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


101.15


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


101.15


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)


101.15


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


101.15


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


101.15


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


101.15


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


101.15


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


101.15


Group A10 — Optometric services


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, 10914 or 10915 applies


59.00


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


59.00


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, 10914 or 10915 applies


29.55


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 an initial consultation to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10915 at the same practice applies


59.00


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 an initial consultation to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10915 at the same practice applies


59.00


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 an initial consultation to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10915 applies


59.00


10915


Professional attendance of more than 15 minutes duration, being the first in a course of attention involving the examination of the eyes, with the instillation of a mydriatic, of a patient with diabetes mellitus, requiring comprehensive reassessment


59.00


10916


Professional attendance, being the first in a course of attention, of not more than 15 minutes duration (not being a service associated with a service to which item 10940 or 10941 applies)


29.55


10918


Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses (not being a service associated with a service to which item 10940 or 10941 applies)


29.55


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, 10915 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


146.40


10922


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 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


146.40


10923


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 or 10916 applies — payable only once in a period of 36 months — patients with astigmatism of 3.0 dioptres or greater in 1 eye


146.40


10924


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 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


184.75


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, 10915 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)


146.40


10926


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 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


146.40


10927


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 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


184.75


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, 10915 or 10916 applies — payable only once in a period of 36 months — patients who, by reason of physical deformity, are unable to wear spectacles


146.40


10929


All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 10915 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


184.75


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 series 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


146.40


10940


Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, performed by an optometrist, 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 10941 applies) in any 12 month period, not being a service associated with a service to which item 10916 or 10918 applies


56.30


10941


Full quantitative computerised perimetry (automated absolute static threshold) not being a service involving multifocal multichannel objective perimetry, performed by an optometrist, 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 10940 applies) in any 12 month period, not being a service associated with a service to which item 10916 or 10918 applies


33.95


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
(b) involving quantitative topographic mapping using neurometrics or similar devices (Anaes.)


102.30


11003


Electroencephalography, prolonged recording of at least 3 hours duration, not being a service:

(a) associated with a service to which item 11000, 11004, 11005, 11006 or 11009 applies; or
(b) involving quantitative topographic mapping using neurometrics or similar devices


270.70


11004


Electroencephalography, ambulatory or video, prolonged recording of at least 3 hours duration up to 24 hours duration, recording on the first day, not being a service:

(a) associated with a service to which item 11000, 11003, 11005, 11006 or 11009 applies; or
(b) involving quantitative topographic mapping using neurometrics or similar devices


270.70


11005


Electroencephalography, ambulatory or video, prolonged recording of at least 3 hours duration up to 24 hours duration, recording on each day subsequent to the first day, not being a service:

(a) associated with a service to which item 11000, 11003, 11004, 11006 or 11009 applies; or
(b) involving quantitative topographic mapping using neurometrics or similar devices


270.70


11006


Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices


138.80


11009


Electrocorticography


189.25


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)


93.00


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)


124.60


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)


186.15


11021


Neuromuscular electrodiagnosis — repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations


124.60


11024


Central nervous system evoked responses, investigation of, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or involving multifocal multichannel objective perimetry — 1 or 2 studies


94.65


11027


Central nervous system evoked responses, investigation of, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or involving multifocal multichannel objective perimetry — 3 or more studies


140.35


Subgroup 2 — Ophthalmology


11200


Provocative test or tests for glaucoma, including water drinking


33.90


11203


Tonography — in the investigation or management of glaucoma, of one or both eyes — using an electrical tonography machine producing a directly recorded tracing


57.30


11204


Electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards


89.95


11205


Electrooculography of 1 or both eyes performed according to current professional guidelines or standards


89.95


11210


Pattern electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards


89.95


11211


Dark adaptometry of 1 or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations


89.95


11212


Optic fundi, examination of following intravenous dye injection


58.30


11215


Retinal photography, multiple exposures, of 1 eye with intravenous dye injection


102.20


11218


Retinal photography, multiple exposures of both eyes with intravenous dye injection


126.25


11221


Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, 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


56.30


11222


Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, 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 may be required within a 6 month period) where there has been definite progression of damage over a 12 month period;


56.30



(b) established neurological disease which may be progressive and where a visual field is necessary for the management of the patient;
(c) monitoring for ocular disease or disease of the visual pathways which may be caused by systemic drug toxicity, where there may also be other disease such as glaucoma or neurological disease;

each additional examination



11224


Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, 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


33.95


11225


Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, 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 1 of the following conditions:

(a) established glaucoma (where surgery may be required within a 6 month period) where there has been definite progression of damage over a 12 month period;
(b) established neurological disease which may be progressive and where a visual field is necessary for the management of the patient;
(c) monitoring for ocular disease or disease of the visual pathways which may be caused by systemic drug toxicity, where there may also be other disease such as glaucoma or neurological disease;

each additional examination


33.95


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


101.95


11237


Ocular contents, simultaneous ultrasonic echography by both unidimensional and bidimensional techniques, for the diagnosis, monitoring or measurement of choroidal and ciliary body melanomas, retinoblastoma or suspicious naevi or simulating lesions, 1 eye, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies


67.65


11240


Orbital contents, ultrasonic echography of, unidimensional, for the measurement of 1 eye prior to lens surgery on that eye, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies


67.65


11241


Orbital contents, ultrasonic echography of, unidimensional, for bilateral eye measurement prior to lens surgery on both eyes, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies


86.15


11242


Orbital contents, ultrasonic echography of, unidimensional, for the measurement of an eye previously measured and on which lens surgery has been performed, and where further lens surgery is contemplated in that eye, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies


66.65


11243


Orbital contents, ultrasonic echography of, unidimensional, for the measurement of a second eye if:

(a) surgery for the first eye has resulted in more than 1 dioptre of error; or
(b) more than 3 years have elapsed since the surgery for the first eye;

not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies


66.65


Subgroup 3 — Otolaryngology


11300


Brain stem evoked response audiometry (Anaes.)


159.95


11303


Electrocochleography, extratympanic method, 1 or both ears


159.95


11304


Electrocochleography, transtympanic membrane insertion technique, 1 or both ears


263.35


11306


Non-determinate audiometry


18.25


11309


Audiogram, air conduction


21.85


11312


Audiogram, air and bone conduction or air conduction and speech discrimination


30.85


11315


Audiogram, air and bone conduction and speech


40.90


11318


Audiogram, air and bone conduction and speech, with other cochlear tests


50.45


11321


Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test)


95.90


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


27.30


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


16.40


11330


Impedance audiogram where the patient is not referred by a medical practitioner — 1 examination in any 4 week period


6.55


11332


Oto-acoustic emission audiometry for the detection of permanent congenital hearing impairment, performed by or on behalf of a specialist or consultant physician, on an infant or child who is at risk due to 1 or more of the following factors:

(a) admission to a neonatal intensive care unit;
(b) family history of hearing impairment;
(c) intra-uterine or perinatal infection (either suspected or confirmed);
(d) birthweight less than 1.5 kg;
(e) craniofacial deformity;
(f) birth asphyxia;
(g) chromosomal abnormality, including Down's Syndrome;


48.65



(h) exchange transfusion;

where:

(i) the patient is referred by another medical practitioner; and
(j) middle ear pathology has been excluded by specialist opinion



11333


Caloric test of labyrinth or labyrinths


37.05


11336


Simultaneous bithermal caloric test of labyrinths


37.05


11339


Electronystagmography


37.05


Subgroup 4 — Respiratory


11500


Bronchospirometry, including gas analysis


138.80


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


115.25


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


17.05


11509


Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) — each occasion at which 1 or more such tests are performed


29.65


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


51.30


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 or a service associated with administration of anaesthesia)


57.55


11602


Investigation of venous reflux or obstruction in 1 or more limbs at rest by CW Doppler or pulsed Doppler involving examination at multiple sites along the limb(s) using intermittent limb compression and/or Valsalva manoeuvres to detect prograde and retrograde flow, not being a service associated with a service to which item 32500 or 32501 applies — hard copy trace and report, maximum of two examinations in a 12 month period


42.95


11604


Plethysmographic assessment of chronic venous disease, assessment of chronic venous disease in the lower and upper extremities, or in the lower or upper extremities (unilateral or bilateral) using venous occlusion plethysmography, strain gauge plethysmography or air plethysmography, not being a service associated with a service to which item 32500 or 32501 applies — examination, hard copy trace and report


42.95


11605


Infrared photoplethysmographic assessment of complex chronic lower limb venous disease, assessment of chronic venous disease in the lower extremities (unilateral or bilateral) using infrared photoplethysmography, examination during and following exercise with and without superficial venous occlusion, to assess venous function (reflux and/or obstruction) to determine surgical intervention or the conservative management of deep venous thrombotic disease, not being a service associated with a service to which item 32500 or 32501 applies — hard copy trace, calculation of 90% recovery time and report


42.95


11610


Measurement of ankle — brachial indices and arterial waveform analysis, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of lower extremity arterial disease — examination, hard copy trace and report


42.95


11611


Measurement of wrist — brachial indices and arterial waveform analysis, measurement of radial and ulnar (or finger) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of the wrist (or finger) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of upper extremity arterial disease — examination, hard copy trace and report


42.95


11612


Exercise study for the evaluation of lower extremity arterial disease, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices for the evaluation of lower extremity arterial disease at rest and following exercise using a treadmill or bicycle ergometer or other such equipment where the exercise workload is quantifiably documented — examination and report


79.05


11614


Transcranial doppler, examination of the intracranial arterial circulation using CW Doppler or pulsed Doppler with hard copy recording of waveforms, examination and report, not being a service associated with a service to which item 55280 of the diagnostic imaging services table applies


42.95


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


63.05


11627


Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age


190.00


Subgroup 6 — Cardiovascular


11700


Twelve-lead electrocardiography, tracing and report


25.95


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


12.95


11702


Twelve-lead electrocardiography, tracing only


12.95


11706


Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram — interpretation and report


59.90


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


106.30


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


139.20


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


43.10


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


23.45


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


126.40


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


57.95


11715


Blood dye — dilution indicator test


100.40


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


28.85


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


57.95


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


140.35


Subgroup 7 — Gastroenterology and colorectal


11800


Oesophageal motility test, manometric


145.05


11810


Clinical assessment of gastro-oesophageal reflux disease involving 24-hour pH monitoring, including analysis, interpretation and report and including any associated consultation


145.05


11830


Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex


155.20


11833


Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency


207.55


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 11919 applies


22.90


11903


Cystometrography, not being a service associated with a service to which any of items 11012 to 11027, 11912, 11915, 11919, 11921 and 36800 or an item in Group I3 of the diagnostic imaging services table applies


92.35


11906


Urethral pressure profilometry, not being a service associated with a service to which any of items 11012 to 11027, 11909, 11919, 11921 and 36800 or an item in Group I3 of the diagnostic imaging services table applies


92.35


11909


Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11906, 11915, 11919, 36800 or an item in Group I3 of the diagnostic imaging services table applies


137.15


11912


Cystometrography with simultaneous measurement of rectal pressure, not being a service associated with a service to which any of items 11012 to 11027, 11903, 11915, 11919, 11921 and 36800 or an item in Group I3 of the diagnostic imaging services table applies (Anaes.)


137.15


11915


Cystometrography with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which any of items 11012 to 11027, 11903, 11909, 11912, 11919, 11921 and 36800 or an item in Group I3 of the diagnostic imaging services table applies (Anaes.)


137.15


11917


Cystometrography in conjunction with ultrasound of 1 or more components of the urinary tract, 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 any of items 11012 to 11027, 11900 to 11915, 11919, 11921 and 36800 applies (Anaes.)


355.95


11919


Cystometrography in conjunction with contrast micturating cystourethrography, 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 any of items 11012 to 11027, 11900 to 11917, 11921 and 36800 applies (Anaes.)


355.95


11921


Bladder washout test for localisation of urinary infection — not including bacterial counts for organisms in specimens


62.35


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


32.35


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


48.90


12012


Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery


17.25


12015


Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery


51.90


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


66.85


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


97.95


Subgroup 10 — Other diagnostic procedures and investigations


12200


Collection of specimen of sweat by iontophoresis


30.90


12203


Overnight investigation for sleep apnoea for a period of at least 8 hours duration, for a patient aged 18 years or more 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
(b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and


488.65



(d) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the investigation; and




(e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and
(f) interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient.

For any particular patient — applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period



12207


Overnight investigation for sleep apnoea for a period of at least 8 hours duration, for a patient aged 18 years or more 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
(b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and
(d) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the investigation; and


488.65



(e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and
(f) interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient;

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 or testing, or both, 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



12210


Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where:

(a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and


583.25



(b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and
(d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and




(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and
(f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient.

For each particular patient — applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period



12213


Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where:

(a) recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and
(b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and


525.40



(d) the necessity for the investigation is determined by a qualified sleep medicine practitioner prior to the investigation; and




(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and
(f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient.

For each particular patient — applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period



12215


Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where:

(a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and
(b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and
(d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and


583.25



(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and




(f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient;

where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12210 applies, for the adjustment, or testing of the effectiveness, or both, of Continuous Positive Airway Pressure (CPAP) or of the bilevel pressure support or ventilation (or both), or if supplemental oxygen is required because of recurring hypoxia — each additional investigation



12217


Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where:

(a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and
(b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and
(c) the patient is referred by a medical practitioner; and


525.40



(d) the necessity for the investigation is determined by a qualified sleep medicine practitioner prior to the investigation; and
(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and




(f) interpretation and report to be provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient;

where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12213 applies, for the adjustment, or testing of the effectiveness, or both, of Continuous Positive Airway Pressure (CPAP) or of the bilevel pressure support or ventilation (or both), or if there is recurring hypoxia and supplemental oxygen is required — each additional investigation



Group D2 — Nuclear medicine (non-imaging)


12500


Blood volume estimation


180.00


12503


Erythrocyte radioactive uptake survival time test or iron kinetic test


353.05


12506


Gastrointestinal blood loss estimation involving examination of stool specimens


252.05


12509


Gastrointestinal protein loss


180.00


12512


Radioactive B12 absorption test — 1 isotope


87.25


12515


Radioactive B12 absorption test — 2 isotopes


191.05


12518


Thyroid uptake (using probe)


87.25


12521


Perchlorate discharge study


105.25


12524


Renal function test (without imaging procedure)


131.55


12527


Renal function test (with imaging and at least 2 blood samples)


70.55


12530


Whole body count — not being a service associated with a service to which another item applies


105.25


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:
(i) suitable biopsy material for diagnosis cannot be obtained at endoscopy in patients with peptic ulcer disease, or where the diagnosis of peptic ulcer has been made on barium meal; or
(ii) in patients with past history of duodenal ulcer, gastric ulcer or gastric neoplasia, where endoscopy is not indicated; or


70.25



(b) the monitoring of the success of eradication of Helicobactor pylori in patients with peptic ulcer disease;

where any request for the test by another medical practitioner who collects the breath sample specifically identifies in writing 1 or more of the clinical indications for the test



Therapeutic procedures

Group T1 — Miscellaneous therapeutic procedures

Subgroup 1 — Hyperbaric oxygen therapy


13020


Hyperbaric oxygen therapy, for treatment of decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including diabetic gangrene and diabetic foot ulcers) or necrotising soft tissue infections (including necrotising fasciitis or Fournier's gangrene), or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours (both inclusive), including any associated attendance


215.05


13025


Hyperbaric oxygen therapy, for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance — per hour (or part of an hour)


96.20


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)


135.85


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


113.55


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


59.15


13106


Declotting of an arteriovenous shunt


100.90


13109


Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of (Anaes.)


189.25


13110


Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes.)


189.85


13112


Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes.)


113.55


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


1 661.45


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


415.40


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


712.00


13209


Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, or for artificial insemination — payable once only during 1 treatment cycle


71.10


13212


Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures — only if rendered in conjunction with a service to which item 13200 or 13206 applies (Anaes.)


302.65


13215


Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos — only if rendered in conjunction with a service to which item 13200 or 13206 applies, being services rendered in 1 treatment cycle (Anaes.)


94.95


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 (Anaes.)


712.00


13221


Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination


43.35


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


169.80


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 (Anaes.)


339.60


Subgroup 4 — Paediatric and neonatal


13300


Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein


47.35


13303


Umbilical artery catheterisation with or without infusion


70.15


13306


Blood transfusion with venesection and complete replacement of blood, including collection from donor


277.60


13309


Blood transfusion with venesection and complete replacement of blood, using blood already collected


236.70


13312


Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants


23.60


13318


Central vein catheterisation (via jugular or subclavian vein) — by open exposure, in a person under 12 years of age (Anaes.)


189.05


13319


Central vein catheterisation in a neonate via peripheral vein (Anaes.)


189.05


Subgroup 5 — Cardiovascular


13400


Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes.)


80.45


Subgroup 6 — Gastroenterology


13500


Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage


149.85


13503


Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage


299.75


13506


Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices


153.30


Subgroup 8 — Haematology


13700


Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes.)


277.00


13703


Administration of blood including collection from donor


99.25


13706


Administration of blood or bone marrow already collected


69.35


13709


Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation


40.25


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


113.55


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


113.55


13757


Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda


60.65


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
(b) Hodgkin's disease which has relapsed following, or is refractory to, chemotherapy; or
(c) acute myelogenous leukaemia in first remission, where suitable genotypically matched sibling donor is not available for allogenic bone marrow transplant; or
(d) multiple myeloma in remission (complete or partial) following standard dose chemotherapy; or
(e) small round cell sarcomas; or
(f) primitive neuroectodermal tumour; or
(g) germ cell tumours which have relapsed following, or are refractory to, chemotherapy; or
(h) germ cell tumours which have had an incomplete response to first line therapy;

performed under the supervision of a consultant physician — each day


633.80


Subgroup 9 — Procedures associated with intensive care and cardiopulmonary support


13815


Central vein catheterisation (via jugular, subclavian or femoral vein) by percutaneous or open exposure not being a service to which item 13318 applies (Anaes.)


70.85


13818


Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.)


94.50


13830


Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician — each day


62.65


13839


Arterial puncture and collection of blood for diagnostic purposes


19.10


13842


Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis


57.55


13845


Counterpulsation by intra-aortic balloon-management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters (Anaes.)


449.55


13848


Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters


108.90


13851


Circulatory support device, management of, on first day


410.25


13854


Circulatory support device, management of, on each day subsequent to the first


95.40


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


121.65


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


253.55


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


188.80


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


57.55


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


184.00


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


62.65


13885


Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on the first day in an intensive care unit


113.25


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


59.00


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, not being a service associated with photodynamic therapy with verteporfin — for any particular patient, once only on the same day


54.05


13918


Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 1 hour's duration but not more than 6 hours duration — for any particular patient, once only on the same day


81.35


13921


Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — for the first day of treatment


92.05


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


54.25


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 — for any particular patient, once only on the same day


70.15


13930


Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 1 hour's duration but not more than 6 hours duration — for any particular patient, once only on the same day


97.90


13933


Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — for the first day of treatment


108.60


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


70.75


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


81.35


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


54.25


13945


Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of


43.65


13948


Cytotoxic agent, instillation of, into a body cavity


54.25


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


43.85


14053


PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not being a service associated with a service to which item 14050 applies) including associated consultations other than an initial consultation


43.85


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 (Anaes.)


126.75


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 (Anaes.)


155.65


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 (Anaes.)


126.75


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 up to 100 cm 2 (Anaes.)


155.65


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 up to 150 cm 2 (Anaes.)


184.35


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 up to 250 cm 2 (Anaes.)


213.10


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 (Anaes.)


270.75


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 (Anaes.)


126.75


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 (Anaes.)


155.65


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 (Anaes.)


126.75


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 (Anaes.)


155.65


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 (Anaes.)


184.35


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 (Anaes.)


213.10


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 (Anaes.)


270.75


Subgroup 13 — Other therapeutic procedures


14200


Gastric lavage in the treatment of ingested poison


49.75


14203


Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes.)


42.50


14206


Hormone or living tissue implantation — by cannula


29.60


14209


Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent


73.75


14212


Intussusception, management of fluid or gas reduction for (Anaes.)


154.00


14215


Long-term implanted reservoir associated with the adjustable gastric band, accessing of to add or remove fluid


81.35


14218


Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space


81.35


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


43.65


14224


Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.)


58.45


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


35.40


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


78.45


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 15


15012


Radiotherapy, superficial — each attendance at which treatment is given to an eye


44.40


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


39.65


15103


Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 3 or more treatments per week — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)


Amount under rule 15


15106


Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 1 field


46.80


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


99.90


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 15


Subgroup 3 — Megavoltage


15211


Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 1 field


45.45


15214


Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)


Amount under rule 15


15215


Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (lung)


49.60


15218


Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (prostate)


49.60


15221


Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (breast)


49.60


15224


Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site for diseases or conditions not covered by item 15215, 15218 or 15221


49.60


15227


Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to secondary site


49.60


15230


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) — treatment delivered to primary site (lung)


Amount under rule 15


15233


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) — treatment delivered to primary site (prostate)


Amount under rule 15


15236


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) — treatment delivered to primary site (breast)


Amount under rule 15


15239


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) — treatment delivered to primary site for diseases or conditions not covered by item 15230, 15233 or 15236


Amount under rule 15


15242


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) — treatment delivered to secondary site


Amount under rule 15


15245


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (lung)


49.60


15248


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (prostate)


49.60


15251


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site (breast)


49.60


15254


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to primary site for diseases or conditions not covered by item 15245, 15248 or 15251


49.60


15257


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, with electron facilities — each attendance at which treatment is given — 1 field — treatment delivered to secondary site


49.60


15260


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, 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) — treatment delivered to primary site (lung)


Amount under rule 15


15263


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, 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) — treatment delivered to primary site (prostate)


Amount under rule 15


15266


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, 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) — treatment delivered to primary site (breast)


Amount under rule 15


15269


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, 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) — treatment delivered to primary site for diseases or conditions not covered by item 15260, 15263 or 15266


Amount under rule 15


15272


Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of at least 10MV photons, 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) — treatment delivered to secondary site


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 (Anaes.)


296.70


15304


Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)


296.70


15307


Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes.)


562.50


15308


Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.)


562.50


15311


Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)


276.95


15312


Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)


274.95


15315


Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes.)


543.70


15316


Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.)


543.70


15319


Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)


337.40


15320


Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)


337.40


15323


Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using manual afterloading techniques (Anaes.)


600.00


15324


Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using automatic afterloading techniques (Anaes.)


600.00


15327


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (Anaes.)


652.75


15328


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (Anaes.)


652.75


15331


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (Anaes.)


619.80


15332


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (Anaes.)


619.80


15335


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (Anaes.)


562.50


15336


Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (Anaes.)


562.50


15338


Prostate, radioactive seed implantation of, radiation oncology component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stage T1, T2A or T2B, with a Gleason score of 6 or less and a prostate specific antigen (PSA) of 10ng/ml or less at the time of diagnosis, where the procedure is performed at an approved site in association with a urologist


777.45


15339


Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes.)


63.30


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


158.15


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


422.05


15348


Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance


48.55


15351


Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface


96.90


15354


Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface


117.65


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


33.20


15360


Catheter based intravascular brachytherapy for the treatment of in-stent restenoses of 1 coronary artery, administration of radioactive sealed sources having a half life of 115 days or less using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration. The procedure must be performed by a radiation oncologist in association with a cardiologist and be associated with a service to which item 35347, 35350, 35353 or 35356 applies


300.00


15363


Catheter based intravascular brachytherapy for the treatment of in-stent restenoses of 1 coronary artery, administration of radioactive sealed sources having a half life of greater than 115 days using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration. The procedure must be performed by a radiation oncologist in association with a cardiologist and be associated with a service to which item 35347, 35350, 35353 or 35356 applies


300.00


Subgroup 5 — Computerised planning


15500


Radiation field setting using a simulator or isocentric x-ray or megavoltage machine or CT 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)


201.70


15503


Radiation field setting using a simulator or isocentric x-ray or megavoltage machine or CT 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)


258.95


15506


Radiation field setting using a simulator or isocentric x-ray or megavoltage machine or CT 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)


386.70


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)


174.85


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)


225.30


15513


Radiation source localisation using a simulator or x-ray machine or CT of a single area, where views in more than 1 plane are required, for brachytherapy treatment planning for Iodine 125 seed implantation of localised prostate cancer, being a service associated with a service to which item 15338 applies


254.85


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)


326.15


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


63.95


15521


Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used


282.45


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


529.65


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


65.55


15530


Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used


292.60


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


554.85


15536


Brachytherapy planning, computerised Radiation Dosimetry


221.75


15539


Brachytherapy planning, computerised radiation dosimetry for Iodine 125 seed implantation of localised prostate cancer, being a service associated with a service to which item 15338 applies


521.30


15541


Catheter based intravascular brachytherapy planning, computerised radiation dosimetry. The procedure must be performed by a radiation oncologist in association with a cardiologist and be associated with a service to which item 35347, 35350, 35353 or 35356 applies


221.75


Subgroup 6 — Stereotactic radiosurgery


15600


Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment


1 414.70


Group T3 — Therapeutic nuclear medicine


16003


Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis and not being a service associated with selective internal radiation therapy) (Anaes.)


540.65


16006


Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique


415.45


16009


Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique


283.50


16012


Intravenous administration of a therapeutic dose of Phosphorous 32


245.30


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


3 395.40



(b) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain



16018


Administration of 153 Sm-lexidronam for the relief of bone pain due to skeletal metastases (as indicated by a positive bone scan) from:

(a) carcinoma of the prostate, where hormonal therapy has failed; or


2 029.75



(b) carcinoma of the breast, where both hormonal therapy and chemotherapy have failed and:
(i) the disease is poorly controlled by conventional radiotherapy; or
(ii) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain



Group T4 — Obstetrics


16500


Antenatal attendance


30.20


16501


External cephalic version for breech presentation, after 36 weeks where no contraindication exists, in a unit with facilities for caesarean section, including pre and post version CTG, with or without tocolysis, not being a service to which items 55718 to 55728 and 55768 to 55774 apply — chargeable whether or not the version is successful and limited to a maximum of 2 ECV's per pregnancy


116.80


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


30.20


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


30.20


16505


Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance


30.20


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


30.20


16509


Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance


30.20


16511


Cervix, purse string ligation of (Anaes.)


182.75


16512


Cervix, removal of purse string ligature of (Anaes.)


52.75


16514


Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)


30.50


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 (Anaes.)


288.05


16518


Management of labour, incomplete, where the patient's care has been transferred to another medical practitioner for completion of the delivery (Anaes.)


288.05


16519


Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days (Anaes.)


443.60


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 (Anaes.)


518.40


16522


Management of labour and delivery, or delivery alone, (including Caesarean section), where in the course of antenatal supervision or intrapartum management, 1 or more, of the following conditions is present, including postnatal care for 7 days:

(a) multiple pregnancy;


1 041.60



(b) recurrent antepartum haemorrhage from 20 weeks gestation;
(c) grade 2, 3 or 4 placenta praevia;
(d) baby with a birth weight less than or equal to 2 500 gm;
(e) pre-existing diabetes mellitus dependent on medication, or gestational diabetes requiring at least daily blood glucose monitoring;
(f) trial of vaginal delivery in a patient with uterine scar, or trial of vaginal breech delivery;
(g) pre-existing hypertension requiring antihypertensive medication, or pregnancy induced hypertension of at least 140/90mmHg associated with at least 1+ proteinuria on urinalysis;
(h) prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress;
(i) fetal distress defined by significant cardiotocograph or scalp pH abnormalities requiring immediate delivery;
(j) conditions that pose a significant risk of maternal death
(Anaes.)



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 (Anaes.)


245.75


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 (Anaes.)


181.15


16567


Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure (Anaes.)


265.00


16570


Acute inversion of the uterus, vaginal correction of, as an independent procedure (Anaes.)


345.75


16571


Cervix, repair of extensive laceration or lacerations (Anaes.)


265.00


16573


Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure (Anaes.)


215.95


16600


Amniocentesis, diagnostic


52.75


16603


Chorionic villus sampling, by any route


101.30


16606


Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis (Anaes.)


202.10


16609


Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes.)


412.20


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 (Anaes.)


324.30


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 (Anaes.)


172.65


16618


Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500 ml being aspirated


172.65


16621


Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios


172.65


16624


Fetal fluid filled cavity, drainage of


248.55


16627


Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis


506.05


16633


Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627


Amount under rule 33


16636


Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624


Amount under rule 33


Group T6 — 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


35.65


Group T7 — Regional or field nerve blocks


18213


Intravenous regional anaesthesia of limb by retrograde perfusion


73.70


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 (Anaes.)


157.80


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 (Anaes.)


Amount under rule 31


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


31.25


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


41.65


18226


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 — for a patient in labour, where the service is provided between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday


236.65


18227


Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by a medical practitioner extends beyond the first hour — for a patient in labour, where the service is provided between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday


Amount under rule 31


18228


Interpleural block, initial injection or commencement of infusion of a therapeutic substance


51.95


18230


Intrathecal or epidural injection of neurolytic substance (Anaes.)


198.15


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 (Anaes.)


157.80


18233


Epidural injection of blood for blood patch (Anaes.)


157.80


18234


Trigeminal nerve, primary division of, injection of an anaesthetic agent (Anaes.)


103.75


18236


Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent (Anaes.)


51.95


18238


Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies


31.25


18240


Retrobulbar or peribulbar injection of an anaesthetic agent


77.75


18242


Greater occipital nerve, injection of an anaesthetic agent (Anaes.)


31.25


18244


Vagus nerve, injection of an anaesthetic agent


83.75


18246


Glossopharyngeal nerve, injection of an anaesthetic agent


83.75


18248


Phrenic nerve, injection of an anaesthetic agent


73.70


18250


Spinal accessory nerve, injection of an anaesthetic agent


51.95


18252


Cervical plexus, injection of an anaesthetic agent


83.75


18254


Brachial plexus, injection of an anaesthetic agent


83.75


18256


Suprascapular nerve, injection of an anaesthetic agent


51.95


18258


Intercostal nerve (single), injection of an anaesthetic agent


51.95


18260


Intercostal nerves (multiple), injection of an anaesthetic agent


73.70


18262


Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent (Anaes.)


51.95


18264


Pudendal nerve, injection of an anaesthetic agent


83.75


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


51.95


18268


Obturator nerve, injection of an anaesthetic agent


73.70


18270


Femoral nerve, injection of an anaesthetic agent


73.70


18272


Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent


51.95


18274


Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level)


73.70


18276


Paravertebral nerves, injection of an anaesthetic agent, (multiple levels)


103.75


18278


Sciatic nerve, injection of an anaesthetic agent


73.70


18280


Sphenopalatine ganglion, injection of an anaesthetic agent (Anaes.)


103.75


18282


Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure


83.75


18284


Stellate ganglion, injection of an anaesthetic agent (cervical sympathetic block) (Anaes.)


122.70


18286


Lumbar or thoracic nerves, injection of an anaesthetic agent (paravertebral sympathetic block) (Anaes.)


122.70


18288


Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent (Anaes.)


122.70


18290


Cranial nerve other than trigeminal, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin (Anaes.)


207.55


18292


Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies or a service associated with the injection of botulinum toxin (Anaes.)


103.75


18294


Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent (Anaes.)


146.25


18296


Lumbar sympathetic chain, destruction by a neurolytic agent (Anaes.)


125.05


18298


Cervical or thoracic sympathetic chain, destruction by a neurolytic agent (Anaes.)


146.25


18350


Botulinum toxin (Botox), injection of, for hemifacial spasm in a patient over 12 years of age, including all such injections on any 1 day


101.20


18352


Botulinum toxin (Botox or Dysport), injection of, for cervical dystonia (spasmodic torticollis), including all such injections on any 1 day


202.50


18354


Botulinum toxin (Botox or Dysport), injection of, for dynamic equinus foot deformity due to spasticity in an ambulant cerebral palsy patient between the ages of 2 and 17 (inclusive), including all such injections on any 1 day for all or any of the muscles subserving 1 functional activity and supplied by 1 motor nerve — applicable only to the first 2 treatments of each limb of the patient on any 1 day (Anaes.)


101.20


18356


Botulinum toxin (Botox or Dysport), injection of, for dynamic equinovarus foot deformity due to spasticity in an ambulant cerebral palsy patient between the ages of 2 and 17 (inclusive), including all such injections on any 1 day for all or any of the muscles subserving 1 functional activity and supplied by 1 motor nerve — applicable only to the first 2 treatments of each limb of the patient on any 1 day (Anaes.)


101.20


18358


Botulinum toxin (Botox or Dysport), injection of, for dynamic equinovalgus foot deformity due to spasticity in an ambulant cerebral palsy patient between the ages of 2 and 17 (inclusive), including all such injections on any 1 day for all or any of the muscles subserving 1 functional activity and supplied by 1 motor nerve — applicable only to the first 2 treatments of each limb of the patient on any 1 day (Anaes.)


101.20


18370


Botulinum toxin, injection of, for blepharospasm, including all such injections on any 1 day (Anaes.)


36.55


Group T10 — Anaesthesia performed in connection with certain services (Relative Value Guide)


Subgroup 1 — Head


20100


Initiation of management of anaesthesia for procedures on the skin, subcutaneous tissue, muscles, salivary glands or superficial vessels of the head, including biopsy, not being a service to which another item in this subgroup applies


82.50


20102


Initiation of management of anaesthesia for plastic repair of cleft lip


99.00


20104


Initiation of management of anaesthesia for electroconvulsive therapy


66.00


20120


Initiation of management of anaesthesia for procedures on external, middle or inner ear, including biopsy, not being a service to which another item in this subgroup applies


82.50


20124


Initiation of management of anaesthesia for otoscopy


66.00


20140


Initiation of management of anaesthesia for procedures on eye, not being a service to which another item in this subgroup applies


82.50


20142


Initiation of management of anaesthesia for lens surgery


99.00


20143


Initiation of management of anaesthesia for retinal surgery


99.00


20144


Initiation of administration of anaesthesia for corneal transplant


132.00


20145


Initiation of management of anaesthesia for vitrectomy


132.00


20146


Initiation of management of anaesthesia for biopsy of conjunctiva


82.50


20148


Initiation of management of anaesthesia for ophthalmoscopy


66.00


20160


Initiation of management of anaesthesia for procedures on nose or accessory sinuses, not being a service to which another item in this subgroup applies


82.50


20162


Initiation of management of anaesthesia for radical surgery on the nose and accessory sinuses


115.50


20164


Initiation of management of anaesthesia for biopsy of soft tissue of the nose and accessory sinuses


66.00


20170


Initiation of management of anaesthesia for intraoral procedures, including biopsy, not being a service to which another item in this subgroup applies


82.50


20172


Initiation of management of anaesthesia for repair of cleft palate


115.50


20174


Initiation of management of anaesthesia for excision of retropharyngeal tumour


148.50


20176


Initiation of management of anaesthesia for radical intraoral surgery


165.00


20190


Initiation of management of anaesthesia for procedures on facial bones, not being a service to which another item in this subgroup applies


82.50


20192


Initiation of management of anaesthesia for extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction)


165.00


20210


Initiation of management of anaesthesia for intracranial procedures, not being a service to which another item in this subgroup applies


247.50


20212


Initiation of management of anaesthesia for subdural taps


82.50


20214


Initiation of management of anaesthesia for burr holes of the cranium


148.50


20216


Initiation of management of anaesthesia for intracranial vascular procedures, including those for aneurysms or arterio-venous abnormalities


330.00


20220


Initiation of management of anaesthesia for spinal fluid shunt procedures


165.00


20222


Initiation of management of anaesthesia for ablation of an intracranial nerve


99.00


20225


Initiation of management of anaesthesia for all cranial bone procedures


198.00


Subgroup 2 — Neck


20300


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the neck, not being a service to which another item in this subgroup applies


82.50


20305


Initiation of management of anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion or epiglottitis, causing life threatening airway obstruction


247.50


20320


Initiation of management of anaesthesia for procedures on oesophagus, thyroid, larynx, trachea, lymphatic system, muscles, nerves or other deep tissues of the neck, not being a service to which another item in this subgroup applies


99.00


20321


Initiation of management of anaesthesia for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy


165.00


20330


Initiation of management of anaesthesia for laser surgery to the airway (excluding nose and mouth)


132.00


20350


Initiation of management of anaesthesia for procedures on major vessels of neck, not being a service to which another item in this subgroup applies


165.00


20352


Initiation of management of anaesthesia for simple ligation of major vessels of neck


82.50


Subgroup 3 — Thorax


20400


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior part of the chest, not being a service to which another item in this subgroup applies


49.50


20401


Initiation of management of anaesthesia for procedures on the breast, not being a service to which another item in this subgroup applies


66.00


20402


Initiation of management of anaesthesia for reconstructive procedures on breast


82.50


20403


Initiation of management of anaesthesia for removal of breast lump or for breast segmentectomy, where axillary node dissection is performed


82.50


20404


Initiation of management of anaesthesia for mastectomy


99.00


20405


Initiation of management of anaesthesia for reconstructive procedures on the breast using myocutaneous flaps


132.00


20406


Initiation of management of anaesthesia for radical or modified radical procedures on breast with internal mammary node dissection


214.50


20410


Initiation of management of anaesthesia for electrical conversion of arrhythmias


82.50


20420


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the posterior part of the chest, not being a service to which another item in this subgroup applies


82.50


20440


Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the sternum


66.00


20450


Initiation of management of anaesthesia for procedures on clavicle, scapula or sternum, not being a service to which another item in this subgroup applies


82.50


20452


Initiation of management of anaesthesia for radical surgery on clavicle, scapula or sternum


99.00


20470


Initiation of management of anaesthesia for partial rib resection, not being a service to which another item in this subgroup applies


99.00


20472


Initiation of management of anaesthesia for thoracoplasty


165.00


20474


Initiation of management of anaesthesia for radical procedures on chest wall


214.50


Subgroup 4 — Intrathoracic


20500


Initiation of management of anaesthesia for open procedures on the oesophagus


247.50


20520


Initiation of management of anaesthesia for all closed chest procedures (including rigid oesophagoscopy or bronchoscopy), not being a service to which another item in this subgroup applies


99.00


20522


Initiation of management of anaesthesia for needle biopsy of pleura


66.00


20524


Initiation of management of anaesthesia for pneumocentesis


66.00


20526


Initiation of management of anaesthesia for thoracoscopy


165.00


20528


Initiation of management of anaesthesia for mediastinoscopy


132.00


20540


Initiation of management of anaesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, or mediastinum, not being a service to which another item in this subgroup applies


214.50


20542


Initiation of management of anaesthesia for pulmonary decortication


247.50


20546


Initiation of management of anaesthesia for pulmonary resection with thoracoplasty


247.50


20548


Initiation of management of anaesthesia for intrathoracic repair of trauma to trachea and bronchi


247.50


20560


Initiation of management of anaesthesia for open procedures on the heart, pericardium or great vessels of chest


330.00


Subgroup 5 — Spine and spinal cord


20600


Initiation of management of anaesthesia for procedures on cervical spine or spinal cord, or both, not being a service to which another item in this subgroup applies


165.00


20604


Initiation of management of anaesthesia for posterior cervical laminectomy with the patient in the sitting position


214.50


20620


Initiation of management of anaesthesia for procedures on thoracic spine or spinal cord, or both, not being a service to which another item in this subgroup applies


165.00


20622


Initiation of management of anaesthesia for thoracolumbar sympathectomy


214.50


20630


Initiation of management of anaesthesia for procedures in lumbar region, not being a service to which another item in this subgroup applies


132.00


20632


Initiation of management of anaesthesia for lumbar sympathectomy


115.50


20634


Initiation of management of anaesthesia for chemonucleolysis


165.00


20670


Initiation of management of anaesthesia for extensive spine or spinal cord procedures, or both


214.50


20680


Initiation of management of anaesthesia for manipulation of spine when performed in the operating theatre of a hospital or day hospital facility


49.50


20690


Initiation of management of anaesthesia for percutaneous spinal procedures, not being a service to which another item in this subgroup applies


82.50


Subgroup 6 — Upper abdomen


20700


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper anterior abdominal wall, not being a service to which another item in this subgroup applies


49.50


20702


Initiation of management of anaesthesia for percutaneous liver biopsy


66.00


20705


Initiation of management of anaesthesia for diagnostic laparoscopy procedures


99.00


20706


Initiation of management of anaesthesia for laparoscopic procedures in the upper abdomen, not being a service to which another item in this subgroup applies


115.50


20730


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper posterior abdominal wall, not being a service to which another item in this subgroup applies


82.50


20740


Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures


82.50


20745


Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage


99.00


20750


Initiation of management of anaesthesia for hernia repairs in upper abdomen, not being a service to which another item in this subgroup applies


66.00


20752


Initiation of management of anaesthesia for repair of incisional hernia or wound dehiscence, or both


99.00


20754


Initiation of management of anaesthesia for procedures on an omphalocele


115.50


20756


Initiation of management of anaesthesia for transabdominal repair of diaphragmatic hernia


148.50


20770


Initiation of management of anaesthesia for procedures on major upper abdominal blood vessels


247.50


20790


Initiation of management of anaesthesia for procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy or bowel shunts


132.00


20791


Initiation of management of anaesthesia for gastric reduction or gastroplasty for the treatment of morbid obesity


165.00


20792


Initiation of management of anaesthesia for partial hepatectomy (excluding liver biopsy)


214.50


20793


Initiation of management of anaesthesia for extended or trisegmental hepatectomy


247.50


20794


Initiation of management of anaesthesia for pancreatectomy, partial or total


198.00


20798


Initiation of management of anaesthesia for neuro endocrine tumour removal in the upper abdomen


165.00


20799


Initiation of management of anaesthesia for percutaneous procedures on an intra-abdominal organ in the upper abdomen


99.00


Subgroup 7 — Lower abdomen


20800


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the lower anterior abdominal walls, not being a service to which another item in this subgroup applies


49.50


20802


Initiation of management of anaesthesia for lipectomy of the lower abdomen


82.50


20805


Initiation of management of anaesthesia for diagnostic laparoscopic procedures


99.00


20806


Initiation of management of anaesthesia for laparoscopic procedures in the lower abdomen


115.50


20810


Initiation of management of anaesthesia for lower intestinal endoscopic procedures


66.00


20815


Initiation of management of anaesthesia for extracorporeal shock wave lithotripsy to urinary tract


99.00


20820


Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall


82.50


20830


Initiation of management of anaesthesia for hernia repairs in lower abdomen, not being a service to which another item in this subgroup applies


66.00


20832


Initiation of management of anaesthesia for repair of incisional herniae or wound dehiscence, or both, of the lower abdomen


99.00


20840


Initiation of management of anaesthesia for all procedures within the peritoneal cavity in lower abdomen, including appendicectomy, not being a service to which another item in this subgroup applies


99.00


20841


Initiation of management of anaesthesia for bowel resection, including laparoscopic bowel resection, not being a service to which another item in this subgroup applies


132.00


20842


Initiation of management of anaesthesia for amniocentesis


66.00


20844


Initiation of management of anaesthesia for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir


165.00


20845


Initiation of management of anaesthesia for radical prostatectomy


165.00


20846


Initiation of management of anaesthesia for radical hysterectomy


165.00


20848


Initiation of management of anaesthesia for pelvic exenteration


165.00


20850


Initiation of management of anaesthesia for caesarean section


198.00


20855


Initiation of management of anaesthesia for caesarean hysterectomy or hysterectomy within 24 hours of delivery


247.50


20860


Initiation of management of anaesthesia for extraperitoneal procedures in lower abdomen, including those on the urinary tract, not being a service to which another item in this subgroup applies


99.00


20862


Initiation of management of anaesthesia for renal procedures, including upper one-third of ureter


115.50


20864


Initiation of management of anaesthesia for total cystectomy


165.00


20866


Initiation of management of anaesthesia for adrenalectomy


165.00


20867


Initiation of management of anaesthesia for neuro endocrine tumour removal in the lower abdomen


165.00


20868


Initiation of management of anaesthesia for renal transplantation (donor or recipient)


165.00


20880


Initiation of management of anaesthesia for procedures on major lower abdominal vessels, not being a service to which another item in this subgroup applies


247.50


20882


Initiation of management of anaesthesia for inferior vena cava ligation


165.00


20884


Initiation of management of anaesthesia for percutaneous umbrella insertion


82.50


20886


Initiation of management of anaesthesia for percutaneous procedures on an intra-abdominal organ in the lower abdomen


99.00


Subgroup 8 — Perineum


20900


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the perineum (including biopsy of male genital system), not being a service to which another item in this subgroup applies


49.50


20902


Initiation of management of anaesthesia for anorectal procedures (including endoscopy or biopsy, or both)


66.00


20904


Initiation of management of anaesthesia for radical perineal procedures, including radical perineal prostatectomy or radical vulvectomy


115.50


20906


Initiation of management of anaesthesia for vulvectomy


66.00


20910


Initiation of management of anaesthesia for transurethral procedures (including urethrocyctoscopy), not being a service to which another item in this subgroup applies


66.00


20912


Initiation of management of anaesthesia for transurethral resection of bladder tumour or tumours


82.50


20914


Initiation of management of anaesthesia for transurethral resection of prostate


115.50


20916


Initiation of management of anaesthesia for bleeding post-transurethral resection


115.50


20920


Initiation of management of anaesthesia for procedures on male external genitalia, not being a service to which another item in this subgroup applies


49.50


20924


Initiation of management of anaesthesia for procedures on undescended testis, unilateral or bilateral


66.00


20926


Initiation of management of anaesthesia for radical orchidectomy, inguinal approach


66.00


20928


Initiation of management of anaesthesia for radical orchidectomy, abdominal approach


99.00


20930


Initiation of management of anaesthesia for orchiopexy, unilateral or bilateral


66.00


20932


Initiation of management of anaesthesia for complete amputation of penis


66.00


20934


Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal lymphadenectomy


99.00


20936


Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy


132.00


20938


Initiation of management of anaesthesia for insertion of penile prosthesis


66.00


20940


Initiation of management of anaesthesia for per vagina and vaginal procedures (including biopsy of labia, vagina, cervix or endometrium), not being a service to which another item in this subgroup applies


49.50


20942


Initiation of management of anaesthesia for colpotomy, colpectomy or colporrhaphy


66.00


20943


Initiation of management of anaesthesia for transvaginal assisted reproductive services


66.00


20944


Initiation of management of anaesthesia for vaginal hysterectomy


99.00


20946


Initiation of management of anaesthesia for vaginal delivery


132.00


20948


Initiation of management of anaesthesia for purse string ligation of cervix, or removal of purse string ligature, or removal of purse string ligature


66.00


20950


Initiation of management of anaesthesia for culdoscopy


82.50


20952


Initiation of management of anaesthesia for hysteroscopy


66.00


20954


Initiation of management of anaesthesia for correction of inverted uterus


165.00


20956


Initiation of management of anaesthesia for evacuation of retained products of conception, as a complication of confinement


66.00


20958


Initiation of management of anaesthesia for manual removal of retained placenta or for repair of vaginal or perineal tear following delivery


82.50


20960


Initiation of management of anaesthesia for vaginal procedures in the management of post partum haemorrhage, where the blood loss is greater than 500 mls


115.50


Subgroup 9 — Pelvis (except hip)


21100


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior pelvic region (anterior to iliac crest), except external genitalia


49.50


21110


Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum


82.50


21112


Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the anterior iliac crest


66.00


21114


Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the posterior iliac crest


82.50


21116


Initiation of management of anaesthesia for percutaneous bone marrow harvesting from the pelvis


99.00


21120


Initiation of management of anaesthesia for procedures on the bony pelvis


99.00


21130


Initiation of management of anaesthesia for body cast application or revision, when performed in the operating theatre of a hospital or day hospital facility


49.50


21140


Initiation of management of anaesthesia for interpelviabdominal (hindquarter) amputation


247.50


21150


Initiation of management of anaesthesia for radical procedures for tumour of the pelvis, except hindquarter amputation


165.00


21160


Initiation of management of anaesthesia for closed procedures involving symphysis pubis or sacroiliac joint, when performed in the operating theatre of a hospital or day hospital facility


66.00


21170


Initiation of management of anaesthesia for open procedures involving symphysis pubis or sacroiliac joint


132.00


Subgroup 10 — Upper leg (except knee)


21195


Initiation of management of anaesthesia for procedures on the skins or subcutaneous tissue of the upper leg


49.50


21199


Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg


66.00


21200


Initiation of management of anaesthesia for closed procedures involving hip joint, when performed in the operating theatre of a hospital or day hospital facility


66.00


21202


Initiation of management of anaesthesia for arthroscopic procedures of the hip joint


66.00


21210


Initiation of management of anaesthesia for open procedures involving hip joint, not being a service to which another item in this subgroup applies


99.00


21212


Initiation of management of anaesthesia for hip disarticulation


165.00


21214


Initiation of management of anaesthesia for total hip replacement or revision


165.00


21220


Initiation of management of anaesthesia for closed procedures involving upper two-third of femur, when performed in the operating theatre of a hospital or day hospital facility


66.00


21230


Initiation of management of anaesthesia for open procedures involving upper two-third of femur, not being a service to which another item in this subgroup applies


99.00


21232


Initiation of management of anaesthesia for above knee amputation


82.50


21234


Initiation of management of anaesthesia for radical resection of the upper two-third of femur


132.00


21260


Initiation of management of anaesthesia for procedures involving veins of upper leg, including exploration


66.00


21270


Initiation of management of anaesthesia for procedures involving arteries of upper leg, including bypass graft, not being a service to which another item in this subgroup applies


132.00


21272


Initiation of management of anaesthesia for femoral artery ligation


66.00


21274


Initiation of management of anaesthesia for femoral artery embolectomy


99.00


21280


Initiation of management of anaesthesia for microsurgical reimplantation of upper leg


247.50


Subgroup 11 — Knee and popliteal area


21300


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the knee or popliteal area, or both


49.50


21321


Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of knee or popliteal area, or both


66.00


21340


Initiation of management of anaesthesia for closed procedures on lower one-third of femur, when performed in the operating theatre of a hospital or day hospital facility


66.00


21360


Initiation of management of anaesthesia for open procedures on lower one-third of femur


82.50


21380


Initiation of management of anaesthesia for closed procedures on knee joint when performed in the operating theatre of a hospital or day hospital facility


49.50


21382


Initiation of management of anaesthesia for arthroscopic procedures of knee joint


66.00


21390


Initiation of management of anaesthesia for closed procedures on upper ends of tibia, fibula or patella, or any of them, when performed in the operating theatre of a hospital or day hospital facility


49.50


21392


Initiation of management of anaesthesia for open procedures on upper ends of tibia, fibula or patella, or any of them


66.00


21400


Initiation of management of anaesthesia for open procedures on knee joint, not being a service to which another item in this subgroup applies


66.00


21402


Initiation of management of anaesthesia for knee replacement


115.50


21403


Initiation of management of anaesthesia for bilateral knee replacement


165.00


21404


Initiation of management of anaesthesia for disarticulation of knee


82.50


21420


Initiation of management of anaesthesia for cast application, removal or repair, involving knee joint, undertaken in a hospital or approved day hospital facility


49.50


21430


Initiation of management of anaesthesia for procedures on veins of knee or popliteal area, not being a service to which another item in this subgroup applies


66.00


21432


Initiation of management of anaesthesia for repair of arteriovenous fistula of knee or popliteal area


82.50


21440


Initiation of management of anaesthesia for procedures on arteries of knee or popliteal area, not being a service to which another item in this subgroup applies


132.00


Subgroup 12 — Lower leg (below knee)


21460


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of lower leg, ankle or foot


49.50


21461


Initiation of management of anaesthesia for procedures on nerves, muscles, tendons or fascia of lower leg, ankle or foot, not being a service to which another item in this subgroup applies


66.00


21462


Initiation of management of anaesthesia for all closed procedures on lower leg, ankle or foot


49.50


21464


Initiation of management of anaesthesia for arthroscopic procedure of ankle joint


66.00


21472


Initiation of management of anaesthesia for repair of achilles tendon


82.50


21474


Initiation of management of anaesthesia for gastrocnemius recession


82.50


21480


Initiation of management of anaesthesia for open procedures on bones of lower leg, ankle or foot, including amputation, not being a service to which another item in this subgroup applies


66.00


21482


Initiation of management of anaesthesia for radical resection of bone involving lower leg, ankle or foot


82.50


21484


Initiation of management of anaesthesia for osteotomy or osteoplasty of tibia or fibula


82.50


21486


Initiation of management of anaesthesia for total ankle replacement


115.50


21490


Initiation of management of anaesthesia for lower leg cast application, removal or repair, undertaken in a hospital or approved day hospital facility


49.50


21500


Initiation of management of anaesthesia for procedures on arteries of lower leg, including bypass graft, not being a service to which another item in this subgroup applies


132.00


21502


Initiation of management of anaesthesia for embolectomy of the lower leg


99.00


21520


Initiation of management of anaesthesia for procedures on veins of lower leg, not being a service to which another item in this subgroup applies


66.00


21522


Initiation of management of anaesthesia for venous thrombectomy of the lower leg


82.50


21530


Initiation of management of anaesthesia for microsurgical reimplantation of lower leg, ankle or foot


247.50


21532


Initiation of management of anaesthesia for microsurgical reimplantation of toe


132.00


Subgroup 13 — Shoulder and axilla


21600


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the shoulder or axilla


49.50


21610


Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla, including axillary dissection


82.50


21620


Initiation of management of anaesthesia for closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, when performed in the operating theatre of a hospital or day hospital facility


66.00


21622


Initiation of management of anaesthesia for arthroscopic procedures of shoulder joint


82.50


21630


Initiation of management of anaesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, not being a service to which another item in this subgroup applies


82.50


21632


Initiation of management of anaesthesia for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint


99.00


21634


Initiation of management of anaesthesia for shoulder disarticulation


148.50


21636


Initiation of management of anaesthesia for interthoracoscapular (forequarter) amputation


247.50


21638


Initiation of management of anaesthesia for total shoulder replacement


165.00


21650


Initiation of management of anaesthesia for procedures on arteries of shoulder or axilla, not being a service to which another item in this subgroup applies


132.00


21652


Initiation of management of anaesthesia for procedures for axillary-brachial aneurysm


165.00


21654


Initiation of management of anaesthesia for bypass graft of arteries of shoulder or axilla


132.00


21656


Initiation of management of anaesthesia for axillary-femoral bypass graft


165.00


21670


Initiation of management of anaesthesia for procedures on veins of shoulder or axilla


66.00


21680


Initiation of management of anaesthesia for shoulder cast application, removal or repair, not being a service to which another item in this subgroup applies, when undertaken in a hospital or approved day hospital facility


49.50


21682


Initiation of management of anaesthesia for shoulder spica application, when undertaken in a hospital or approved day hospital facility


66.00


Subgroup 14 — Upper arm and elbow


21700


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper arm or elbow


49.50


21710


Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of upper arm or elbow, not being a service to which another item in this subgroup applies


66.00


21712


Initiation of management of anaesthesia for open tenotomy of the upper arm or elbow


82.50


21714


Initiation of management of anaesthesia for tenoplasty of the upper arm or elbow


82.50


21716


Initiation of management of anaesthesia for tenodesis for rupture of long tendon of biceps


82.50


21730


Initiation of management of anaesthesia for closed procedures on the upper arm or elbow, when performed in the operating theatre of a hospital or day hospital facility


49.50


21732


Initiation of management of anaesthesia for arthroscopic procedures of elbow joint


66.00


21740


Initiation of management of anaesthesia for open procedures on the upper arm or elbow, not being a service to which another item in this subgroup applies


82.50


21756


Initiation of management of anaesthesia for radical procedures on the upper arm or elbow


99.00


21760


Initiation of management of anaesthesia for total elbow replacement


115.50


21770


Initiation of management of anaesthesia for procedures on arteries of upper arm, not being a service to which another item in this subgroup applies


132.00


21772


Initiation of management of anaesthesia for embolectomy of arteries of the upper arm


99.00


21780


Initiation of management of anaesthesia for procedures on veins of upper arm, not being a service to which another item in this subgroup applies


66.00


21790


Initiation of management of anaesthesia for microsurgical reimplantation of upper arm


247.50


Subgroup 15 — Forearm wrist and hand


21800


Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand


49.50


21810


Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand


66.00


21820


Initiation of management of anaesthesia for closed procedures on the radius, ulna, wrist, or hand bones, when performed in the operating theatre of a hospital or day hospital facility


49.50


21830


Initiation of management of anaesthesia for open procedures on the radius, ulna, wrist, or hand bones, not being a service to which another item in this subgroup applies


66.00


21832


Initiation of management of anaesthesia for total wrist replacement


115.50


21834


Initiation of management of anaesthesia for arthroscopic procedures of the wrist joint


66.00


21840


Initiation of management of anaesthesia for procedures on the arteries of forearm, wrist or hand, not being a service to which another item in this subgroup applies


132.00


21842


Initiation of management of anaesthesia for embolectomy of artery of forearm, wrist or hand


99.00


21850


Initiation of management of anaesthesia for procedures on the veins of forearm, wrist or hand, not being a service to which another item in this subgroup applies


66.00


21860


Initiation of management of anaesthesia for forearm, wrist, or hand cast application, removal or repair, when undertaken in a hospital or approved day hospital facility


49.50


21870


Initiation of management of anaesthesia for microsurgical reimplantation of forearm, wrist or hand


247.50


21872


Initiation of management of anaesthesia for microsurgical reimplantation of a finger


132.00


Subgroup 16 — Anaesthesia for burns


21878


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves not more than 3% of total body surface


49.50


21879


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves more than 3% but less than 10% of total body surface


82.50


21880


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 10% or more but less than 20% of total body surface


115.50


21881


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 20% or more but less than 30% of total body surface


148.50


21882


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 30% or more but less than 40% of total body surface


181.50


21883


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 40% or more but less than 50% of total body surface


214.50


21884


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 50% or more but less than 60% of total body surface


247.50


21885


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 60% or more but less than 70% of total body surface


280.50


21886


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 70% or more but less than 80% of total body surface


313.50


21887


Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 80% or more of total body surface


346.50


Subgroup 17 — Anaesthesia for radiological or other diagnostic or therapeutic procedures


21900


Initiation of management of anaesthesia for injection procedure for hysterosalpingography


49.50


21906


Initiation of management of anaesthesia for injection procedure for myelography — lumbar or thoracic


82.50


21908


Initiation of management of anaesthesia for injection procedure for myelography — cervical


99.00


21910


Initiation of management of anaesthesia for injection procedure for myelography — posterior fossa


148.50


21912


Initiation of management of anaesthesia for injection procedure for discography — lumbar or thoracic


82.50


21914


Initiation of management of anaesthesia for injection procedure for discography — cervical


99.00


21915


Initiation of management of anaesthesia for peripheral arteriogram


82.50


21916


Initiation of management of anaesthesia for arteriograms — cerebral, carotid or vertebral


82.50


21918


Initiation of management of anaesthesia for retrograde arteriogram — brachial or femoral


82.50


21922


Initiation of management of anaesthesia for computerised axial tomography scanning, magnetic resonance scanning or digital subtraction angiography scanning


115.50


21925


Initiation of management of anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography


66.00


21926


Initiation of management of anaesthesia for fluoroscopy


82.50


21927


Initiation of management of anaesthesia for barium enema or other opaque study of the small bowel


82.50


21930


Initiation of management of anaesthesia for bronchography


99.00


21935


Initiation of management of anaesthesia for phlebography


82.50


21936


Initiation of management of anaesthesia for heart — 2 dimensional real time transoesophageal examination


99.00


21939


Initiation of management of anaesthesia for peripheral venous cannulation


49.50


21941


Initiation of management of anaesthesia for cardiac catheterisation (including coronary arteriography, ventriculography, cardiac mapping or insertion of automatic defibrillator or transvenous pacemaker)


115.50


21942


Initiation of management of anaesthesia for cardiac electrophysiological procedures including radio frequency ablation


165.00


21943


Initiation of management of anaesthesia for central vein catheterisation or insertion of right heart balloon catheter (via jugular, subclavian or femoral vein) by percutaneous or open exposure


82.50


21945


Initiation of management of anaesthesia for lumbar puncture, cisternal puncture or epidural injection


82.50


21949


Initiation of management of anaesthesia for harvesting of bone marrow for the purpose of transplantation


82.50


21952


Initiation of management of anaesthesia for muscle biopsy for malignant hyperpyrexia


165.00


21955


Initiation of management of anaesthesia for electroencephalography


82.50


21959


Initiation of management of anaesthesia for brain stem evoked response audiometry


82.50


21962


Initiation of management of anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method


82.50


21965


Initiation of management of anaesthesia as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia


82.50


21969


Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is not confined in the chamber (including the administration of oxygen)


132.00


21970


Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is confined in the chamber (including the administration of oxygen)


247.50


21973


Initiation of management of anaesthesia for brachytherapy using radioactive sealed sources


82.50


21976


Initiation of management of anaesthesia for therapeutic nuclear medicine


82.50


21980


Initiation of management of anaesthesia for radiotherapy


82.50


Subgroup 18 — Miscellaneous


21990


Initiation of management of anaesthesia, being a service to which another item in this subgroup or in Subgroups 1 to 17 or 20 would have applied if the procedure in connection with which the service is provided had not been discontinued


49.50


21992


Initiation of management of anaesthesia performed on a person under the age of 10 years in connection with a procedure covered by an item that does not include the word `(Anaes.)'


66.00


21997


Initiation of management of anaesthesia in connection with a procedure covered by an item that does not include the word `(Anaes.)', not being a service to which item 21965 or 21992 applies, where it can be demonstrated that there is a clinical need for anaesthesia


66.00


Subgroup 19 — Therapeutic and diagnostic services performed in connection with administration of anaesthesia


22001


Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in an emergency situation, when performed in association with the administration of anaesthesia


49.50


22002


Administration of blood or bone marrow already collected, when performed in association with the administration of anaesthesia


66.00


22007


Awake endotracheal intubation with flexible fibreoptic scope associated with difficult airway, when performed in association with the administration of anaesthesia


66.00


22008


Double lumen endobronchial tube or bronchial blocker, insertion of, when performed in association with the administration of anaesthesia


66.00


22012


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), when performed in association with the administration of anaesthesia


49.50


22014


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), when performed in association with the administration of anaesthesia relating to another discrete operation on the same day


49.50


22015


Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement, when performed in association with the administration of anaesthesia


99.00


22020


Central vein catheterisation (via jugular, subclavian or femoral vein) by percutaneous or open exposure, not being a service to which item 13318 applies, when performed in association with the administration of anaesthesia


66.00


22025


Intraarterial cannulation when performed in association with the administration of anaesthesia


66.00


22030


Introduction of a narcotic, for the control of postoperative pain, into the epidural or intrathecal space in conjunction with an operation


33.00


22035


Introduction of a local anaesthetic, for control of postoperative pain, into the epidural or intrathecal space, in conjunction with an operation


33.00


22040


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 hip, knee, ankle or foot surgery


33.00


22045


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 hip, knee, ankle or foot surgery


49.50


22050


Introduction of a regional of 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


33.00


22055


Perfusion of limb or organ using heart-lung machine or equivalent, not being a service associated with a service to which an item in Subgroup 21 applies


198.00


22060


Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies


330.00


22065


Induced controlled hypothermia — total body, not being a service associated with a service to which an item in Subgroup 21 applies


82.50


22070


Cardioplegia, blood or crystalloid, administration by any route, not being a service associated with a service to which an item in Subgroup 21 applies


165.00


22075


Deep hypothermic circulatory arrest, with core temperature less than 22°c, including management of retrograde cerebral perfusion (if performed), not being a service associated with a service to which an item in Subgroup 21 applies


247.50


Subgroup 20 — Administration of anaesthesia in connection with a dental service


22900


Initiation of management by a medical practitioner of anaesthesia for extraction of tooth or teeth, with or without incision of soft tissue or removal of bone


82.50


22905


Initiation of management of anaesthesia for restorative dental work


82.50


Subgroup 21 — Anaesthesia, perfusion and assistance at anaesthesia (time component)


23010


Anaesthesia, perfusion or assistance, where the service time is not more than 15 minutes


16.50


23021


Anaesthesia, perfusion or assistance, where the service time is more than 15 minutes but not more than 20 minutes


33.00


23022


Anaesthesia, perfusion or assistance, where the service time is more than 20 minutes but not more than 25 minutes


33.00


23023


Anaesthesia, perfusion or assistance, where the service time is more than 25 minutes but not more than 30 minutes


33.00


23031


Anaesthesia, perfusion or assistance, where the service time is more than 30 minutes but not more than 35 minutes


49.50


23032


Anaesthesia, perfusion or assistance, where the service time is more than 35 minutes but not more than 40 minutes


49.50


23033


Anaesthesia, perfusion or assistance, where the service time is more than 40 minutes but not more than 45 minutes


49.50


23041


Anaesthesia, perfusion or assistance, where the service time is more than 45 minutes but not more than 50 minutes


66.00


23042


Anaesthesia, perfusion or assistance, where the service time is more than 50 minutes but not more than 55 minutes


66.00


23043


Anaesthesia, perfusion or assistance, where the service time is more than 55 minutes but not more than 1 hour


66.00


23051


Anaesthesia, perfusion or assistance, where the service time is more than 1:01 hours but not more than 1:05 hours


82.50


23052


Anaesthesia, perfusion or assistance, where the service time is more than 1:05 hours but not more than 1:10 hours


82.50


23053


Anaesthesia, perfusion or assistance, where the service time is more than 1:10 hours but not more than 1:15 hours


82.50


23061


Anaesthesia, perfusion or assistance, where the service time is more than 1:15 hours but not more than 1:20 hours


99.00


23062


Anaesthesia, perfusion or assistance, where the service time is more than 1:20 hours but not more than 1:25 hours


99.00


23063


Anaesthesia, perfusion or assistance, where the service time is more than 1:25 hours but not more than 1:30 hours


99.00


23071


Anaesthesia, perfusion or assistance, where the service time is more than 1:30 hours but not more than 1:35 hours


115.50


23072


Anaesthesia, perfusion or assistance, where the service time is more than 1:35 hours but not more than 1:40 hours


115.50


23073


Anaesthesia, perfusion or assistance, where the service time is more than 1:40 hours but not more than 1:45 hours


115.50


23081


Anaesthesia, perfusion or assistance, where the service time is more than 1:45 hours but not more than 1:50 hours


132.00


23082


Anaesthesia, perfusion or assistance, where the service time is more than 1:50 hours but not more than 1:55 hours


132.00


23083


Anaesthesia, perfusion or assistance, where the service time is more than 1:55 hours but not more than 2:00 hours


132.00


23090


Anaesthesia, perfusion or assistance, where the service time is more than 2:00 hours but not more than 2:15 hours


148.50


23100


Anaesthesia, perfusion or assistance, where the service time is more than 2:15 hours but not more than 2:30 hours


165.00


23110


Anaesthesia, perfusion or assistance, where the service time is more than 2:30 hours but not more than 2:45 hours


181.50


23120


Anaesthesia, perfusion or assistance, where the service time is more than 2:45 hours but not more than 3:00 hours


198.00


23130


Anaesthesia, perfusion or assistance, where the service time is more than 3:00 hours but not more than 3:15 hours


214.50


23140


Anaesthesia, perfusion or assistance, where the service time is more than 3:15 hours but not more than 3:30 hours


231.00


23150


Anaesthesia, perfusion or assistance, where the service time is more than 3:30 hours but not more than 3:45 hours


247.50


23160


Anaesthesia, perfusion or assistance, where the service time is more than 3:45 hours but not more than 4:00 hours


264.00


23170


Anaesthesia, perfusion or assistance, where the service time is more than 4:00 hours but not more than 4:10 hours


280.50


23180


Anaesthesia, perfusion or assistance, where the service time is more than 4:10 hours but not more than 4:20 hours


297.00


23190


Anaesthesia, perfusion or assistance, where the service time is more than 4:20 hours but not more than 4:30 hours


313.50


23200


Anaesthesia, perfusion or assistance, where the service time is more than 4:30 hours but not more than 4:40 hours


330.00


23210


Anaesthesia, perfusion or assistance, where the service time is more than 4:40 hours but not more than 4:50 hours


346.50


23220


Anaesthesia, perfusion or assistance, where the service time is more than 4:50 hours but not more than 5:00 hours


363.00


23230


Anaesthesia, perfusion or assistance, where the service time is more than 5:00 hours but not more than 5:10 hours


379.50


23240


Anaesthesia, perfusion or assistance, where the service time is more than 5:10 hours but not more than 5:20 hours


396.00


23250


Anaesthesia, perfusion or assistance, where the service time is more than 5:20 hours but not more than 5:30 hours


412.50


23260


Anaesthesia, perfusion or assistance, where the service time is more than 5:30 hours but not more than 5:40 hours


429.00


23270


Anaesthesia, perfusion or assistance, where the service time is more than 5:40 hours but not more than 5:50 hours


445.50


23280


Anaesthesia, perfusion or assistance, where the service time is more than 5:50 hours but not more than 6:00 hours


462.00


23290


Anaesthesia, perfusion or assistance, where the service time is more than 6:00 hours but not more than 6:10 hours


478.50


23300


Anaesthesia, perfusion or assistance, where the service time is more than 6:10 hours but not more than 6:20 hours


495.00


23310


Anaesthesia, perfusion or assistance, where the service time is more than 6:20 hours but not more than 6:30 hours


511.50


23320


Anaesthesia, perfusion or assistance, where the service time is more than 6:30 hours but not more than 6:40 hours


528.00


23330


Anaesthesia, perfusion or assistance, where the service time is more than 6:40 hours but not more than 6:50 hours


544.50


23340


Anaesthesia, perfusion or assistance, where the service time is more than 6:50 hours but not more than 7:00 hours


561.00


23350


Anaesthesia, perfusion or assistance, where the service time is more than 7:00 hours but not more than 7:10 hours


577.50


23360


Anaesthesia, perfusion or assistance, where the service time is more than 7:10 hours but not more than 7:20 hours


594.00


23370


Anaesthesia, perfusion or assistance, where the service time is more than 7:20 hours but not more than 7:30 hours


610.50


23380


Anaesthesia, perfusion or assistance, where the service time is more than 7:30 hours but not more than 7:40 hours


627.00


23390


Anaesthesia, perfusion or assistance, where the service time is more than 7:40 hours but not more than 7:50 hours


643.50


23400


Anaesthesia, perfusion or assistance, where the service time is more than 7:50 hours but not more than 8:00 hours


660.00


23410


Anaesthesia, perfusion or assistance, where the service time is more than 8:00 hours but not more than 8:10 hours


676.50


23420


Anaesthesia, perfusion or assistance, where the service time is more than 8:10 hours but not more than 8:20 hours


693.00


23430


Anaesthesia, perfusion or assistance, where the service time is more than 8:20 hours but not more than 8:30 hours


709.50


23440


Anaesthesia, perfusion or assistance, where the service time is more than 8:30 hours but not more than 8:40 hours


726.00


23450


Anaesthesia, perfusion or assistance, where the service time is more than 8:40 hours but not more than 8:50 hours


742.50


23460


Anaesthesia, perfusion or assistance, where the service time is more than 8:50 hours but not more than 9:00 hours


759.00


23470


Anaesthesia, perfusion or assistance, where the service time is more than 9:00 hours but not more than 9:10 hours


775.50


23480


Anaesthesia, perfusion or assistance, where the service time is more than 9:10 hours but not more than 9:20 hours


792.00


23490


Anaesthesia, perfusion or assistance, where the service time is more than 9:20 hours but not more than 9:30 hours


808.50


23500


Anaesthesia, perfusion or assistance, where the service time is more than 9:30 hours but not more than 9:40 hours


825.00


23510


Anaesthesia, perfusion or assistance, where the service time is more than 9:40 hours but not more than 9:50 hours


841.50


23520


Anaesthesia, perfusion or assistance, where the service time is more than 9:50 hours but not more than 10:00 hours


858.00


23530


Anaesthesia, perfusion or assistance, where the service time is more than 10:00 hours but not more than 10:10 hours


874.50


23540


Anaesthesia, perfusion or assistance, where the service time is more than 10:10 hours but not more than 10:20 hours


891.00


23550


Anaesthesia, perfusion or assistance, where the service time is more than 10:20 hours but not more than 10:30 hours


907.50


23560


Anaesthesia, perfusion or assistance, where the service time is more than 10:30 hours but not more than 10:40 hours


924.00


23570


Anaesthesia, perfusion or assistance, where the service time is more than 10:40 hours but not more than 10:50 hours


940.50


23580


Anaesthesia, perfusion or assistance, where the service time is more than 10:50 hours but not more than 11:00 hours


957.00


23590


Anaesthesia, perfusion or assistance, where the service time is more than 11:00 hours but not more than 11:10 hours


973.50


23600


Anaesthesia, perfusion or assistance, where the service time is more than 11:10 hours but not more than 11:20 hours


990.00


23610


Anaesthesia, perfusion or assistance, where the service time is more than 11:20 hours but not more than 11:30 hours


1 006.50


23620


Anaesthesia, perfusion or assistance, where the service time is more than 11:30 hours but not more than 11:40 hours


1 023.00


23630


Anaesthesia, perfusion or assistance, where the service time is more than 11:40 hours but not more than 11:50 hours


1 039.50


23640


Anaesthesia, perfusion or assistance, where the service time is more than 11:50 hours but not more than 12:00 hours


1 056.00


23650


Anaesthesia, perfusion or assistance, where the service time is more than 12:00 hours but not more than 12:10 hours


1 072.50


23660


Anaesthesia, perfusion or assistance, where the service time is more than 12:10 hours but not more than 12:20 hours


1 089.00


23670


Anaesthesia, perfusion or assistance, where the service time is more than 12:20 hours but not more than 12:30 hours


1 105.50


23680


Anaesthesia, perfusion or assistance, where the service time is more than 12:30 hours but not more than 12:40 hours


1 122.00


23690


Anaesthesia, perfusion or assistance, where the service time is more than 12:40 hours but not more than 12:50 hours


1 138.50


23700


Anaesthesia, perfusion or assistance, where the service time is more than 12:50 hours but not more than 13:00 hours


1 155.00


23710


Anaesthesia, perfusion or assistance, where the service time is more than 13:00 hours but not more than 13:10 hours


1 171.50


23720


Anaesthesia, perfusion or assistance, where the service time is more than 13:10 hours but not more than 13:20 hours


1 188.00


23730


Anaesthesia, perfusion or assistance, where the service time is more than 13:20 hours but not more than 13:30 hours


1 204.50


23740


Anaesthesia, perfusion or assistance, where the service time is more than 13:30 hours but not more than 13:40 hours


1 221.00


23750


Anaesthesia, perfusion or assistance, where the service time is more than 13:40 hours but not more than 13:50 hours


1 237.50


23760


Anaesthesia, perfusion or assistance, where the service time is more than 13:50 hours but not more than 14:00 hours


1 254.00


23770


Anaesthesia, perfusion or assistance, where the service time is more than 14:00 hours but not more than 14:10 hours


1 270.50


23780


Anaesthesia, perfusion or assistance, where the service time is more than 14:10 hours but not more than 14:20 hours


1 287.00


23790


Anaesthesia, perfusion or assistance, where the service time is more than 14:20 hours but not more than 14:30 hours


1 303.50


23800


Anaesthesia, perfusion or assistance, where the service time is more than 14:30 hours but not more than 14:40 hours


1 320.00


23810


Anaesthesia, perfusion or assistance, where the service time is more than 14:40 hours but not more than 14:50 hours


1 336.50


23820


Anaesthesia, perfusion or assistance, where the service time is more than 14:50 hours but not more than 15:00 hours


1 353.00


23830


Anaesthesia, perfusion or assistance, where the service time is more than 15:00 hours but not more than 15:10 hours


1 369.50


23840


Anaesthesia, perfusion or assistance, where the service time is more than 15:10 hours but not more than 15:20 hours


1 386.00


23850


Anaesthesia, perfusion or assistance, where the service time is more than 15:20 hours but not more than 15:30 hours


1 402.50


23860


Anaesthesia, perfusion or assistance, where the service time is more than 15:30 hours but not more than 15:40 hours


1 419.00


23870


Anaesthesia, perfusion or assistance, where the service time is more than15:40 hours but not more than 15:50 hours


1 435.50


23880


Anaesthesia, perfusion or assistance, where the service time is more than 15:50 hours but not more than 16:00 hours


1 452.00


23890


Anaesthesia, perfusion or assistance, where the service time is more than 16:00 hours but not more than 16:10 hours


1 468.50


23900


Anaesthesia, perfusion or assistance, where the service time is more than 16:10 hours but not more than 16:20 hours


1 485.00


23910


Anaesthesia, perfusion or assistance, where the service time is more than 16:20 hours but not more than 16:30 hours


1 501.50


23920


Anaesthesia, perfusion or assistance, where the service time is more than 16:30 hours but not more than 16:40 hours


1 518.00


23930


Anaesthesia, perfusion or assistance, where the service time is more than 16:40 hours but not more than 16:50 hours


1 534.50


23940


Anaesthesia, perfusion or assistance, where the service time is more than 16:50 hours but not more than 17:00 hours


1 551.00


23950


Anaesthesia, perfusion or assistance, where the service time is more than 17:00 hours but not more than 17:10 hours


1 567.50


23960


Anaesthesia, perfusion or assistance, where the service time is more than 17:10 hours but not more than 17:20 hours


1 584.00


23970


Anaesthesia, perfusion or assistance, where the service time is more than 17:20 hours but not more than 17:30 hours


1 600.50


23980


Anaesthesia, perfusion or assistance, where the service time is more than 17:30 hours but not more than 17:40 hours


1 617.00


23990


Anaesthesia, perfusion or assistance, where the service time is more than17:40 hours but not more than 17:50 hours


1 633.50


24100


Anaesthesia, perfusion or assistance, where the service time is more than 17:50 hours but not more than 18:00 hours


1 650.00


24101


Anaesthesia, perfusion or assistance, where the service time is more than 18:00 hours but not more than 18:10 hours


1 666.50


24102


Anaesthesia, perfusion or assistance, where the service time is more than 18:10 hours but not more than 18:20 hours


1 683.00


24103


Anaesthesia, perfusion or assistance, where the service time is more than 18:20 hours but not more than 18:30 hours


1 699.50


24104


Anaesthesia, perfusion or assistance, where the service time is more than 18:30 hours but not more than 18:40 hours


1 716.00


24105


Anaesthesia, perfusion or assistance, where the service time is more than 18:40 hours but not more than 18:50 hours


1 732.50


24106


Anaesthesia, perfusion or assistance, where the service time is more than 18:50 hours but not more than 19:00 hours


1 749.00


24107


Anaesthesia, perfusion or assistance, where the service time is more than 19:00 hours but not more than 19:10 hours


1 765.50


24108


Anaesthesia, perfusion or assistance, where the service time is more than 19:10 hours but not more than 19:20 hours


1 782.00


24109


Anaesthesia, perfusion or assistance, where the service time is more than 19:20 hours but not more than 19:30 hours


1 798.50


24110


Anaesthesia, perfusion or assistance, where the service time is more than 19:30 hours but not more than 19:40 hours


1 815.00


24111


Anaesthesia, perfusion or assistance, where the service time is more than 19:40 hours but not more than 19:50 hours


1 831.50


24112


Anaesthesia, perfusion or assistance, where the service time is more than 19:50 hours but not more than 20:00 hours


1 848.00


24113


Anaesthesia, perfusion or assistance, where the service time is more than 20:00 hours but not more than 20:10 hours


1 864.50


24114


Anaesthesia, perfusion or assistance, where the service time is more than 20:10 hours but not more than 20:20 hours


1 881.00


24115


Anaesthesia, perfusion or assistance, where the service time is more than 20:20 hours but not more than 20:30 hours


1 897.50


24116


Anaesthesia, perfusion or assistance, where the service time is more than 20:30 hours but not more than 20:40 hours


1 914.00


24117


Anaesthesia, perfusion or assistance, where the service time is more than 20:40 hours but not more than 20:50 hours


1 930.50


24118


Anaesthesia, perfusion or assistance, where the service time is more than 20:50 hours but not more than 21:00 hours


1 947.00


24119


Anaesthesia, perfusion or assistance, where the service time is more than 21:00 hours but not more than 21:10 hours


1 963.50


24120


Anaesthesia, perfusion or assistance, where the service time is more than 21:10 hours but not more than 21:20 hours


1 980.00


24121


Anaesthesia, perfusion or assistance, where the service time is more than 21:20 hours but not more than 21:30 hours


1 996.50


24122


Anaesthesia, perfusion or assistance, where the service time is more than 21:30 hours but not more than 21:40 hours


2 013.00


24123


Anaesthesia, perfusion or assistance, where the service time is more than 21:40 hours but not more than 21:50 hours


2 029.50


24124


Anaesthesia, perfusion or assistance, where the service time is more than 21:50 hours but not more than 22:00 hours


2 046.00


24125


Anaesthesia, perfusion or assistance, where the service time is more than 22:00 hours but not more than 22:10 hours


2 062.50


24126


Anaesthesia, perfusion or assistance, where the service time is more than 22:10 hours but not more than 22:20 hours


2 079.00


24127


Anaesthesia, perfusion or assistance, where the service time is more than 22:20 hours but not more than 22:30 hours


2 095.50


24128


Anaesthesia, perfusion or assistance, where the service time is more than 22:30 hours but not more than 22:40 hours


2 112.00


24129


Anaesthesia, perfusion or assistance, where the service time is more than 22:40 hours but not more than 22:50 hours


2 128.50


24130


Anaesthesia, perfusion or assistance, where the service time is more than 22:50 hours but not more than 23:00 hours


2 145.00


24131


Anaesthesia, perfusion or assistance, where the service time is more than 23:00 hours but not more than 23:10 hours


2 161.50


24132


Anaesthesia, perfusion or assistance, where the service time is more than 23:10 hours but not more than 23:20 hours


2 178.00


24133


Anaesthesia, perfusion or assistance, where the service time is more than 23:20 hours but not more than 23:30 hours


2 194.50


24134


Anaesthesia, perfusion or assistance, where the service time is more than 23:30 hours but not more than 23:40 hours


2 211.00


24135


Anaesthesia, perfusion or assistance, where the service time is more than 23:40 hours but not more than 23:50 hours


2 227.50


24136


Anaesthesia, perfusion or assistance, where the service time is more than 23:50 hours but not more than 24:00 hours


2 244.00


Subgroup 22 — Anaesthesia, perfusion and assistance at anaesthesia (modifying components — physical status)


25000


Anaesthesia, perfusion or assistance, where the patient has severe systemic disease (equivalent to ASA physical status indicator 3)


16.50


25005


Anaesthesia, perfusion or assistance, where the patient has severe systemic disease which is a constant threat to life (equivalent to ASA physical status indicator 4)


33.00


25010


Anaesthesia, perfusion or assistance, where the patient is not expected to survive for 24 hours, with or without the associated operation (equivalent to ASA physical status indicator 5)


49.50


Subgroup 23 — Anaesthesia, perfusion and assistance at anaesthesia (modifying components — other)


25015


Anaesthesia, perfusion or assistance, where the patient's age is less than 12 months or is 70 years or more


16.50


25020


Anaesthesia, perfusion or assistance, where the patient requires immediate treatment without which there would be significant threat to life or body part — not being a service associated with a service to which item 25025, 25030 or 25050 applies


33.00


Subgroup 24 — Anaesthesia and assistance at anaesthesia (after hours emergency modifier)


25025


Anaesthesia, where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday


Amount under rule 64


25030


Assistance, where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday


Amount under rule 64


Subgroup 25 — Perfusion (after hours emergency modifier)


25050


Perfusion, where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday


Amount under rule 64


Subgroup 26 — Assistance at anaesthesia


25200


Assistance in the administration of anaesthesia requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of attendance on all other patients


Amount under rule 67


25205


Assistance in the administration of elective anaesthesia, where:

(a) the patient has complex airway problems; or
(b) the patient is a neonate or a complex paediatric case; or
(c) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or
(d) the patient is critically ill, with multiple organ failure; or
(e) the service time of the administration of anaesthesia exceeds 6 hours and the assistance is provided to the exclusion of attendance on all other patients


Amount under rule 67


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 37


30003


Localised burns, dressing of, (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation


30.20


30006


Extensive burns, dressing of, without anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation


38.65


30009


Localised burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes.)


50.45


30010


Localised burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes.)


61.40


30013


Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes.)


108.75


30014


Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes.)


129.15


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 (Anaes.) (Assist.)


270.90


30020


Burns, excision of, under general anaesthesia, involving more than 10% of body surface, where grafting is not carried out during the same operation (Anaes.) (Assist.)


527.65


30023


Wound of soft tissue, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field block, including suturing of that wound when performed (Anaes.) (Assist.)


270.90


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 (Anaes.)


43.40


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 (Anaes.)


74.75


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 (Anaes.)


68.55


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 (Anaes.)


97.65


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 (Anaes.)


74.75


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) (Anaes.)


119.70


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) (Anaes.)


154.30


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 (Anaes.)


97.65


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) (Anaes.)


124.45


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) (Anaes.)


154.30


30052


Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.)


211.05


30055


Wounds, dressing of, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this group applies (Anaes.)


61.40


30058


Post-operative haemorrhage, control of, under general anaesthesia, as an independent procedure (Anaes.)


119.70


30061


Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes.)


19.50


30064


Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.)


91.35


30067


Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (Anaes.) (Assist.)


185.85


30068


Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (Anaes.) (Assist.)


229.95


30071


Diagnostic biopsy of skin or mucous membrane, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)


43.40


30074


Diagnostic biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure, where the biopsy specimen is sent for pathological examination (G) (Anaes.)


97.65


30075


Diagnostic biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure, where the biopsy specimen is sent for pathological examination (S) (Anaes.)


124.45


30078


Diagnostic drill biopsy of lymph gland, deep tissue or organ, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)


40.25


30081


Diagnostic biopsy of bone marrow by trephine using an open approach, where the biopsy specimen is sent for pathological examination (Anaes.)


91.35


30084


Diagnostic biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device, where the biopsy specimen is sent for pathological examination (Anaes.)


48.85


30087


Diagnostic biopsy of bone marrow by aspiration or punch biopsy of synovial membrane, where the biopsy specimen is sent for pathological examination (Anaes.)


24.50


30090


Diagnostic biopsy of pleura, percutaneous, where the biopsy specimen is sent for pathological examination — 1 or more biopsies on any 1 occasion (Anaes.)


106.80


30093


Diagnostic needle biopsy of vertebra, where the biopsy specimen is sent for pathological examination (Anaes.)


142.60


30094


Diagnostic percutaneous aspiration biopsy of deep organ using interventional techniques (but not including imaging) where the biopsy specimen is sent for pathological examination (Anaes.)


157.40


30096


Scalene node biopsy (Anaes.)


152.85


30099


Sinus, excision of, involving superficial tissue only (Anaes.)


74.75


30102


Sinus, excision of, involving muscle and deep tissue (G) (Anaes.)


124.45


30103


Sinus, excision of, involving muscle and deep tissue (S) (Anaes.)


152.85


30104


Pre-auricular sinus, excision of (Anaes.)


105.50


30106


Ganglion or small bursa, excision of, not being a service associated with a service to which another item in this group applies (G) (Anaes.)


129.15


30107


Ganglion or small bursa, excision of, not being a service associated with a service to which another item in this group applies (S) (Anaes.)


182.75


30110


Bursa (large), including olecranon, calcaneum or patella, excision of (G) (Anaes.) (Assist.)


236.30


30111


Bursa (large), including olecranon, calcaneum or patella, excision of (S) (Anaes.) (Assist.)


308.75


30114


Bursa, semimembranosus (Baker's cyst), excision of (Anaes.) (Assist.)


308.75


30165


Lipectomy — transverse wedge excision of abdominal apron, not being a service associated with a service to which item 45533, 45564 or 45565 applies, and not being a service performed within 12 months after the end of a pregnancy of the patient (Anaes.) (Assist.)


378.00


30168


Lipectomy — wedge excision of skin or fat, not being a service associated with a service to which item 45533, 45564 or 45565 applies, and not being a service to which item 30165 applies — 1 excision (Anaes.) (Assist.)


378.00


30171


Lipectomy — wedge excision of skin or fat, not being a service associated with a service to which item 45533, 45564 or 45565 applies, and not being a service to which item 30165 applies — 2 or more excisions (Anaes.) (Assist.)


574.95


30174


Lipectomy — subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall, not being a service associated with a service to which item 45533, 45564 or 45565 applies (Anaes.) (Assist.)


574.95


30177


Lipectomy — radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 45533, 45564 or 45565 applies, and not being a service performed within 12 months after the end of a pregnancy of the patient (Anaes.) (Assist.)


819.20


30178


Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, being a service associated with items 45533, 45564 or 45565 (Anaes.) (Assist.)


574.95


30180


Axillary hyperhidrosis, partial excision for (Anaes.)


113.40


30183


Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes.)


204.80


30185


Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies


151.65


30186


Palmar or plantar warts (less than 10), definitive removal of, excluding ablative methods alone, not being a service to which item 30185 or 30187 applies (Anaes.)


39.45


30187


Palmar or plantar warts, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital or day-hospital facility, or when performed by a specialist in the practice of his or her specialty (5 or more warts) (Anaes.)


213.55


30189


Warts or molluscum contagiosum (1 or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in this group applies (Anaes.)


122.40


30190


Angiofibromas, trichoepitheliomas or other severely disfiguring tumours of the face or neck, suitable for laser excision as confirmed by specialist opinion — removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated resurfacing (10 or more tumours) (Anaes.)


330.55


30192


Premalignant skin lesions (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.)


32.95


30195


Benign neoplasm of skin, 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 applies (1 or more lesions) (Anaes.)


52.75


30196


Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by specialist opinion — removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy, or diathermy, not being a service to which item 30197 applies (Anaes.)


104.95


30197


Malignant neoplasm 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) (Anaes.)


365.70


30202


Malignant neoplasm 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


40.15


30203


Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles (10 or more lesions)


141.50


30205


Malignant neoplasm of skin proven by histopathology, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles if the malignant neoplasm extends into cartilage (Anaes.)


104.95


30207


Skin lesions, multiple injections with hydrocortisone or similar preparations (Anaes.)


37.05


30210


Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


135.45


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 (Anaes.)


91.25


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 7 th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period


91.25


30216


Haematoma, aspiration of (Anaes.)


22.70


30219


Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital or day-hospital facility, incision with drainage of, excluding after-care


22.70


30223


Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, requiring admission to a hospital or day-hospital facility, incision with drainage of, excluding after-care (Anaes.)


135.45


30224


Percutaneous drainage of deep abscess using interventional techniques — but not including imaging (Anaes.)


197.45


30225


Abscess drainage tube, exchange of using interventional techniques — but not including imaging (Anaes.)


222.45


30226


Muscle, excision of (limited) or fasciotomy (Anaes.)


124.45


30229


Muscle, excision of (extensive) (Anaes.) (Assist.)


226.85


30232


Muscle, ruptured, repair of (limited), not associated with external wound (Anaes.)


185.85


30235


Muscle, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.)


245.75


30238


Fascia, deep, repair of, for herniated muscle (Anaes.)


124.45


30241


Bone tumour, innocent, excision of, not being a service to which another item in this group applies (Anaes.) (Assist.)


296.15


30244


Styloid process of temporal bone, removal of (Anaes.) (Assist.)


296.15


30246


Parotid duct, repair of, using micro-surgical techniques (Anaes.) (Assist.)


573.25


30247


Parotid gland, total extirpation of (Anaes.) (Assist.)


614.40


30250


Parotid gland, total extirpation of with preservation of facial nerve (Anaes.) (Assist.)


1 039.65


30251


Recurrent parotid tumour, excision of, with preservation of facial nerve (Anaes.) (Assist.)


1 597.00


30253


Parotid gland, superficial lobectomy of, with exposure of facial nerve (Anaes.) (Assist.)


693.20


30255


Submandibular ducts, relocation of, for surgical control of drooling (Anaes.) (Assist.)


923.00


30256


Submandibular gland, extirpation of (Anaes.) (Assist.)


370.20


30259


Sublingual gland, extirpation of (Anaes.)


163.80


30262


Salivary gland, dilatation or diathermy of duct (Anaes.)


48.85


30265


Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (Anaes.)


97.65


30266


Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (Anaes.)


124.45


30269


Salivary gland, repair of cutaneous fistula of (Anaes.)


124.45


30272


Tongue, partial excision of (Anaes.) (Assist.)


245.75


30275


Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (Anaes.) (Assist.)


1 465.00


30278


Tongue tie, repair of, not being a service to which another item in this group applies (Anaes.)


38.65


30281


Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged 2 years and over, under general anaesthesia (Anaes.)


99.25


30282


Ranula or mucous cyst of mouth, removal of (G) (Anaes.)


129.15


30283


Ranula or mucous cyst of mouth, removal of (S) (Anaes.)


170.15


30286


Branchial cyst, removal of (Anaes.) (Assist.)


330.65


30289


Branchial fistula, removal of (Anaes.) (Assist.)


417.45


30293


Cervical oesophagostomy, or closure of cervical oesophagostomy with or without plastic repair (Anaes.) (Assist.)


370.20


30294


Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction, or laryngopharyngectomy with tracheostomy and plastic reconstruction (Anaes.) (Assist.)


1 465.00


30296


Thyroidectomy, total (Anaes.) (Assist.)


850.80


30297


Thyroidectomy following previous thyroid surgery (Anaes.) (Assist.)


850.80


30306


Total hemithyroidectomy (Anaes.) (Assist.)


663.70


30308


Bilateral sub-total thyroidectomy (Anaes.) (Assist.)


663.70


30309


Thyroidectomy, sub-total for thyrotoxicosis (Anaes.) (Assist.)


850.80


30310


Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (Anaes.) (Assist.)


380.10


30313


Thyroglossal cyst, removal of (Anaes.) (Assist.)


226.85


30314


Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (Anaes.) (Assist.)


380.10


30315


Parathyroid operation for hyperparathyroidism (Anaes.) (Assist.)


947.30


30317


Cervical re-exploration for recurrent or persistent hyperparathyroidism (Anaes.) (Assist.)


1 134.35


30318


Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (Anaes.) (Assist.)


754.25


30320


Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (Anaes.) (Assist.)


1 134.35


30321


Retroperitoneal neuroendocrine tumour, removal of (Anaes.) (Assist.)


754.25


30323


Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (Anaes.) (Assist.)


1 134.35


30324


Adrenal gland tumour, excision of (Anaes.) (Assist.)


1 134.35


30329


Lymph glands of groin, limited excision of (Anaes.)


205.20


30330


Lymph glands of groin, radical excision of (Anaes.) (Assist.)


597.30


30332


Lymph nodes of axilla, limited excision of (sampling) (Anaes.) (Assist.)


288.20


30335


Lymph nodes of axilla, complete excision of, to level I (Anaes.) (Assist.)


720.40


30336


Lymph nodes of axilla, complete excision of, to
level II or III (Anaes.) (Assist.)


864.55


30373


Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)


401.60


30375


Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (Anaes.) (Assist.)


433.15


30376


Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (Anaes.) (Assist.)


433.15


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 (Anaes.) (Assist.)


435.15


30379


Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (Anaes.) (Assist.)


771.35


30382


Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel (Anaes.) (Assist.)


1 086.10


30384


Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (Anaes.) (Assist.)


913.65


30385


Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (Anaes.) (Assist.)


468.10


30387


Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this group applies (Anaes.) (Assist.)


527.65


30388


Laparotomy for trauma involving 3 or more organs (Anaes.) (Assist.)


1 327.55


30390


Laparoscopy, diagnostic (Anaes.)


182.75


30391


Laparoscopy, with biopsy (Anaes.) (Assist.)


236.30


30392


Radical or debulking operation for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes.) (Assist.)


560.55


30393


Laparoscopic division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (Anaes.) (Assist.)


435.15


30394


Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (Anaes.) (Assist.)


409.55


30396


Laparotomy for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision with or without closure of abdomen and with or without mesh or zipper insertion (Anaes.) (Assist.)


844.80


30397


Laparostomy, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections (Anaes.)


193.10


30399


Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted (Anaes.) (Assist.)


265.60


30400


Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (Anaes.) (Assist.)


525.60


30402


Retroperitoneal abscess, drainage of, not involving laparotomy (Anaes.) (Assist.)


386.10


30403


Ventral, incisional, or recurrent hernia or burst abdomen, repair of (Anaes.) (Assist.)


433.15


30405


Ventral, or incisional hernia, repair of requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (Anaes.) (Assist.)


760.35


30406


Paracentesis abdominis (Anaes.)


43.40


30408


Peritoneo venous (Leveen) shunt, insertion of (Anaes.) (Assist.)


325.85


30409


Liver biopsy, percutaneous (Anaes.)


145.05


30411


Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (Anaes.)


73.80


30412


Liver biopsy by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes.)


43.50


30414


Liver, subsegmental resection of, (local excision), other than for trauma (Anaes.) (Assist.)


573.25


30415


Liver, segmental resection of, other than for trauma (Anaes.) (Assist.)


1 146.50


30416


Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5 cm in diameter (Anaes.) (Assist.)


622.50


30417


Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5 cm in diameter (Anaes.) (Assist.)


933.65


30418


Liver, lobectomy of, other than for trauma (Anaes.) (Assist.)


1 327.55


30419


Liver tumours, destruction of, by hepatic cryotherapy (Anaes.) (Assist.)


679.10


30421


Liver, tri-segmental resection (extended lobectomy) of, other than for trauma (Anaes.) (Assist.)


1 659.25


30422


Liver, repair of superficial laceration of, for trauma (Anaes.) (Assist.)


561.20


30425


Liver, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes.) (Assist.)


1 086.10


30427


Liver, segmental resection of, for trauma (Anaes.) (Assist.)


1 297.25


30428


Liver, lobectomy of, for trauma (Anaes.) (Assist.)


1 387.80


30430


Liver, extended lobectomy (tri-segmental resection) of, for trauma (Anaes.) (Assist.)


1 930.80


30431


Liver abscess, open abdominal drainage of (Anaes.) (Assist.)


433.15


30433


Liver abscess (multiple), open abdominal drainage of (Anaes.) (Assist.)


603.40


30434


Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (Anaes.) (Assist.)


488.80


30436


Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Anaes.) (Assist.)


543.05


30437


Hydatid cyst of liver, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (Anaes.) (Assist.)


675.85


30438


Hydatid cyst of liver, excision of, with drainage and excision of liver tissue (Anaes.) (Assist.)


956.40


30439


Operative cholangiography or operative pancreatography or intra operative ultrasound of the biliary tract (including 1 or more examinations performed during the 1 operation) (Anaes.) (Assist.)


154.30


30440


Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques — but not including imaging (Anaes.) (Assist.)


437.40


30441


Intra operative ultrasound for staging of intra abdominal tumours (Anaes.)


113.20


30442


Choledochoscopy in conjunction with another procedure (Anaes.)


154.30


30443


Cholecystectomy (Anaes.) (Assist.)


614.40


30445


Laparoscopic cholecystectomy (Anaes.) (Assist.)


614.40


30446


Laparoscopic cholecystectomy when procedure is completed by laparotomy (Anaes.) (Assist.)


614.40


30448


Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct (Anaes.) (Assist.)


808.55


30449


Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy (Anaes.) (Assist.)


899.10


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 (Anaes.) (Assist.)


435.75


30451


Biliary drainage tube, exchange of, using interventional techniques — but not including imaging (Anaes.) (Assist.)


222.45


30452


Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi (Anaes.) (Assist.)


313.75


30454


Choledochotomy (with or without cholecystectomy), with or without removal of calculi (Anaes.) (Assist.)


716.75


30455


Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (Anaes.) (Assist.)


842.75


30457


Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.)


1 146.50


30458


Transduodenal operation on sphincter of Oddi, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (Anaes.) (Assist.)


842.75


30460


Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes.) (Assist.)


716.75


30461


Radical resection of porta hepatis with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies (Anaes.) (Assist.)


1 228.65


30463


Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (Anaes.) (Assist.)


1 508.45


30464


Radical resection of common hepatic duct and right and left hepatic ducts involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Anaes.) (Assist.)


1 810.25


30466


Intrahepatic biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)


1 043.90


30467


Intrahepatic bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)


1 291.25


30469


Biliary stricture, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.)


1 430.10


30472


Hepatic or common bile duct, repair of, as the primary procedure subsequent to partial or total transection of bile duct or ducts (Anaes.) (Assist.)


772.35


30473


Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30476 or 30478 applies (Anaes.)


147.20


30475


Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (Anaes.)


266.15


30476


Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with endoscopic sclerosing injection or banding of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies (Anaes.)


204.10


30478


Oesophagoscopy (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures — polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies (Anaes.)


204.10


30479


Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (Anaes.)


395.65


30481


Percutaneous gastrostomy (initial procedure), including any associated imaging services (Anaes.)


296.70


30482


Percutaneous gastrostomy (repeat procedure), including any associated imaging services (Anaes.)


210.95


30483


Gastrostomy button, non-endoscopic insertion of, or non-endoscopic replacement of (Anaes.)


147.15


30484


Endoscopic retrograde cholangio-pancreatography (Anaes.)


303.25


30485


Endoscopic sphincterotomy with or without extraction of stones from common bile duct (Anaes.)


468.10


30487


Small bowel intubation with biopsy (Anaes.)


150.35


30488


Small bowel intubation — as an independent procedure (Anaes.)


74.75


30490


Oesophageal prosthesis, insertion of, including endoscopy and dilatation (Anaes.)


437.40


30491


Bile duct, endoscopic stenting of (including endoscopy and dilatation) (Anaes.)


461.50


30493


Biliary manometry (Anaes.)


276.95


30494


Endoscopic biliary dilatation (Anaes.)


349.40


30496


Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes.) (Assist.)


488.80


30497


Vagotomy and antrectomy (Anaes.) (Assist.)


582.75


30499


Vagotomy, highly selective (Anaes.) (Assist.)


693.20


30500


Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes.) (Assist.)


742.15


30502


Vagotomy, highly selective, with dilatation of pylorus (Anaes.) (Assist.)


819.20


30503


Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes.) (Assist.)


917.25


30505


Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (Anaes.) (Assist.)


458.55


30506


Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (Anaes.) (Assist.)


802.60


30508


Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (Anaes.) (Assist.)


844.80


30509


Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes.) (Assist.)


844.80


30511


Morbid obesity, gastric reduction or gastroplasty for, by any method (Anaes.) (Assist.)


706.00


30512


Morbid obesity, gastric bypass for, by any method including anastomosis (Anaes.) (Assist.)


868.80


30514


Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (Anaes.) (Assist.)


1 279.15


30515


Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy (Anaes.) (Assist.)


585.30


30517


Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (Anaes.) (Assist.)


766.35


30518


Partial gastrectomy (Anaes.) (Assist.)


820.65


30520


Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (Anaes.) (Assist.)


561.20


30521


Gastrectomy, total, for benign disease (Anaes.) (Assist.)


1 200.80


30523


Gastrectomy, sub-total radical, for carcinoma (including splenectomy when performed) (Anaes.) (Assist.)


1 254.95


30524


Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (Anaes.) (Assist.)


1 381.75


30526


Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus (including splenectomy when performed) (Anaes.) (Assist.)


1 792.00


30527


Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus — not being a service to which item 30601 applies (Anaes.) (Assist.)


724.10


30529


Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (Anaes.) (Assist.)


1 086.10


30530


Antireflux operation by cardiopexy, with or without fundoplasty (Anaes.) (Assist.)


651.70


30532


Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes.) (Assist.)


748.30


30533


Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes.) (Assist.)


890.10


30535


Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (Anaes.) (Assist.)


1 409.95


30536


Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — 1 surgeon (Anaes.) (Assist.)


1 430.10


30538


Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — conjoint surgery, principal surgeon (including after-care) (Anaes.) (Assist.)


989.60


30539


Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — conjoint surgery, co-surgeon (Assist.)


724.10


30541


Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — 1 surgeon (Anaes.) (Assist.)


1 261.10


30542


Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, principal surgeon (including after-care) (Anaes.) (Assist.)


856.80


30544


Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, co-surgeon (Assist.)


627.55


30545


Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — 1 surgeon (Anaes.) (Assist.)


1 526.70


30547


Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, principal surgeon (including after-care) (Anaes.) (Assist.)


1 049.90


30548


Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, co-surgeon (Assist.)


784.40


30550


Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — 1 surgeon (Anaes.) (Assist.)


1 713.70


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) (Anaes.) (Assist.)


1 182.70


30553


Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, co-surgeon (Assist.)


874.85


30554


Oesophagectomy with reconstruction by free jejunal graft — 1 surgeon (Anaes.) (Assist.)


1 906.75


30556


Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, principal surgeon (including after-care) (Anaes.) (Assist.)


1 315.40


30557


Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, co-surgeon (Assist.)


971.45


30559


Oesophagus, local excision for tumour of (Anaes.) (Assist.)


706.00


30560


Oesophageal perforation, repair of, by thoracotomy (Anaes.) (Assist.)


784.40


30562


Enterosomy or colostomy, closure of — not involving resection of bowel (Anaes.) (Assist.)


494.50


30563


Colostomy or ileostomy, refashioning of (Anaes.) (Assist.)


494.50


30564


Small bowel strictureplasty for chronic inflammatory bowel disease (Anaes.) (Assist.)


641.80


30565


Small intestine, resection of, without anastomosis (including formation of stoma) (Anaes.) (Assist.)


724.10


30566


Small intestine, resection of, with anastomosis (Anaes.) (Assist.)


804.35


30568


Intraoperative enterotomy for visualisation of the small intestine by endoscopy (Anaes.) (Assist.)


603.40


30569


Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (Anaes.) (Assist.)


307.65


30571


Appendicectomy, not being a service to which item 30574 applies (Anaes.) (Assist.)


370.20


30572


Laparoscopic appendicectomy (Anaes.) (Assist.)


370.20


30574


Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (Anaes.)


102.45


30575


Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection (Anaes.) (Assist.)


426.15


30577


Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding after-care (Anaes.) (Assist.)


905.15


30578


Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (Anaes.) (Assist.)


953.40


30580


Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (Anaes.) (Assist.)


868.80


30581


Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (Anaes.) (Assist.)


633.60


30583


Distal pancreatectomy (Anaes.) (Assist.)


992.50


30584


Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (Anaes.) (Assist.)


1 465.00


30586


Pancreatic cyst-anastomosis to stomach or duodenum — by open or endoscopic means (Anaes.) (Assist.)


582.75


30587


Pancreatic cyst, anastomosis to Roux loop of jejunum (Anaes.) (Assist.)


603.40


30589


Pancreatico-jejunostomy for pancreatitis or trauma (Anaes.) (Assist.)


1 039.65


30590


Pancreatico-jejunostomy following previous pancreatic surgery (Anaes.) (Assist.)


1 146.50


30593


Pancreatectomy, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.)


1 568.85


30594


Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (Anaes.) (Assist.)


1 810.25


30596


Splenorrhaphy or partial splenectomy (Anaes.) (Assist.)


745.70


30597


Splenectomy (Anaes.) (Assist.)


598.55


30599


Splenectomy, for massive spleen (weighing more than 1 500 gms) or involving thoraco-abdominal incision (Anaes.) (Assist.)


1 086.10


30600


Diaphragmatic hernia, traumatic, repair of (Anaes.) (Assist.)


645.85


30601


Diaphragmatic hernia, congenital, repair of, by thoracic or abdominal approach (Anaes.) (Assist.)


795.55


30602


Portal hypertension, porto-caval shunt for (Anaes.) (Assist.)


1 291.25


30603


Portal hypertension, meso-caval shunt for (Anaes.) (Assist.)


1 363.70


30605


Portal hypertension, selective spleno-renal shunt for (Anaes.) (Assist.)


1 550.75


30606


Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes.) (Assist.)


923.15


30609


Femoral or inguinal hernia, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies (Anaes.) (Assist.)


386.00


30612


Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (G) (Anaes.) (Assist.)


296.15


30614


Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (S) (Anaes.) (Assist.)


386.00


30615


Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (Anaes.) (Assist.)


433.15


30616


Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (G) (Anaes.)


220.50


30617


Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S) (Anaes.)


296.15


30620


Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (G) (Anaes.) (Assist.)


248.85


30621


Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S) (Anaes.) (Assist.)


338.70


30628


Hydrocele, tapping of


29.60


30631


Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (Anaes.)


196.65


30634


Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply — 1 procedure (G) (Anaes.) (Assist.)


195.35


30635


Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply — 1 procedure (S) (Anaes.) (Assist.)


242.55


30638


Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (Anaes.) (Assist.)


248.85


30641


Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (Anaes.) (Assist.)


338.70


30644


Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (Anaes.) (Assist.)


433.15


30653


Circumcision of a male under 6 months of age (Anaes.)


38.65


30656


Circumcision of a male under 10 years of age but not less than 6 months of age (Anaes.)


89.85


30659


Circumcision of a male 10 years of age or over (G) (Anaes.)


124.45


30660


Circumcision of a male 10 years of age or over (S) (Anaes.)


154.30


30663


Haemorrhage, arrest of, following circumcision requiring general anaesthesia (Anaes.)


120.00


30666


Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this group applies (Anaes.)


39.45


30672


Coccyx, excision of (Anaes.) (Assist.)


370.20


30675


Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (Anaes.)


248.85


30676


Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (Anaes.)


315.05


30679


Pilonidal sinus, injection of sclerosant fluid under anaesthesia (Anaes.)


80.00


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 (Anaes.)


482.70


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) (Anaes.)


603.40


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 (Anaes.)


724.10


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


28.25


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


79.30


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


102.30


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


119.25


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


178.30


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


316.90


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


139.65


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


119.25


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 (other than by shave 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 the specimen excised is sent for histological examination (not being a service to which item 30195 applies) (Anaes.)


139.65


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) (Anaes.)


306.65


31250


Giant hairy or compound naevus, excision of an area at least 1% of body surface — where the specimen excised is sent for histological confirmation of diagnosis (Anaes.)


306.65


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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


184.00


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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


262.35


31265


Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the sternomastoid 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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


153.30


31270


Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the 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 surgical excision and suture, and where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


214.65


31275


Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the sternomastoid 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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


248.70


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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


129.50


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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


177.05


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 where the initial specimen removed is sent for histological examination and malignancy confirmed, and any subsequently excised specimen is sent for histological examination (Anaes.)


204.35


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 where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


243.40


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


265.85


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


327.05


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


231.60


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


292.95


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


327.05


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


224.90


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


265.85


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 (with an adequate margin and as a result, no further surgery is indicated at the site of the primary tumour), and suture, and where the specimen excised is sent for histological examination and confirmation of malignancy has been obtained (Anaes.)


306.65


31340


Muscle, bone or cartilage, excision of 1 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 (Anaes.)


Amount under rule 35


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 the specimen excised is sent for histological confirmation of diagnosis (Anaes.)


175.20


31346


Liposuction (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal fat due to repeated insulin injections, where the lesion is subcutaneous and greater than 50 mm in diameter (Anaes.)


175.20


31350


Benign tumour of soft tissue, removal of by surgical excision, where the specimen excised is sent for histological confirmation of diagnosis, not being a service to which another item in this group applies (Anaes.) (Assist.)


360.15


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 (Anaes.) (Assist.)


593.75


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 (Anaes.) (Assist.)


216.95


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 (Anaes.) (Assist.)


250.40


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 (Anaes.) (Assist.)


417.35


31409


Parapharyngeal tumour, excision of, by cervical approach (Anaes.) (Assist.)


1 296.50


31412


Recurrent or persistent parapharyngeal tumour, excision of, by cervical approach (Anaes.) (Assist.)


1 597.00


31420


Lymph node of neck, biopsy of (Anaes.)


152.85


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 (Anaes.) (Assist.)


333.85


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 (Anaes.) (Assist.)


667.75


31429


Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of 1 or more of internal jugular vein, sternocleido-mastoid muscle or spinal accessory nerve (Anaes.) (Assist.)


1 040.55


31432


Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (Anaes.) (Assist.)


1 112.90


31435


Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck (Anaes.) (Assist.)


817.95


31438


Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of 1 or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve (Anaes.) (Assist.)


1 296.50


31441


Long-term implanted reservoir associated with the adjustable gastric band, repair, revision or
replacement of (Anaes.)


209.15


31450


Laparoscopic division of adhesions, as an independent procedure, where the time taken is 1 hour or less (Anaes.) (Assist.)


337.95


31452


Laparoscopic division of adhesions, as an independent procedure, where the time taken is more than 1 hour (Anaes.) (Assist.)


591.30


31454


Laparoscopy with drainage of pus, bile or blood, as an independent procedure (Anaes.) (Assist.)


468.10


31456


Gastroscopy and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)


204.10


31458


Gastroscopy and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)


244.90


31460


Percutaneous gastrostomy tube, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)


296.70


31462


Operative feeding jejunostomy performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)


433.15


31464


Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopic technique — not being a service to which item 30601 applies (Anaes.) (Assist.)


724.10


31466


Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)


1 086.15


31468


Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication (Anaes.) (Assist.)


1 193.30


31470


Laparoscopic splenectomy (Anaes.) (Assist.)


598.55


31472


Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y as a bypass procedure where prior biliary surgery has been performed (Anaes.) (Assist.)


972.20


31500


Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (Anaes.)


216.10


31503


Breast, benign lesion more than 50 mm in diameter, excision of (Anaes.) (Assist.)


288.20


31506


Breast, abnormality detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)


324.20


31509


Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (Anaes.)


288.20


31512


Breast, malignant tumour, complete local excision of, with or without frozen section histology (Anaes.) (Assist.)


540.35


31515


Breast, tumour site, re-excision of, following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)


362.45


31518


Breast (female), total mastectomy (Anaes.) (Assist.)


611.85


31521


Breast (male), total mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.)


360.25


31524


Breast (female), subcutaneous mastectomy (Anaes.) (Assist.)


864.55


31527


Breast (male), subcutaneous mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.)


432.30


31530


Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated:

(a) microcalcification of lesion; or
(b) impalpable lesion less than 1 cm in diameter;

including pre-operative localisation of lesion where performed, not being a service associated with a service to which item 31539, 31545 or 31548 applies


495.00


31533


Fine needle aspiration of an impalpable breast lesion detected by mammography or ultrasound, imaging guided — but not including imaging (Anaes.)


114.60


31536


Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging — not being a service associated with a service to which item 31539, 31542 or 31545 applies (Anaes.)


157.40


31539


Breast, biopsy of solid tumour or tissue of, using advanced breast biopsy instrumentation (ABBI), for histological examination, conducted by a qualified surgeon, where imaging has demonstrated an impalpable lesion of less than 15 mm in diameter, not being a service associated with a service to which item 31530, 31536 or 31548 applies (Anaes.)


331.45


31542


Breast, initial guidewire localisation of lesion, by hookwire or similar device, conducted by a qualified radiologist, using interventional imaging techniques prior to advanced breast biopsy instrumentation (ABBI), including imaging — not being a service associated with a service to which item 31536 applies (Anaes.)


163.60


31545


Breast, biopsy of solid tumour or tissue of, using advanced breast biopsy instrumentation (ABBI), for histological examination, conducted by a qualified surgeon, where imaging has demonstrated an impalpable lesion of less than 15 mm in diameter, including initial guidewire localisation of lesion, by hookwire or similar device, using interventional imaging techniques and including imaging — not being a service associated with a service to which item 31530, 31536 or 31548 applies (Anaes.)


495.00


31548


Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, not being a service associated with a service to which item 31530, 31539 or 31545 applies (Anaes.)


114.60


31551


Breast, haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, exploration and drainage of, when performed in the operating theatre of a hospital or day-hospital facility, excluding after-care (Anaes.)


180.10


31554


Breast, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)


360.25


31557


Breast central ducts, excision of, for benign condition (Anaes.) (Assist.)


288.20


31560


Accessory breast tissue, excision of (Anaes.) (Assist.)


288.20


31563


Inverted nipple, surgical eversion of (Anaes.)


215.90


31566


Accessory nipple, excision of (Anaes.)


108.05


Subgroup 2 — Colorectal


32000


Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (Anaes.) (Assist.)


857.10


32003


Large intestine, resection of, with anastomosis, including right hemicolectomy (Anaes.) (Assist.)


896.60


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 (Anaes.) (Assist.)


956.00


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 (Anaes.) (Assist.)


1 080.00


32006


Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (Anaes.) (Assist.)


956.00


32009


Total colectomy and ileostomy (Anaes.) (Assist.)


1 134.05


32012


Total colectomy and ileo-rectal anastomosis (Anaes.) (Assist.)


1 252.70


32015


Total colectomy with excision of rectum and ileostomy — 1 surgeon (Anaes.) (Assist.)


1 539.50


32018


Total colectomy with excision of rectum and ileostomy, combined synchronous operation — abdominal resection (including after-care) (Anaes.) (Assist.)


1 305.40


32021


Total colectomy with excision of rectum and ileostomy, combined synchronous operation — perineal resection (Assist.)


468.10


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 (Anaes.) (Assist.)


1 134.05


32025


Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 cm from the anal verge, with or without covering stoma (Anaes.) (Assist.)


1 516.90


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 (Anaes.) (Assist.)


1 633.55


32028


Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (Anaes.) (Assist.)


1 750.30


32029


Colonic reservoir, construction of, being a service associated with a service to which any other item in this subgroup applies (Anaes.) (Assist.)


350.05


32030


Rectosigmoidectomy — (Hartmann's operation) (Anaes.) (Assist.)


857.10


32033


Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (Anaes.) (Assist.)


1 252.70


32036


Sacrococcygeal and presacral tumour — excision of (Anaes.) (Assist.)


1 588.85


32039


Rectum and anus, abdomino-perineal resection of — 1 surgeon (Anaes.) (Assist.)


1 275.70


32042


Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection (Anaes.) (Assist.)


1 074.65


32045


Rectum and anus, abdomino-perineal resection of, combined synchronous operation — perineal resection (Assist.)


402.20


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.)


621.50


32047


Perineal proctectomy (Anaes.) (Assist.)


724.10


32051


Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy — 1 surgeon (Anaes.) (Assist.)


1 925.20


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) (Anaes.) (Assist.)


1 766.95


32057


Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir — conjoint surgery, perineal surgeon (Assist.)


468.10


32060


Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy — 1 surgeon (Anaes.) (Assist.)


1 925.20


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) (Anaes.) (Assist.)


1 766.95


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.)


468.10


32069


Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes.)


1 424.15


32072


Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy


39.80


32075


Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not being a service associated with a service to which another item in this group applies (Anaes.)


62.40


32078


Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is less than or equal to 45 minutes (Anaes.)


140.05


32081


Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is greater than 45 minutes (Anaes.)


192.35


32084


Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (Anaes.)


92.55


32087


Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of 1 or more polyps — not being a service to which item 32078 applies (Anaes.)


170.15


32090


Fibreoptic colonoscopy — examination of colon beyond the hepatic flexure with or without biopsy (Anaes.)


277.80


32093


Fibreoptic colonoscopy — examination of colon beyond the hepatic flexure with removal of 1 or more polyps (Anaes.)


389.90


32094


Endoscopic dilatation of colorectal strictures including colonoscopy (Anaes.)


458.55


32095


Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (Anaes.)


106.25


32096


Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day — hospital facility (Anaes.) (Assist.)


213.55


32099


Rectal tumour of 5 cm or less in diameter, per anal submucosal excision of (Anaes.) (Assist.)


276.95


32102


Rectal tumour of greater than 5 cm in diameter, indicated by pathological examination, per anal submucosal excision of (Anaes.) (Assist.)


527.40


32105


Anorectal carcinoma — per anal full thickness excision of (Anaes.) (Assist.)


402.20


32108


Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (Anaes.) (Assist.)


830.75


32111


Rectal prolapse, Delorme procedure for (Anaes.) (Assist.)


527.40


32112


Rectal prolapse, perineal recto-sigmoidectomy for (Anaes.) (Assist.)


641.80


32114


Rectal stricture, per anal release of (Anaes.)


145.05


32115


Rectal stricture, dilatation of (Anaes.)


105.45


32117


Rectal prolapse, abdominal rectopexy of (Anaes.) (Assist.)


830.75


32120


Rectal prolapse, perineal repair of (Anaes.) (Assist.)


213.55


32123


Anal stricture, anoplasty for (Anaes.) (Assist.)


276.95


32126


Anal incontinence, Parks' intersphincteric procedure for (Anaes.) (Assist.)


402.20


32129


Anal sphincter, direct repair of (Anaes.) (Assist.)


527.40


32131


Rectocele, transanal repair of rectocele (Anaes.) (Assist.)


443.45


32132


Haemorrhoids or rectal prolapse — sclerotherapy for (Anaes.)


37.50


32135


Haemorrhoids or rectal prolapse — rubber band ligation of, with or without sclerotherapy, cryotherapy or infrared therapy for (Anaes.)


56.05


32138


Haemorrhoidectomy including excision of anal skin tags when performed (Anaes.)


305.60


32139


Haemorrhoidectomy involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (Anaes.) (Assist.)


305.60


32142


Anal skin tags or anal polyps, excision of 1 or more of (Anaes.)


56.05


32145


Anal skin tags or anal polyps, excision of 1 or more of, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


112.25


32147


Perianal thrombosis, incision of (Anaes.)


37.50


32150


Operation for fissure-in-ano, including excision or sphincterotomy but excluding dilatation only (Anaes.) (Assist.)


213.55


32153


Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this group applies (Anaes.)


58.30


32156


Fistula-in-ano, subcutaneous, excision of (Anaes.)


109.45


32159


Anal fistula, excision of, involving lower half of the anal sphincter mechanism (Anaes.) (Assist.)


276.95


32162


Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (Anaes.) (Assist.)


402.20


32165


Anal fistula, repair of by mucosal flap advancement (Anaes.) (Assist.)


527.40


32166


Anal fistula — readjustment of Seton (Anaes.)


171.35


32168


Fistula wound, review of, under general or regional anaesthetic, as an independent procedure (Anaes.)


109.45


32171


Anorectal examination, with or without biopsy, under general anaesthetic, not being a service associated with a service to which another item in this group applies (Anaes.)


73.80


32174


Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding after-care) (Anaes.)


73.80


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) (Anaes.)


135.15


32177


Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes — not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)


144.85


32180


Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes — not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)


213.55


32183


Intestinal sling procedure prior to radiotherapy (Anaes.) (Assist.)


466.80


32186


Colonic lavage, total, intra-operative (Anaes.) (Assist.)


466.80


32200


Distal muscle, devascularisation of (Anaes.) (Assist.)


245.75


32203


Anal or perineal graciloplasty (Anaes.) (Assist.)


527.65


32206


Stimulator and electrodes, insertion of, following previous graciloplasty (Anaes.) (Assist.)


476.75


32209


Anal or perineal graciloplasty with insertion of stimulator and electrodes (Anaes.) (Assist.)


766.15


32210


Gracilis neosphincter pacemaker, replacement of (Anaes.)


212.30


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 (Anaes.)


113.20


Subgroup 3 — Vascular


32500


Varicose veins where varicosity measures 2.5 mm or greater in diameter, multiple injections of sclerosant 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 (Anaes.)


91.25


32501


Varicose veins where varicosity measures 2.5 mm or greater in diameter, multiple injections of sclerosant 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 truncal reflux in the long or short saphenous veins has been excluded by duplex examination and that a 7 th or subsequent treatment (including any treatments to which item 32500 applies) is indicated in a 12 month period


91.25


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 in relation to the same leg (Anaes.)


222.45


32507


Varicose veins, sub-fascial surgical exploration of 1 or more incompetent perforating veins — 1 leg — not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies in relation to the same leg (Anaes.) (Assist.)


443.45


32508


Varicose veins, complete dissection at the sapheno-femoral junction or sapheno-popliteal junction — 1 leg — with or without either ligation or stripping, or both, of the long or short saphenous vein on the same leg, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)


443.45


32511


Varicose veins, complete dissection at the sapheno-femoral junction and sapheno-popliteal junction — 1 leg — with or without either ligation or stripping, or both, of the long or short saphenous vein on the same leg, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)


659.30


32514


Varicose veins, ligation of the long or short saphenous vein on the same leg, with or without stripping, by re-operation for recurrent veins in the same territory — 1 leg — including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)


770.20


32517


Varicose veins, ligation of the long and short saphenous veins on the same leg, with or without stripping, by re-operation for recurrent veins in either territory — 1 leg — including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes.) (Assist.)


991.75


32700


Artery of neck, bypass using vein or synthetic material (Anaes.) (Assist.)


1 193.65


32703


Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of — with or without endarterectomy (Assist.)


987.45


32708


Aortic bypass for occlusive disease using a straight non-bifurcated graft (Anaes.) (Assist.)


1 181.20


32710


Aortic bypass for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries (Anaes.) (Assist.)


1 312.50


32711


Aortic bypass for occlusive disease using a bifurcated graft with 1 or both anastomoses to the common femoral or profunda femoris arteries (Anaes.) (Assist.)


1 443.75


32712


Ilio-femoral bypass grafting (Anaes.) (Assist.)


1 043.70


32715


Axillary or subclavian to femoral bypass grafting to 1 or both femoral arteries (Anaes.) (Assist.)


1 043.70


32718


Femoro-femoral or ilio-femoral cross-over bypass grafting (Anaes.) (Assist.)


987.45


32721


Renal artery, bypass grafting to (Anaes.) (Assist.)


1 568.45


32724


Renal arteries (both), bypass grafting to (Anaes.) (Assist.)


1 781.05


32730


Mesenteric vessel (single), bypass grafting to (Anaes.) (Assist.)


1 349.85


32733


Mesenteric vessels (multiple), bypass grafting to (Anaes.) (Assist.)


1 568.45


32736


Inferior mesenteric artery, operation on, when performed in conjunction with another intra-abdominal vascular operation (Anaes.) (Assist.)


343.70


32739


Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (Anaes.) (Assist.)


1 074.90


32742


Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (Anaes.) (Assist.)


1 231.20


32745


Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (Anaes.) (Assist.)


1 406.05


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 (Anaes.) (Assist.)


1 524.85


32751


Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (Anaes.) (Assist.)


987.45


32754


Femoral artery bypass grafting, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at 1 or both anastomoses (Anaes.) (Assist.)


1 231.20


32757


Femoral artery sequential bypass grafting (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than 1 artery — each additional artery revascularised beyond a femoral bypass (Anaes.) (Assist.)


343.70


32760


Vein, harvesting of, from leg or arm for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft — each vein (Anaes.) (Assist.)


337.40


32763


Arterial bypass grafting, using vein or synthetic material, not being a service to which another item in this subgroup applies (Anaes.) (Assist.)


987.45


32766


Arterial or venous anastomosis, not being a service to which another item in this subgroup applies, as an independent procedure (Anaes.) (Assist.)


656.20


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) (Anaes.) (Assist.)


227.45


33050


Bypass grafting to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) (Anaes.) (Assist.)


1 209.40


33055


Bypass grafting to replace a popliteal aneurysm using a synthetic graft (Anaes.) (Assist.)


969.90


33070


Aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


699.75


33075


Aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


890.15


33080


Intra-abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


1 086.55


33100


Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (Anaes.) (Assist.)


1 193.65


33103


Thoracic aneurysm, replacement by graft (Anaes.) (Assist.)


1 674.75


33109


Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)


2 024.85


33112


Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)


1 756.05


33115


Infrarenal abdominal aortic aneurysm, replacement by tube graft not being a service associated with a service to which item 33116 applies (Anaes.) (Assist.)


1 181.20


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 (Anaes.) (Assist.)


1 312.50


33121


Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (Anaes.) (Assist.)


1 443.75


33124


Aneurysm of iliac artery (common, external or internal), replacement by graft — unilateral (Anaes.) (Assist.)


1 006.15


33127


Aneurysms of iliac arteries (common, external or internal), replacement by graft — bilateral (Anaes.) (Assist.)


1 318.60


33130


Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (Anaes.) (Assist.)


1 149.85


33133


Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (Anaes.) (Assist.)


862.40


33136


False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (Anaes.) (Assist.)


2 174.70


33139


False aneurysm, repair of, in iliac artery and restoration of arterial continuity (Anaes.) (Assist.)


1 318.60


33142


False aneurysm, repair of, in femoral artery and restoration of arterial continuity (Anaes.) (Assist.)


1 231.20


33145


Ruptured thoracic aortic aneurysm, replacement by graft (Anaes.) (Assist.)


2 118.50


33148


Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (Anaes.) (Assist.)


2 630.95


33151


Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (Anaes.) (Assist.)


2 499.70


33154


Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (Anaes.) (Assist.)


1 849.85


33157


Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (Anaes.) (Assist.)


2 062.25


33160


Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (Anaes.) (Assist.)


2 062.25


33163


Ruptured iliac artery aneurysm, replacement by graft (Anaes.) (Assist.)


1 749.95


33166


Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (Anaes.) (Assist.)


1 749.95


33169


Ruptured aneurysm of visceral artery, simple ligation of (Anaes.) (Assist.)


1 362.40


33172


Aneurysm of major artery, replacement by graft, not being a service to which another item in this subgroup applies (Anaes.) (Assist.)


1 062.35


33175


Ruptured aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


979.10


33178


Ruptured aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


1 245.05


33181


Ruptured intra-abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)


1 522.25


33500


Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of 1 or more arteries is undertaken through 1 arteriotomy incision) (Anaes.) (Assist.)


943.60


33506


Innominate or subclavian artery, endarterectomy of, including closure by suture (Anaes.) (Assist.)


1 056.20


33509


Aortic endarterectomy, including closure by suture, not being a service associated with another procedure on
the aorta (Anaes.) (Assist.)


1 181.20


33512


Aorto-iliac endarterectomy (1 or both iliac arteries), including closure by suture not being a service associated with a service to which item 33515 applies (Anaes.) (Assist.)


1 312.50


33515


Aorto-femoral endarterectomy (1 or both femoral arteries) or bilateral ilio-femoral endarterectomy, including closure by suture, not being a service associated with a service to which item 33512 applies (Anaes.) (Assist.)


1 443.75


33518


Iliac endarterectomy, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes.) (Assist.)


1 056.20


33521


Ilio-femoral endarterectomy (1 side), including closure by suture (Anaes.) (Assist.)


1 143.60


33524


Renal artery, endarterectomy of (Anaes.) (Assist.)


1 349.85


33527


Renal arteries (both), endarterectomy of (Anaes.) (Assist.)


1 568.45


33530


Coeliac or superior mesenteric artery, endarterectomy of (Anaes.) (Assist.)


1 349.85


33533


Coeliac and superior mesenteric artery, endarterectomy of (Anaes.) (Assist.)


1 568.45


33536


Inferior mesenteric artery, endarterectomy of, not being a service associated with a service to which another item in this subgroup applies (Anaes.) (Assist.)


1 118.70


33539


Artery of extremities, endarterectomy of, including closure by suture (Anaes.) (Assist.)


806.15


33542


Extended deep femoral endarterectomy where the endarterectomy is at least 7 cm long (Anaes.) (Assist.)


1 149.85


33545


Artery, vein or bypass graft, patch grafting to by vein or synthetic material where patch is less than 3 cm long (Anaes.) (Assist.)


227.45


33548


Artery, vein or bypass graft, patch grafting to by vein or synthetic material where patch is 3 cm long or greater (Anaes.) (Assist.)


462.60


33551


Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (Anaes.) (Assist.)


227.45


33554


Endarterectomy, in conjunction with an arterial bypass operation to prepare the site for anastomosis — each site (Anaes.) (Assist.)


226.35


33800


Embolus, removal of, from artery of neck (Anaes.) (Assist.)


981.15


33803


Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (Anaes.) (Assist.)


937.40


33806


Embolectomy or thrombectomy (including the infusion of thrombolytic or other agents) from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (Anaes.) (Assist.)


674.95


33810


Inferior vena cava or iliac vein, closed thrombectomy by catheter via the femoral vein (Anaes.) (Assist.)


492.35


33811


Inferior vena cava or iliac vein, open removal of thrombus or tumour (Anaes.) (Assist.)


1 465.70


33812


Thrombus, removal of, from femoral or other similar large vein (Anaes.) (Assist.)


774.95


33815


Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)


712.45


33818


Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)


831.20


33821


Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)


949.90


33824


Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)


906.10


33827


Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)


1 062.35


33830


Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)


1 218.55


33833


Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (Anaes.) (Assist.)


1 106.20


33836


Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (Anaes.) (Assist.)


1 318.60


33839


Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (Anaes.) (Assist.)


1 543.60


33842


Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (Anaes.) (Assist.)


762.45


33845


Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (Anaes.) (Assist.)


531.20


33848


Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (Anaes.) (Assist.)


531.20


34100


Major artery of neck, elective ligation or exploration of, not being a service associated with any other vascular procedure (Anaes.) (Assist.)


587.50


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 applies (Anaes.) (Assist.)


343.70


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 applies (Anaes.) (Assist.)


242.45


34109


Temporal artery, biopsy of (Anaes.) (Assist.)


281.15


34112


Arterio-venous fistula of an extremity, dissection and ligation (Anaes.) (Assist.)


712.45


34115


Arterio-venous fistula of the neck, dissection and ligation (Anaes.) (Assist.)


806.15


34118


Arterio-venous fistula of the abdomen, dissection and ligation (Anaes.) (Assist.)


1 149.85


34121


Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)


918.60


34124


Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)


1 006.15


34127


Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)


1 318.60


34130


Surgically created arterio-venous fistula of an extremity, closure of (Anaes.) (Assist.)


412.50


34133


Scalenotomy (Anaes.) (Assist.)


462.60


34136


First rib, resection of portion of (Anaes.) (Assist.)


743.60


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 (Anaes.) (Assist.)


743.60


34142


Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (Anaes.) (Assist.)


918.60


34145


Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (Anaes.) (Assist.)


668.70


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 (Anaes.) (Assist.)


1 193.65


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 (Anaes.) (Assist.)


1 631.10


34154


Recurrent carotid associated tumour, resection of, with or without repair or replacement of portion of internal or common carotid arteries (Anaes.) (Assist.)


1 943.60


34157


Neck, excision of infected bypass graft, including closure of vessel or vessels (Anaes.) (Assist.)


987.45


34160


Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (Anaes.) (Assist.)


1 849.85


34163


Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (Anaes.) (Assist.)


2 374.75


34166


Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (Anaes.) (Assist.)


2 374.75


34169


Infected bypass graft from trunk, excision of, including closure of arteries (Anaes.) (Assist.)


1 318.60


34172


Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (Anaes.) (Assist.)


1 074.90


34175


Infected bypass graft from extremities, excision of including closure of arteries (Anaes.) (Assist.)


987.45


34500


Arteriovenous shunt, external, insertion of (Anaes.) (Assist.)


256.25


34503


Arteriovenous anastomosis of upper or lower limb, in conjunction with another venous or arterial operation (Anaes.) (Assist.)


343.70


34506


Arteriovenous shunt, external, removal of (Anaes.) (Assist.)


174.95


34509


Arteriovenous anastomosis of upper or lower limb, not in conjunction with another venous or arterial operation (Anaes.) (Assist.)


812.40


34512


Arteriovenous access device, insertion of (Anaes.) (Assist.)


893.70


34515


Arteriovenous access device, thrombectomy of (Anaes.) (Assist.)


637.40


34518


Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (Anaes.) (Assist.)


1 068.60


34521


Intra-abdominal artery or vein, cannulation of, for infusion chemotherapy, by open operation (excluding after-care) (Anaes.) (Assist.)


656.45


34524


Arterial cannulation for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (Anaes.) (Assist.)


343.70


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 (Anaes.)


458.40


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 (Anaes.)


226.35


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 (Anaes.)


169.80


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) (Anaes.) (Assist.)


1 031.10


34800


Inferior vena cava, plication, ligation, or application of caval clip (Anaes.) (Assist.)


674.95


34803


Inferior vena cava, reconstruction of or bypass by vein or synthetic material (Anaes.) (Assist.)


1 487.40


34806


Cross leg bypass grafting, saphenous to iliac or femoral vein (Anaes.) (Assist.)


806.15


34809


Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (Anaes.) (Assist.)


806.15


34812


Venous stenosis or occlusion, vein bypass for, using vein or synthetic material, not being a service associated with a service to which item 34806 or 34809 applies (Anaes.) (Assist.)


974.95


34815


Vein stenosis, patch angioplasty for, (excluding vein graft stenosis) — using vein or synthetic material (Anaes.) (Assist.)


806.15


34818


Venous valve, plication or repair to restore valve competency (Anaes.) (Assist.)


887.40


34821


Vein transplant to restore valvular function (Anaes.) (Assist.)


1 206.15


34824


External stent, application of, to restore venous valve competency to superficial vein — 1 stent (Anaes.) (Assist.)


412.50


34827


External stents, application of, to restore venous valve competency to superficial vein or veins — more than 1 stent (Anaes.) (Assist.)


499.95


34830


External stent, application of, to restore venous valve competency to deep vein — 1 stent (Anaes.) (Assist.)


587.50


34833


External stents, application of, to restore venous valve competency to deep vein or veins — more than 1 stent (Anaes.) (Assist.)


762.45


35000


Lumbar sympathectomy (Anaes.) (Assist.)


587.50


35003


Cervical or upper thoracic sympathectomy by any surgical approach (Anaes.) (Assist.)


762.45


35006


Cervical or upper thoracic sympathectomy, where operation is a re-operation for previous incomplete sympathectomy by any surgical approach (Anaes.) (Assist.)


956.15


35009


Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (Anaes.) (Assist.)


743.60


35012


Sacral or pre-sacral sympathectomy (Anaes.) (Assist.)


587.50


35100


Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (Anaes.) (Assist.)


306.30


35103


Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes.)


194.95


35200


Operative arteriography or venography, 1 or more of, performed during the course of an operative procedure on an artery or vein — 1 site (Anaes.)


142.55


35202


Major arteries or veins in the neck, abdomen or extremities, access to, as part of re-operation after prior surgery on these vessels (Anaes.) (Assist.)


679.10


35300


Transluminal balloon angioplasty of 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


428.35


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 (Anaes.) (Assist.)


549.15


35304


Transluminal balloon angioplasty of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding
after-care (Anaes.) (Assist.)


428.35


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 (Anaes.) (Assist.)


549.15


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 (Anaes.) (Assist.)


506.85


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 (Anaes.) (Assist.)


633.60


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 (Anaes.) (Assist.)


633.60


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 (Anaes.) (Assist.)


718.05


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 (Anaes.) (Assist.)


718.05


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 an item in Subgroup 11 of Group T1 or item 35319 or 35320 applies, or associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)


295.70


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 an item in Subgroup 11 of Group T1 or item 35317 or 35320 applies, or associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)


530.05


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 an item in Subgroup 11 of Group T1 or item 35317 or 35319 applies, or associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)


712.00


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 (not being a service associated with photodynamic therapy with verteporfin) (Anaes.) (Assist.)


675.85


35324


Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


253.40


35327


Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


339.60


35330


Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


428.35


35335


Percutaneous transluminal rotational atherectomy of 1 coronary artery, including balloon angioplasty with no stent insertion, where:

(a) no lesion of the coronary artery has been stented; and
(b) each lesion of the coronary artery is complex and heavily calcified; and
(c) balloon angioplasty with or without stenting is not suitable;

excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


735.85


35338


Percutaneous transluminal rotational atherectomy of 1 coronary artery, including balloon angioplasty with insertion of 1 or more stents, where:

(a) no lesion of the coronary artery has been stented; and
(b) each lesion of the coronary artery is complex and heavily calcified; and
(c) balloon angioplasty with or without stenting is not suitable;

excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


941.10


35341


Percutaneous transluminal rotational atherectomy of more than 1 coronary artery, including balloon angioplasty with no stent insertion, where:

(a) no lesion of the coronary arteries has been stented; and
(b) each lesion of the coronary arteries is complex and heavily calcified; and
(c) balloon angioplasty with or without stenting is not suitable;

excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


1010.40


35344


Percutaneous transluminal rotational atherectomy of more than 1 coronary artery, including balloon angioplasty with insertion of 1 or more stents, where:

(a) no lesion of the coronary arteries has been stented; and
(b) each lesion of the coronary arteries is complex and heavily calcified; and
(c) balloon angioplasty with or without stenting is not suitable;

excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.)


1 318.30


35347


Catheter based intravascular brachytherapy treatment of in-stent restenoses in 1 coronary artery, catheterisation for, using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, including in the same artery balloon angioplasty, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be performed in association with items 15360 and 15541, or items 15363 and 15541 (Anaes.) (Assist.)


642.50


35350


Catheter based intravascular brachytherapy treatment of in-stent restenoses in 1 coronary artery, catheterisation for, using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, including in the same artery balloon angioplasty and intravascular ultrasound, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be performed in association with items 15360 and 15541, or items 15363 and 15541 (Anaes.) (Assist.)


856.70


35353


Catheter based intravascular brachytherapy treatment of in-stent restenoses in 1 coronary artery, catheterisation for, using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, including in the same artery balloon angioplasty and percutaneous transluminal rotational atherectomy, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be performed in association with items 15360 and 15541, or items 15363 and 15541 (Anaes.) (Assist.)


950.00


35356


Catheter based intravascular brachytherapy treatment of in-stent restenoses in 1 coronary artery, catheterisation for, using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, including in the same artery balloon angioplasty, percutaneous transluminal rotational atherectomy and intravascular ultrasound, excluding associated radiological services or preparation, and excluding aftercare. The procedure must be performed by a cardiologist in association with a radiation oncologist, and be performed in association with items 15360 and 15541, or items 15363 and 15541 (Anaes.) (Assist.)


1164.20


Subgroup 4 — Gynaecological


35500


Gynaecological examination under anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


67.50


35503


Intra-uterine contraceptive device, introduction of, not being a service associated with a service to which another item in this group applies (Anaes.)


44.50


35506


Intra-uterine contraceptive device, removal of under general anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


44.60


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 (Anaes.)


145.05


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 (Anaes.) (Assist.)


213.55


35509


Hymenectomy (Anaes.)


74.40


35512


Bartholin's cyst, excision of (G) (Anaes.)


149.05


35513


Bartholin's cyst, excision of (S) (Anaes.)


184.30


35516


Bartholin's cyst or gland, marsupialisation of (G) (Anaes.)


96.70


35517


Bartholin's cyst or gland, marsupialisation of (S) (Anaes.)


121.30


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 (Anaes.)


172.65


35520


Bartholin's abscess, incision of (Anaes.)


48.45


35523


Urethra or urethral caruncle, cauterisation of (Anaes.)


48.45


35526


Urethral caruncle, excision of (G) (Anaes.)


96.70


35527


Urethral caruncle, excision of (S) (Anaes.)


121.30


35530


Clitoris, amputation of, where medically indicated (Anaes.) (Assist.)


224.20


35533


Vulvoplasty or labioplasty, where medically indicated, not being a service associated with a service to which item 35536 applies (Anaes.)


290.75


35536


Vulva, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (Anaes.) (Assist.)


289.55


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 (Anaes.)


226.85


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 (Anaes.) (Assist.)


265.60


35545


Colposcopically directed CO 2 laser therapy for condylomata, unsuccessfully treated by other methods (Anaes.)


152.65


35548


Vulvectomy, radical, for malignancy (Anaes.) (Assist.)


693.20


35551


Pelvic lymph glands, excision of (radical) (Anaes.) (Assist.)


568.30


35554


Vagina, dilatation of, as an independent procedure including any associated consultation (Anaes.)


36.15


35557


Vagina, removal of simple tumour — (including Gartner duct cyst) (Anaes.)


178.25


35560


Vagina, partial or complete removal of (Anaes.) (Assist.)


568.30


35561


Vaginectomy, radical, for proven invasive malignancy — 1 surgeon (Anaes.) (Assist.)


1 146.50


35562


Vaginectomy, radical, for proven invasive malignancy, conjoint surgery — abdominal surgeon (including
after-care) (Anaes.) (Assist.)


941.30


35564


Vaginectomy, radical, for proven invasive malignancy, conjoint surgery — perineal surgeon (Assist.)


434.55


35565


Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (Anaes.) (Assist.)


568.30


35566


Vaginal septum, excision of, for correction of double vagina (Anaes.) (Assist.)


330.15


35567


Vaginal repair including 1 or more of anterior, posterior or enterocele repair, with sacrospinous colpopexy (Anaes.) (Assist.)


583.45


35569


Plastic repair to enlarge vaginal orifice (Anaes.)


133.65


35572


Colpotomy, not being a service to which another item in this group applies (Anaes.)


102.90


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 (Anaes.) (Assist.)


353.20


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 (Anaes.) (Assist.)


445.45


35584


Manchester (Donald-Fothergill) operation or le Fort operation for genital prolapse (Anaes.) (Assist.)


560.55


35587


Urethrocele, operation for (Anaes.)


145.90


35590


Operation involving abdominal approach for repair of enterocele or suspension of vaginal vault or enterocele and suspension of vaginal vault (Anaes.) (Assist.)


445.45


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 (Anaes.) (Assist.)


445.45


35596


Fistula between genital and urinary or alimentary tracts, repair of, not being a service to which item 37029, 37333 or 37336 applies (Anaes.) (Assist.)


568.30


35599


Stress incontinence, sling operation for (Anaes.) (Assist.)


560.55


35600


Stress incontinence, vaginal procedure for (Anaes.) (Assist.)


435.15


35602


Stress incontinence, combined synchronous abdomino-vaginal operation for — abdominal procedure (including after-care) (Anaes.) (Assist.)


560.55


35605


Stress incontinence, combined synchronous abdomino-vaginal operation for — vaginal procedure (including after-care) (Assist.)


304.10


35608


Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes.)


53.15


35611


Cervix, removal of polyp or polypi, with or without dilatation of cervix, not being a service associated with a service to which item 35608 applies (Anaes.)


53.15


35612


Cervix, residual stump, removal of, by abdominal approach (Anaes.) (Assist.)


420.45


35613


Cervix, residual stump, removal of, by vaginal approach (Anaes.) (Assist.)


336.45


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 (Anaes.)


53.05


35615


Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies


44.60


35616


Endometrium, endoscopic examination of and ablation of, by microwave or thermal balloon, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage (Anaes.)


373.60


35617


Cervix, cone biopsy, amputation or repair of, not being a service to which item 35584 applies (G) (Anaes.)


144.30


35618


Cervix, cone biopsy, amputation or repair of, not being a service to which item 35584 applies (S) (Anaes.)


181.15


35620


Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (Anaes.)


44.30


35622


Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (Anaes.)


500.70


35623


Hysteroscopic resection of myoma, or myoma and uterine septum resection (where both are performed), followed by endometrial ablation by laser or diathermy (Anaes.)


680.80


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


68.85


35627


Hysteroscopy with dilatation of the cervix performed in the operating theatre of a hospital or approved day-hospital facility — not being a service associated with a service to which item 35626 or 35630 applies (Anaes.)


89.05


35630


Hysteroscopy, with endometrial biopsy, performed in the operating theatre of a hospital or approved day-hospital facility — not being a service associated with a service to which item 35626 or 35627 applies (Anaes.)


152.10


35633


Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterisation (including hysteroscopy for insertion of device for sterilisation) or removal of IUD which cannot be removed by other means — 1 or more of (Anaes.)


181.15


35634


Hysteroscopic resection of uterine septum followed by endometrial ablation by laser or diathermy (Anaes.)


569.85


35635


Hysteroscopy involving resection of the uterine septum (Anaes.)


248.85


35636


Hysteroscopy, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) (Anaes.)


359.90


35637


Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure — 1 or more procedures with or without biopsy — not being a service associated with any other laparoscopic procedure or hysterectomy (Anaes.) (Assist.)


337.95


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, or division of utero-sacral ligaments for significant dysmenorrhoea — not being a service associated with any other intraperitoneal or retroperitoneal procedure except item 30393 (Anaes.) (Assist.)


591.30


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) (Anaes.)


112.15


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) (Anaes.)


152.10


35641


Endometriosis level 4 or 5, laparoscopic resection of, involving any 2 of the following procedures:

(a) resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter;
(b) resection of the Pouch of Douglas;
(c) resection of an ovarian endometrioma greater than 2 cms in diameter;


1 032.70



(d) dissection of bowel from uterus from the level of the endocervical junction or above;

where the operating time exceeds 90 minutes (Anaes.) (Assist.)



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 (Anaes.)


181.15


35644


Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35639, 35640 or 35647 applies (Anaes.)


169.25


35645


Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative therapy of additional areas of intraepithelial change in 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35649 applies (Anaes.)


264.90


35646


Cervix, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


169.25


35647


Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies (Anaes.)


169.25


35648


Cervix, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of intraepithelial change of 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35645 applies (Anaes.)


264.90


35649


Hysterotomy or uterine myomectomy, abdominal (Anaes.) (Assist.)


445.45


35653


Hysterectomy, abdominal, sub-total or total, with or without removal of uterine adnexae (Anaes.) (Assist.)


560.70


35657


Hysterectomy, vaginal, with or without uterine curettage, not being a service to which item 35673 applies (Anaes.) (Assist.)


560.70


35658


Uterus (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy (Anaes.) (Assist.)


345.75


35661


Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of 1 or both ureters, for the management of severe endometriosis, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (Anaes.) (Assist.)


724.10


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 (Anaes.) (Assist.)


1 206.80


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 (Anaes.) (Assist.)


1 025.65


35670


Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (Anaes.) (Assist.)


844.60


35673


Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides (Anaes.) (Assist.)


629.75


35674


Ultrasound guided needling and injection of ectopic pregnancy


172.65


35676


Ectopic pregnancy, removal of (G) (Anaes.) (Assist.)


353.20


35677


Ectopic pregnancy, removal of (S) (Anaes.) (Assist.)


445.45


35678


Ectopic pregnancy, laparoscopic removal of (Anaes.) (Assist.)


537.05


35680


Bicornuate uterus, plastic reconstruction for (Anaes.) (Assist.)


483.70


35683


Uterus, suspension or fixation of, as an independent procedure (G) (Anaes.) (Assist.)


291.90


35684


Uterus, suspension or fixation of, as an independent procedure (S) (Anaes.) (Assist.)


391.60


35687


Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (Anaes.) (Assist.)


270.30


35688


Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (Anaes.) (Assist.)


330.15


35691


Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (Anaes.)


131.90


35694


Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (Anaes.) (Assist.)


529.95


35697


Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (Anaes.) (Assist.)


786.35


35700


Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope, for other than reversal of previous sterilisation (Anaes.) (Assist.)


606.75


35703


Hydrotubation of fallopian tubes as a non-repetitive procedure, not being a service associated with a service to which another item in this subgroup applies (Anaes.)


56.05


35706


Rubin test for patency of fallopian tubes (Anaes.)


56.05


35709


Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (Anaes.)


36.15


35710


Falloposcopy, unilateral or bilateral, including hysteroscopy and tubal catheterisation (Anaes.) (Assist.)


385.05


35712


Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst — 1 such procedure, not being a service associated with hysterectomy (G) (Anaes.) (Assist.)


301.00


35713


Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst — 1 such procedure, not being a service associated with hysterectomy (S) (Anaes.) (Assist.)


376.35


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) (Anaes.) (Assist.)


360.95


35717


Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst — 2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy (S) (Anaes.) (Assist.)


453.15


35720


Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (Anaes.) (Assist.)


560.55


35723


Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)


401.45


35726


Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)


401.45


35729


Ovarian transposition out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (Anaes.)


181.00


35750


Laparoscopically assisted hysterectomy, including any associated laparoscopy (Anaes.) (Assist.)


652.05


35753


Laparoscopically assisted hysterectomy, with 1 or more of the following procedures — salpingectomy, oophorectomy, excision of ovarian cyst or treatment of moderate endometriosis, 1 or both sides, including any associated laparoscopy (Anaes.) (Assist.)


721.05


35754


Laparoscopically assisted hysterectomy which requires dissection of endometriosis, or other pathology, from the ureter, 1 or both sides, including any associated laparoscopy, including when performed with 1 or more of the following procedures — salpingectomy, oophorectomy, excision of ovarian cyst or treatment of endometriosis, not being a service to which item 35641 applies (Anaes.) (Assist.)


907.35


35756


Laparoscopically assisted hysterectomy, when procedure is completed by open hysterectomy, including any associated laparoscopy (Anaes.) (Assist.)


652.05


35759


Procedure for the control of post operative haemorrhage following gynaecological surgery, under general anaesthesia, utilising a vaginal or abdominal and vaginal approach where no other procedure is performed (Anaes.) (Assist.)


468.10


Subgroup 5 — Urological


36500


Adrenal gland, excision of — partial or total (Anaes.) (Assist.)


768.40


36502


Pelvic lymphadenectomy, open or laparoscopic, or both, unilateral or bilateral (Anaes.) (Assist.)


568.30


36503


Renal transplant, not being a service to which item 36506 or 36509 applies (Anaes.) (Assist.)


1 156.10


36506


Renal transplant, performed by vascular surgeon and urologist operating together — vascular anastomosis, including after-care (Anaes.) (Assist.)


768.40


36509


Renal transplant, performed by vascular surgeon and urologist operating together — ureterovesical anastomosis, including after-care (Assist.)


650.70


36516


Nephrectomy, complete (Anaes.) (Assist.)


768.40


36519


Nephrectomy, complete, complicated by previous surgery on the same kidney (Anaes.) (Assist.)


1 073.00


36522


Nephrectomy, partial (Anaes.) (Assist.)


920.75


36525


Nephrectomy, partial, complicated by previous surgery on the same kidney (Anaes.) (Assist.)


1 308.45


36528


Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cms in diameter (Anaes.) (Assist.)


1 073.00


36529


Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10 cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney (Anaes.) (Assist.)


1 324.20


36531


Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (Anaes.) (Assist.)


962.20


36532


Nephro-ureterectomy, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures (Anaes.) (Assist.)


1 381.10


36533


Nephro-ureterectomy, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, complicated by previous open or laparoscopic surgery on the same kidney or ureter (Anaes.) (Assist.)


1632.25


36537


Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not being a service to which another item in this subgroup applies (Anaes.) (Assist.)


574.60


36540


Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for 1 or 2 stones (Anaes.) (Assist.)


920.75


36543


Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (Anaes.) (Assist.)


1 073.00


36546


Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for 3 days, including pre-treatment consultations, unilateral (Anaes.)


574.60


36549


Ureterolithotomy (Anaes.) (Assist.)


692.30


36552


Nephrostomy or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)


616.20


36558


Renal cyst or cysts, excision or unroofing of (Anaes.) (Assist.)


540.00


36561


Renal biopsy (closed) (Anaes.)


143.35


36564


Pyeloplasty, by open exposure (Anaes.) (Assist.)


768.40


36567


Pyeloplasty in a kidney that is congenitally abnormal in addition to the presence of pelvic-ureteric junction obstruction, or in a solitary kidney, by open exposure (Anaes.) (Assist.)


844.60


36570


Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (Anaes.) (Assist.)


1 073.00


36573


Divided ureter, repair of (Anaes.) (Assist.)


768.40


36576


Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (Anaes.) (Assist.)


962.20


36579


Ureterectomy, complete or partial, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies (Anaes.) (Assist.)


616.20


36585


Ureter, transplantation of, into skin (Anaes.) (Assist.)


616.20


36588


Ureter, reimplantation into bladder (Anaes.) (Assist.)


768.40


36591


Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)


920.75


36594


Ureter, transplantation of, into intestine (Anaes.) (Assist.)


768.40


36597


Ureter, transplantation of, into another ureter (Anaes.) (Assist.)


768.40


36600


Ureter, transplantation of, into isolated intestinal segment, unilateral (Anaes.) (Assist.)


920.75


36603


Ureters, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)


1 073.00


36604


Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional imaging techniques (Anaes.)


222.45


36606


Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)


1 924.55


36609


Intestinal urinary conduit or ureterostomy, revision of (Anaes.) (Assist.)


616.20


36612


Ureter, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)


540.00


36615


Ureterolysis, with or without repositioning of ureter, for obstruction of the ureter, evident either radiologically or by proximal ureteric dilatation at operation, secondary to retroperitoneal fibrosis, or similar condition (Anaes.) (Assist.)


616.20


36618


Reduction ureteroplasty (Anaes.) (Assist.)


540.00


36621


Closure of cutaneous ureterostomy (Anaes.) (Assist.)


386.00


36624


Nephrostomy, percutaneous, using interventional imaging techniques (Anaes.) (Assist.)


463.80


36627


Nephroscopy, percutaneous, with or without any 1 or more of stone extraction, biopsy or diathermy, not being a service to which item 36639, 36642, 36645 or 36648 applies (Anaes.)


574.60


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 (Anaes.) (Assist.)


283.85


36633


Nephroscopy, percutaneous, with incision of any 1 or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes.) (Assist.)


616.20


36636


Nephroscopy, percutaneous, with incision of any 1 or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes.) (Assist.)


332.35


36639


Nephroscopy, percutaneous, with destruction and extraction of 1 or 2 stones using ultrasound or electrohydraulic shock waves or lasers (not being a service to which item 36645 or 36648 applies) (Anaes.)


692.30


36642


Nephroscopy, being a service to which item 36639 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (Anaes.) (Assist.)


346.15


36645


Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)


886.10


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 (Anaes.) (Assist.)


789.25


36649


Nephrostomy drainage tube, exchange of — but not including imaging (Anaes.) (Assist.)


222.45


36652


Pyeloscopy, retrograde, of 1 collecting system, with or without any 1 or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.)


540.00


36654


Pyeloscopy, retrograde, of 1 collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service performed in the same collecting system to which item 36656 applies (Anaes.) (Assist.)


692.30


36656


Pyeloscopy, retrograde, of 1 collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service performed in the same collecting system to which item 36654 applies (Anaes.) (Assist.)


886.10


36800


Bladder, catheterisation of, where no other procedure is performed (Anaes.)


22.95


36803


Ureteroscopy, of 1 ureter, with or without any 1 or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824, 36848 or 36857 applies (Anaes.) (Assist.)


387.55


36806


Ureteroscopy, of 1 ureter, with or without any 1 or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus 1 or more of extraction of stone from the ureter, or biopsy or diathermy of the ureter, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36809, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes.) (Assist.)


540.00


36809


Ureteroscopy, of 1 ureter, with or without any 1 or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes.) (Assist.)


692.30


36811


Cystoscopy with insertion of urethral prosthesis (Anaes.)


268.75


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 (Anaes.)


138.50


36815


Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not being a service associated with a service to which item 30189 applies (Anaes.)


197.70


36818


Cystoscopy, with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes.) (Assist.)


229.80


36821


Cystoscopy with 1 or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes.) (Assist.)


268.60


36824


Cystoscopy with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (Anaes.)


177.15


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 (Anaes.) (Assist.)


483.10


36827


Cystoscopy, with controlled hydro-dilatation of the bladder (Anaes.)


191.05


36830


Cystoscopy, with ureteric meatotomy (Anaes.)


168.95


36833


Cystoscopy with removal of ureteric stent or other foreign body (Anaes.) (Assist.)


229.80


36836


Cystoscopy with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203, 37206 or 37215 applies (Anaes.)


191.05


36840


Cystoscopy, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service associated with a service to which item 36845 applies (Anaes.)


268.60


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 applies (Anaes.) (Assist.)


270.30


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 (Anaes.)


574.60


36848


Cystoscopy with resection of ureterocele (Anaes.)


191.05


36851


Cystoscopy with injection into bladder wall (Anaes.)


191.05


36854


Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)


387.55


36857


Endoscopic manipulation or extraction of ureteric calculus (Anaes.)


304.55


36860


Endoscopic examination of intestinal conduit or reservoir (Anaes.)


138.50


36863


Litholapaxy, with or without cystoscopy (Anaes.) (Assist.)


387.55


37000


Bladder, partial excision of (Anaes.) (Assist.)


616.20


37004


Bladder, repair of rupture (Anaes.) (Assist.)


540.00


37008


Cystostomy or cystotomy, suprapubic, not being a service to which item 37011 applies and not being a service associated with other open bladder procedure (Anaes.)


346.15


37011


Suprapubic stab cystotomy, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.)


77.50


37014


Bladder, total excision of (Anaes.) (Assist.)


886.10


37020


Bladder diverticulum, excision or obliteration of (Anaes.) (Assist.)


616.20


37023


Vesical fistula, cutaneous, operation for (Anaes.)


346.15


37026


Cutaneous vesicostomy, establishment of (Anaes.) (Assist.)


346.15


37029


Vesico-vaginal fistula, closure of, by abdominal approach (Anaes.) (Assist.)


768.40


37038


Vesico-intestinal fistula, closure of, excluding bowel resection (Anaes.) (Assist.)


574.95


37041


Bladder aspiration, by needle


38.75


37042


Bladder stress incontinence — sling procedure for, using autologous fascial sling, including harvesting of sling, not being a service to which item 35599 applies (Anaes.) (Assist.)


757.35


37043


Bladder stress incontinence, Stamey or similar type needle colposuspension, not being a service to which item 35599 applies (Anaes.) (Assist.)


560.55


37044


Bladder stress incontinence, suprapubic procedure for, eg Burch colposuspension, not being a service to which item 35599 applies (Anaes.) (Assist.)


574.95


37045


Mitrofanoff continent valve, formation of (Anaes.) (Assist.)


1 187.35


37047


Bladder enlargement using intestine (Anaes.) (Assist.)


1 384.55


37050


Bladder exstrophy closure, not involving sphincter reconstruction (Anaes.) (Assist.)


616.20


37053


Bladder transection and re-anastomosis to trigone (Anaes.) (Assist.)


712.00


37200


Prostatectomy, open (Anaes.) (Assist.)


844.60


37201


Prostate, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including a service to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)


688.90


37202


Prostate, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is prostatectomy using diathermy or cold punch) and including a service to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 which had to be discontinued for medical reasons (Anaes.)


345.75


37203


Prostatectomy (endoscopic, using diathermy or cold punch), with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)


866.00


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 37201, 37203 or 37207 which had to be discontinued for medical reasons (Anaes.)


463.80


37207


Prostate, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37203, 37206, 37303, 37321 or 37324 applies (Anaes.)


720.10


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, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207, which had to be discontinued for medical reasons (Anaes.)


345.75


37209


Total excision (not being a service associated with a service to which item 37210 or 37211 applies) of any, or all of:

(a) prostate; or
(b) seminal vesicle, unilateral or bilateral; or
(c) ampulla of vas, unilateral or bilateral

(Anaes.) (Assist.)


1 073.00


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 (Anaes.) (Assist.)


1 324.20


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 (Anaes.) (Assist.)


1 608.30


37212


Prostate, open perineal biopsy or open drainage of abscess (Anaes.) (Assist.)


229.80


37215


Prostate, biopsy of, endoscopic, with or without cystoscopy (Anaes.) (Assist.)


346.15


37218


Prostate, needle biopsy of, or injection into (Anaes.)


114.95


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 (Anaes.) (Assist.)


233.40


37220


Prostate, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stage T1, T2A or T2B, with a Gleason score of 6 or less and a prostate specific antigen (PSA) of 10ng/ml or less at the time of diagnosis, where the procedure is performed by a urologist at an approved site in association with a radiation oncologist, and being a service associated with a service to which item 55603 applies


867.80


37221


Prostatic abscess, endoscopic drainage of (Anaes.) (Assist.)


387.55


37223


Prostatic coil, insertion of, under ultrasound control (Anaes.)


171.40


37224


Prostate, diathermy or visual laser destruction of lesion of, not being a service associated with a service to which item 37201, 37202, 37203, 37206, 37207, 37208 or 37215 applies (Anaes.)


286.60


37300


Urethral sounds, passage of, as an independent procedure (Anaes.)


38.75


37303


Urethral stricture, dilatation of (Anaes.)


61.55


37306


Urethra, repair of rupture of distal section (Anaes.) (Assist.)


540.00


37309


Urethra, repair of rupture of prostatic or membranous segment (Anaes.) (Assist.)


768.40


37315


Urethroscopy, as an independent procedure (Anaes.)


114.95


37318


Urethroscopy, with any 1 or more of biopsy, diathermy, visual laser destruction of stone or removal of foreign body or stone (Anaes.) (Assist.)


229.80


37321


Urethral meatotomy, external (Anaes.)


77.50


37324


Urethrotomy or urethrostomy, internal or external (Anaes.)


191.05


37327


Urethrotomy, optical, for urethral stricture (Anaes.) (Assist.)


268.60


37330


Urethrectomy, partial or complete, for removal of tumour (Anaes.) (Assist.)


540.00


37333


Urethro-vaginal fistula, closure of (Anaes.) (Assist.)


463.80


37336


Urethro-rectal fistula, closure of (Anaes.) (Assist.)


616.20


37339


Periurethral or transurethral injection of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy (Anaes.)


199.35


37340


Urethral sling, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence — vaginal approach, not being a service associated with a service to which item 37341 applies (Anaes.) (Assist.)


353.20


37341


Urethral sling, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence — suprapubic or vaginal approach, not being a service associated with a service to which item 37340 applies (Anaes.) (Assist.)


757.35


37342


Urethroplasty — single stage operation (Anaes.) (Assist.)


692.30


37343


Urethroplasty, single stage operation, transpubic approach via separate incisions above and below the symphysis pubis, excluding laparotomy, symphysectomy and suprapubic cystotomy, with or without re-routing of the urethra around the crura (Anaes.) (Assist.)


1 156.10


37345


Urethroplasty — 2 stage operation — first stage (Anaes.) (Assist.)


574.60


37348


Urethroplasty — 2 stage operation — second stage (Anaes.) (Assist.)


574.60


37351


Urethroplasty, not being a service to which another item in this group applies (Anaes.) (Assist.)


229.80


37354


Hypospadias, meatotomy and hemi-circumcision (Anaes.) (Assist.)


268.60


37369


Urethra, excision of prolapse of (Anaes.)


155.05


37372


Urethral diverticulum, excision of (Anaes.) (Assist.)


387.55


37375


Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (Anaes.) (Assist.)


962.20


37381


Artificial urinary sphincter, insertion of cuff, perineal approach (Anaes.) (Assist.)


616.20


37384


Artificial urinary sphincter, insertion of cuff, abdominal approach (Anaes.) (Assist.)


962.20


37387


Artificial urinary sphincter, insertion of pressure regulating balloon and pump (Anaes.) (Assist.)


268.60


37390


Artificial urinary sphincter, revision or removal of, with or without replacement (Anaes.) (Assist.)


768.40


37393


Priapism, decompression by glanular stab caverno-sospongiosum shunt or penile aspiration with or without lavage (Anaes.)


191.05


37396


Priapism, shunt operation for, not being a service to which item 37393 applies (Anaes.) (Assist.)


616.20


37402


Penis, partial amputation of (Anaes.) (Assist.)


387.55


37405


Penis, complete or radical amputation of (Anaes.) (Assist.)


768.40


37408


Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (Anaes.) (Assist.)


387.55


37411


Penis, repair of avulsion (Anaes.) (Assist.)


768.40


37415


Penis, injection of, for the investigation and treatment of impotence — 2 services only in a period of 36 consecutive months


38.75


37417


Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (Anaes.) (Assist.)


463.80


37418


Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting, involving mobilisation of the urethra (Anaes.) (Assist.)


616.20


37420


Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of veins deep to Buck's fascia including 1 or more deep cavernosal veins, with or without pharmacological erection test (Anaes.) (Assist.)


304.55


37423


Penis, lengthening by translocation of corpora (Anaes.) (Assist.)


768.40


37426


Penis, artificial erection device, insertion of, into 1 or both corpora (Anaes.) (Assist.)


809.90


37429


Penis, artificial erection device, insertion of pump and pressure regulating reservoir (Anaes.) (Assist.)


268.60


37432


Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (Anaes.) (Assist.)


768.40


37435


Penis, frenuloplasty as an independent procedure (Anaes.)


77.50


37438


Scrotum, partial excision of (Anaes.) (Assist.)


229.80


37444


Ureterolithotomy complicated by previous surgery at the same site of the same ureter (Anaes.) (Assist.)


830.75


37601


Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side (Anaes.)


229.80


37604


Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral, not being a service associated with sperm harvesting for IVF (Anaes.)


229.80


37607


Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies (Anaes.) (Assist.)


768.40


37610


Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (Anaes.) (Assist.)


1 156.10


37613


Epididymectomy (Anaes.)


229.80


37616


Vasovasostomy or vasoepididymostomy, unilateral, using the operating microscope, for other than reversal of previous elective sterilisation, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)


574.60


37619


Vasovasostomy or vasoepididymostomy, unilateral, for other than reversal of previous elective sterilisation, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)


229.80


37622


Vasotomy or vasectomy, unilateral or bilateral (G) (Anaes.)


160.60


37623


Vasotomy or vasectomy, unilateral or bilateral (S) (Anaes.)


191.05


37800


Patent urachus, excision of (Anaes.) (Assist.)


433.15


37803


Undescended testis, orchidopexy for, not being a service to which item 37806 applies (Anaes.) (Assist.)


433.15


37806


Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for (Anaes.) (Assist.)


500.50


37809


Undescended testis, revision orchidopexy for (Anaes.) (Assist.)


500.50


37812


Impalpable testis, exploration of groin for, not being a service associated with a service to which items 37803 to 37809 apply (Anaes.) (Assist.)


462.10


37815


Hypospadias, examination under anaesthesia with erection test (Anaes.)


77.05


37818


Hypospadias, glanuloplasty incorporating meatal advancement (Anaes.) (Assist.)


408.40


37821


Hypospadias, distal, 1 stage repair (Anaes.) (Assist.)


692.30


37824


Hypospadias, proximal, 1 stage repair (Anaes.) (Assist.)


962.65


37827


Hypospadias, staged repair, first stage (Anaes.) (Assist.)


443.45


37830


Hypospadias, staged repair, second stage (Anaes.) (Assist.)


574.60


37833


Hypospadias, repair of post operative urethral fistula (Anaes.) (Assist.)


274.25


37836


Epispadias, staged repair, first stage (Anaes.) (Assist.)


577.60


37839


Epispadias, staged repair, second stage (Anaes.) (Assist.)


654.55


37842


Exstrophy of bladder or epispadias, secondary repair with bladder neck tightening, with or without ureteric reimplantation (Anaes.) (Assist.)


1 270.75


37845


Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with or without endoscopy (Anaes.) (Assist.)


577.60


37848


Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with endoscopy and vaginoplasty (Anaes.) (Assist.)


1 039.60


37851


Congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy (Anaes.) (Assist.)


770.20


37854


Urethral valve, destruction of, including cystoscopy and urethroscopy (Anaes.) (Assist.)


304.55


Subgroup 6 — Cardio-Thoracic


38200


Right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (Anaes.)


370.20


38203


Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (Anaes.)


441.70


38206


Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (Anaes.)


534.05


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 (Anaes.)


685.65


38212


Cardiac electrophysiological study:

(a) 4 or more catheter supraventricular tachycardia investigation; or
(b) complex tachycardia inductions; or
(c) multiple catheter mapping; or
(d) acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or


1 140.55



(e) catheter ablation to intentionally induce complete AV block; or
(f) intra-operative mapping; or
(g) electrophysiological services during defibrillator implantation or testing;

not being a service associated with a service to which item 38209 or 38213 applies (Anaes.)



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 (Anaes.)


339.60


38215


Selective coronary angiography — placement of catheters and injection of opaque material into the native coronary arteries, not being a service associated with a service to which item 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


368.65


38218


Selective coronary angiography — placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography, not being a service associated with a service to which item 38215, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


552.95


38220


Selective coronary graft angiography — placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


184.35


38222


Selective coronary graft angiography — placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


368.65


38225


Selective coronary angiography — placement of catheters and injection of opaque material into the native coronary arteries and placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


553.00


38228


Selective coronary angiography — placement of catheters and injection of opaque material into the native coronary arteries and placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.)


737.35


38231


Selective coronary angiography — placement of catheters and injection of opaque material into the native coronary arteries and placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), and placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38234, 38237, 38240 or 38246 applies (Anaes.)


921.70


38234


Selective coronary angiography — placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38237, 38240 or 38246 applies (Anaes.)


737.30


38237


Selective coronary angiography — placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38240 or 38246 applies (Anaes.)


921.65


38240


Selective coronary angiography — placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography and placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), and placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237 or 38246 applies (Anaes.)


1 105.90


38243


Placement of 1 or more catheters and injection of opaque material into any 1 or more coronary vessels or grafts prior to any coronary interventional procedure, not being a service associated with a service to which item 38246 applies (Anaes.)


368.65


38246


Selective coronary angiography — placement of catheters and injection of opaque material with right or left heart catheterisation or both, or aortography followed by placement of catheters prior to any coronary interventional procedure, not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38243 applies (Anaes.)


921.65


38256


Temporary transvenous pacemaking electrode, insertion of (Anaes.)


222.05


38270


Balloon valvuloplasty or septostomy, including cardiac catheterisations before and after balloon dilatation (Anaes.) (Assist.)


758.15


38275


Myocardial biopsy, by cardiac catheterisation (Anaes.)


247.85


38278


Single chamber permanent transvenous electrode, insertion, removal or replacement of (Anaes.)


530.80


38281


Permanent cardiac pacemaker, insertion, removal or replacement of (Anaes.)


212.30


38284


Dual chamber permanent transvenous electrodes, insertion, removal or replacement of (Anaes.)


695.90


38287


Ablation of arrhythmia circuit or focus or isolation procedure involving 1 atrial chamber (Anaes.) (Assist.)


1 743.85


38290


Ablation of arrhythmia circuits or foci, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation (Anaes.) (Assist.)


2 220.50


38293


Ventricular arrhythmia with mapping and ablation, including all associated electrophysiological studies performed on the same day (Anaes.) (Assist.)


2 383.45


38400


Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies


32.05


38403


Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample


63.85


38406


Pericardium, paracentesis of (excluding after-care) (Anaes.)


111.00


38409


Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (Anaes.)


111.00


38410


Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding after-care) (Anaes.)


136.80


38412


Percutaneous needle biopsy of lung (Anaes.)


173.85


38415


Empyema, radical operation for, involving resection of rib (Anaes.) (Assist.)


331.85


38418


Thoracotomy, exploratory, with or without biopsy (Anaes.) (Assist.)


796.50


38421


Thoracotomy, with pulmonary decortication (Anaes.) (Assist.)


1 273.15


38424


Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (Anaes.) (Assist.)


796.50


38427


Thoracoplasty (complete) — 3 or more ribs (Anaes.) (Assist.)


983.45


38430


Thoracoplasty (in stages) — each stage (Anaes.) (Assist.)


506.85


38436


Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy (Anaes.)


207.55


38438


Pneumonectomy or lobectomy or segmentectomy not being a service associated with a service to which item 38418 applies (Anaes.) (Assist.)


1 273.15


38440


Lung, wedge resection of (Anaes.) (Assist.)


953.40


38441


Radical lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (Anaes.) (Assist.)


1 508.45


38446


Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (Anaes.) (Assist.)


983.45


38447


Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (Anaes.) (Assist.)


1 273.15


38448


Mediastinum, cervical exploration of, with or without biopsy (Anaes.) (Assist.)


301.70


38449


Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (Anaes.) (Assist.)


1 781.15


38450


Pericardium, transthoracic drainage of (Anaes.) (Assist.)


711.95


38452


Pericardium, sub-xyphoid drainage of (Anaes.) (Assist.)


476.75


38453


Tracheal excision and repair without cardiopulmonary bypass (Anaes.) (Assist.)


1 430.10


38455


Tracheal excision and repair of, with cardiopulmonary bypass (Anaes.) (Assist.)


1 934.45


38456


Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this group applies (Anaes.) (Assist.)


1 273.15


38457


Pectus excavatum or pectus carinatum, repair or radical correction of (Anaes.) (Assist.)


1 188.65


38458


Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (Anaes.) (Assist.)


633.60


38460


Sternal wires or wires, removal of (Anaes.)


228.90


38462


Sternotomy wound, debridement of, not involving reopening of the mediastinum (Anaes.)


271.20


38464


Sternotomy wound, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (Anaes.)


294.85


38466


Sternum, re-operation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (Anaes.) (Assist.)


796.20


38468


Sternum and mediastinum, re-operation for infection of, involving muscle advancement flaps or greater omentum (Anaes.) (Assist.)


1 226.80


38469


Sternum and mediastinum, re-operation for infection of, involving muscle advancement flaps and greater omentum (Anaes.) (Assist.)


1 430.10


38470


Permanent myocardial electrode, insertion of, by thoracotomy or sternotomy (Anaes.) (Assist.)


796.50


38473


Permanent pacemaker electrode, insertion by sub-xyphoid approach (Anaes.) (Assist.)


476.75


38475


Valve annuloplasty without insertion of ring, not being a service associated with a service to which item 38480 or 38481 applies (Anaes.) (Assist.)


691.30


38477


Valve annuloplasty with insertion of ring not being a service to which item 38478 applies (Anaes.) (Assist.)


1 664.90


38478


Valve annuloplasty with insertion of ring performed in conjunction with item 38480 or 38481 (Anaes.) (Assist.)


806.50


38480


Valve repair, 1 leaflet (Anaes.) (Assist.)


1 664.90


38481


Valve repair, 2 or more leaflets (Anaes.) (Assist.)


1 895.35


38483


Aortic valve leaflet or leaflets, decalcification of, not being a service to which item 38475, 38477, 38480, 38481, 38488 or 38489 applies (Anaes.) (Assist.)


1 430.10


38485


Mitral annulus, reconstruction of, after decalcification, when performed in association with valve surgery (Anaes.) (Assist.)


679.10


38487


Mitral valve, open valvotomy of (Anaes.) (Assist.)


1 430.10


38488


Valve replacement with bioprosthesis or mechanical prosthesis (Anaes.) (Assist.)


1 586.95


38489


Valve replacement with allograft (subcoronary or cylindrical implant), or unstented xenograft (Anaes.) (Assist.)


1 887.30


38490


Sub-valvular structures, reconstruction and re-implantation of, associated with mitral and tricuspid valve replacement (Anaes.) (Assist.)


460.80


38493


Operative management of acute infective endocarditis, in association with heart valve surgery (Anaes.) (Assist.)


1 626.90


38496


Artery harvesting (other than internal mammary), for coronary artery bypass (Anaes.) (Assist.)


518.50


38497


Coronary artery bypass with cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, not being a service associated with a service to which item 38498, 38500, 38501, 38503 or 38504 applies (Anaes.) (Assist.)


1 701.60


38498


Coronary artery bypass with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using saphenous vein graft or grafts only, including harvesting of vein graft material where performed, either by a median sternotomy or other minimally invasive technique, and where a stand-by perfusionist is present, not being a service associated with a service to which item 38497, 38500, 38501, 38503, 38504 or 38600 applies (Anaes.) (Assist.)


1 701.60


38500


Coronary artery bypass with cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, not being a service associated with a service to which item 38497, 38498, 38501, 38503 or 38504 applies (Anaes.) (Assist.)


1 828.25


38501


Coronary artery bypass with the aid of tissue stabilisers, performed without cardiopulmonary bypass, using single arterial graft, with or without vein graft or grafts, including harvesting of internal mammary artery or vein graft material where performed, either by a median sternotomy or other minimally invasive technique, and where a stand-by perfusionist is present, not being a service associated with a service to which item 38497, 38498, 38500, 38503, 38504 or 38600 applies (Anaes.) (Assist.)


1 828.25


38503


Coronary artery bypass with cardiopulmonary 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, not being a service associated with a service to which item 38497, 38498, 38500, 38501 or 38504 applies (Anaes.) (Assist.)


1 985.10


38504


Coronary artery bypass with the aid of tissue stabilisers, performed without cardiopulmonary 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, either by a median sternotomy or other minimally invasive technique, and where a stand-by perfusionist is present, not being a service associated with a service to which item 38497, 38498, 38500, 38501, 38503 or 38600 applies (Anaes.) (Assist.)


1 985.10


38505


Coronary endarterectomy, by open operation, including repair with 1 or more patch grafts, each vessel (Anaes.) (Assist.)


230.40


38506


Left ventricular aneurysm, plication of (Anaes.) (Assist.)


1 351.50


38507


Left ventricular aneurysm resection with primary repair (Anaes.) (Assist.)


1 586.65


38508


Left ventricular aneurysm resection with patch reconstruction of the left ventricle (Anaes.) (Assist.)


1 985.10


38509


Ischaemic ventricular septal rupture, repair of (Anaes.) (Assist.)


1 985.10


38512


Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (Anaes.) (Assist.)


1 743.85


38515


Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation (Anaes.) (Assist.)


2 220.50


38518


Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (Anaes.) (Assist.)


2 383.45


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 (Anaes.) (Assist.)


874.85


38524


Automatic defibrillator generator, insertion or replacement of — not being a service associated with a service to which item 38213 applies (Anaes.) (Assist.)


239.20


38550


Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes.) (Assist.)


1 783.60


38553


Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes.) (Assist.)


2 260.25


38556


Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes.) (Assist.)


2 580.10


38559


Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes.) (Assist.)


2 103.40


38562


Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes.) (Assist.)


2 580.10


38565


Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes.) (Assist.)


2 893.85


38568


Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (Anaes.) (Assist.)


1 548.20


38571


Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (Anaes.) (Assist.)


1 705.10


38572


Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (Anaes.) (Assist.)


1 651.35


38577


Cannulation for, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest (Assist.)


460.80


38588


Cannulation of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring (Assist.)


345.75


38600


Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this subgroup applies (Anaes.) (Assist.)


1 273.15


38603


Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (Anaes.) (Assist.)


796.50


38606


Intra-aortic balloon pump, percutaneous insertion of (Anaes.)


319.85


38609


Intra-aortic balloon pump, insertion of, by arteriotomy (Anaes.) (Assist.)


398.20


38612


Intra-aortic balloon pump, removal of, with closure of artery by direct suture (Anaes.) (Assist.)


446.40


38613


Intra-aortic balloon pump, removal of, with closure of artery by patch graft (Anaes.) (Assist.)


560.25


38615


Left or right ventricular assist device, insertion of (Anaes.) (Assist.)


1 273.15


38618


Left and right ventricular assist device, insertion of (Anaes.) (Assist.)


1 586.95


38621


Left or right ventricular assist device, removal of, as an independent procedure (Anaes.) (Assist.)


633.60


38624


Left and right ventricular assist device, removal of, as an independent procedure (Anaes.) (Assist.)


711.95


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 (Anaes.) (Assist.)


556.45


38637


Patent diseased coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of (Anaes.) (Assist.)


460.80


38640


Re-operation via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less (Anaes.) (Assist.)


796.50


38643


Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (Anaes.) (Assist.)


887.00


38647


Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (Anaes.) (Assist.)


1 773.90


38650


Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (Anaes.) (Assist.)


1 586.95


38653


Open heart surgery, not being a service to which another item in this group applies (Anaes.) (Assist.)


1 586.95


38656


Thoracotomy or median sternotomy for post-operative bleeding (Anaes.) (Assist.)


796.50


38670


Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction (Anaes.) (Assist.)


1 586.65


38673


Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit (Anaes.) (Assist.)


1 785.85


38677


Cardiac tumour arising from ventricular myocardium, partial thickness excision of (Anaes.) (Assist.)


1 670.65


38680


Cardiac tumour arising from ventricular myocardium, full thickness excision of including repair or reconstruction (Anaes.) (Assist.)


1 981.70


38700


Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


887.00


38703


Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 599.00


38706


Aorta, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 514.50


38709


Aorta, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38712


Aortic interruption, repair of, for congenital heart disease (Anaes.) (Assist.)


2 130.05


38715


Main pulmonary artery, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 418.00


38718


Main pulmonary artery, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38721


Vena cava, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 243.00


38724


Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38727


Intrathoracic vessels, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Anaes.) (Assist.)


1 243.00


38730


Intrathoracic vessels, anastomosis or repair of, with cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38733


Systemic pulmonary or cavo-pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 243.00


38736


Systemic pulmonary or cavo-pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38739


Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease (Anaes.) (Assist.)


1 599.00


38742


Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease (Anaes.) (Assist.)


1 599.00


38745


Intra-atrial baffle, insertion of, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38748


Ventricular septectomy, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38751


Ventricular septal defect, closure by direct suture or patch, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38754


Intraventricular baffle or conduit, insertion of, for congenital heart disease (Anaes.) (Assist.)


2 220.50


38757


Extracardiac conduit, insertion of, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38760


Extracardiac conduit, replacement of, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38763


Ventricular myectomy, for relief of ventricular obstruction, right or left, for congenital heart disease (Anaes.) (Assist.)


1 773.90


38766


Ventricular augmentation, right or left, for congenital heart disease (Anaes.) (Assist.)


1 773.90


Subgroup 7 — Neurosurgical


39000


Lumbar puncture (Anaes.)


62.60


39003


Cisternal puncture (Anaes.)


71.20


39006


Ventricular puncture (not including burr-hole) (Anaes.)


132.50


39009


Subdural haemorrhage, tap for, each tap (Anaes.)


49.30


39012


Burr-hole, single, preparatory to ventricular puncture or for inspection purpose — not being a service to which another item applies (Anaes.)


197.45


39013


Injection under image intensification with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves (Anaes.)


90.75


39015


Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of — including burr-hole (excluding after-care) (Anaes.) (Assist.)


312.45


39018


Cerebrospinal fluid reservoir, insertion of (Anaes.) (Assist.)


312.45


39100


Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.)


197.45


39106


Neurectomy, intracranial, for trigeminal neuralgia (Anaes.) (Assist.)


987.45


39109


Trigeminal gangliotomy by radiofrequency, balloon or glycerol (Anaes.)


368.70


39112


Cranial nerve, intracranial decompression of, using microsurgical techniques (Anaes.) (Assist.)


1 281.15


39115


Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (Anaes.)


62.60


39118


Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Anaes.) (Assist.)


247.50


39121


Percutaneous cordotomy (Anaes.) (Assist.)


525.00


39124


Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (Anaes.) (Assist.)


1 343.60


39125


Spinal catheter, insertion of — for an automated infusion device (Anaes.) (Assist.)


247.70


39126


Automated subcutaneous infusion device, insertion of (Anaes.) (Assist.)


300.75


39127


Subcutaneous reservoir and spinal catheter for pain, insertion of (Anaes.)


393.65


39128


Automated subcutaneous infusion device and spinal catheter, insertion of (Anaes.) (Assist.)


548.45


39130


Percutaneous epidural electrode, insertion of 1 or more of — for spinal stimulation (Anaes.)


507.15


39131


Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner — each day


106.25


39133


Epidural stimulator or intrathecal infusion device, revision of (Anaes.)


132.50


39134


Spinal neurostimulator receiver or pulse generator, subcutaneous placement of, not being a service associated with deep brain stimulation for Parkinson's disease (Anaes.) (Assist.)


283.05


39136


Percutaneous epidural implant for management of pain, removal of (Anaes.)


132.50


39139


Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (Anaes.) (Assist.)


893.70


39140


Epidural catheter, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.)


243.40


39300


Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (Anaes.) (Assist.)


293.70


39303


Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (Anaes.) (Assist.)


387.35


39306


Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.)


562.50


39309


Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)


593.65


39312


Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.)


331.20


39315


Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)


856.10


39318


Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (Anaes.) (Assist.)


531.20


39321


Nerve, transposition of (Anaes.) (Assist.)


393.65


39323


Percutaneous neurotomy by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Anaes.) (Assist.)


229.95


39324


Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Anaes.) (Assist.)


229.95


39327


Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (Anaes.) (Assist.)


393.65


39330


Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (Anaes.) (Assist.)


229.95


39331


Carpal tunnel release (division of transverse carpal ligament), by any method (Anaes.)


229.95


39333


Brachial plexus, exploration of, not being a service to which another item in this group applies (Anaes.) (Assist.)


331.20


39500


Vestibular nerve, section of, via posterior fossa (Anaes.) (Assist.)


1 056.20


39503


Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (Anaes.) (Assist.)


793.65


39600


Intracranial haemorrhage, burr-hole craniotomy for — including burr-holes (Anaes.) (Assist.)


393.65


39603


Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (Anaes.) (Assist.)


993.65


39606


Fractured skull, depressed or comminuted, operation for (Anaes.) (Assist.)


662.40


39609


Fractured skull, compound, without dural penetration, operation for (Anaes.) (Assist.)


793.65


39612


Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Anaes.) (Assist.)


931.20


39615


Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (Anaes.) (Assist.)


993.65


39640


Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (Anaes.) (Assist.)


2 519.45


39642


Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension, (intracranial procedure) (Anaes.) (Assist.)


2 648.75


39646


Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve, (intracranial procedure) (Anaes.) (Assist.)


3 036.30


39650


Tumour involving middle cranial fossa and infra-temporal fossa, removal of, craniotomy and radical or sub-total radical excision, with division and reconstruction of zygomatic arch, (intracranial procedure) (Anaes.) (Assist.)


2 196.40


39653


Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub-total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies (Anaes.) (Assist.)


3 908.45


39654


Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub-total radical excision (intracranial procedure), conjoint surgery, principal surgeon (Anaes.) (Assist.)


2 842.55


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.)


2 131.90


39658


Tumour involving the clivus, radical or sub-total radical excision of, involving transoral or transmaxillary approach (Anaes.) (Assist.)


2 519.45


39660


Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (Anaes.) (Assist.)


2 519.45


39662


Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (Anaes.) (Assist.)


2 519.45


39700


Skull tumour, benign or malignant, excision of, excluding cranioplasty (Anaes.) (Assist.)


462.60


39703


Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (Anaes.) (Assist.)


431.20


39706


Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (Anaes.) (Assist.)


924.80


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 (Anaes.) (Assist.)


1 318.60


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 (Anaes.) (Assist.)


2 380.95


39715


Pituitary tumour, removal of, by transcranial or transphenoidal approach (Anaes.) (Assist.)


1 649.85


39718


Arachnoidal cyst, craniotomy for (Anaes.) (Assist.)


724.95


39721


Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (Anaes.) (Assist.)


662.40


39800


Aneurysm, clipping or reinforcement of sac (Anaes.) (Assist.)


2 374.75


39803


Intracranial arteriovenous malformation, excision of (Anaes.) (Assist.)


2 374.75


39806


Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (Anaes.) (Assist.)


1 068.60


39812


Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (Anaes.) (Assist.)


525.00


39815


Carotid-cavernous fistula, obliteration of — combined cervical and intracranial procedure (Anaes.) (Assist.)


1 518.55


39818


Extracranial to intracranial bypass using superficial temporal artery (Anaes.) (Assist.)


1 518.55


39821


Extracranial to intracranial bypass using saphenous vein graft (Anaes.) (Assist.)


1 803.20


39900


Intracranial infection, drainage of, via burr-hole — including burr-hole (Anaes.) (Assist.)


431.20


39903


Intracranial abscess, excision of (Anaes.) (Assist.)


1 318.60


39906


Osteomyelitis of skull or removal of infected bone flap, craniectomy for (Anaes.) (Assist.)


662.40


40000


Ventriculo-cisternostomy (Torkildsen's operation) (Anaes.) (Assist.)


762.45


40003


Cranial or cisternal shunt diversion, insertion of (Anaes.) (Assist.)


762.45


40006


Lumbar shunt diversion, insertion of (Anaes.) (Assist.)


599.95


40009


Cranial, cisternal or lumbar shunt, revision or removal of (Anaes.) (Assist.)


437.40


40012


Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (Anaes.) (Assist.)


856.10


40015


Subtemporal decompression (Anaes.) (Assist.)


530.80


40018


Lumbar cerebrospinal fluid drain, insertion of (Anaes.)


132.50


40100


Meningocele, excision and closure of (Anaes.) (Assist.)


574.95


40103


Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (Anaes.) (Assist.)


843.70


40106


Arnold-Chiari malformation, decompression of (Anaes.) (Assist.)


856.10


40109


Encephalocoele, excision and closure of (Anaes.) (Assist.)


924.80


40112


Tethered cord, release of, including lipomeningocele or diastematomyelia (Anaes.) (Assist.)


1 187.35


40115


Craniostenosis, operation for — single suture (Anaes.) (Assist.)


599.95


40118


Craniostenosis, operation for — more than 1 suture (Anaes.) (Assist.)


793.65


40300


Intervertebral disc or discs, laminectomy for removal of (Anaes.) (Assist.)


793.65


40301


Intervertebral disc or discs, microsurgical discectomy of (Anaes.) (Assist.)


796.20


40303


Recurrent disc lesion or spinal stenosis, or both, laminectomy for — 1 level (Anaes.) (Assist.)


906.10


40306


Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (Anaes.) (Assist.)


1 193.65


40309


Extradural tumour or abscess, laminectomy for (Anaes.) (Assist.)


906.10


40312


Intradural lesion, laminectomy for, not being a service to which another item in this group applies (Anaes.) (Assist.)


1 218.55


40315


Craniocervical junction lesion, transoral approach for (Anaes.) (Assist.)


1 318.60


40316


Odontoid screw fixation (Anaes.) (Assist.)


1 728.30


40318


Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (Anaes.) (Assist.)


1 649.85


40321


Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (Anaes.) (Assist.)


906.10


40324


Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together — laminectomy, including after-care (Anaes.) (Assist.)


531.20


40327


Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together — posterior fusion, including after-care (Assist.)


531.20


40330


Spinal rhizolysis involving exposure of spinal nerve roots — for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels — with or without laminectomy (Anaes.) (Assist.)


793.65


40331


Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)


793.65


40332


Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies (Anaes.) (Assist.)


1 295.05


40333


Cervical discectomy (anterior), without fusion (Anaes.) (Assist.)


662.40


40334


Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)


875.75


40335


Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Anaes.) (Assist.)


1 608.45


40336


Intradiscal injection of chymopapain (discase) — 1 disc (Anaes.) (Assist.)


262.55


40339


Hydromyelia, plugging of obex for, with or without duroplasty (Anaes.) (Assist.)


1 318.60


40342


Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (Anaes.) (Assist.)


1 218.55


40345


Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (Anaes.) (Assist.)


1 134.45


40348


Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (Anaes.) (Assist.)


1 440.25


40351


Thoraco-lumbar or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (Anaes.) (Assist.)


1 440.25


40600


Cranioplasty, reconstructive (Anaes.) (Assist.)


793.65


40700


Corpus callosum, anterior section of, for epilepsy (Anaes.) (Assist.)


1 449.90


40703


Corticectomy, topectomy or partial lobectomy for epilepsy (Anaes.) (Assist.)


1 218.55


40706


Hemispherectomy for intractable epilepsy (Anaes.) (Assist.)


1 781.05


40709


Burr-hole placement of intracranial depth or surface electrodes (Anaes.) (Assist.)


431.20


40712


Intracranial electrode placement via craniotomy (Anaes.) (Assist.)


868.60


40800


Stereotactic anatomical localisation, as an independent procedure (Anaes.) (Assist.)


530.80


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, not being a service associated with deep brain stimulation for Parkinson's disease (Anaes.) (Assist.)


1 450.80


40803


Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Anaes.) (Assist.)


993.65


40903


Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr-hole (Anaes.) (Assist.)


460.80


Subgroup 8 — Ear, nose and throat


41500


Ear, foreign body (other than ventilating tube) in, removal of, other than by simple syringing (Anaes.)


68.55


41503


Ear, removal of foreign body in, involving incision of external auditory canal (Anaes.)


198.50


41506


Aural polyp, removal of (Anaes.)


119.70


41509


External auditory meatus, surgical removal of keratosis obturans from, not being a service to which another item in this group applies (Anaes.)


135.45


41512


Meatoplasty involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (Anaes.) (Assist.)


486.95


41515


Meatoplasty involving removal of cartilage or bone or both cartilage and bone, being a service associated with a service to which item 41530, 41548, 41560 or 41563 applies (Anaes.) (Assist.)


319.55


41518


External auditory meatus, removal of exostoses in (Anaes.) (Assist.)


771.85


41521


Correction of auditory canal stenosis, including meatoplasty, with or without grafting (Anaes.) (Assist.)


821.80


41524


Reconstruction of external auditory canal, being a service associated with a service to which items 41557, 41560 and 41563 apply (Anaes.) (Assist.)


237.40


41527


Myringoplasty, trans-canal approach (Rosen incision) (Anaes.) (Assist.)


488.35


41530


Myringoplasty, post-aural or endaural approach with or without mastoid inspection (Anaes.)


795.55


41533


Atticotomy without reconstruction of the bony defect, with or without myringoplasty (Anaes.) (Assist.)


951.05


41536


Atticotomy with reconstruction of the bony defect with or without myringoplasty (Anaes.) (Assist.)


1 065.20


41539


Ossicular chain reconstruction (Anaes.) (Assist.)


905.80


41542


Ossicular chain reconstruction and myringoplasty (Anaes.) (Assist.)


992.50


41545


Mastoidectomy (cortical) (Anaes.) (Assist.)


433.15


41548


Obliteration of the mastoid cavity (Anaes.) (Assist.)


574.95


41551


Mastoidectomy, intact wall technique, with myringoplasty (Anaes.) (Assist.)


1 323.90


41554


Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (Anaes.) (Assist.)


1 559.80


41557


Mastoidectomy (radical or modified radical) (Anaes.) (Assist.)


905.80


41560


Mastoidectomy (radical or modified radical) and myringoplasty (Anaes.)


992.50


41563


Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (Anaes.) (Assist.)


1 228.65


41564


Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac closure of external auditory canal and obliteration of eustachian tube (Anaes.) (Assist.)


1 588.85


41566


Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (Anaes.) (Assist.)


905.80


41569


Decompression of facial nerve in its mastoid portion (Anaes.) (Assist.)


992.50


41572


Labyrinthotomy or destruction of labyrinth (Anaes.) (Assist.)


858.55


41575


Cerebello-pontine angle tumour, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach — transmastoid, translabyrinthine or retromastoid procedure (including after-care) (Anaes.) (Assist.)


2 024.20


41576


Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) (including after-care) not being a service to which item 41578 or 41579 applies (Anaes.) (Assist.)


3 036.30


41578


Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) — conjoint surgery, principal surgeon (Anaes.) (Assist.)


2 024.20


41579


Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) — conjoint surgery, co-surgeon (Assist.)


1 518.10


41581


Tumour involving infra-emporal fossa, removal of, involving craniotomy and radical excision of (Anaes.) (Assist.)


2 328.20


41584


Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (Anaes.) (Assist.)


1 597.75


41587


Total temporal bone resection for removal of tumour (Anaes.) (Assist.)


2 176.10


41590


Endolymphatic sac, transmastoid decompression with or without drainage of (Anaes.) (Assist.)


992.50


41593


Translabyrinthine vestibular nerve section (Anaes.) (Assist.)


1 293.55


41596


Retrolabyrinthine vestibular nerve section or cochlear nerve section, or both (Anaes.) (Assist.)


1 445.65


41599


Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (Anaes.) (Assist.)


1 445.65


41608


Stapedectomy (Anaes.) (Assist.)


905.80


41611


Stapes mobilisation (Anaes.) (Assist.)


582.75


41614


Round window surgery including repair of cochleotomy (Anaes.) (Assist.)


905.80


41615


Oval window surgery, including repair of fistula, not being a service associated with a service to which any other item in this group applies (Anaes.) (Assist.)


905.80


41617


Cochlear implant, insertion of, including mastoidectomy (Anaes.) (Assist.)


1 575.00


41620


Glomus tumour, transtympanic removal of (Anaes.) (Assist.)


685.20


41623


Glomus tumour, transmastoid removal of, including mastoidectomy (Anaes.) (Assist.)


992.50


41626


Abscess or inflammation of middle ear, operation for (excluding after-care) (Anaes.)


119.70


41629


Middle ear, exploration of (Anaes.) (Assist.)


433.15


41632


Middle ear, insertion of tube for drainage of (including myringotomy) (Anaes.)


198.50


41635


Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty (Anaes.) (Assist.)


951.05


41638


Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty with ossicular chain reconstruction (Anaes.) (Assist.)


1 187.00


41641


Perforation of tympanum, cauterisation or diathermy of (Anaes.)


39.45


41644


Excision of rim of eardrum perforation, not being a service associated with myringoplasty (Anaes.)


118.65


41647


Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (Anaes.)


91.35


41650


Tympanic membrane, microinspection of 1 or both ears under general anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


91.35


41653


Examination of nasal cavity or post-nasal space or nasal cavity and post-nasal space, under general anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


59.80


41656


Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (Anaes.)


102.05


41659


Nose, removal of foreign body in, other than by simple probing (Anaes.)


64.50


41662


Nasal polyp or polypi (simple), removal of


68.55


41665


Nasal polyp or polypi (requiring admission to hospital), removal of (G) (Anaes.)


143.35


41668


Nasal polyp or polypi (requiring admission to hospital), removal of (S) (Anaes.)


182.75


41671


Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes.)


401.60


41672


Nasal septum, reconstruction of (Anaes.) (Assist.)


501.05


41674


Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum, turbinates or pharynx — 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose (Anaes.)


83.50


41677


Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)


74.75


41680


Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.)


135.45


41683


Division of nasal adhesions, with or without stenting not being a service associated with any other operation on the nose and not performed during the post-operative period of a nasal operation (Anaes.)


97.30


41686


Dislocation of turbinate or turbinates, 1 or both sides, not being a service associated with a service to which another item in this group applies (Anaes.)


59.80


41689


Turbinectomy or turbinectomies, partial or total, unilateral (Anaes.)


113.40


41692


Turbinates, submucous resection of, unilateral (Anaes.)


147.95


41695


Nasal turbinates, cryotherapy to (Anaes.)


83.10


41698


Maxillary antrum, proof puncture and lavage of (Anaes.)


27.00


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 (Anaes.)


76.45


41704


Maxillary antrum, lavage of — each attendance at which the procedure is performed, including any associated consultation (Anaes.)


30.20


41707


Maxillary artery, transantral ligation of (Anaes.) (Assist.)


372.75


41710


Antrostomy (radical) (Anaes.) (Assist.)


433.15


41713


Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (Anaes.) (Assist.)


504.05


41716


Antrum, intranasal operation on or removal of foreign body from (Anaes.) (Assist.)


245.75


41719


Antrum, drainage of, through tooth socket (Anaes.)


97.65


41722


Oro-antral fistula, plastic closure of (Anaes.) (Assist.)


488.35


41725


Ethmoidal artery or arteries, transorbital ligation of (unilateral) (Anaes.) (Assist.)


372.75


41728


Lateral rhinotomy with removal of tumour (Anaes.) (Assist.)


745.70


41729


Dermoid of nose, excision of, with intranasal extension (Anaes.) (Assist.)


472.60


41731


Fronto-nasal ethmoidectomy by external approach with or without sphenoidectomy (Anaes.) (Assist.)


645.85


41734


Radical fronto-ethmoidectomy with osteoplastic flap (Anaes.) (Assist.)


842.75


41737


Frontal sinus, or ethmoidal sinuses on the one side, intranasal operation on (Anaes.) (Assist.)


401.60


41740


Frontal sinus, catheterisation of (Anaes.)


48.85


41743


Frontal sinus, trephine of (Anaes.) (Assist.)


280.40


41746


Frontal sinus, radical obliteration of (Anaes.) (Assist.)


645.85


41749


Ethmoidal sinuses, external operation on (Anaes.) (Assist.)


504.05


41752


Sphenoidal sinus, intranasal operation on (Anaes.) (Assist.)


245.75


41755


Eustachian tube, catheterisation of (Anaes.)


38.65


41758


Division of pharyngeal adhesions (Anaes.)


97.65


41761


Post nasal space, direct examination of, with or without biopsy (Anaes.)


102.05


41764


Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, 1 or more of these procedures (Anaes.)


102.05


41767


Nasopharyngeal angiofibroma, transpalatal removal (Anaes.) (Assist.)


612.45


41770


Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)


582.75


41773


Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (Anaes.) (Assist.)


488.35


41776


Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (Anaes.) (Assist.)


486.95


41779


Pharyngotomy (lateral), with or without total excision of tongue (Anaes.) (Assist.)


582.75


41782


Partial pharyngectomy via pharyngotomy (Anaes.) (Assist.)


791.25


41785


Partial pharyngectomy via pharyngotomy with partial or total glossectomy (Anaes.) (Assist.)


981.60


41786


Uvulopalatopharyngoplasty, with or without tonsillectomy, by any means (Anaes.) (Assist.)


612.45


41787


Uvulectomy and partial palatectomy with laser incision of the palate, with or without tonsillectomy, 1 or more stages, including any revision procedures within 12 months (Anaes.) (Assist.)


472.60


41788


Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (G) (Anaes.)


182.75


41789


Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (S) (Anaes.)


245.75


41792


Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (G) (Anaes.)


229.95


41793


Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (S) (Anaes.)


308.75


41796


Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (Anaes.)


94.50


41797


Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (Anaes.)


119.70


41800


Adenoids, removal of (G) (Anaes.)


97.65


41801


Adenoids, removal of (S) (Anaes.)


135.45


41804


Lingual tonsil or lateral pharyngeal bands, removal of (Anaes.)


74.75


41807


Peritonsillar abscess (quinsy), incision of (Anaes.)


58.30


41810


Uvulotomy or uvulectomy (Anaes.)


29.60


41813


Vallecular or pharyngeal cysts, removal of (Anaes.) (Assist.)


296.15


41816


Oesophagoscopy (with rigid oesophagoscope) (Anaes.)


154.30


41819


Dilatation of stricture of upper gastro-intestinal tract using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope (Anaes.)


290.00


41820


Dilatation of stricture of upper gastro-intestinal tract using bougie or balloon over endoscopically inserted guidewire, including endoscopy with flexible or rigid endoscope, where the use of imaging intensification is clinically indicated (Anaes.)


348.05


41822


Oesophagoscopy (with rigid oesophagoscope) with biopsy (Anaes.)


198.50


41825


Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (Anaes.) (Assist.)


296.15


41828


Oesophageal stricture, dilatation of, without oesophagoscopy (Anaes.)


43.40


41831


Oesophagus, endoscopic pneumatic dilatation of (Anaes.) (Assist.)


296.70


41832


Oesophagus, balloon dilatation of, using interventional imaging techniques (Anaes.)


189.85


41834


Laryngectomy (total) (Anaes.) (Assist.)


1 071.25


41837


Vertical hemi-laryngectomy including tracheostomy (Anaes.) (Assist.)


1 027.20


41840


Supraglottic laryngectomy including tracheostomy (Anaes.) (Assist.)


1 263.05


41843


Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (Anaes.) (Assist.)


1 110.65


41846


Larynx, direct examination of the supraglottic, glottic and subglottic regions, not being a service associated with any other procedure on the larynx or with the administration of a general anaesthetic (Anaes.)


154.30


41849


Larynx, direct examination of, with biopsy (Anaes.) (Assist.)


226.80


41852


Larynx, direct examination of, with removal of tumour (Anaes.) (Assist.)


245.75


41855


Microlaryngoscopy (Anaes.) (Assist.)


239.50


41858


Microlaryngoscopy with removal of juvenile papillomata (Anaes.) (Assist.)


410.70


41861


Microlaryngoscopy with removal of papillomata by laser surgery (Anaes.) (Assist.)


502.15


41864


Microlaryngoscopy with removal of tumour (Anaes.) (Assist.)


338.70


41867


Microlaryngoscopy with arytenoidectomy (Anaes.) (Assist.)


509.75


41868


Laryngeal web, division of, using microlarygoscopic techniques (Anaes.)


323.05


41870


Injection of vocal cord by teflon, fat, collagen or gelfoam (Anaes.) (Assist.)


378.00


41873


Larynx, fractured, operation for (Anaes.) (Assist.)


488.35


41876


Larynx, external operation on, or laryngofissure, with or without cordectomy (Anaes.) (Assist.)


488.35


41879


Laryngoplasty or tracheoplasty, including tracheostomy (Anaes.) (Assist.)


791.25


41880


Tracheostomy by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube (Anaes.)


211.20


41881


Tracheostomy by open exposure of the trachea, including separation of the strap muscles or division of the thyroid isthmus, where performed (Anaes.) (Assist.)


333.85


41884


Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.)


75.65


41885


Trache-oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes.) (Assist.)


239.25


41886


Trachea, removal of foreign body in (Anaes.)


147.95


41889


Bronchoscopy, as an independent procedure (Anaes.)


147.95


41892


Bronchoscopy with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes.)


195.35


41895


Bronchus, removal of foreign body in (Anaes.) (Assist.)


305.60


41898


Fibreoptic bronchoscopy with 1 or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (Anaes.) (Assist.)


213.55


41901


Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (Anaes.) (Assist.)


502.15


41904


Bronchoscopy with dilatation of tracheal stricture (Anaes.)


204.80


41905


Trachea or bronchus, dilatation of stricture and endoscopic insertion of stent (Anaes.) (Assist.)


376.80


41907


Nasal septum button, insertion of (Anaes.)


102.05


41910


Duct of major salivary gland, transposition of (Anaes.) (Assist.)


324.30


Subgroup 9 — Ophthalmology


42503


Ophthalmological examination under general anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


85.15


42506


Eye, enucleation of, with or without sphere implant (Anaes.) (Assist.)


399.95


42509


Eye, enucleation of, with insertion of integrated implant (Anaes.) (Assist.)


506.15


42510


Eye, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Anaes.) (Assist.)


583.45


42512


Globe, evisceration of (Anaes.) (Assist.)


399.95


42515


Globe, evisceration of, and insertion of intrascleral ball or cartilage (Anaes.) (Assist.)


506.15


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 (Anaes.) (Assist.)


293.70


42521


Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.)


999.95


42524


Orbit, skin graft to, as a delayed procedure (Anaes.)


170.05


42527


Contracted socket, reconstruction including mucous membrane grafting and stent mould (Anaes.) (Assist.)


337.40


42530


Orbit, exploration with or without biopsy, requiring removal of bone (Anaes.) (Assist.)


525.00


42533


Orbit, exploration of, with drainage or biopsy not requiring removal of bone (Anaes.) (Assist.)


337.40


42536


Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (Anaes.) (Assist.)


693.65


42539


Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (Anaes.) (Assist.)


987.45


42542


Orbit, exploration of anterior aspect with removal of tumour or foreign body (Anaes.) (Assist.)


418.75


42543


Orbit, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.)


734.50


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 (Anaes.) (Assist.)


1 062.35


42548


Optic nerve meninges, incision of (Anaes.) (Assist.)


631.15


42551


Eyeball, perforating wound of, not involving intraocular structures — repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies (Anaes.) (Assist.)


525.00


42554


Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue — repair (Anaes.) (Assist.)


612.45


42557


Eyeball, perforating wound of, with incarceration of lens or vitreous — repair (Anaes.) (Assist.)


856.10


42560


Intraocular foreign body, magnetic removal from anterior segment (Anaes.) (Assist.)


337.40


42563


Intraocular foreign body, nonmagnetic removal from anterior segment (Anaes.) (Assist.)


431.20


42566


Intraocular foreign body, magnetic removal from posterior segment (Anaes.) (Assist.)


612.45


42569


Intraocular foreign body, nonmagnetic removal from posterior segment (Anaes.) (Assist.)


856.10


42572


Orbital abscess or cyst, drainage of (Anaes.)


97.45


42573


Dermoid, periorbital, excision of (Anaes.)


189.05


42574


Dermoid, orbital, excision of (Anaes.) (Assist.)


401.60


42575


Tarsal cyst, extirpation of (Anaes.)


68.80


42578


Tarsal cartilage, excision of (Anaes.) (Assist.)


387.35


42581


Ectropion or entropion, tarsal cauterisation of (Anaes.)


97.45


42584


Tarsorrhaphy (Anaes.) (Assist.)


229.95


42587


Trichiasis, treatment of by cryotherapy, laser or electrolysis — each eyelid (Anaes.)


43.15


42590


Canthoplasty, medial or lateral (Anaes.) (Assist.)


281.15


42593


Lacrimal gland, excision of palpebral lobe (Anaes.)


170.05


42596


Lacrimal sac, excision of, or operation on (Anaes.) (Assist.)


418.75


42599


Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes.) (Assist.)


525.00


42602


Lacrimal canalicular system, establishment of patency by open operation, 1 eye (Anaes.) (Assist.)


525.00


42605


Lacrimal canaliculus, immediate repair of (Anaes.) (Assist.)


387.35


42608


Lacrimal drainage by insertion of glass tube, as an independent procedure (Anaes.) (Assist.)


249.95


42610


Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage — under general anaesthesia (Anaes.)


79.95


42611


Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage — under general anaesthesia (Anaes.)


120.00


42614


Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing to establish patency of, or probing for obstruction (or both), unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding after-care)


40.10


42615


Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding after-care)


60.00


42617


Punctum snip operation (Anaes.)


113.80


42620


Punctum, occlusion of, by use of a plug (Anaes.)


43.80


42621


Punctum, temporary occlusion of, by use of electrical cautery (Anaes.)


43.80


42622


Punctum, permanent occlusion of, by use of electrical cautery (Anaes.)


68.80


42623


Dacryocystorhinostomy (Anaes.) (Assist.)


581.30


42626


Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (Anaes.) (Assist.)


937.40


42629


Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (Anaes.) (Assist.)


706.15


42632


Conjunctival peritomy or repair of corneal laceration by conjunctival flap (Anaes.)


97.45


42635


Corneal perforations, sealing of, with tissue adhesive (Anaes.) (Assist.)


249.95


42638


Conjunctival graft over cornea (Anaes.) (Assist.)


312.45


42641


Autoconjunctival transplant, or mucous membrane graft (Anaes.) (Assist.)


406.15


42644


Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (Anaes.)


59.95


42647


Corneal scars, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.)


170.05


42650


Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (Anaes.)


59.95


42651


Cornea, epithelial debridement for eliminating band keratopathy (Anaes.)


133.60


42653


Cornea, transplantation of, full thickness (Anaes.) (Assist.)


1 112.35


42656


Cornea, transplantation of, second and subsequent procedures (Anaes.) (Assist.)


1 387.35


42659


Cornea, transplantation of, superficial or lamellar (Anaes.) (Assist.)


749.90


42662


Sclera, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)


749.90


42665


Sclera, transplantation of, superficial or lamellar, including collection of donor material (Anaes.) (Assist.)


499.95


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


117.95


42668


Corneal sutures, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)


62.60


42672


Corneal incisions, to correct corneal astigmatism of more than 1 1 / 2 diopters following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (Anaes.) (Assist.)


749.90


42673


Additional corneal incisions, to correct corneal astigmatism of more than 1 1 / 2 diopters, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (Anaes.) (Assist.)


374.95


42676


Conjunctiva, biopsy of, as an independent procedure


96.20


42677


Conjunctiva, cautery of, including treatment of pannus — each attendance at which treatment is given including any associated consultation (Anaes.)


50.65


42680


Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO 2 or N 20 (Anaes.)


249.95


42683


Conjunctival cysts, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)


100.00


42686


Pterygium, removal of (Anaes.)


227.45


42689


Pinguecula, removal of, not being a service associated with the fitting of contact lenses (Anaes.)


97.45


42692


Limbic tumour, removal of, excluding Pterygium (Anaes.) (Assist.)


229.95


42695


Limbic tumour, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)


374.95


42698


Lens extraction, excluding surgery performed for the correction of refractive error except for anisometropia greater then 3 dioptres following the removal of cataract in the first eye (Anaes.)


584.90


42701


Artificial lens, insertion of, excluding surgery performed for the correction of refractive error except for anisometropia greater then 3 dioptres following the removal of cataract in the first eye (Anaes.)


326.15


42702


Lens extraction and insertion of artificial lens, excluding surgery performed for the correction of refractive error except for anisometropia greater then 3 dioptres following the removal of cataract in the first eye (Anaes.)


748.05


42703


Artificial lens, insertion of, into the posterior chamber and suture to the iris and sclera (Anaes.) (Assist.)


475.40


42704


Artificial lens, removal or repositioning of by open operation — not being a service associated with a service to which item 42701 applies (Anaes.)


387.35


42707


Artificial lens, removal of and replacement with a different lens (Anaes.)


662.40


42710


Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (Anaes.) (Assist.)


749.90


42713


Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (Anaes.) (Assist.)


312.45


42716


Cataract, juvenile, removal of, including subsequent needlings (Anaes.) (Assist.)


993.65


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 (Anaes.) (Assist.)


431.20


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 (Anaes.) (Assist.)


471.75


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 (Anaes.) (Assist.)


1 112.35


42728


Cryotherapy of retina or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies (Anaes.)


187.50


42731


Capsulectomy or lensectomy by posterior chamber sclerotomy in conjunction with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation (Anaes.) (Assist.)


1 262.30


42734


Capsulotomy, other than by laser (Anaes.) (Assist.)


249.95


42737


Needling of posterior capsule (Anaes.) (Assist.)


249.95


42740


Paracentesis of anterior or posterior chamber or both,
for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of (Anaes.) (Assist.)


249.95


42743


Anterior chamber, irrigation of blood from, as an independent procedure (Anaes.) (Assist.)


525.00


42746


Glaucoma, filtering operation for (Anaes.) (Assist.)


793.65


42749


Glaucoma, filtering operation for, where previous filtering operation has been performed (Anaes.) (Assist.)


993.65


42752


Glaucoma, insertion of Molteno valve for, 1 or more stages (Anaes.) (Assist.)


1 112.35


42755


Glaucoma, removal of Molteno valve (Anaes.)


137.50


42758


Goniotomy (Anaes.) (Assist.)


581.30


42761


Division of anterior or posterior synechiae, as an independent procedure, other than by laser (Anaes.) (Assist.)


431.20


42764


Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (Anaes.) (Assist.)


431.20


42767


Tumour, involving ciliary body or ciliary body and iris, excision of (Anaes.) (Assist.)


906.10


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 (Anaes.) (Assist.)


245.05


42771


Cyclodestructive procedures for the treatment of intractable glaucoma, treatment to 1 eye — where it can be demonstrated that a third or subsequent treatment to that eye (including any treatments to which item 42770 applies) is indicated in a 2 year period (Anaes.) (Assist.)


241.20


42773


Detached retina, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies (Anaes.) (Assist.)


749.90


42776


Detached retina, buckling or resection operation for (Anaes.) (Assist.)


1 112.35


42779


Detached retina, revision operation for (Anaes.) (Assist.)


1 387.35


42782


Laser trabeculoplasty — each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)


374.95


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 (Anaes.) (Assist.)


374.95


42785


Laser iridotomy — each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)


293.70


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 (Anaes.) (Assist.)


293.70


42788


Laser capsulotomy — each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)


293.70


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 (Anaes.) (Assist.)


293.70


42791


Laser vitreolysis or corticolysis of lens material or fibrinolysis — each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)


293.70


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 (Anaes.) (Assist.)


293.70


42794


Division of suture by laser following trabeculoplasty, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)


56.20


42797


Laser coagulation of corneal or scleral blood vessels — each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.)


56.20


42806


Iris tumour, laser photocoagulation of (Anaes.) (Assist.)


293.70


42807


Photomydriasis, laser


295.70


42808


Photoiridosyneresis, laser


295.70


42809


Retina, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.)


374.95


42810


Phototherapeutic keratectomy, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.)


471.80


42812


Detached retina, removal of encircling silicone band from (Anaes.)


137.50


42815


Posterior chamber, removal of silicone oil from (Anaes.) (Assist.)


525.00


42818


Retina, cryotherapy to, as an independent procedure, with external probe (Anaes.)


487.35


42821


Ocular transillumination, for the diagnosis and measurement of intraocular tumours, as an independent procedure (Anaes.)


75.00


42824


Retrobulbar injection of alcohol or other drug, as an independent procedure


58.10


42833


Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles (Anaes.) (Assist.)


487.35


42836


Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles where there have been 2 or more previous squint operations on the eye or eyes (Anaes.) (Assist.)


606.15


42839


Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles (Anaes.) (Assist.)


581.30


42842


Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles where there have been 2 or more previous squint operations on the eye or eyes (Anaes.) (Assist.)


724.95


42845


Readjustment of adjustable sutures, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.)


157.40


42848


Squint, muscle transplant for (Hummelsheim type, or similar operation) (Anaes.) (Assist.)


581.30


42851


Squint, muscle transplant for (Hummelsheim type, or similar operation) where there have been 2 or more previous squint operations on the eye or eyes (Anaes.) (Assist.)


724.95


42854


Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (Anaes.) (Assist.)


337.40


42857


Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (Anaes.) (Assist.)


337.40


42860


Eyelid (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Anaes.) (Assist.)


749.90


42863


Eyelid, recession of (Anaes.) (Assist.)


643.65


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 (Anaes.) (Assist.)


624.90


42869


Eyelid closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.)


456.25


42872


Eyebrow, elevation of, for paretic states (Anaes.)


200.00


Subgroup 10 — Operations for osteomyelitis


43500


Operation on phalanx (for acute osteomyelitis) (Anaes.)


102.55


43503


Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins) (for acute osteomyelitis) — 1 bone (Anaes.)


170.15


43506


Operation on humerus or femur (for acute osteomyelitis) — 1 bone (Anaes.) (Assist.)


296.15


43509


Operation on spine or pelvic bones (for acute osteomyelitis) — 1 bone (Anaes.) (Assist.)


296.15


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 (Anaes.) (Assist.)


296.15


43515


Operation on humerus or femur (for chronic osteomyelitis) — 1 bone (Anaes.) (Assist.)


296.15


43518


Operation on spine or pelvic bones (for chronic osteomyelitis) — 1 bone (Anaes.) (Assist.)


488.35


43521


Operation on skull (for chronic osteomyelitis) (Anaes.) (Assist.)


386.00


43524


Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (Anaes.) (Assist.)


488.35


Subgroup 11 — Paediatric


43801


Intestinal malrotation with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.)


795.55


43804


Intestinal malrotation with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.)


847.05


43807


Duodenal atresia or stenosis, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.)


924.15


43810


Jejunal atresia, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)


1 078.20


43813


Meconium ileus, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intestinal perforation with or without meconium peritonitis (Anaes.) (Assist.)


1 078.20


43816


Ileal atresia, colonic atresia or meconium ileus not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)


1 001.10


43819


Hirschsprung's disease, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)


808.60


43822


Anorectal malformation, laparotomy and colostomy for (Anaes.) (Assist.)


808.60


43825


Neonatal alimentary obstruction, laparotomy for, not being a service to which any other item in this subgroup applies (Anaes.) (Assist.)


924.15


43828


Acute neonatal necrotising enterocolitis, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)


1 020.95


43831


Acute neonatal necrotising enterocolitis where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)


795.55


43834


Bowel resection for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)


924.15


43837


Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)


1 155.10


43840


Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)


1 001.10


43843


Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)


1 540.15


43846


Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1 500 gms (Anaes.) (Assist.)


1 655.65


43849


Oesophageal atresia, gastrostomy for (Anaes.) (Assist.)


423.55


43852


Oesophageal atresia, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)


1 347.60


43855


Oesophageal atresia, delayed primary anastomosis for (Anaes.) (Assist.)


1 424.70


43858


Oesophageal atresia, cervical oesophagostomy for (Anaes.) (Assist.)


500.50


43861


Congenital cystadenomatoid malformation or congenital lobar emphysema, thoracotomy and lung resection for (Anaes.) (Assist.)


1 386.20


43864


Gastroschisis, operation for (Anaes.) (Assist.)


1 039.60


43867


Gastroschisis, secondary operation for, with removal of silo and closure of abdominal wall (Anaes.) (Assist.)


577.60


43870


Exomphalos containing small bowel only, operation for (Anaes.) (Assist.)


808.60


43873


Exomphalos containing small bowel and other viscera, operation for (Anaes.) (Assist.)


1 078.20


43876


Sacrococcygeal teratoma, excision of, by posterior approach (Anaes.) (Assist.)


924.15


43879


Sacrococcygeal teratoma, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)


1 078.20


43882


Cloacal exstrophy, operation for (Anaes.) (Assist.)


1 386.20


43900


Tracheo-oesophageal fistula without atresia, division and repair of (Anaes.) (Assist.)


924.15


43903


Oesophageal atresia or corrosive oesophageal stricture, oesophageal replacement for, utilising gastric tube, jejunum or colon (Anaes.) (Assist.)


1 540.15


43906


Oesophagus, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)


1 347.60


43909


Tracheomalacia, aortopexy for (Anaes.) (Assist.)


1 347.60


43912


Thoracotomy and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)


1 273.15


43915


Eventration, plication of diaphragm for (Anaes.) (Assist.)


962.65


43930


Hypertrophic pyloric stenosis, pyloromyotomy for (Anaes.) (Assist.)


370.20


43933


Idiopathic intussusception, laparotomy and manipulative reduction of (Anaes.) (Assist.)


433.25


43936


Intussusception, laparotomy and resection with anastomosis (Anaes.) (Assist.)


808.60


43939


Ventral hernia following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)


616.10


43942


Abdominal wall vitello intestinal remnant, excision of (Anaes.)


192.60


43945


Patent vitello intestinal duct, excision of (Anaes.) (Assist.)


808.60


43948


Umbilical granuloma, excision of, under general anaesthesia (Anaes.)


115.55


43951


Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)


724.10


43954


Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)


885.70


43957


Gastro-oesophageal reflux, laparotomy and fundoplication for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)


962.65


43960


Anorectal malformation, perineal anoplasty of (Anaes.) (Assist.)


338.70


43963


Anorectal malformation, posterior sagittal anorectoplasty of (Anaes.) (Assist.)


1 347.60


43966


Anorectal malformation, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)


1 540.15


43969


Persistent cloaca, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)


2 117.80


43972


Choledochal cyst, resection of, with 1 duct anastomosis (Anaes.) (Assist.)


1 540.15


43975


Choledochal cyst, resection of, with 2 duct anastomoses (Anaes.) (Assist.)


1 809.75


43978


Biliary atresia, portoenterostomy for (Anaes.) (Assist.)


1 540.15


43981


Nephroblastoma, neuroblastoma or other malignant tumour, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)


423.55


43984


Nephroblastoma, radical nephrectomy for (Anaes.) (Assist.)


1 078.20


43987


Neuroblastoma, radical excision of (Anaes.) (Assist.)


1 193.70


43990


Hirschsprung's disease, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes.) (Assist.)


1 463.20


43993


Hirschsprung's disease, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma (Anaes.) (Assist.)


1 578.70


43996


Hirschsprung's disease, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolonic anastomosis (Anaes.) (Assist.)


1 771.25


43999


Hirschsprung's disease, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)


221.50


44102


Rectum, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)


213.55


44105


Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia (Anaes.)


37.50


44108


Inguinal hernia repair at age less than 3 months (Anaes.) (Assist.)


408.40


44111


Obstructed or strangulated inguinal hernia, repair of, at age less than 3 months, including orchidopexy when performed (Anaes.) (Assist.)


478.35


44114


Inguinal hernia repair at age less than 3 months when orchidopexy also required (Anaes.) (Assist.)


478.35


44130


Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (Anaes.) (Assist.)


385.05


44133


Torticollis, open division of sternomastoid muscle for (Anaes.) (Assist.)


305.60


44136


Ingrown toe nail, operation for, under general anaesthesia (Anaes.)


140.85


Subgroup 12 — Amputations


44325


Hand, midcarpal or transmetacarpal, amputation of (Anaes.) (Assist.)


245.75


44328


Hand, forearm or through arm, amputation of (Anaes.) (Assist.)


296.15


44331


Amputation at shoulder (Anaes.) (Assist.)


488.35


44334


Interscapulothoracic amputation (Anaes.) (Assist.)


992.50


44338


1 digit of foot, amputation of (Anaes.)


119.70


44342


2 digits of 1 foot, amputation of (Anaes.)


182.75


44346


3 digits of 1 foot, amputation of (Anaes.) (Assist.)


211.05


44350


4 digits of 1 foot, amputation of (Anaes.) (Assist.)


239.50


44354


5 digits of 1 foot, amputation of (Anaes.) (Assist.)


274.10


44358


Toe, including metatarsal or part of metatarsal — each toe, amputation of (Anaes.)


152.85


44359


One or more toes of 1 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 (Anaes.) (Assist.)


219.30


44361


Foot at ankle (Syme, Pirogoff types), amputation of (Anaes.) (Assist.)


296.15


44364


Foot, midtarsal or transmetatarsal, amputation of (Anaes.) (Assist.)


245.75


44367


Amputation through thigh, at knee or below knee (Anaes.) (Assist.)


433.70


44370


Amputation at hip (Anaes.) (Assist.)


598.55


44373


Hindquarter, amputation of (Anaes.) (Assist.)


1 228.65


44376


Amputation stump, re-amputation of, to provide adequate skin and muscle cover (Anaes.) (Assist.)


Amount under rule 16


Subgroup 13 — Plastic and reconstructive surgery


45000


Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (Anaes.)


449.90


45003


Single stage local myocutaneous flap repair to 1 defect, simple and small (Anaes.)


499.95


45006


Single stage large myocutaneous flap repair to 1 defect (pectoralis major, latissimus dorsi, or similar large muscle) (Anaes.) (Assist.)


862.40


45009


Single stage local muscle flap repair to 1 defect, simple and small (Anaes.) (Assist.)


315.05


45012


Single stage large muscle flap repair to 1 defect (pectoralis major, gastrocnemius, gracilis or similar large muscle) (Anaes.) (Assist.)


527.65


45015


Muscle or myocutaneous flap, delay of (Anaes.)


249.95


45018


Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (Anaes.) (Assist.)


393.65


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 (Anaes.)


329.65


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 (Anaes.)


329.65


45021


Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne — limited to 1 aesthetic area (Anaes.)


147.45


45024


Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne — more than 1 aesthetic area (Anaes.)


331.20


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 (Anaes.)


147.45


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 (Anaes.)


331.20


45027


Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


100.00


45030


Angioma (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (Anaes.)


107.40


45033


Angioma (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes.)


200.00


45035


Angioma (haemangioma or lymphangioma or both) large and deep, involving muscles or nerves, excision of (Anaes.) (Assist.)


583.45


45036


Angioma (haemangioma or lymphangioma or both) of neck, deep, excision of (Anaes.) (Assist.)


937.40


45039


Arteriovenous malformation (3 cm or less) of superficial tissue, excision of (Anaes.)


200.00


45042


Arteriovenous malformation, (greater than 3 cm), excision of (Anaes.) (Assist.)


256.25


45045


Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)


256.25


45048


Lymphoedematous tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)


643.65


45051


Contour reconstruction for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (Anaes.) (Assist.)


393.75


45054


Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (Anaes.) (Assist.)


204.45


45200


Single stage local flap, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness (Anaes.)


236.30


45203


Single stage local flap, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness (Anaes.) (Assist.)


337.40


45206


Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (Anaes.)


318.80


45209


Direct flap repair (cross arm, abdominal or similar), first stage (Anaes.) (Assist.)


393.75


45212


Direct flap repair (cross arm, abdominal or similar), second stage (Anaes.)


195.35


45215


Direct flap repair, cross leg, first stage (Anaes.) (Assist.)


842.75


45218


Direct flap repair, cross leg, second stage (Anaes.) (Assist.)


378.00


45221


Direct flap repair, small (cross finger or similar), first stage (Anaes.)


217.30


45224


Direct flap repair, small (cross finger or similar), second stage (Anaes.)


97.65


45227


Indirect flap or tubed pedicle, formation of (Anaes.) (Assist.)


370.20


45230


Direct or indirect flap or tubed pedicle, delay of (Anaes.)


185.00


45233


Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (Anaes.) (Assist.)


393.75


45236


Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (Anaes.)


308.75


45239


Direct, indirect or local flap, revision of (Anaes.)


217.30


45400


Free grafting (split skin) of a granulating area, small (Anaes.)


170.15


45403


Free grafting (split skin) of a granulating area, extensive (Anaes.) (Assist.)


338.70


45406


Free grafting (split skin) to burns, including excision of burnt tissue — involving not more than 3% of total body surface (Anaes.) (Assist.)


374.95


45409


Free grafting (split skin) to burns, including excision of burnt tissue — involving 3% or more but less than 6% of total body surface (Anaes.) (Assist.)


499.95


45412


Free grafting (split skin) to burns, including excision of burnt tissue — involving 6% or more but less than 9% of total body surface (Anaes.) (Assist.)


687.45


45415


Free grafting (split skin) to burns, including excision of burnt tissue — involving 9% or more but less than 12% of total body surface (Anaes.) (Assist.)


749.90


45418


Free grafting (split skin) to burns, including excision of burnt tissue — involving 12% or more but less than 15% of total body surface (Anaes.) (Assist.)


812.40


45439


Free grafting (split skin) to 1 defect, including elective dissection, small (Anaes.)


236.30


45442


Free grafting (split skin) to 1 defect, including elective dissection, extensive (Anaes.) (Assist.)


487.35


45445


Free grafting (split skin) as inlay graft to 1 defect including elective dissection using a mould (including insertion of and removal of mould) (Anaes.) (Assist.)


462.60


45448


Free grafting (split skin) to 1 defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not being a service to which item 45442 or 45445 applies (Anaes.)


312.45


45451


Free grafting (full thickness) to 1 defect, excluding grafts for male pattern baldness (Anaes.) (Assist.)


393.75


45460


Free grafting (split skin) to burns, including excision of burnt tissue, involving 15% or more but less than 20% of total body surface — 1 surgeon (Anaes.) (Assist.)


1 041.60


45461


Free grafting (split skin) to burns, including excision of burnt tissue, involving 15% or more but less than 20% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


742.30


45462


Free grafting (split skin) to burns, including excision of burnt tissue, involving 15% or more but less than 20% of total body surface — conjoint surgery, co-surgeon (Assist.)


560.25


45464


Free grafting (split skin) to burns, including excision of burnt tissue, involving 20% or more but less than 30% of total body surface — 1 surgeon (Anaes.) (Assist.)


1 589.90


45465


Free grafting (split skin) to burns, including excision of burnt tissue, involving 20% or more but less than 30% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


1 132.70


45466


Free grafting (split skin) to burns, including excision of burnt tissue, involving 20% or more but less than 30% of total body surface — conjoint surgery, co-surgeon (Assist.)


854.20


45468


Free grafting (split skin) to burns, including excision of burnt tissue, involving 30% or more but less than 40% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


1 523.00


45469


Free grafting (split skin) to burns, including excision of burnt tissue, involving 30% or more but less than 40% of total body surface — conjoint surgery, co-surgeon (Assist.)


1 149.05


45471


Free grafting (split skin) to burns, including excision of burnt tissue, involving 40% or more but less than 50% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


1 914.40


45472


Free grafting (split skin) to burns, including excision of burnt tissue, involving 40% or more but less than 50% of total body surface — conjoint surgery, co-surgeon (Assist.)


1 444.00


45474


Free grafting (split skin) to burns, including excision of burnt tissue, involving 50% or more but less than 60% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


2 304.75


45475


Free grafting (split skin) to burns, including excision of burnt tissue, involving 50% or more but less than 60% of total body surface — conjoint surgery, co-surgeon (Assist.)


1 738.95


45477


Free grafting (split skin) to burns, including excision of burnt tissue, involving 60% or more but less than 70% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


2 695.10


45478


Free grafting (split skin) to burns, including excision of burnt tissue, involving 60% or more but less than 70% of total body surface — conjoint surgery, co-surgeon (Assist.)


2 032.80


45480


Free grafting (split skin) to burns, including excision of burnt tissue, involving 70% or more but less than 80% of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


3 085.35


45481


Free grafting (split skin) to burns, including excision of burnt tissue, involving 70% or more but less than 80% of total body surface — conjoint surgery, co-surgeon (Assist.)


2 327.80


45483


Free grafting (split skin) to burns, including excision of burnt tissue, involving 80% or more of total body surface — conjoint surgery, principal surgeon (Anaes.) (Assist.)


3 515.25


45484


Free grafting (split skin) to burns, including excision of burnt tissue, involving 80% or more of total body surface — conjoint surgery, co-surgeon (Assist.)


2 652.30


45485


Free grafting (split skin) to burns, including excision of burnt tissue — upper eyelid, nose, lip, ear or palm of the hand (Anaes.) (Assist.)


438.55


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 (Anaes.) (Assist.)


374.95


45487


Free grafting (split skin) to burns, including excision of burnt tissue — whole of toe (Anaes.) (Assist.)


337.40


45488


Free grafting (split skin) to burns, including excision of burnt tissue — the whole of 1 digit of the hand (Anaes.) (Assist.)


374.95


45489


Free grafting (split skin) to burns, including excision of burnt tissue — the whole of 2 digits of the hand (Anaes.) (Assist.)


562.50


45490


Free grafting (split skin) to burns, including excision of burnt tissue — the whole of 3 digits of the hand (Anaes.) (Assist.)


750.00


45491


Free grafting (split skin) to burns, including excision of burnt tissue — the whole of 4 digits of the hand (Anaes.) (Assist.)


937.40


45492


Free grafting (split skin) to burns, including excision of burnt tissue — the whole of 5 digits of the hand (Anaes.) (Assist.)


1 124.95


45493


Free grafting (split skin) to burns, including excision of burnt tissue — portion of digit of hand (Anaes.) (Assist.)


337.40


45494


Free grafting (split skin) to burns, including excision of burnt tissue — whole of face (excluding ears) (Anaes.) (Assist.)


1 361.80


45496


Flap, free tissue transfer using microvascular techniques — revision of, by open operation (Anaes.)


345.75


45497


Flap, free tissue transfer using microvascular techniques — complete revision of, by liposuction (Anaes.)


270.10


45498


Flap, free tissue transfer using microvascular techniques — staged revision of, by liposuction (first stage) (Anaes.)


217.30


45499


Flap, free tissue transfer using microvascular techniques — staged revision of, by liposuction (second stage) (Anaes.)


162.05


45500


Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (Anaes.) (Assist.)


906.10


45501


Microvascular anastomosis of artery using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)


1 474.90


45502


Microvascular anastomosis of vein using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)


1 474.90


45503


Micro-arterial or micro-venous graft using microsurgical techniques (Anaes.) (Assist.)


1 687.35


45504


Microvascular anastomosis of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)


1 474.90


45505


Microvascular anastomosis of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)


1 474.90


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 (Anaes.)


182.75


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 (Anaes.)


245.75


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 (Anaes.)


155.00


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 (Anaes.)


187.50


45519


Extensive burn scars of skin (more than 1% of body surface area), excision of, for correction of scar contracture (Anaes.) (Assist.)


356.55


45520


Reduction mammaplasty (unilateral) with surgical repositioning of nipple (Anaes.) (Assist.)


748.30


45522


Reduction mammaplasty (unilateral) without surgical repositioning of nipple (Anaes.) (Assist.)


525.00


45524


Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to 1 breast (Anaes.) (Assist.)


616.35


45527


Mammaplasty, augmentation, (unilateral), following mastectomy (Anaes.) (Assist.)


616.35


45528


Mammaplasty, augmentation, bilateral, not being a service to which item 45527 applies, where it can be demonstrated that surgery is indicated because of congenital malformation, disease or trauma of the breast (other than trauma resulting from previous elective cosmetic surgery) (Anaes.) (Assist.)


924.45


45530


Breast reconstruction (unilateral), using a latissimus dorsi or other large muscle or myocutaneous flap, including repair of secondary skin defect, if required, excluding repair of muscular aponeurotic layer (Anaes.) (Assist.)


913.65


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, not being a service associated with a service to which item 30165, 30168, 30171, 30174 or 30177 applies (Anaes.) (Assist.)


1 034.70


45536


Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (Anaes.) (Assist.)


380.50


45539


Breast reconstruction (unilateral), following mastectomy, using tissue expansion — insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes.) (Assist.)


890.25


45542


Breast reconstruction (unilateral), following mastectomy, using tissue expansion — removal of tissue expansion unit and insertion of permanent prosthesis (Anaes.) (Assist.)


509.75


45545


Nipple or areola or both, reconstruction of, by any surgical technique (Anaes.) (Assist.)


517.35


45546


Nipple or areola or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple


164.45


45548


Breast prosthesis, removal of, as an independent procedure (Anaes.)


229.95


45551


Breast prosthesis, removal of, with complete excision of fibrous capsule (Anaes.) (Assist.)


368.70


45552


Breast prosthesis, removal of, with complete excision of fibrous capsule and replacement of prosthesis (Anaes.) (Assist.)


530.80


45554


Breast prosthesis, replacement of, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule (Anaes.) (Assist.)


581.30


45555


Silicone breast prosthesis, removal of and replacement with prosthesis other than silicone gel prosthesis (Anaes.) (Assist.)


530.80


45556


Breast ptosis, correction of (unilateral), to match the position of the contralateral breast (Anaes.) (Assist.)


636.60


45557


Breast ptosis, correction by mastopexy of (unilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years, after the end of the most recent pregnancy of the patient, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove (Anaes.) (Assist.)


636.60


45558


Breast ptosis, correction by mastopexy of (bilateral), following pregnancy and lactation, when performed not less than 1 year, and not more than 7 years, after the end of the most recent pregnancy of the patient, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove (Anaes.) (Assist.)


954.85


45560


Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this group applies (Anaes.)


393.65


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 (Anaes.) (Assist.)


913.65


45563


Neurovascular island flap, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.)


913.65


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 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies — conjoint surgery, principal specialist surgeon (Anaes.) (Assist.)


2 116.05


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 30165, 30168, 30171, 30174, 30177, 45501, 45502, 45504, 45505 or 45562 applies — conjoint surgery, conjoint specialist surgeon (Assist.)


1 587.10


45566


Tissue expansion not being a service to which item 45539 or 45542 applies — insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes.) (Assist.)


890.25


45568


Tissue expander, removal of, with complete excision of fibrous capsule (Anaes.) (Assist.)


368.70


45572


Intra-operative tissue expansion performed during an operation when combined with a service to which another item in Group T8 applies including expansion injections and excluding treatment of male pattern baldness (Anaes.)


242.45


45575


Facial nerve paralysis, free fascia graft for (Anaes.) (Assist.)


598.55


45578


Facial nerve paralysis, muscle transfer for (Anaes.) (Assist.)


693.20


45581


Facial nerve palsy, excision of tissue for (Anaes.)


229.95


45584


Liposuction (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (Anaes.)


525.00


45585


Liposuction (suction assisted lipolysis) to 1 regional area, not being a service associated with a service to which item 31521 or 31527 applies, where it can be demonstrated that the treatment is for pathological lipodystrophy of hips, buttocks, thighs, knees or lower legs (Barraquer-Simon's syndrome), gynaecomastia or lymphoedema (Anaes.)


525.00


45586


Liposuction (suction assisted lipolysis) for reduction of a buffalo hump, where it can be demonstrated that the buffalo hump is secondary to an endocrine disorder or pharmacological treatment of a medical condition (Anaes.)


525.00


45587


Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to 1 side of the face (Anaes.) (Assist.)


740.35


45588


Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, where it can be demonstrated that surgery is indicated because of congenital conditions, disease or trauma (other than trauma resulting from previous elective cosmetic surgery) (Anaes.) (Assist.)


1 110.60


45590


Orbital cavity, reconstruction of a wall or floor, with or without foreign implant (Anaes.) (Assist.)


401.60


45593


Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.)


471.75


45596


Maxilla, total resection of (Anaes.) (Assist.)


748.30


45597


Maxilla, total resection of both maxillae (Anaes.) (Assist.)


1 001.70


45599


Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.)


778.35


45602


Mandible, including lower border, or maxilla, sub-total resection of (Anaes.) (Assist.)


581.30


45605


Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes.) (Assist.)


488.35


45608


Mandible, hemi-mandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (Anaes.) (Assist.)


687.45


45611


Mandible, condylectomy (Anaes.) (Assist.)


393.75


45614


Eyelid, whole thickness reconstruction of, other than by direct suture only (Anaes.) (Assist.)


488.35


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 (Anaes.)


195.35


45620


Lower eyelid, reduction of, for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral lower eyelid (Anaes.)


270.90


45623


Ptosis of eyelid (unilateral), correction of (Anaes.) (Assist.)


600.95


45624


Ptosis of eyelid, correction of, where previous ptosis surgery has been performed on that side (Anaes.) (Assist.)


779.05


45625


Ptosis of eyelid, correction of eyelid height by revision of levator sutures within 1 week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


155.85


45626


Ectropion or entropion, correction of (unilateral) (Anaes.)


270.90


45629


Symblepharon, grafting for (Anaes.) (Assist.)


393.75


45632


Rhinoplasty, correction of lateral or alar cartilages (Anaes.)


425.40


45635


Rhinoplasty, correction of bony vault only (Anaes.)


488.35


45638


Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, for correction of nasal obstruction or post-traumatic deformity (other than deformity resulting from previous elective cosmetic surgery), or both (Anaes.)


842.75


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 (Anaes.)


842.75


45641


Rhinoplasty involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft (Anaes.)


899.90


45644


Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (Anaes.) (Assist.)


1 063.30


45645


Choanal atresia, repair of by puncture and dilatation (Anaes.)


185.85


45646


Choanal atresia, correction by open operation with bone removal (Anaes.) (Assist.)


748.30


45647


Face, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) (Anaes.) (Assist.)


1 063.30


45650


Rhinoplasty, secondary revision of (Anaes.)


122.85


45652


Rhinophyma, carbon dioxide laser or erbium laser excision — ablation of (Anaes.)


296.15


45653


Rhinophyma, shaving of (Anaes.)


296.15


45656


Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (Anaes.) (Assist.)


417.45


45659


Lop ear, bat ear or similar deformity, correction of (Anaes.)


433.15


45660


External ear, complex total reconstruction of, using multiple costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) — performed by a specialist in the practice of his or her specialty (Anaes.) (Assist.)


2 392.40


45661


External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and full thickness skin graft to cover cartilage (second stage) — performed by a specialist in the practice of his or her specialty (Anaes.) (Assist.)


1 063.30


45662


Congenital atresia, reconstruction of external auditory canal (Anaes.) (Assist.)


582.75


45665


Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures (Anaes.)


270.90


45668


Vermilionectomy, by surgical excision (Anaes.)


270.90


45669


Vermilionectomy, using carbon dioxide laser or erbium laser excision — ablation (Anaes.)


270.90


45671


Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)


693.20


45674


Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.)


201.60


45675


Macrocheilia or macroglossia, operation for (Anaes.) (Assist.)


401.60


45676


Macrostomia, operation for (Anaes.) (Assist.)


478.10


45677


Cleft lip, unilateral — primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)


449.90


45680


Cleft lip, unilateral — primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)


562.50


45683


Cleft lip, bilateral — primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)


624.90


45686


Cleft lip, bilateral — primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)


737.50


45689


Cleft lip, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)


217.50


45692


Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.)


249.95


45695


Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)


406.15


45698


Cleft lip, primary columella lengthening procedure, bilateral (Anaes.)


381.20


45701


Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)


687.45


45704


Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.)


249.95


45707


Cleft palate, primary repair (Anaes.) (Assist.)


649.85


45710


Cleft palate, secondary repair, closure of fistula using local flaps (Anaes.)


406.15


45713


Cleft palate, secondary repair, lengthening procedure (Anaes.) (Assist.)


462.60


45714


Oro-nasal fistula, plastic closure of, including services to which item 45200, 45203 or 45239 applies (Anaes.) (Assist.)


649.85


45716


Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (Anaes.)


649.85


45720


Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


803.45


45723


Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


906.10


45726


Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 023.90


45729


Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 149.85


45731


Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 165.70


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 312.40


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 (Anaes.) (Assist.)


1 338.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 506.15


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 (Anaes.) (Assist.)


1 472.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 656.00


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 (Anaes.) (Assist.)


1 606.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 799.85


45753


Midfacial osteotomies — Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 810.60


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


2 170.35


45755


Temporo-mandibular meniscectomy (Anaes.) (Assist.)


305.60


45758


Temporo-mandibular joint, arthroplasty (Anaes.) (Assist.)


546.90


45761


Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


622.20


45767


Hypertelorism, correction of, intra-cranial (Anaes.) (Assist.)


2 087.25


45770


Hypertelorism, correction of, sub-cranial (Anaes.) (Assist.)


1 598.85


45773


Treacher Collins Syndrome, periorbital correction of, with rib and iliac bone grafts (Anaes.) (Assist.)


1 457.15


45776


Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, intra-cranial (Anaes.) (Assist.)


1 457.15


45779


Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, extra-cranial (Anaes.) (Assist.)


1 071.25


45782


Fronto-orbital advancement, unilateral (Anaes.) (Assist.)


819.20


45785


Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition — (bilateral fronto-orbital advancement) (Anaes.) (Assist.)


1 386.25


45788


Glenoid fossa, zygomatic arch and temporal bone, reconstruction of, (Obwegeser technique) (Anaes.) (Assist.)


1 370.45


45791


Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.)


740.35


45794


Osseo-integration procedure — extra-oral, implantation of titanium fixture (Anaes.)


418.75


45797


Osseo-integration procedure, fixation of transcutaneous abutment (Anaes.)


155.00


Subgroup 14 — Hand surgery


46300


Interphalangeal joint or metacarpophalangeal joint, arthrodesis of (Anaes.) (Assist.)


281.20


46303


Carpometacarpal joint, arthrodesis of (Anaes.) (Assist.)


312.55


46306


Interphalangeal joint or metacarpophalangeal joint — interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (Anaes.) (Assist.)


437.50


46307


Interphalangeal joint or metacarpophalangeal joint — volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (Anaes.) (Assist.)


437.50


46309


Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment — 1 joint (Anaes.) (Assist.)


437.50


46312


Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment — 2 joints (Anaes.) (Assist.)


562.60


46315


Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment — 3 joints (Anaes.) (Assist.)


750.05


46318


Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment — 4 joints (Anaes.) (Assist.)


937.60


46321


Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment — 5 or more joints (Anaes.) (Assist.)


1 125.15


46324


Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (Anaes.) (Assist.)


670.95


46325


Carpal bone replacement or resection arthroplasty using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed (Anaes.) (Assist.)


700.15


46327


Interphalangeal joint or metacarpophalangeal joint, arthrotomy of (Anaes.)


168.85


46330


Interphalangeal joint or metacarpophalangeal joint, arthrotomy of, with ligamentous or capsular repair (Anaes.) (Assist.)


287.60


46333


Interphalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (Anaes.) (Assist.)


468.80


46336


Interphalangeal joint or metacarpophalangeal joint, synovectomy, capsulectomy or debridement of, not being a service associated with any other procedure related to that joint (Anaes.) (Assist.)


218.85


46339


Extensor tendons or flexor tendons of hand or wrist, synovectomy of (Anaes.) (Assist.)


387.45


46342


Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (Anaes.) (Assist.)


387.45


46345


Distal radioulnar joint, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed (Anaes.) (Assist.)


468.80


46348


Digit, synovectomy of flexor tendon or tendons — 1 digit (Anaes.)


203.15


46351


Digit, synovectomy of flexor tendon or tendons — 2 digits (Anaes.) (Assist.)


303.15


46354


Digit, synovectomy of flexor tendon or tendons — 3 digits (Anaes.) (Assist.)


406.25


46357


Digit, synovectomy of flexor tendon or tendons — 4 digits (Anaes.) (Assist.)


506.30


46360


Digit, synovectomy of flexor tendon or tendons — 5 digits (Anaes.) (Assist.)


609.40


46363


Tendon sheath of hand or wrist, open operation on, for stenosing tenovaginitis (Anaes.)


175.00


46366


Dupuytren's contracture, subcutaneous fasciotomy for — each hand (Anaes.)


106.30


46369


Dupuytren's contracture, palmar fasciectomy for — 1 hand (Anaes.)


175.00


46372


Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves — 1 hand (Anaes.) (Assist.)


355.60


46375


Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves — 1 hand (Anaes.) (Assist.)


421.95


46378


Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves — 1 hand (Anaes.) (Assist.)


562.60


46381


Interphalangeal joint, joint capsule release when performed in conjunction with operation for Dupuytren's contracture — each procedure (Anaes.) (Assist.)


250.00


46384


Z plasty (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's contracture — 1 such procedure (Anaes.) (Assist.)


250.00


46387


Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves — operation for recurrence in that ray (Anaes.) (Assist.)


515.70


46390


Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves — operation for recurrence in those rays (Anaes.) (Assist.)


687.60


46393


Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves — operation for recurrence in those rays (Anaes.) (Assist.)


796.95


46396


Phalanx or metacarpal of the hand, osteotomy or osteectomy of (Anaes.) (Assist.)


273.90


46399


Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (Anaes.) (Assist.)


430.35


46402


Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (Anaes.) (Assist.)


430.35


46405


Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (Anaes.) (Assist.)


525.10


46408


Tendon, reconstruction of, by tendon graft (Anaes.) (Assist.)


575.10


46411


Flexor tendon pulley, reconstruction of, by graft (Anaes.) (Assist.)


337.50


46414


Artificial tendon prosthesis, insertion of, in preparation for tendon grafting (Anaes.) (Assist.)


437.40


46417


Tendon transfer for restoration of hand function, each transfer (Anaes.) (Assist.)


406.25


46420


Extensor tendon of hand or wrist, primary repair of, each tendon (Anaes.)


170.05


46423


Extensor tendon of hand or wrist, secondary repair of, each tendon (Anaes.) (Assist.)


271.90


46426


Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.)


281.20


46429


Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.)


343.80


46432


Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (Anaes.) (Assist.)


375.10


46435


Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (Anaes.) (Assist.)


437.50


46438


Mallet finger, closed pin fixation of (Anaes.)


112.55


46441


Mallet finger, open repair of, including pin fixation when performed (Anaes.) (Assist.)


271.90


46442


Mallet finger with intra-articular fracture involving more than one-third of base of terminal phalanx — open reduction (Anaes.) (Assist.)


233.40


46444


Boutonniere deformity without joint contracture, reconstruction of (Anaes.) (Assist.)


406.25


46447


Boutonniere deformity with joint contracture, reconstruction of (Anaes.) (Assist.)


506.30


46450


Extensor tendon, tenolysis of, following tendon injury, repair or graft (Anaes.)


187.50


46453


Flexor tendon, tenolysis of, following tendon injury, repair or graft (Anaes.) (Assist.)


312.55


46456


Finger, percutaneous tenotomy of (Anaes.)


81.25


46459


Operation for osteomyelitis on distal phalanx (Anaes.)


156.30


46462


Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (Anaes.) (Assist.)


250.00


46464


Amputation of a supernumerary complete digit (Anaes.)


187.50


46465


Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.)


187.50


46468


Amputation of 2 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)


328.15


46471


Amputation of 3 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)


468.80


46474


Amputation of 4 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)


609.40


46477


Amputation of 5 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.)


750.05


46480


Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal (Anaes.) (Assist.)


312.55


46483


Revision of amputation stump to provide adequate soft tissue cover (Anaes.) (Assist.)


250.00


46486


Nail bed, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


187.50


46489


Nail bed, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.) (Assist.)


218.85


46492


Contracture of digits of hand, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue (Anaes.) (Assist.)


300.05


46494


Ganglion of hand, excision of, not being a service associated with a service to which another item in this group applies (Anaes.)


182.75


46495


Ganglion or mucous cyst of distal digit, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.)


168.85


46498


Ganglion of flexor tendon sheath, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.)


182.75


46500


Ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)


218.85


46501


Ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)


273.50


46502


Recurrent ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)


251.70


46503


Recurrent ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)


314.45


46504


Neurovascular island flap, for pulp innervation (Anaes.) (Assist.)


918.80


46507


Digit or ray, transposition or transfer of, on vascular pedicle, complete procedure (Anaes.) (Assist.)


1 068.80


46510


Macrodactyly, surgical reduction of enlarged elements — each digit (Anaes.) (Assist.)


291.70


46513


Digital nail of finger or thumb, removal of, not being a service to which item 46516 applies (Anaes.)


46.95


46516


Digital nail of finger or thumb, removal of, in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


93.85


46519


Middle palmar, thenar or hypothenar spaces of hand, drainage of (excluding after-care) (Anaes.)


117.40


46522


Flexor tendon sheath of finger or thumb — open operation and drainage for infection (Anaes.) (Assist.)


350.05


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) (Anaes.)


46.95


46528


Ingrowing nail of finger or thumb, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes.)


140.85


46531


Ingrowing nail of finger or thumb, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.)


70.75


46534


Nail plate injury or deformity, radical excision of nail germinal matrix (Anaes.)


195.65


Subgroup 15 — Orthopaedic


47000


Mandible, treatment of dislocation of, by closed reduction (Anaes.)


58.75


47003


Clavicle, treatment of dislocation of, by closed reduction (Anaes.)


70.40


47006


Clavicle, treatment of dislocation of, by open reduction (Anaes.)


141.50


47009


Shoulder, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies (Anaes.)


140.85


47012


Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (Anaes.) (Assist.)


281.65


47015


Shoulder, treatment of dislocation of, not requiring general anaesthesia


70.40


47018


Elbow, treatment of dislocation of, by closed reduction (Anaes.)


164.20


47021


Elbow, treatment of dislocation of, by open reduction (Anaes.) (Assist.)


219.10


47024


Radioulnar joint, distal or proximal, treatment of dislocation of, by closed reduction, not being a service associated with fracture or dislocation in the same region (Anaes.)


164.20


47027


Radioulnar joint, distal or proximal, treatment of dislocation of, by open reduction, not being a service associated with fracture or dislocation in the same region (Anaes.) (Assist.)


219.10


47030


Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by closed reduction (Anaes.)


164.20


47033


Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by open reduction (Anaes.) (Assist.)


219.10


47036


Interphalangeal joint, treatment of dislocation of, by closed reduction (Anaes.)


70.40


47039


Interphalangeal joint, treatment of dislocation of, by open reduction (Anaes.)


93.85


47042


Metacarpophalangeal joint, treatment of dislocation of, by closed reduction (Anaes.)


93.85


47045


Metacarpophalangeal joint, treatment of dislocation of, by open reduction (Anaes.)


125.25


47048


Hip, treatment of dislocation of, by closed reduction (Anaes.)


269.95


47051


Hip, treatment of dislocation of, by open reduction (Anaes.) (Assist.)


359.85


47054


Knee, treatment of dislocation of, by closed reduction (Anaes.) (Assist.)


269.95


47057


Patella, treatment of dislocation of, by closed reduction (Anaes.)


105.60


47060


Patella, treatment of dislocation of, by open reduction (Anaes.)


140.85


47063


Ankle or tarsus, treatment of dislocation of, by closed reduction (Anaes.)


211.25


47066


Ankle or tarsus, treatment of dislocation of, by open reduction (Anaes.) (Assist.)


281.65


47069


Toe, treatment of dislocation of, by closed reduction (Anaes.)


58.75


47072


Toe, treatment of dislocation of, by open reduction (Anaes.)


78.10


47300


Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (Anaes.)


70.40


47303


Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes.)


82.15


47306


Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.)


93.85


47309


Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Anaes.)


117.40


47312


Middle phalanx of finger, treatment of fracture of, by closed reduction (Anaes.)


105.60


47315


Middle phalanx of finger, treatment of intra-articular fracture of, by closed reduction (Anaes.)


121.25


47318


Middle phalanx of finger, treatment of fracture of, by open reduction (Anaes.)


140.85


47321


Middle phalanx of finger, treatment of intra-articular fracture of, by open reduction (Anaes.)


176.00


47324


Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (Anaes.)


140.85


47327


Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes.)


164.20


47330


Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.)


187.80


47333


Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Anaes.) (Assist.)


234.60


47336


Metacarpal, treatment of fracture of, by closed reduction (Anaes.)


140.85


47339


Metacarpal, treatment of intra-articular fracture of, by closed reduction (Anaes.)


164.20


47342


Metacarpal, treatment of fracture of, by open reduction (Anaes.)


187.80


47345


Metacarpal, treatment of intra-articular fracture of, by open reduction (Anaes.) (Assist.)


234.60


47348


Carpus (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies (Anaes.)


78.10


47351


Carpus (excluding scaphoid), treatment of fracture of, by open reduction (Anaes.)


195.65


47354


Carpal scaphoid, treatment of fracture of, not being a service to which item 47357 applies (Anaes.)


140.85


47357


Carpal scaphoid, treatment of fracture of, by open reduction (Anaes.) (Assist.)


313.00


47360


Radius or ulna, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies (Anaes.)


109.55


47363


Radius or ulna, distal end of, treatment of fracture of, by closed reduction (Anaes.)


164.20


47366


Radius or ulna, distal end of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


219.10


47369


Radius, distal end of, treatment of Colles', Smith's or Barton's fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies (Anaes.)


140.85


47372


Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes.)


234.60


47375


Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (Anaes.) (Assist.)


313.00


47378


Radius or ulna, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies (Anaes.)


140.85


47381


Radius or ulna, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


211.25


47384


Radius or ulna, shaft of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


281.65


47385


Radius or ulna, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.) (Assist.)


242.50


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 (Anaes.) (Assist.)


391.15


47387


Radius and ulna, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies (Anaes.) (Assist.)


226.85


47390


Radius and ulna, shafts of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


340.35


47393


Radius and ulna, shafts of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


453.75


47396


Olecranon, treatment of fracture of, not being a service to which item 47399 applies (Anaes.)


156.45


47399


Olecranon, treatment of fracture of, by open reduction (Anaes.) (Assist.)


313.00


47402


Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Anaes.) (Assist.)


234.60


47405


Radius, treatment of fracture of head or neck of, closed management of (Anaes.)


156.45


47408


Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (Anaes.) (Assist.)


313.00


47411


Humerus, treatment of fracture of tuberosity of, not being a service to which item 47417 applies (Anaes.)


93.85


47414


Humerus, treatment of fracture of tuberosity of, by open reduction (Anaes.)


187.80


47417


Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)


219.10


47420


Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)


430.35


47423


Humerus, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies (Anaes.)


179.90


47426


Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


269.95


47429


Humerus, proximal, treatment of fracture of, by open reduction (Anaes.) (Assist.)


359.85


47432


Humerus, proximal, treatment of intra-articular fracture of, by open reduction (Anaes.) (Assist.)


449.85


47435


Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)


344.25


47438


Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)


547.75


47441


Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (Anaes.) (Assist.)


684.60


47444


Humerus, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies (Anaes.)


187.80


47447


Humerus, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


281.65


47450


Humerus, shaft of, treatment of fracture of, by internal or external (Anaes.) (Assist.)


375.55


47451


Humerus, shaft of, treatment of fracture of, by intramedullary fixation (Anaes.) (Assist.)


452.75


47453


Humerus, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies (Anaes.) (Assist.)


219.10


47456


Humerus, distal (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


328.70


47459


Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.) (Assist.)


438.15


47462


Clavicle, treatment of fracture of, not being a service to which item 47465 applies (Anaes.)


93.85


47465


Clavicle, treatment of fracture of, by open reduction (Anaes.)


187.80


47466


Sternum, treatment of fracture of, not being a service to which item 47467 applies (Anaes.)


93.85


47467


Sternum, treatment of fracture of, by open reduction (Anaes.)


187.80


47468


Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


359.85


47471


Ribs (1 or more), treatment of fracture of — each attendance


35.65


47474


Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum


156.45


47477


Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum


195.65


47480


Pelvic ring, treatment of fracture of, requiring traction (Anaes.) (Assist.)


391.15


47483


Pelvic ring, treatment of fracture of, requiring control by external fixation (Anaes.) (Assist.)


469.40


47486


Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (Anaes.) (Assist.)


782.40


47489


Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment (Anaes.) (Assist.)


1 173.65


47492


Acetabulum, treatment of fracture of, and associated dislocation of hip (Anaes.)


195.65


47495


Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (Anaes.) (Assist.)


391.15


47498


Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (Anaes.) (Assist.)


586.75


47501


Acetabulum, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes.) (Assist.)


782.40


47504


Acetabulum, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes.) (Assist.)


1 173.65


47507


Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes.) (Assist.)


1 173.65


47510


Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes.) (Assist.)


1 173.65


47513


Sacro-iliac joint disruption, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply (Anaes.) (Assist.)


313.00


47516


Femur, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.)


359.85


47519


Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (Anaes.) (Assist.)


719.85


47522


Femur, treatment of subcapital fracture of, by hemi-arthroplasty (Anaes.) (Assist.)


625.95


47525


Femur, treatment of fracture of, for slipped capital femoral epiphysis (Anaes.) (Assist.)


719.85


47528


Femur, treatment of fracture of, by internal fixation or external fixation (Anaes.) (Assist.)


625.95


47531


Femur, treatment of fracture of shaft, by intramedullary fixation and cross fixation (Anaes.) (Assist.)


798.00


47534


Femur, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of 1 or more osteochondral fragments (Anaes.) (Assist.)


899.75


47537


Femur, condylar region of, treatment of fracture of, requiring internal fixation of 1 or more osteochondral fragments, not being a service associated with a service to which item 47534 applies (Anaes.) (Assist.)


359.85


47540


Hip spica or shoulder spica, application of, as an independent procedure (Anaes.)


179.90


47543


Tibia, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies (Anaes.)


187.80


47546


Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes.)


281.65


47549


Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (Anaes.) (Assist.)


375.55


47552


Tibia, plateau of, treatment of both medial and lateral fractures of, not being a service to which item 47555 or 47558 applies (Anaes.) (Assist.)


313.00


47555


Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (Anaes.)


469.40


47558


Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (Anaes.) (Assist.)


625.95


47561


Tibia, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies (Anaes.)


226.85


47564


Tibia, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.)


340.35


47565


Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (Anaes.) (Assist.)


592.00


47566


Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (Anaes.) (Assist.)


754.65


47567


Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)


395.05


47570


Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)


453.75


47573


Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)


567.20


47576


Fibula, treatment of fracture of (Anaes.)


93.85


47579


Patella, treatment of fracture of, not being a service to which item 47582 or 47585 applies (Anaes.)


133.05


47582


Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (Anaes.) (Assist.)


273.90


47585


Patella, treatment of fracture of, by internal fixation (Anaes.) (Assist.)


352.15


47588


Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes.) (Assist.)


1 095.25


47591


Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes.) (Assist.)


1 330.20


47594


Ankle joint, treatment of fracture of, not being a service to which item 47597 applies (Anaes.)


179.90


47597


Ankle joint, treatment of fracture of, by closed reduction (Anaes.)


269.95


47600


Ankle joint, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (Anaes.) (Assist.)


359.85


47603


Ankle joint, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (Anaes.) (Assist.)


469.40


47606


Calcaneum or talus, treatment of fracture of, not being a service to which item 47609, 47612, 47615 or 47618 applies, with or without dislocation (Anaes.)


195.65


47609


Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)


293.40


47612


Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)


340.35


47615


Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)


391.15


47618


Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)


489.10


47621


Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.)


340.35


47624


Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)


469.40


47627


Tarsus (excluding calcaneum or talus), treatment of fracture of (Anaes.)


133.05


47630


Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.)


281.65


47633


Metatarsal, 1 of, treatment of fracture of (Anaes.)


93.85


47636


Metatarsal, 1 of, treatment of fracture of, by closed reduction (Anaes.)


140.85


47639


Metatarsal, 1 of, treatment of fracture of, by open reduction (Anaes.)


187.80


47642


Metatarsals, 2 of, treatment of fracture of (Anaes.)


125.25


47645


Metatarsals, 2 of, treatment of fracture of, by closed reduction (Anaes.)


187.80


47648


Metatarsals, 2 of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


250.25


47651


Metatarsals, 3 or more of, treatment of fracture of (Anaes.)


195.65


47654


Metatarsals, 3 or more of, treatment of fracture of, by closed reduction (Anaes.) (Assist.)


293.40


47657


Metatarsals, 3 or more of, treatment of fracture of, by open reduction (Anaes.) (Assist.)


391.15


47663


Phalanx of great toe, treatment of fracture of, by closed reduction (Anaes.)


117.40


47666


Phalanx of great toe, treatment of fracture of, by open reduction (Anaes.)


195.65


47672


Phalanx of toe (other than great toe), 1 of, treatment of fracture of, by open reduction (Anaes.)


93.85


47678


Phalanx of toe (other than great toe), more than 1 of, treatment of fracture of, by open reduction (Anaes.)


140.85


47681


Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements — each attendance


35.65


47684


Spine, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (Anaes.) (Assist.)


625.95


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.)


1 095.25


47690


Spine, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (Anaes.) (Assist.)


860.65


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.)


1 095.25


47696


Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.) (Assist.)


313.00


47699


Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Anaes.) (Assist.)


1 251.85


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 (Anaes.) (Assist.)


1 564.85


47703


Skull, treatment of fracture of, each attendance


35.65


47705


Skull calipers, insertion of, as an independent procedure (Anaes.) (Assist.)


234.60


47708


Plaster jacket, application of, as an independent procedure (Anaes.)


179.90


47711


Halo, application of, as an independent procedure (Anaes.) (Assist.)


266.10


47714


Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes.)


199.50


47717


Halo-thoracic traction — application of both halo and thoracic jacket (Anaes.) (Assist.)


352.15


47720


Halo-femoral traction, as an independent procedure (Anaes.) (Assist.)


352.15


47723


Halo-femoral traction in conjunction with a major spine operation (Anaes.) (Assist.)


352.15


47726


Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, small quantity (Anaes.)


117.40


47729


Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, large quantity (Anaes.)


195.65


47732


Vascularised pedicle bone graft, harvesting of, in conjunction with another service (Anaes.) (Assist.)


313.00


47735


Nasal bones, treatment of fracture of, not being a service to which item 47738 or 47741 applies — each attendance


35.65


47738


Nasal bones, treatment of fracture of, by reduction (Anaes.)


195.65


47741


Nasal bones, treatment of fracture of, by open reduction involving osteotomies (Anaes.) (Assist.)


399.15


47753


Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)


337.95


47756


Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)


337.95


47762


Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes.)


198.50


47765


Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.)


325.85


47768


Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.)


399.15


47771


Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.)


458.55


47774


Maxilla, treatment of fracture of, requiring open operation (Anaes.) (Assist.)


362.10


47777


Mandible, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)


362.10


47780


Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)


470.65


47783


Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)


470.65


47786


Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)


597.30


47789


Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)


597.30


47900


Bone cyst, injection into or aspiration of (Anaes.)


140.85


47903


Epicondylitis, open operation for (Anaes.)


195.65


47904


Digital nail of toe, removal of, not being a service to which item 47906 applies (Anaes.)


46.95


47906


Digital nail of toe, removal of, in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


93.85


47912


Pulp space infection, paronychia of foot, incision for, not being a service to which another item in this group applies (excluding after-care) (Anaes.)


46.95


47915


Ingrowing nail of toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes.)


140.85


47916


Ingrowing nail of toe, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.)


70.75


47918


Ingrowing toenail, radical excision of nailbed (Anaes.)


195.65


47920


Bone growth stimulator, insertion of (Anaes.) (Assist.)


316.45


47921


Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.)


93.85


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 (Anaes.)


31.25


47927


Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or approved day-hospital facility — per bone (Anaes.)


117.40


47930


Plate, rod or nail and associated wires, pins or screws, 1 or more of, all of which were inserted for internal fixation purposes, removal of, not being a service associated with a service to which item 47924 or 47927 applies — per bone (Anaes.) (Assist.)


219.10


47933


Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (Anaes.)


172.10


47936


Exostosis of large bone, excision of (Anaes.) (Assist.)


211.25


47948


External fixation, removal of, in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


133.05


47951


External fixation, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.)


156.45


47954


Tendon, repair of, not being a service to which another item in this group applies (Anaes.) (Assist.)


313.00


47957


Tendon, large, lengthening of, not being a service to which another item in this group applies (Anaes.) (Assist.)


234.60


47960


Tenotomy, subcutaneous, not being a service to which another item in this group applies (Anaes.)


109.55


47963


Tenotomy, open, with or without tenoplasty, not being a service to which another item in this group applies (Anaes.)


179.90


47966


Tendon or ligament transfer, not being a service to which another item in this group applies (Anaes.) (Assist.)


359.85


47969


Tenosynovectomy, not being a service to which another item in this group applies (Anaes.) (Assist.)


219.10


47972


Tendon sheath, open operation for teno-vaginitis, not being a service to which another item in this group applies (Anaes.)


175.00


47975


Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (Anaes.) (Assist.)


306.75


47978


Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (Anaes.)


186.35


47981


Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, not being a service to which another item in this group applies (Anaes.)


125.05


47982


Forage (Drill decompression), of neck or head of femur, or both (Anaes.) (Assist.)


303.25


48200


Femur, bone graft to (Anaes.) (Assist.)


625.95


48203


Femur, bone graft to, with internal fixation (Anaes.) (Assist.)


758.95


48206


Tibia, bone graft to (Anaes.) (Assist.)


469.90


48209


Tibia, bone graft to, with internal fixation (Anaes.) (Assist.)


602.45


48212


Humerus, bone graft to (Anaes.) (Assist.)


469.90


48215


Humerus, bone graft to, with internal fixation (Anaes.) (Assist.)


602.45


48218


Radius or ulna, bone graft to (Anaes.) (Assist.)


469.90


48221


Radius and ulna, bone graft to, with internal fixation of 1 or both bones (Anaes.) (Assist.)


625.95


48224


Radius or ulna, bone graft to (Anaes.) (Assist.)


313.00


48227


Radius or ulna, bone graft to, with internal fixation of 1 or both bones (Anaes.) (Assist.)


406.85


48230


Scaphoid, bone graft to, for non-union (Anaes.) (Assist.)


352.15


48233


Scaphoid, bone graft to, for non-union, with internal fixation (Anaes.) (Assist.)


508.55


48236


Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (Anaes.) (Assist.)


665.05


48239


Bone graft, not being a service to which another item in this group applies (Anaes.) (Assist.)


367.70


48242


Bone graft, with internal fixation, not being a service to which another item in this group applies (Anaes.) (Assist.)


508.55


48400


Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies (Anaes.) (Assist.)


273.90


48403


Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (Anaes.) (Assist.)


430.35


48406


Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (Anaes.) (Assist.)


273.90


48409


Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (Anaes.) (Assist.)


430.35


48412


Humerus, osteotomy or osteectomy of (Anaes.) (Assist.)


524.10


48415


Humerus, osteotomy or osteectomy of, with internal fixation (Anaes.) (Assist.)


665.05


48418


Tibia, osteotomy or osteectomy of (Anaes.) (Assist.)


524.10


48421


Tibia, osteotomy or osteectomy of, with internal fixation (Anaes.) (Assist.)


665.05


48424


Femur or pelvis, osteotomy or osteectomy of (Anaes.) (Assist.)


625.95


48427


Femur or pelvis, osteotomy or osteectomy of, with internal fixation (Anaes.) (Assist.)


758.95


48500


Femur, epiphysiodesis of (Anaes.) (Assist.)


273.90


48503


Tibia and fibula, epiphysiodesis of (Anaes.) (Assist.)


273.90


48506


Femur, tibia and fibula, epiphysiodesis of (Anaes.) (Assist.)


406.85


48509


Epiphysiodesis, staple arrest of hemi-epiphysis (Anaes.)


195.65


48512


Epiphysiolysis, operation to prevent closure of plate (Anaes.) (Assist.)


743.25


48600


Spine, manipulation of, performed in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


78.10


48603


Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which item 48600 or 50115 applies (Anaes.)


117.40


48606


Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (Anaes.) (Assist.)


1 095.25


48609


Scoliosis or Kyphosis, spinal fusion for, using Harrington or other non-segmental fixation (Anaes.) (Assist.)


1 369.20


48612


Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (Anaes.) (Assist.)


2 034.25


48613


Scoliosis or Kyphosis, spinal fusion for, using segmental instrumentation, reconstruction using separate anterior and posterior approaches (Anaes.) (Assist.)


2 893.50


48615


Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (Anaes.) (Assist.)


367.70


48618


Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (Anaes.) (Assist.)


2 034.25


48621


Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) — not more than 4 levels (Anaes.) (Assist.)


1 330.20


48624


Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) — more than 4 levels (Anaes.) (Assist.)


1 643.15


48627


Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (Anaes.) (Assist.)


2 112.40


48630


Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (Anaes.) (Assist.)


2 347.15


48632


Scoliosis, congenital, vertebral resection and fusion for (Anaes.) (Assist.)


1 297.45


48636


Percutaneous lumbar discectomy, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty (Anaes.) (Assist.)


672.75


48639


Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (Anaes.) (Assist.)


1 134.45


48640


Vertebral body, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes.) (Assist.)


2 893.50


48642


Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies — 1 or 2 levels (Anaes.) (Assist.)


665.05


48645


Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies — more than 2 levels (Anaes.) (Assist.)


899.75


48648


Spine, bone graft to, (postero-lateral fusion) — 1 or 2 levels (Anaes.) (Assist.)


899.75


48651


Spine, bone graft to, (postero-lateral fusion) — more than 2 levels (Anaes.) (Assist.)


1 251.85


48654


Spinal fusion (posterior interbody), with laminectomy — 1 level (Anaes.) (Assist.)


899.75


48657


Spinal fusion (posterior interbody), with laminectomy — more than 1 level (Anaes.) (Assist.)


1 251.85


48660


Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions — 1 level (Anaes.) (Assist.)


899.75


48663


Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions — 1 level (where an assisting surgeon performs the approach) — principal surgeon (Anaes.) (Assist.)


672.75


48666


Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions — 1 level (where an assisting surgeon performs the approach) — assisting surgeon (Assist.)


406.85


48669


Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions — more than 1 level (Anaes.) (Assist.)


1 212.75


48672


Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions — more than 1 level (where an assisting surgeon performs the approach) — principal surgeon (Anaes.) (Assist.)


907.70


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.)


547.75


48678


Spine, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Anaes.) (Assist.)


469.90


48681


Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies (Anaes.) (Assist.)


782.40


48684


Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies — 1 or 2 levels (Anaes.) (Assist.)


782.40


48687


Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply — 3 or 4 levels (Anaes.) (Assist.)


1 095.25


48690


Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply — more than 4 levels (Anaes.) (Assist.)


1 251.85


48900


Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (Anaes.) (Assist.)


234.60


48903


Shoulder, decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination (Anaes.) (Assist.)


469.40


48906


Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both — not being a service associated with a service to which item 48900 applies (Anaes.) (Assist.)


469.40


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 (Anaes.) (Assist.)


625.95


48912


Shoulder, arthrotomy of (Anaes.) (Assist.)


273.90


48915


Shoulder, hemi-arthroplasty of (Anaes.) (Assist.)


625.95


48918


Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (Anaes.) (Assist.)


1 251.85


48921


Shoulder, total replacement arthroplasty, revision of (Anaes.) (Assist.)


1 290.95


48924


Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (Anaes.) (Assist.)


1 486.65


48927


Shoulder prosthesis, removal of (Anaes.) (Assist.)


305.05


48930


Shoulder, stabilisation procedure for recurrent anterior or posterior dislocation (Anaes.) (Assist.)


625.95


48933


Shoulder, stabilisation procedure for multi-directional instability, anterior or posterior (or both) repair when performed (Anaes.) (Assist.)


821.55


48936


Shoulder, synovectomy of, as an independent procedure (Anaes.) (Assist.)


625.95


48939


Shoulder, arthrodesis of (Anaes.) (Assist.)


899.75


48942


Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (Anaes.) (Assist.)


1 173.65


48945


Shoulder, diagnostic arthroscopy of (including biopsy) — not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)


226.85


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 (Anaes.) (Assist.)


508.55


48951


Shoulder, arthroscopic division of coraco-acromial ligament including acromioplasty — not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes.) (Assist.)


743.25


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 (Anaes.) (Assist.)


782.40


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 (Anaes.) (Assist.)


899.75


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 (Anaes.) (Assist.)


782.40


49100


Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (Anaes.) (Assist.)


273.90


49103


Elbow, ligamentous stabilisation of (Anaes.) (Assist.)


586.75


49106


Elbow, arthrodesis of (Anaes.) (Assist.)


782.40


49109


Elbow, total synovectomy of (Anaes.) (Assist.)


586.75


49112


Elbow, silastic or other replacement of radial head (Anaes.) (Assist.)


586.75


49115


Elbow, total joint replacement of (Anaes.) (Assist.)


938.85


49118


Elbow, diagnostic arthroscopy of, including biopsy (Anaes.) (Assist.)


226.85


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 (Anaes.) (Assist.)


508.55


49200


Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (Anaes.) (Assist.)


680.60


49203


Wrist, limited arthrodesis of the intercarpal joint, including bone graft (Anaes.) (Assist.)


508.55


49206


Wrist, proximal carpectomy of, including styloidectomy when performed (Anaes.) (Assist.)


469.40


49209


Wrist, total replacement arthroplasty of (Anaes.) (Assist.)


625.95


49212


Wrist, arthrotomy of (Anaes.)


195.65


49215


Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (Anaes.) (Assist.)


539.90


49218


Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy) — not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes.) (Assist.)


226.85


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 1 area — not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes.) (Assist.)


508.55


49224


Wrist, arthroscopic debridement of: 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy (Anaes.) (Assist.)


586.75


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 (Anaes.) (Assist.)


586.75


49300


Sacro-iliac joint — arthrodesis of (Anaes.) (Assist.)


433.15


49303


Hip, arthrotomy of, including lavage, drainage or biopsy when performed (Anaes.) (Assist.)


453.75


49306


Hip-arthrodesis of (Anaes.) (Assist.)


899.75


49309


Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (Anaes.) (Assist.)


625.95


49312


Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (Anaes.) (Assist.)


782.40


49315


Hip, arthroplasty of, unipolar or bipolar (Anaes.) (Assist.)


704.20


49318


Hip, total replacement arthroplasty of, including minor bone grafting (Anaes.) (Assist.)


1 095.25


49319


Hip, total replacement arthroplasty of, including associated minor grafting, if performed — bilateral (Anaes.) (Assist.)


1 924.10


49321


Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (Anaes.) (Assist.)


1 330.20


49324


Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (Anaes.) (Assist.)


1 564.85


49327


Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (Anaes.) (Assist.)


1 799.50


49330


Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (Anaes.) (Assist.)


1 799.50


49333


Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (Anaes.) (Assist.)


2 034.25


49336


Hip, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), being a service associated with a service to which items 49324 to 49333 apply (Anaes.) (Assist.)


297.25


49339


Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (Anaes.) (Assist.)


2 308.00


49342


Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (Anaes.) (Assist.)


2 308.00


49345


Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (Anaes.) (Assist.)


2 738.40


49346


Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (Anaes.) (Assist.)


704.20


49360


Hip, diagnostic arthroscopy of (Anaes.) (Assist.)


285.85


49363


Hip, diagnostic arthroscopy of, with synovial biopsy (Anaes.) (Assist.)


344.20


49366


Hip, arthroscopic surgery of (Anaes.) (Assist.)


508.55


49500


Knee, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (Anaes.) (Assist.)


313.00


49503


Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this group applies) — any 1 procedure (Anaes.) (Assist.)


406.85


49506


Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this group applies) — any 2 or more procedures (Anaes.) (Assist.)


610.30


49509


Knee, total synovectomy or arthrodesis of (Anaes.) (Assist.)


625.95


49512


Knee, arthrodesis of, with removal of prosthesis (Anaes.) (Assist.)


899.75


49515


Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (Anaes.) (Assist.)


704.20


49517


Knee, hemiarthroplasty of (Anaes.) (Assist.)


1 002.55


49518


Knee, total replacement arthroplasty of (Anaes.) (Assist.)


1 095.25


49519


Knee, total replacement arthroplasty of, including associated minor grafting, if performed — bilateral (Anaes.) (Assist.)


1 924.10


49521


Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (Anaes.) (Assist.)


1 330.20


49524


Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (Anaes.) (Assist.)


1 564.85


49527


Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes.) (Assist.)


1 330.20


49530


Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (Anaes.) (Assist.)


1 643.15


49533


Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (Anaes.) (Assist.)


1 877.80


49534


Knee, patello-femoral joint of, total replacement arthroplasty as a primary procedure (Anaes.) (Assist.)


373.50


49536


Knee, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments, including notchplasty when performed (Anaes.) (Assist.)


782.40


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 (Anaes.) (Assist.)


782.40


49542


Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed (Anaes.) (Assist.)


1 095.25


49545


Knee, revision arthrodesis of (Anaes.) (Assist.)


625.95


49548


Knee, revision of patello-femoral stabilisation (Anaes.) (Assist.)


782.40


49551


Knee, revision of procedures to which item 49536, 49539 or 49542 applies (Anaes.) (Assist.)


1 095.25


49554


Knee, revision of total replacement of, by anatomic specific allograft of tibia or femur (Anaes.) (Assist.)


1 564.85


49557


Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) — not being a service associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)


226.85


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 (Anaes.) (Assist.)


226.85


49559


Knee, arthroscopic surgery of, involving chrondroplasty requiring multiple drilling or carbon fibre (or similar) implant, including any associated debridement or osteoplasty — not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)


339.60


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 (Anaes.) (Assist.)


458.40


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 chrondroplasty — not associated with any other arthroscopic procedure of the knee region (Anaes.) (Assist.)


560.20


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 (Anaes.) (Assist.)


611.20


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 (Anaes.) (Assist.)


662.05


49564


Knee, patello-femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer (Anaes.) (Assist.)


763.70


49566


Knee, arthroscopic total synovectomy of (Anaes.) (Assist.)


625.95


49569


Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (Anaes.) (Assist.)


625.95


49700


Ankle, diagnostic arthroscopy of, including biopsy (Anaes.) (Assist.)


226.85


49703


Ankle, arthroscopic surgery of (Anaes.) (Assist.)


508.55


49706


Ankle, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (Anaes.) (Assist.)


273.90


49709


Ankle, ligamentous stabilisation of (Anaes.) (Assist.)


586.75


49712


Ankle, arthrodesis of (Anaes.) (Assist.)


625.95


49715


Ankle, total joint replacement of (Anaes.) (Assist.)


938.85


49718


Ankle, Achilles' tendon or other major tendon, repair of (Anaes.) (Assist.)


313.00


49721


Ankle, Achilles' tendon rupture managed by non-operative treatment


195.65


49724


Ankle, Achilles' tendon, secondary repair or reconstruction of (Anaes.) (Assist.)


547.75


49727


Ankle, Achilles' tendon, operation for lengthening (Anaes.) (Assist.)


234.60


49800


Foot, flexor or extensor tendon, primary repair of (Anaes.)


109.55


49803


Foot, flexor or extensor tendon, secondary repair of (Anaes.)


140.85


49806


Foot, subcutaneous tenotomy of, 1 or more tendons (Anaes.)


109.55


49809


Foot, open tenotomy of, with or without tenoplasty (Anaes.)


179.90


49812


Foot, tendon or ligament transplantation of, not being a service to which another item in this group applies (Anaes.) (Assist.)


359.85


49815


Foot, triple arthrodesis of (Anaes.) (Assist.)


625.95


49818


Foot, excision of calcaneal spur (Anaes.) (Assist.)


226.85


49821


Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) — unilateral (Anaes.) (Assist.)


359.85


49824


Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) — bilateral (Anaes.) (Assist.)


629.85


49827


Foot, correction of hallux valgus by transfer of adductor hallucis tendon — unilateral (Anaes.) (Assist.)


391.15


49830


Foot, correction of hallux valgus by transfer of adductor hallucis tendon — bilateral (Anaes.) (Assist.)


684.60


49833


Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed — unilateral (Anaes.) (Assist.)


430.35


49836


Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed — bilateral (Anaes.) (Assist.)


743.25


49837


Foot, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation if performed — unilateral (Anaes.) (Assist.)


537.90


49838


Foot, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation if performed — bilateral (Anaes.) (Assist.)


928.95


49839


Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty — unilateral (Anaes.) (Assist.)


430.35


49842


Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty — bilateral (Anaes.) (Assist.)


743.25


49845


Foot, arthrodesis of, first metatarso-phalangeal joint (Anaes.) (Assist.)


391.15


49848


Foot, correction of claw or hammer toe (Anaes.)


133.05


49851


Foot, correction of claw or hammer toe with internal fixation (Anaes.)


172.10


49854


Foot, radical plantar fasciotomy or fasciectomy of (Anaes.) (Assist.)


313.00


49857


Foot, metatarso-phalangeal joint replacement (Anaes.) (Assist.)


289.45


49860


Foot, synovectomy of metatarso-phalangeal joint, single joint (Anaes.) (Assist.)


234.60


49863


Foot, synovectomy of metatarso-phalangeal joint, 2 or more joints (Anaes.) (Assist.)


352.15


49866


Foot, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (Anaes.) (Assist.)


250.25


49878


Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation — each attendance (Anaes.)


46.95


50100


Joint, diagnostic arthroscopy of (including biopsy), not being a service to which another item in this group applies and not being a service associated with any other arthroscopic procedure (Anaes.) (Assist.)


226.85


50102


Joint, arthroscopic surgery of, not being a service to which another item in this group applies (Anaes.) (Assist.)


508.55


50103


Joint, arthrotomy of, not being a service to which another item in this group applies (Anaes.) (Assist.)


273.90


50104


Joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.)


259.55


50106


Joint, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this group applies (Anaes.) (Assist.)


391.15


50109


Joint, arthrodesis of, not being a service to which another item in this group applies (Anaes.) (Assist.)


391.15


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 (Anaes.) (Assist.)


300.05


50115


Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in this group applies (Anaes.)


117.40


50118


Subtalar joint, arthrodesis of (Anaes.) (Assist.)


359.85


50121


Greater trochanter, transplantation of ileopsoas tendon to (Anaes.) (Assist.)


704.20


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 (Anaes.)


24.60


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 (Anaes.)


24.60


50127


Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (Anaes.) (Assist.)


583.85


50130


Joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)


259.55


50200


Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including after-care) (Anaes.)


156.45


50203


Bone or malignant deep soft tissue tumour, lesional or marginal excision of (Anaes.) (Assist.)


344.25


50206


Bone tumour, lesional or marginal excision of, combined with any 1 of the following:

(a) liquid nitrogen freezing;
(b) autograft;
(c) allograft;
(d) cementation
(Anaes.) (Assist.)


508.55


50209


Bone tumour, lesional or marginal excision of, combined with any 2 or more of the following:

(a) liquid nitrogen freezing;
(b) autograft;
(c) allograft;
(d) cementation
(Anaes.) (Assist.)


625.95


50212


Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction (Anaes.) (Assist.)


1 369.20


50215


Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (Anaes.) (Assist.)


1 721.30


50218


Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (Anaes.) (Assist.)


2 269.00


50221


Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (Anaes.) (Assist.)


2 112.40


50224


Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Anaes.) (Assist.)


2 347.15


50227


Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Anaes.) (Assist.)


2 738.40


50230


Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (Anaes.) (Assist.)


1 408.30


50233


Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (Anaes.) (Assist.)


1 799.50


50236


Malignant tumour, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (Anaes.) (Assist.)


1 408.30


50239


Malignant tumour, amputation for, not being a service to which another item in this group applies (Anaes.) (Assist.)


938.85


50300


Joint deformity, slow correction of, using ring fixator or similar device, including all associated attendances — payable only once in any 12 month period (Anaes.) (Assist.)


962.05


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 (Anaes.) (Assist.)


1 313.50


50306


Limb lengthening, where the lengthening is bipolar, or bone transport is performed or where the fixator is extended to correct an adjacent joint deformity (Anaes.) (Assist.)


2 050.90


50309


Ring fixator or similar device, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia in the operating theatre of a hospital or approved day-hospital facility, not being a service to which item 50303 or 50306 applies (Anaes.) (Assist.)


253.45


50312


Ankle, synovectomy of (Anaes.) (Assist.)


581.85


50315


Talipes equinovarus, posterior release of (Anaes.) (Assist.)


576.10


50318


Talipes equinovarus, medial release of (Anaes.) (Assist.)


576.10


50321


Talipes equinovarus, combined postero-medial release of (Anaes.) (Assist.)


771.95


50324


Talipes equinovarus, combined postero-medial release of, revision procedure (Anaes.) (Assist.)


1 100.40


50327


Talipes equinovarus, bilateral procedures (Anaes.) (Assist.)


1 342.25


50330


Talipes equinovarus, or talus, vertical congenital — post operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital or approved day-hospital facility, not being a service to which item 50315, 50318, 50321, 50324 or 50327 applies (Anaes.)


190.05


50333


Tarsal coalition, excision of, with interposition of muscle, fat graft or similar graft (Anaes.) (Assist.)


512.70


50336


Talus, vertical, congenital, combined anterior and posterior reconstruction (Anaes.) (Assist.)


766.25


50339


Foot and ankle, tibialis anterior tendon (split or whole) transfer to lateral column (Anaes.) (Assist.)


466.70


50342


Foot and ankle, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot (Anaes.) (Assist.)


541.50


50345


Hyperextension deformity of toe, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (Anaes.) (Assist.)


288.10


50348


Knee, deformity of, post-operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


190.05


50349


Hip, congenital dislocation of, treatment of, by closed reduction (Anaes.) (Assist.)


133.05


50350


Hip, congenital dislocation of, open reduction of (Anaes.) (Assist.)


704.20


50351


Hip, developmental dislocation of, open reduction of (Anaes.) (Assist.)


829.60


50352


Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast — each attendance (Anaes.)


46.95


50353


Hip spica, initial application of, for congenital dislocation of hip (excluding after-care) (Anaes.) (Assist.)


294.85


50354


Tibia, pseudarthrosis of, congenital, resection and internal fixation (Anaes.) (Assist.)


1 088.80


50357


Knee, leg or thigh, rectus femoris tendon transfer or medial or lateral hamstring tendon transfer (Anaes.) (Assist.)


466.70


50360


Knee, leg or thigh, combined medial and lateral hamstring tendon transfer (Anaes.) (Assist.)


541.50


50363


Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, unilateral (Anaes.) (Assist.)


414.80


50366


Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral (Anaes.) (Assist.)


725.90


50369


Knee, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, unilateral (Anaes.) (Assist.)


541.50


50372


Knee, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, bilateral (Anaes.) (Assist.)


950.55


50375


Hip, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, unilateral (Anaes.) (Assist.)


414.80


50378


Hip, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, bilateral (Anaes.) (Assist.)


725.90


50381


Hip, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, unilateral (Anaes.) (Assist.)


541.50


50384


Hip, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, bilateral (Anaes.) (Assist.)


950.55


50387


Hip, iliopsoas tendon transfer to greater trochanter, or transfer of abdominal musculature to greater trochanter, or transfer or adductors to ischium (Anaes.) (Assist.)


541.50


50390


Perthes, cerebral palsy, or other neuromuscular conditions, affecting hips or knees, application of cast under general anaesthesia, performed in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


190.05


50393


Pelvis, bone graft or shelf procedures for acetabular dysplasia (Anaes.) (Assist.)


702.80


50394


Acetabular dysplasia, treatment of, by multiple peri-acetabular osteotomy, including internal fixation where performed (Anaes.) (Assist.)


2 308.00


50396


Hand, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction (Anaes.) (Assist.)


386.05


50399


Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (Anaes.) (Assist.)


766.25


50402


Torticollis, bipolar release of sternocleidomastoid muscle and associated soft tissue (Anaes.) (Assist.)


351.40


50405


Elbow, flexorplasty, or tendon transfer to restore elbow function (Anaes.) (Assist.)


478.15


50408


Shoulder, congenital or developmental dislocation, open reduction of (Anaes.) (Assist.)


829.60


50411


Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion (Anaes.) (Assist.)


1 088.80


50414


Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion and rotationplasty (Anaes.) (Assist.)


1 469.00


50417


Lower limb deficiency, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and repair of quadriceps mechanism (Anaes.) (Assist.)


1 088.80


50420


Patella, congenital dislocation of, reconstruction of the quadriceps (Anaes.) (Assist.)


898.70


50423


Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Anaes.) (Assist.)


829.60


50426


Diaphyseal aclasia, removal of lesion or lesions from bone — 1 approach (Anaes.) (Assist.)


386.05


Group T9 — Assistance at operations


51300


Assistance at any operation specified in an item in Group T8 that includes `(Assist.)' for which the fee does not exceed $452.70 or at a series or combination of operations specified in items in Group T8 that include `(Assist.)' for which the aggregate fee does not exceed $452.70


71.75


51303


Assistance at any operation specified in an item in Group T8 that includes `(Assist.)' for which the fee exceeds $452.70 or at a series or combination of operations specified in items in Group T8 that include `(Assist.)' for which the aggregate fee exceeds $452.70


Amount under rule 29


51306


Assistance at a delivery involving Caesarean section


103.65


51309


Assistance at a series or combination of operations that include `(Assist.)' and assistance at a delivery involving Caesarean section


Amount under rule 30


51312


Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615, 16627 and 16633


Amount under rule 34


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


226.35


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
(b) previous significant surgical complication in the fellow eye; or
(c) pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre-existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage


149.40


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 residential aged care facility where the patient is referred to him or her


71.10


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 residential aged care facility where the patient is referred to him or her


35.65


Group O2 — Assistance at operation


51800


Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes `(Assist.)' for which the fee does not exceed $452.70 or at a series or combination of operations specified in items in Groups O3 to O9 that include `(Assist.)' for which the aggregate fee does not exceed $452.70


71.75


51803


Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes `(Assist.)' for which the fee exceeds $452.70 or at a series or combination of operations specified in items that include `(Assist.)' where the aggregate fee exceeds $452.70


Amount under rule 29


Group O3 — General surgery


51900


Wound of soft tissue in the oral and maxillofacial region, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.)


270.90


51902


Wounds of the oral and maxillofacial region, dressing of, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes.)


61.40


51904


Lipectomy — wedge excision of skin or fat — 1 excision (Anaes.) (Assist.)


378.00


51906


Lipectomy — wedge excision of skin or fat — 2 or more excisions (Anaes.) (Assist.)


574.95


52000


Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial (Anaes.)


68.55


52003


Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), involving deeper tissue (Anaes.)


97.65


52006


Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial (Anaes.)


97.65


52009


Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (Anaes.)


154.30


52010


Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.)


211.05


52012


Superficial foreign body, removal of, as an independent procedure (Anaes.)


19.50


52015


Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (Anaes.)


91.35


52018


Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (Anaes.) (Assist.)


229.95


52021


Aspiration biopsy of 1 or more jaw cysts as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes.)


24.50


52024


Biopsy of skin or mucous membrane, as an independent procedure (Anaes.)


43.40


52025


Lymph node of neck, biopsy of (Anaes.)


152.85


52027


Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure and not being a service to which item 52025 applies (Anaes.)


124.45


52030


Sinus, excision of, involving superficial tissue only (Anaes.)


74.75


52033


Sinus, excision of, involving muscle and deep tissue (Anaes.)


152.85


52034


Premalignant lesions of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser


35.65


52035


Endoscopic laser therapy for neoplasia and benign vascular lesions of the oral cavity (Anaes.)


395.65


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 (Anaes.)


105.50


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 (Anaes.) (Assist.)


270.90


52042


Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.)


143.35


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 (Anaes.)


204.80


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 (Anaes.) (Assist.)


308.75


52051


Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.)


417.45


52054


Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.)


488.35


52055


Haematoma, small abscess or cellulitis in the oral and maxillofacial region, not requiring admission to a hospital or day-hospital facility, incision with drainage of (excluding after-care)


22.70


52056


Haematoma in the oral and maxillofacial region, aspiration of (Anaes.)


22.70


52057


Large haematoma, large abscess, carbuncle, cellulitis or similar lesion in the oral and maxillofacial region, requiring admission to a hospital or day-hospital facility, incision with drainage of (excluding after-care) (Anaes.)


135.45


52058


Percutaneous drainage of deep abscess in the oral and maxillofacial region, using interventional imaging techniques — but not including imaging (Anaes.)


197.45


52059


Abscess in the oral and maxillofacial region drainage tube, exchange of using interventional imaging techniques — but not including imaging (Anaes.)


222.45


52060


Muscle in the oral and maxillofacial region, excision of (Anaes.)


157.40


52061


Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (Anaes.)


185.85


52062


Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.)


245.75


52063


Bone tumour in the oral and maxillofacial region, innocent, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)


296.15


52064


Bone cyst in the oral and maxillofacial region, injection into or aspiration of (Anaes.)


140.85


52066


Submandibular gland, extirpation of (Anaes.) (Assist.)


370.20


52069


Sublingual gland, extirpation of (Anaes.)


165.05


52072


Salivary gland, dilatation or diathermy of duct (Anaes.)


48.85


52073


Salivary gland, repair of cutaneous fistula of (Anaes.)


124.45


52075


Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.)


124.45


52078


Tongue, partial excision of (Anaes.) (Assist.)


245.75


52081


Tongue tie, division or excision of frenulum (Anaes.)


38.65


52084


Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (Anaes.)


99.25


52087


Ranula or mucous cyst of mouth, removal of (Anaes.)


170.15


52090


Operation on mandible or maxilla (other than alveolar margins) for chronic osteomyelitis — 1 bone or in combination with adjoining bones (Anaes.) (Assist.)


296.15


52092


Operation on skull for osteomyelitis (Anaes.) (Assist.)


386.00


52094


Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 52092 (Anaes.) (Assist.)


488.30


52095


Bone growth stimulator in the oral and maxillofacial region, insertion of (Anaes.) (Assist.)


316.45


52096


Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes.)


93.85


52097


External fixation in the oral and maxillofacial region, removal of, in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


133.05


52098


External fixation in the oral and maxillofacial region, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.)


156.45


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 (Anaes.)


117.40


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 (Anaes.)


117.40


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 (Anaes.) (Assist.)


219.10


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 (Anaes.)


90.50


52108


Lip, full thickness wedge excision of, with repair by direct sutures (Anaes.) (Assist.)


270.90


52111


Vermilionectomy (Anaes.) (Assist.)


270.90


52114


Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes.) (Assist.)


488.35


52117


Mandible, including lower border, or maxilla, sub-total resection of (Anaes.) (Assist.)


581.30


52120


Mandible, hemimandiblectomy of, including condylectomy where performed (Anaes.) (Assist.)


685.20


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 (Anaes.) (Assist.)


687.45


52123


Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.)


778.35


52126


Maxilla, total resection of (Anaes.) (Assist.)


748.30


52129


Maxilla, total resection of both maxillae (Anaes.) (Assist.)


1 001.70


52130


Bone graft in the oral and maxillofacial region, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)


367.70


52131


Bone graft with internal fixation, in the oral and maxillofacial region, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)


508.55


52132


Tracheostomy (Anaes.)


198.50


52133


Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.)


75.65


52135


Post-operative or post-nasal haemorrhage, or both, control of, where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes.)


120.00


52138


Maxillary artery, ligation of (Anaes.) (Assist.)


370.20


52141


Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not being a service to which item 52138 applies (Anaes.) (Assist.)


368.70


52144


Foreign body, deep, removal of using interventional imaging techniques (Anaes.) (Assist.)


343.70


52147


Duct of major salivary gland, transposition of (Anaes.) (Assist.)


324.30


52148


Parotid duct, repair of, using micro-surgical techniques (Anaes.) (Assist.)


573.25


52158


Submandibular ducts, relocation of, for surgical control of drooling (Anaes.) (Assist.)


923.00


52180


Aggressive or potentially malignant bone or deep soft tissue tumour in the oral and maxillofacial region, biopsy of (not including after-care) (Anaes.)


156.45


52182


Bone or malignant deep soft tissue tumour in the oral and maxillofacial region, lesional or marginal excision of (Anaes.) (Assist.)


344.25


52184


Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any 1 of liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)


508.55


52186


Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any 2 or more of liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)


625.95


Group O4 — Plastic and reconstructive




52300


Single-stage local flap, where indicated, repair to 1 defect, with skin or mucosa (Anaes.) (Assist.)


236.30


52303


Single-stage local flap, where indicated, repair to 1 defect, with buccal pad of fat (Anaes.) (Assist.)


337.40


52306


Single-stage local flap, where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.)


500.70


52309


Free grafting (mucosa or split skin) of a granulating area (Anaes.)


170.15


52312


Free grafting (mucosa, split skin or connective tissue) to 1 defect, including elective dissection (Anaes.) (Assist.)


236.30


52315


Free grafting, full thickness, to 1 defect (mucosa or skin) (Anaes.) (Assist.)


393.75


52318


Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies — Autogenous, small quantity (Anaes.)


117.40


52319


Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies — Autogenous, large quantity (Anaes.)


195.35


52321


Foreign implant (non-biological), insertion of, for contour reconstruction of pathological deformity, not being a service associated with a service to which item 52624 applies (Anaes.) (Assist.)


393.75


52324


Direct flap repair, using tongue, first stage (Anaes.) (Assist.)


393.75


52327


Direct flap repair, using tongue, second stage (Anaes.)


195.35


52330


Palatal defect (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (Anaes.) (Assist.)


649.85


52333


Cleft palate, primary repair (Anaes.) (Assist.)


649.85


52336


Cleft palate, secondary repair, closure of fistula using local flaps (Anaes.) (Assist.)


406.15


52337


Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes.) (Assist.)


888.45


52339


Cleft palate, secondary repair, lengthening procedure (Anaes.) (Assist.)


462.60


52342


Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


803.45


52345


Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


906.10


52348


Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 023.90


52351


Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 149.85


52354


Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 165.70


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 312.40


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 (Anaes.) (Assist.)


1 338.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 506.15


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 (Anaes.) (Assist.)


1 472.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 656.00


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 (Anaes.) (Assist.)


1 606.85


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 stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


1 799.85


52378


Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


622.20


52379


Face, contour reconstruction of 1 region, using autogenous bone or cartilage graft (Anaes.) (Assist.)


1 062.35


52380


Midfacial osteotomies — Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)


1 810.60


52382


Midfacial osteotomies — Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.)


2 170.35


52420


Mandible, fixation by intermaxillary wiring, excluding wiring for obesity


200.40


52424


Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (Anaes.) (Assist.)


393.65


52430


Microvascular repair of the oral and maxillofacial region using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (Anaes.) (Assist.)


906.10


52440


Cleft lip, unilateral — primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)


449.90


52442


Cleft lip, unilateral — primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)


562.50


52444


Cleft lip, bilateral — primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)


624.90


52446


Cleft lip, bilateral — primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)


737.50


52450


Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.)


249.95


52452


Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)


406.15


52456


Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)


687.45


52458


Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.)


249.95


52460


Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (Anaes.)


649.85


52480


Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (Anaes.) (Assist.)


417.45


52482


Macrocheilia or macroglossia, operation for (Anaes.) (Assist.)


401.60


52484


Macrostomia, operation for (Anaes.) (Assist.)


478.10


Group O5 — Preprosthetic


52600


Mandibular or palatal exostosis, excision of (Anaes.) (Assist.)


281.15


52603


Mylohyoid ridge, reduction of (Anaes.) (Assist.)


268.75


52606


Maxillary tuberosity, reduction of (Anaes.)


205.00


52609


Papillary hyperplasia of the palate, removal of — less than 5 lesions (Anaes.) (Assist.)


268.75


52612


Papillary hyperplasia of the palate, removal of — 5 to 20 lesions (Anaes.) (Assist.)


337.40


52615


Papillary hyperplasia of the palate, removal of — more than 20 lesions (Anaes.) (Assist.)


418.75


52618


Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed — unilateral or bilateral (Anaes.) (Assist.)


487.35


52621


Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed — unilateral (Anaes.) (Assist.)


487.35


52624


Alveolar ridge augmentation with bone or alloplast or both — unilateral (Anaes.) (Assist.)


393.65


52626


Alveolar ridge augmentation — unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.)


241.40


52627


Osseo-integration procedure — extra oral implantation of titanium fixture (Anaes.) (Assist.)


418.75


52630


Osseo-integration procedure — fixation of transcutaneous abutment (Anaes.)


155.00


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 (Anaes.)


418.75


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 (Anaes.)


155.00


Group O6 — Neurosurgical


52800


Neurolysis by open operation, without transposition, not being a service associated with a service to which item 52803 applies (Anaes.) (Assist.)


229.95


52803


Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.)


331.20


52806


Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (Anaes.) (Assist.)


229.95


52809


Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (Anaes.) (Assist.)


393.75


52812


Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.)


562.50


52815


Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)


593.65


52818


Nerve, transposition of (Anaes.) (Assist.)


393.75


52821


Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)


856.10


52824


Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (Anaes.) (Assist.)


368.70


52826


Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.)


197.45


52828


Cutaneous nerve, primary repair of, using microsurgical techniques (Anaes.) (Assist.)


293.70


52830


Cutaneous nerve, secondary repair of, using microsurgical techniques (Anaes.) (Assist.)


387.35


52832


Cutaneous nerve, nerve graft to, using microsurgical techniques (Anaes.) (Assist.)


531.20


Group O7 — Ear, nose and throat


53000


Maxillary antrum, proof puncture and lavage of (Anaes.)


27.00


53003


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 Groups O3 to O9 applies (Anaes.)


76.45


53004


Maxillary antrum, lavage of — each attendance at which the procedure is performed, including any associated consultation (Anaes.)


27.90


53006


Antrostomy (radical) (Anaes.) (Assist.)


433.15


53009


Antrum, intranasal operation on or removal of foreign body from (Anaes.) (Assist.)


245.75


53012


Antrum, drainage of, through tooth socket (Anaes.)


97.65


53015


Oro-antral fistula, plastic closure of (Anaes.) (Assist.)


488.35


53016


Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes.) (Assist.)


401.60


53017


Nasal septum, reconstruction of (Anaes.) (Assist.)


501.05


53019


Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (Anaes.) (Assist.)


482.70


53052


Post-nasal space, direct examination of, with or without biopsy (Anaes.)


102.05


53054


Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx — 1 or more of these procedures (Anaes.)


102.00


53056


Examination of nasal cavity or post-nasal space, or nasal cavity and post-nasal space, under general anaesthesia, not being a service associated with a service to which another item in this group applies (Anaes.)


59.80


53058


Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (Anaes.)


102.00


53060


Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum or turbinates for obstruction or haemorrhage secondary to surgery (or trauma) — 1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose (Anaes.)


83.50


53062


Post-surgical nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)


74.75


53064


Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.)


135.45


53068


Turbinectomy or turbinectomies, partial or total, unilateral (Anaes.)


112.10


53070


Turbinates, submucous resection of, unilateral (Anaes.)


147.95


Group O8 — Temporomandibular joint


53200


Mandible, treatment of a dislocation of, not requiring open reduction (Anaes.)


58.75


53203


Mandible, treatment of a dislocation of, requiring open reduction (Anaes.)


98.75


53206


Temporomandibular joint, manipulation of, performed in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes.)


118.75


53209


Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (Anaes.) (Assist.)


1 370.45


53212


Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.)


740.35


53215


Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.)


339.60


53218


Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions — 1 or more of such procedures (Anaes.) (Assist.)


543.30


53220


Temporomandibular joint, arthrotomy of, not being a service to which another item in this group applies (Anaes.) (Assist.)


273.90


53221


Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.)


724.95


53224


Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.)


803.60


53225


Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)


241.40


53226


Temporomandibular joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.)


259.55


53227


Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques (Anaes.) (Assist.)


987.45


53230


Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.)


1 112.35


53233


Temporomandibular joint, surgery of, involving procedures to which items 53224, 53226, 53227 and 53230 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes.) (Assist.)


1 249.90


53236


Temporomandibular joint, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this group applies (Anaes.) (Assist.)


391.15


53239


Temporomandibular joint, arthrodesis of, not being a service to which another item in this group applies (Anaes.) (Assist.)


391.15


53242


Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)


259.55


Group O9 — Treatment of fractures


53400


Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting


107.35


53403


Mandible, treatment of fracture of, not requiring splinting


131.15


53406


Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)


337.95


53409


Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)


337.95


53410


Zygomatic bone, treatment of fracture of, not requiring surgical reduction


71.20


53411


Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (Anaes.)


198.50


53412


Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.)


325.85


53413


Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.)


398.20


53414


Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.)


458.55


53415


Maxilla, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)


362.10


53416


Mandible, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)


362.10


53418


Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)


470.65


53419


Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)


470.65


53422


Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)


597.30


53423


Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)


597.30


53424


Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)


512.50


53425


Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)


512.50


53427


Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)


699.95


53429


Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)


699.95


53439


Mandible, treatment of a closed fracture of, involving a joint surface (Anaes.)


198.50


53453


Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Anaes.) (Assist.)


401.60


53455


Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.)


471.75


53458


Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies


35.70


53459


Nasal bones, treatment of fracture of, by reduction (Anaes.)


195.65


53460


Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Anaes.) (Assist.)


399.15


Group O10 — Diagnostic procedures and investigations


53600


Skin sensitivity testing for allergens to anaesthetics and materials used in oral and maxillofacial surgery, using 1 to 20 allergens


32.35


Group O11 — Regional or field nerve blocks


53700


Trigeminal nerve, primary division of, injection of an anaesthetic agent


103.75


53702


Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent


51.95


53704


Facial nerve, injection of an anaesthetic agent


31.25


53706


Nerve branch in the oral and maxillofacial region, destruction by a neurolytic agent, not being a service to which any other item in this group applies


103.75


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)


71.10


75004


Professional attendance by an accredited orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO)


35.65


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
(b) an item in Group T8 or Groups O3 to O9 applies;

in a single course of treatment (AO)


63.35


75009


Orthodontic radiography — orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO)


56.65


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)


89.75


75015


Orthodontic radiography — anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS) (AO)


123.45


75018


Orthodontic radiography — anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO)


157.25


75021


Orthodontic radiography — hand-wrist studies (including growth prediction) including any consultation on the same occasion (AOS) (AO)


192.85


75023


Intraoral radiography — single area, periapical or bitewing film (AOS) (AO)


38.60


75024


Pre-surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision — where 1 appliance is used (AO)


498.75


75027


Pre-surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision — where 2 appliances are used (AO)


683.85


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)


608.95


75033


Mixed dentition treatment — incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention (AO)


998.00


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)


508.00


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)


1 378.50


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)


1 736.20


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)


461.40


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)


172.55


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)


923.75


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)


236.90


75049


Retention, fixed or removable, single arch (mandibular or maxillary) — supply of retainer and supervision of retention (AO)


277.25


75050


Retention, fixed or removable, 2-arch (mandibular and maxillary) — supply of retainers and supervision of retention (AO)


535.20


75051


Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO)


821.65


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)


71.10


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)


35.65


75156


Production of dental study models (not being a service associated with a service to which item 75153 applies) prior to provision of a service:

(a) to which item 52321, 53212 or 75618 applies; or
(b) to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies;

in a single course of treatment, where the patient is referred by an accredited orthodontist (AOS)


63.35


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)


45.65


75203


Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by an accredited orthodontist (AD)


68.50


75206


Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item 75200 or 75203 applies is rendered, where the patient is referred by an accredited orthodontist (AD)


22.70


75400


Surgical removal of erupted tooth, where the patient is referred by an accredited orthodontist (AOS)


136.95


75403


Surgical removal of tooth with soft tissue impaction, where the patient is referred by an accredited orthodontist (AOS)


157.25


75406


Surgical removal of tooth with partial bone impaction, where the patient is referred by an accredited orthodontist (AOS)


179.25


75409


Surgical removal of tooth with complete bone impaction, where the patient is referred by an accredited orthodontist (AOS)


203.00


75412


Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by an accredited orthodontist (AOS)


113.35


75415


Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by an accredited orthodontist (AOS)


136.95


75600


Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS)


192.85


75603


Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by an accredited orthodontist (AOS)


226.65


75606


Surgical repositioning of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS)


226.65


75609


Transplantation of tooth bud, where the patient is referred by an accredited orthodontist (AOS)


338.35


75612


Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), where the patient is referred by an accredited orthodontist (AOS)


418.75


75615


Surgical procedure for fixation of trans-mucosal abutment (second stage of osseointegrated implant), where the patient is referred by an accredited orthodontist (AOS)


155.00


75618


Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome, where the patient is referred by an accredited orthodontist (AOS)


192.50


75621


The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with:

(a) an item in the series 52342 to 52375; or
(b) item 52380 or 52382;

where the patient is referred by an accredited orthodontist (AOS)


192.50


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)


68.50


75803


Provision and fitting of acrylic base partial denture, including retainers — 1 tooth (AD)


274.05


75806


Provision and fitting of acrylic base partial denture, including retainers — 2 teeth (AD)


321.40


75809


Provision and fitting of acrylic base partial denture, including retainers — 3 teeth (AD)


380.60


75812


Provision and fitting of acrylic base partial denture, including retainers — 4 teeth (AD)


422.85


75815


Provision and fitting of acrylic base partial denture, including retainers — 5 to 9 teeth (AD)


515.95


75818


Provision and fitting of acrylic base partial denture, including retainers — 10 to 12 teeth (AD)


608.95


75821


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 1 tooth (AD)


490.45


75824


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 2 teeth (AD)


566.65


75827


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 3 teeth (AD)


651.25


75830


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 4 teeth (AD)


718.95


75833


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 5 to 9 teeth (AD)


879.55


75836


Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 10 to 12 teeth (AD)


1 006.40


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)


22.70


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)


33.85


75845


Relining of partial denture by laboratory process and associated fitting (AD)


169.25


75848


Remodelling and fitting of partial denture of more than 4 teeth (AD)


203.00


75851


Repair to cast metal base of partial denture — 1 or more points (AD)


101.50


75854


Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)


101.50


1. Notified in the Commonwealth of Australia Gazette on 16 October 2003.



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